Pediatric Depression: When to Refer

Pediatric Depression: When to Refer

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Cost: $FREE
Course Type: Online
Approximate Length: 1 hour

Welcome to training on Pediatric Depression: When to Refer, provided by the Texas Department of State Health Services (DSHS) and Health and Human Services Commission (HHSC).

Sample Clinical Case

Jeff is a 9-year-old Caucasian male in 4th grade. He lives with his biological mother, stepfather, and a 4-year-old half-sister. Jeff's mother brought him to the pediatrician's office due to frequent complaints of stomach aches and refusing to go to school over the past 6 weeks. Before this, Jeff was outgoing and energetic. Currently, he avoids playing with friends and prefers to stay inside and watch TV. He has also been more difficult at home, frequently yelling at his mother and sister, slamming doors, etc. Although Jeff was unable to identify any stressful life events, his mother reported that his grandmother passed away 3 months ago.

Should the patient receive further screening for depression? Please choose your answer:

Goal

The goal of this module is to educate Texas Health Steps (THSteps) providers and others about how to identify and manage depression in children and adolescents who present in a primary care setting; when to refer more severe cases to a psychiatric specialist; and what ongoing care and coordination is needed for clients in the mental health specialty system.

Target Audience

Texas Health Steps Providers and others working in physician's offices or clinics.

Specific Learning Objectives

After completing the activities of this module, you will be able to:

  1. Identify the importance of identifying and managing depression in children and adolescents.
  2. Select at least one consequence that may result when depression is not promptly detected and treated.
  3. Select at least two risk factors for depression in children and adolescents.
  4. Indicate three signs and symptoms of depression in children and adolescents.
  5. Identify one screening tool used for assessing depression in children and adolescents.
  6. Indicate three recommendations in clinical practice guidelines for the assessment of depression.
  7. Indicate three recommendations in clinical practice guidelines for the treatment and management of depression.
  8. Identify two common barriers to mental health treatment.
  9. Choose three criteria for when a patient should be referred to a psychiatric specialist for assessment or treatment of depression.
  10. Indicate two state resources for children who need mental health services.

External links in this course are current as of 2/2010. These links may be bookmarked for future reference.

Please note this module expires on 2/4/2011.

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Lessons

Enroll in this course to access the lessons below. If you don't have an account, register and then login.

  • Pediatric Depression: When to Refer: Pre-Test
  • Section 1: Introduction to Pediatric Depression
  • Section 2: Risk Factors, Signs and Symptoms, Severity Levels
  • Section 3: Identification, Assessment, and Management of Depression
  • Section 4: Treatment Guidelines and Practice Parameters
  • Section 5: Common Barriers to Mental Health Services
  • Section 6: When to Refer for Pediatric Depression
  • Pediatric Depression: When to Refer: Post-Test
  • Pediatric Depression: When to Refer: Course Evaluation

Certificates

This module includes a pre- and post-test. Both tests need to be completed for you to receive a certificate of completion, and you must score a 75% on the post-test to pass. After you complete the post-test, you will be asked to evaluate your training experience, and you will be provided with information about securing continuing education credit. Click below for your certificate.

Disclosure Statements

One of the requirements of continuing education is disclosure of the following information to the learner:

  1. Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
    1. Create a Texas Health Steps account.
    2. Complete on-line registration process.
    3. Thoroughly read the content of the module.
    4. Complete the on-line examination.
    5. Complete the evaluation.
  2. Commercial Support.
    The THSTEPS Web-based Continuing Education Series has received no commercial support.
  3. Disclosure of Conflict of Interest.
    Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that neither planning committee members nor the authors of these modules have a conflict of interest.
  4. Non-Endorsement Statement.
    Accredited status does not imply endorsement by the Department of State Health Services, Continuing Education Service or the American Nurses Credentialing Center of any commercial products displayed in conjunction with an activity.
  5. Off-Label Use.
    Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).

The following are policies and definitions of terms related to continuing education disclosure:

The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.

All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.

↓ Disclosure: Glossary of Terms

Conflict of Interest – Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.

Commercial Interest – Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Financial Relationships – Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.

Off Label – Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).

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