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Quick reference guide


Issue date: September 2005

Depression in children and
young people
Identification and management in primary,
community and secondary care




Clinical Guideline 28
Developed by the National Collaborating Centre for Mental Health

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Depression in children and young people Contents




Contents

Using this booklet 3

About this information 4

Key priorities for implementation 5

Implementation 24

Further information 25




National Institute for
Health and Clinical Excellence © National Institute for Health and Clinical
MidCity Place Excellence, September 2005. All rights reserved.
71 High…

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Depression in children and young people Using this booklet




Using this booklet

This quick reference guide is organised according to the different needs of children and young people
with depression and their families or carers and the responses that are required from services.


Focus Who is responsible? Page
General principles…

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Depression in children and young people About this information




About this information

In this guideline, the following terms are used to care and treatment and be provided with the
refer to specific age groups: information and support they need.
· children ­ people aged 5­11 years Good communication is essential.…

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Depression in children and young people Key priorities for implementation




Key priorities for implementation

Assessment and coordination of care
When assessing a child or young person with depression, healthcare professionals should
routinely consider, and record in the patient's notes, potential comorbidities, and the social,
educational and family context for the…

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Depression in children and young people Key priorities for implementation




Step 2: Recognition
Training opportunities should be made available to improve the accuracy of CAMHS professionals
in diagnosing depressive conditions. The existing interviewer-based instruments (such as Kiddie-
Sads [K-SADS] and Child and Adolescent Psychiatric Assessment [CAPA]) could be used for…

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General principles of care across
Depression in children and young people all settings




General principles of care across all settings

Good information, informed consent and support
Provide the child/young person and parent(s)/carer(s) with age-appropriate information at a suitable
time. It should cover the nature, course and treatment of depression, and…

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Assessment and treatment
Depression in children and young people considerations across all settings




Assessment and treatment considerations across
all settings

Assessment
Consider the following when assessing a child/young person If comorbid diagnoses,
with depression and record in the notes: GPP developmental, social
­ potential comorbidities and educational
­ social, educational…

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Assessment and treatment
Depression in children and young people considerations across all settings




Self-help
Ask the child/young person and be prepared to give advice about self-help materials or other methods
used or considered potentially helpful by the patient or their family/carers. GPP
Only recommend self-help materials or strategies as part…

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Recognition, detection, risk profiling
Depression in children and young people and referral in tier 1




Recognition, detection, risk profiling and referral in tier 1

If a child/young person is exposed to a
single recent undesirable life event
(such as bereavement, parental divorce or
separation, or a severely disappointing
experience)




Assess…

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