A school nurse has referred a junior high school student who ...

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A school nurse has referred a junior high school student who shows signs of post-traumatic stress disorder following her mother's death. Which of the following is a guiding principle in providing services to children with serious emotional disturbances?
 
  A) Services, assessments, and values should be deficit oriented instead of strengths-based.
  B) Services should be community based and provided in the least restrictive setting possible.
  C) Parents or caregivers should not be involved in assessing needs because they may be contributing to the emotional disturbance.
  D) Cultural and ethnic concerns should not result in modifications to the provision of services.

Question 2

The nurse in a mental health clinic meets with the parents of a 9-year-old boy with oppositional defiant disorder. Although highly functional, the child has special education needs. Which of the following referrals would be most appropriate?
 
  A) A pediatric mental health nurse practitioner
  B) Inpatient psychiatric care
  C) A learning specialist
  D) A systems of care service coordinator

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Answer to Question 1

Ans: B
Feedback:
Beginning with the CASSP in 1984, a new philosophy of service provision for children with serious emotional disturbances evolved that emphasized several important principles (New York State Office of Health, 2006): 1. Services should be community based and provided in the least restrictive setting possible. 2. Services, assessments, and values should be strengths based instead of deficit oriented. 3. Parents or caregivers should be partners in providing services, by both identifying needed services and designing individual service plans for their children. 4. Service systems and providers should be culturally competent and provide all services within each family's unique cultural and ethnic perspectives.

Answer to Question 2

Ans: D
Feedback:
Systems of care is a comprehensive spectrum of mental health and other necessary services organized into coordinated networks so that providers can address more appropriately the various and changing needs of children and adolescents with serious emotional disturbances and their families. All systems of care use some form of service coordination, described as connecting the various systems, agencies, and people, including family, that participate in the child's care, and ensuring effective, ongoing communication among everyone involved so that services and interventions are consistent and directed toward common goals. Often, a service coordinator manages this process; his or her role is to convene and guide a multiagency service coordination team.

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