Test Vignette: Kelsie
On the next few pages, you will find some assessment information. Please read through this information and then fill in the Current View for Kelsie.
Some Patient Reported Outcome Measures (PROMs) have been provided; the parent- and CYP self-report versions of the Revised Child Anxiety and Depression Scale (RCADS), which looks at symptoms of anxiety and depression and the parent-report version of the Strengths and Difficulties Questionnaire (SDQ), which is a 25 item emotional and behavioural problem screening questionnaire.
Alongside the individual question responses, please consider the summary reports. These explain the clinical significance of the overall SDQ and RCADS scores.
Clinician’s report from first meeting
Kelsie is a 15-year-old girl, she lives with her mother and two biological siblings (boy aged 12 and girl aged 10). Kelsie’s mother has a history of depression and often finds it difficult to cope and look after the children. There is no extended family and no support network so Kelsie has to take responsibility for her mother’s anti-depressant medication regime.
During her early childhood, Kelsie witnessed domestic violence by her biological father, towards her mother. Social Services were involved and she was briefly accommodated in a foster placement. Her father left the household eight years ago, after several periods of marital breakdown.
Kelsie says she feels very sad all of the time and has trouble sleeping most nights. She feels very alone and thinks it would be better if she wasn’t here anymore, although she has made no actual plans. Kelsie admits to cutting her arms occasionally and has totally isolated herself from her peers.
She has moved schools five times in the last 10 years. Kelsie is well behind academically and failed many of her recent exams. She has truanted from school on many occasions. Kelsie refused to talk about her school life during the assessment.
Kelsie has been cautioned for smoking cannabis on one occasion and admits to using it when she is feeling low.
Summary of Self-Report RCADS Scores (Completed by Kelsie)
The Revised Child Anxiety and Depression Scale (RCADS) is a questionnaire designed to measure symptoms of several different anxiety disorders as well as depression. If scores exceed the clinical threshold for any subscale, this indicates that the related disorder may be present.
Summary of Self-Report SDQ Scores (Completed by Kelsie)
The Strengths and Difficulties Questionnaire (SDQ) is a questionnaire designed to measure emotional and behavioural difficulties in children aged 3-16. If scores exceed the clinical threshold for any subscale, this indicates that related disorders may be present.
Now that you have looked at the information about Kelsie, please complete the Current View for her. You will be able to refer back to the assessment information as well as the rating guidance.