Mental Health Care of Children and Adolescents: A Guide for Primary Care Clinicians 870 Table A3-3. Mental Health Practice Readiness: Support for Children, Adolescents, and Families Topic Scorea Target First contact 1 2 3 Staff has good “first-contact skills” to help chil- dren, adolescents, and families feel welcome and respected. Culturally effective care 1 2 3 Practice team is supportive of people facing men- tal health challenges, demonstrating sensitivity to cultural differences and avoiding stigmatizing language. Mental health promotion 1 2 3 Practice team promotes the importance of mental health through posters, practice Web sites, news- letters, handouts, or brochures and by incorporat- ing conversations about mental health into each office visit. Confidentiality 1 2 3 Practice team assures children, adolescents, and families of confidentiality in accordance with standard medical ethics and state and federal laws. Adolescents 1 2 3 Practice team is prepared to address mental health and substance use needs of adolescents. Engagement 1 2 3 Practice team actively elicits mental health and substance use concerns, assesses patients’ and families’ readiness to address them, and engages children, adolescents, and families in planning their own mental health care at their own pace. Self- management and family management 1 2 3 Practice team fosters self-management and fam- ily management (eg, provides patient and family educational materials appropriate to literacy level and culture, articulates patient’s and family’s roles in care plan, stays abreast of online and print self-care resources). Referral assistance 1 2 3 Practice is prepared to support families through referral assistance and advocacy in the mental health referral process. 35-MHCC_appendix-03.indd 870 4/5/18 1:37 PM
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