Pediatric+depression+management+flow+chart

Score 0-4 || Provide Reassurance and Rescreen at indicated Intervals || Follow up 1 year/ prn symptoms || Score 5-9 || Patient Counseled for positive depression screening List of Resources given to parents (see separate list of resource) || Follow up in 8-12 weeks || Score 10-14 || ** Patient Counseled / Provider can choose to Refer for Psychiatric Evaluation due to Positive Screening ** Score 15-19 || Patient Referred for Psychiatric Evaluation due to Positive Screening Consider Medication after phone consultation with Psychiatrist Mental Health Referral, Behaviorist, Psychiatrist on call. PHN Referral List of Resources given to parents || Follow up in 2 weeks || Score 20-27 || Patient Referred for Psychiatric Evaluation due to Positive Screening **//Psychiatrist called//** Initiated Medication after phone consultation with Psychiatrist || Follow up in 2 weeks || **//Psychiatrist called//** **Referred to Crisis or Emergency Services (May include subsequent referral to Inpatient facility)** ||  ||
 * ** No Depression or Mild **
 * ** Mild Depression **
 * **Moderate Depression**
 * Mental Health Referral, Behaviorist, Psychiatrist on call. PHN Referral **
 * List of Resources given to parents ** || ** Follow up in 2-4 weeks ** ||
 * ** Moderate Severe/Depression **
 * ** Severe Depression **
 * ** Psychotic or Suicidal ** || Patient Referred for Psychiatric Evaluation due to Positive Screening

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