Attachment H1 OK Triage Protocol Document 3-13-07

Oklahoma Project to Learn about ADHD in Youth (OK PLAY)

Procedures to be followed for reportable events:

1. Assessment staff will process DISC and check for 1) diagnosis 2) reportable injury and 3) suicidal thoughts. If any of the above three are present, assessment staff will follow triage protocol as outlined in the triage protocol for VOICE DISC IV document.

2. If participants volunteer information about self harm or abuse during the course of the other assessments, in particular, the injury section of the Health Risk Behavior Survey, assessment staff will also follow the triage protocol. Detailed steps are contained in the triage protocol document.

3. For any case that requires immediate report to a mental health provider or child protective services, assessment staff will immediately notify principal investigators.

4. Site principal investigators will send an email report to CDC principal investigators within 24 hours for serious issues requiring immediate report, and within 2 weeks for other less serious issues.

OK Play Triage Protocol for VOICE DISC IV

The consent form states that the assessment process might uncover emotional or behavioral symptoms/diagnoses. At the end of the interview, explain to the parent that the team psychiatrist will review the interview results and a letter of findings (if there are any) will be sent to them within three weeks. The family and youth may already have a psychiatrist or other mental health professional treating the youth. Staff should state they are not clinicians and should NOT discuss findings with the parent and youth. Staff should look at the parent completed history questionnaire and/or go to the DISC IV reconstruction report to see the youth report of service use. The following protocol outlines how project staff will handle certain situations:

DISC IV Red Flag Symptoms?

Go to the menu bar and select ‘Info’; ‘Interview results’; and ‘Reconstruction’; Use the pull down menu to select PTSD. Check answers to #3, #4,or #4a. Next, select Major Depression in the pull down menu and check answers to #20, #21, or #22.

Positive DISC IV diagnoses?

After the interview is completed, go to the menu bar and select ‘Info’; ‘Interview results’; and ‘Scoring.’ Click the ‘+’ to the left of ‘Positive’ to see if there are any positive diagnoses.

NO to all six questions?

YES to one or more of the 6 questions?

Yes

No

See

Document “none “on the “OK PLAY Post-Interview Information” sheet.

Document diagnosis on the “OK PLAY Post-Interview Information” sheet & create a diagnosis document to be reviewed by the project psychiatrist (instructions are in each post-interview folder).

Follow instructions on the next pages.

OK Play Triage Protocol for PTSD Module

Assessment staff should inform the parent that they are required to inform the project physician within 24 hours

POST TRAUMATIC STRESS DISORDER MODULE

Youth Reports Yes to question(s) #3, #4 and/or 4a

(see full questions at bottom of page)

Dr. Wolraich’s contact information

Office # 271-3824 ext. 45124

Cell # 209-3902