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NH PHQ-9 Adolescent Report free printable template

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DARTMOUTHHITCHCOCK MEDICAL CENTER PHQ9 Adolescent Report For Youth at least 11 years old to complete Name: Date of Birth: Today's Date: How often have you been bothered by each of the following symptoms
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How to fill out NH PHQ-9 Adolescent Report

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How to fill out NH PHQ-9 Adolescent Report

01
Begin with the personal information section: Enter the adolescent's name, date of birth, and other identifying details.
02
Read each question carefully: The NH PHQ-9 Adolescent Report consists of 9 questions regarding mood and behaviors.
03
Answer honestly: For each question, provide a response based on the frequency of symptoms experienced in the past two weeks.
04
Use the scale provided: Choose from the options 'Not at all', 'Several days', 'More than half the days', or 'Nearly every day'.
05
Review your answers: Go through each question to ensure that each response accurately reflects the adolescent's experience.
06
Total the scores: After filling out all questions, calculate the total score as per the scoring instructions.
07
Submit the report: Once completed, the report can be submitted to the relevant healthcare provider or institution.

Who needs NH PHQ-9 Adolescent Report?

01
Adolescents experiencing symptoms of depression or anxiety.
02
Parents or guardians seeking to evaluate their child's mental health.
03
Healthcare providers needing a standardized assessment for adolescent mental health.
04
Schools or educational institutions looking to identify students who may require mental health support.
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The diagnostic validity of the 9-item PHQ-9 was established in studies involving 8 primary care and 7 obstetrical clinics. PHQ-9 scores > 10 had a sensitivity of 88% and a specificity of 88% for Major Depressive Disorder. Reliability and validity of the tool have indicated it has sound psychometric properties.
The Severity Measure for Depression—Child Age 11–17 (adapted from PHQ-9 modified for Adolescents [PHQ-A]) is a 9- item measure that assesses the severity of depressive disorders and episodes (or clinically significant symptoms of depressive disorders and episodes) in children ages 11–17.
The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression: n The PHQ-9 incorporates DSM-IV depression diagnostic criteria with other leading major depressive symptoms into a brief self-report tool.
In the PHQ 9A, a total score of 0-4 implies no or minimal depression, and a score of 5 to 9 implies mild depression. Scores of 10-14 and 15-19 denote moderate depression and moderately severe depression, respectively. A score of 20-27 denotes severe depression.
Scoring and Interpretation Scores are presented as a total raw score (0 to 60) and two percentiles. Higher scores represent higher levels of symptoms. As defined by Weissman et al. (1980), a score of 15 or above is considered to be indicative of clinically significant depressive symptoms.
A diagnostic tool for mental health disorders for use in screening adolescents.

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The NH PHQ-9 Adolescent Report is a standardized tool used to assess the severity of depression in adolescents, typically aged 12 to 17, based on their self-reported symptoms over the past two weeks.
The NH PHQ-9 Adolescent Report is typically required to be filed by healthcare providers and practitioners who are evaluating or treating adolescents for depressive symptoms.
To fill out the NH PHQ-9 Adolescent Report, respondents should read each question carefully, select the answer that best describes their experience over the past two weeks, and then score the answers according to the provided guidelines.
The purpose of the NH PHQ-9 Adolescent Report is to identify and quantify the presence and severity of depression in adolescents, facilitating appropriate treatment and intervention.
The NH PHQ-9 Adolescent Report requires reporting of the adolescent's responses to nine specific questions related to mood, interest in activities, sleep, energy levels, self-image, concentration, appetite, feelings of being slowed down, and thoughts of self-harm or suicide.
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