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CONSULTATION REFERRAL FORM CHILD AND ADOLESCENT MENTAL HEALTH PROGRAM 1235 Wilson Ave. Toronto ON M3M 0B2 Section I Patient Information Date // d/m/y Sex F M DOB // d/m/y PATIENT NAME print Last First PARENT / GUARDIAN NAME ADDRESS Street City Postal Code HOME PH WORK PH CELL PH OHIP Version Code School Name Phone Agencies Involved None CAS CCAS etc or other Section II - Services Requested 1 Outpatient Clinic Consult only B Consult Stabilization Day Treatment / Transition Program A Ph...
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01
Start by understanding the child or adolescent's specific mental health needs.
02
Gather all necessary forms and information required for the mental health assessment.
03
Create a safe and comfortable environment for the child or adolescent to openly express their thoughts and feelings.
04
Begin by asking open-ended questions to encourage the child or adolescent to share their experiences.
05
Be an active listener and provide empathy and support throughout the assessment process.
06
Use age-appropriate language and explanations to ensure understanding.
07
Complete the assessment by accurately filling out all the required information regarding the child or adolescent's mental health.
08
Review the filled-out form for any errors or missing information before submission.
09
Submit the completed form to the appropriate mental health professional or organization.
10
Follow up with any additional documentation or appointments as necessary.

Who needs child and adolescent mental?

01
Children and adolescents who are experiencing emotional or behavioral challenges.
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Individuals who are struggling with significant life changes, such as divorce or loss of a loved one.
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Community organizations or agencies aiming to promote the mental well-being of children and adolescents.
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Parents or caregivers who want to ensure the overall mental well-being of their child or adolescent.
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Healthcare professionals or therapists working in the field of child and adolescent mental health.
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Child and adolescent mental health refers to the emotional, psychological, and social well-being of young people.
Healthcare professionals, school counselors, and parents are typically required to file child and adolescent mental health reports.
Child and adolescent mental health reports can be filled out by providing information about the child's behavior, emotions, and any mental health concerns.
The purpose of child and adolescent mental health reports is to assess and monitor the mental well-being of young people and to provide appropriate support and interventions.
Information such as the child's behavior, emotions, mental health history, any diagnosed conditions, and recommendations for treatment or support must be included in child and adolescent mental health reports.
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