Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper
• Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.
The Assignment
Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper.
SEE ATTACHED OF THE CASE STUDY DECISIONS MADE FOR POINTS # 1, 2 AND 3.
• At each decision point stop to complete the following:
o Decision #1
 Which decision did you select?
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 Why did you select this decision? Support your response with evidence and references to the Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper.
 Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
o Decision #2
 Why did you select this decision? Support your response with evidence and references to the Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
 Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
o Decision #3
 Why did you select this decision? Support your response with evidence and references to the Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
 Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper.
• Also include how ethical considerations might impact your treatment plan and communication with clients.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper
Therapy for Pediatric Clients with Mood Disorders
An African American Child Suffering From Depression
BACKGROUND INFORMATION
The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.

• Client complained of feeling “sad”
• Mother reports that teacher said child is withdrawn from peers in class
• Mother notes decreased appetite and occasional periods of irritation
• Client reached all developmental landmarks at appropriate ages
• Physical exam unremarkable
• Laboratory studies WNL
• Child referred to psychiatry for evaluation
• Client seen by Psychiatric Nurse Practitioner

 
MENTAL STATUS EXAM
Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.
The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)
 
RESOURCES

• Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Therapy for Pediatric Clients with Mood Disorders
An African American Child Suffering From Depression
Decision Point One
Begin Zoloft 25 mg orally daily
RESULTS OF DECISION POINT ONE

• Client returns to clinic in four weeks
• No change in depressive symptoms at all

Decision Point Two
Increase dose to 50 mg orally daily
RESULTS OF DECISION POINT TWO

• Client returns to clinic in four weeks
• Depressive symptoms decrease by 50%. Cleint tolerating well

Decision Point Three
Maintain current dose
Guidance to Student
At this point, sufficient symptom reduction has been achieved. This is considered a “response” to therapy. Can continue with current dose for additional 4 week to see if any further reductions in depressive symptoms are noted. An increase in dose may be warranted since this is not “full” remission- Discuss pros/cons of increasing drug dose with client at this time and empower the client to be part of the decision. There is no indication that the drug therapy should be changed to an SNRI at this point as the client is clearly responding to this therapy. Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper.
Decision Point One
 Select what the PMHNP should do:
Begin Zoloft 25mg orally daily
RESULTS OF DECISION POINT ONE

• Client returns to clinic in four weeks
• No change in depressive symptoms at all

Decision Point Two
Begin Zoloft 25 mg orally daily
Begin Paxil 10 mg orally daily
Begin Wellbutrin 75 mg orally BID
Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper.
 
Week 2: Therapy for Pediatric Clients With Mood Disorders
Mood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
 
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
 
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

• Chapter 6, “Mood Disorders”
• Chapter 7, “Antidepressants”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
 
Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
 
Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from http://www.magellanhealth.com/media/445492/magellan-psychotropicdrugs-0203141.pdf
 
Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171
Note: Retrieved from Walden Library databases.
Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdf
 
Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.
Note: Retrieved from Walden Library databases. Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper.
Required Media
Laureate Education (2016e). Case study: An African American child suffering from depression[Interactive media file]. Baltimore, MD: Author.
 
Note: This case study will serve as the foundation for this week’s Assignment.
Optional Resources
El Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973–992. doi:10.1007/s00787-014-0558-3. Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper.
Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847–854. doi:10.1111/jpc.12655
Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii–v. doi:10.2989/17280583.2014.938497. Therapy for Pediatric Clients With Mood Disorders Essay Assignment Paper.
 

Special Problems and Challenges and the Future of Policing In America Essay Assignment paper
Assignment 4: Special Problems and Challenges and the Future of Policing In America
Due Week 10 and worth 200 points Modern law enforcement operations and strategies are driven by best practices in the areas of data collection and manipulation, addressing special populations, and preventing organized criminal activities. A tremendous amount of specialization has evolved in today\’s sphere of policing, especially among federal, state, and local agencies. Perhaps, what is most evident is how the law enforcement agencies of the federal government have retooled to meet today\’s challenge of terrorism. Use your textbook, the Internet, and / or Strayer library to research credible sources on the aforementioned issues as they relate to law enforcement operations and management. Special Problems and Challenges and the Future of Policing In America Essay Assignment paper.
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Write a five to seven (5-7) page Special Problems and Challenges and the Future of Policing In America Essay Assignment paper in which you:
Identify and describe the major functions of the four (4) agencies of the Department of Justice. Of the four agencies, provide a rationale for which agency you feel has the greatest responsibility as it relates to federal law enforcement.
Explain the purposes of the Uniform Crime Reports (UCR) and the National Crime Information Center (NCIC). Identify and discuss the various weaknesses related to the accuracy of the Uniform Crime Report (UCR).
Describe the major roles of police executives using the Mintzberg model of chief executive officers. Of the executive roles described in the model, provide a rationale for which role you feel is the most important for a chief executive officer’s success.
Examine two (2) legislative enactments that are in place to help combat terrorism. Provide your opinion on the effectiveness of these enactments in regards to combatting terrorism.
Analyze the problems related to determining the actual numbers of hate crimes and what makes hate crimes different from other crimes.
Use at least four (4) quality references including the textbooks. Note: Wikipedia and other Websites do not qualify as academic resources.
Your Special Problems and Challenges and the Future of Policing In America Essay Assignment paper must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this Special Problems and Challenges and the Future of Policing In America Essay Assignment paper are:
Contrast the organization and administration of federal law enforcement agencies with that of state agencies.
Contrast the organization and administration of municipal law enforcement agencies with that of county agencies.
Visualize the future of policing in America and identify some of the forces and technologies shaping that future.
Use technology and information resources to research issues in law enforcement operations and management.
Write clearly and concisely about law enforcement operations and management using proper writing mechanics. Special Problems and Challenges and the Future of Policing In America Essay Assignment paper.