Overview
QI Collaborative Framework
Improvement Glossary

SEEN Teen Mental Wellness Prework Checklist
SEEN Teen Mental Wellness Selecting a QI Core Team
SEEN Teen Mental Wellness Core Team and Provider Expectations
SEEN Teen Mental Wellness Practice Important Dates
SEEN Teen Mental Wellness Action Period Timeline
Key Driver SEEN Teen Mental Wellness
SEEN Practice Welcome Packet

Key Driver Resources

SEEN Key Driver
Resources in this section support SEEN Quality Improvement Activities
Italicized Items are found in the AAP Mental Health Toolkit

Integrating Mental Health into Pediatric Care Overview

Integration of Mental Health into Primary Care for Adolescents and Young Adults (AYAs)
Depression Screenings and Integrated Behavioral Health (Including Stepped Care)

Universal Screening

Validated Screening

PHQ-9 Modified for Teens
PHQ-A Score Instructions
PHQ-A Combined w/ Ask Suicide Questions
ASQ Suicide Toolkit Summary
ASQ Suicide Screening Tool
Mental Health Tools for Pediatrics

Standardize Screening Workflow

Mental Health Care Workflow in Pediatric Practice
Brief Suicide Assessment Guide
Brief Suicide Assessment Worksheet for Providers
Youth Suicide Risk Screening Pathway- ASQ and NIMH
Preventing Youth Suicide: Strategies for Clinical Settings- AAP and American Foundation for Suicide Prevention
Practice Preparation and Triage for Psychiatric Emergencies
Caring for Patients at Eminent Risk of Suicide

Complete Screen Confidentially

Screening Teens Best Workflow Practices
Alabama Youth Consent and Protected Health Information
Screening Confidentially Best Practices- Michigan Adolescent Health Initiative
Confidentiality

Standardized Management for Positive Screens

Discuss Management Options with Teen and Caregiver Utilizing Evidence Based Communication and Develop Shared Plan of Care with Teens and Caregiver

Common Factors Approach HEL2P3 Build a Better Alliance
Eliciting and Setting Agenda with Common Factors Approach
Common Factors Approach: Timing and Delivering of Advice
Common Factors Approach- When Caregiver and Child Argues
Common Factors Approach for those Ambivalent or Rejecting of Advice
Common Factors Approach for those who are Stuck or Hopeless

Management Resources: Behavioral

Common Elements Evidence Based Practice for Primary Care
Evidence Based Psychosocial Interventions- Choose Wisely
AAP Mental Health Minute Videos- AAP

Management Resources: Psychopharmacology

Psychopharmacology for Pediatrics
Psychopharmacology for Pediatricians Digital Tool- 3rd Edition

Management Resources: Culturally Appropriate Materials

AAP HealthyChildren.org- available in English and Spanish
Depression in Children and Teens
How is Depression Treated in Children and Teens
Depression Parent Medication Guide- AACAP Toolbox
Healthy Sleep Hygiene
Healthy Eating for Teens-My Plate (English)
Healthy Eating for Teens-My Plate (Spanish)
Family Handout: Managing Depression or Sadness- Tips for Families
Self Care Success: GLAD-PC Toolkit
American Psychological Association Racial Stress and Self-Care: Parent Tip Tool

Videos for Families

Monster Meditation
Tools for Youth and Teens- National Academy of Sciences- Deep Breathing, Calming Mind, etc. (English and Spanish)

Apps for Families

One Mind PsyberGuide- Through rigorous evaluation of technology and promotion of scientific best practices, we seek to guide the science, practice, development and use of digital mental health tools in various settings
AAP Advisor: An American Psychiatric Association Initiative - This resource covers why it is critical to assess an app and how to evaluate an app
CBT-ICoach Sleep App
Woebot: Your Self-Care Expert- Step-by-Step guidance using Cognitive Behavioral Therapy

Management Resources: Suicide

Brief Suicide Assessment Positive Screen Worksheet for Providers
ACHIA Safety Plan Example
Caring for Patients at Eminent Risk of Suicide
Treatment for Suicidal Ideation, Self-Harm, and Suicide Attempts Among Youth

Management: Refer to Mental Health Providers and Support Systems

988 Suicide and Crisis Hotline
Psychiatric Intake Response Center (PIRC)- The Psychiatric Intake Response Center (PIRC), located in the Emergency Department at Children's of Alabama, is a free, confidential phone response center designed to help adult callers and community providers in finding the appropriate level of mental health care. (Open 8-11 PM)
School-Based Mental Health Collaboration- The SBMH programs are designed to ensure that mental health needs of children and adolescents in the public schools are identified early on and addressed in a competent manner through a school, family and community mental health partnerships

Management: Online Resources for Families

988 Suicide and Crisis Hotline- Call or text 988
National Alliance on Mental Illness (NAMI)- NAMI is the nation's largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness
SOVA: Supporting Our Valued Adolescents- A private online community and education website part of a larger research study
AAKOMA- AAKOMA believes that to meet the mental health needs of Youth of Color, we need to operate at three levels- raising consciousness among individuals, providing accessible tools for ongoing management, and shifting systems to receive youth and provide better care.
BEAM: Black Emotional and Mental Health Collective- Our mission is to remove the barriers that Black people experience getting access to or staying connected with emotional health care and healing through education, training, advocacy and the creative arts.
The Trevor Project- Crisis Center, Research Center, Advocacy, Public Education, Safe Space for LGBTQ young people
Michigan Adolescent Health Initiative LGBTQ Services
American Foundation for Suicide Prevention- Funds research, eduates public, advocates for public policies, supports survivors of suicide loss
Crisis Center-Birmingham-Utalk Youth Line for Teens 202-328-5465: text and phone counseling 3 PM-10 PM every single day
American Academy of Child & Adolescent Psychiatry- Resource centers for families on wide spectrum of Youth Mental Health topics

Follow up for Depression and Suicidal Ideation

Registries for Follow up

Follow up Tracker(excel document)
Developing a Practice Registry

Reminder/Recall

Using a Registry for Reminder Recalls

Follow Up: Assess behavioral modifications/ Track Med changes

ACHIA Sample Titration Record

Utilize tele-mentoring between PCP and mental health professional (when appropriate and available)

PATHS (Pediatric Access to Telemental Health Services)

Establish two-way communication with mental health referrals

HIPPA and Provider-to-Provider Communication

Additional Resources

-These resources support aspects of clinical mental health care outside of the SEEN Collaborative Focus

Mental Health Practice Readiness Inventory- This tool helps practices "score" the practice to detemine the strength of the organizations readiness to provide essential mental health services

Integrating Behavioral Care into the Pediatric Medical Home

AACAP Pediatric Integrated Resource Center

Financing

AAP News: Use these coding strategies to get paid for addressing families' emotional health June 2022

Partnering with Caregivers and Youth

Creating and Sustaining a Thriving Youth Council

Provider Education

AAP Mental Health Minute

Cribsiders Podcast:

#57- Depression July 2022
#50- Anxiety Part 1 May 2022
#51- Anxiety Part 2 May 2022

Motivational Interviewing AAP Videos

Mental Health Training (Free- 12 hours)- Includes a 1 hour Pediatric Psychopharmacology Moduletion

What is a Process Map?
PDSA Ramp and Worksheet BLANK
PDSA Ramp and Worksheet EXAMPLE
SEEN Monthly PDSA Survey
sFMEA (blank)
sFMEA (example)
Practice Planning Timeline
The Run Chart: A Simple Analytical Tool
Value of Small Sample Sizes in Rapid Cycle QI

Websites

Institute for Healthcare Improvement (IHI) (Free Requires Registration)
National Institute for Children's Health Quality

Toolkits

Institute for HealthCare Improvement QI Essentials Toolkit
American Board of Pediatrics QI Guide

Videos

Dr. Mike Evans: Quality Improvement Videon

Articles

Mental Health Competencies for Pediatric Practice

Guidelines for Adolescent Depression in Primary Care:
Part l: Practice Preparation, Identification, Assessment, and Initial Management
Part ll: Treatment and Ongoing Management

Depression and Suicide- Risk Screening Results in Pediatric Primary Care
Improving Follow-Up for Adolescents with Depression in Primary Care
Implementing Suicide Risk Screening in a Pediatric Primary Care Setting
Preventing Childhood Toxic Stress: Partnering with Families and Communities to Promote Relational Health
Guidelines for Children with Anxiety
Peds Psychopharmacology
Collaborative Mental Health Care for Children and Adolescents in Pediatric Primary Care
Society for Developmental and Behavioral Pediatrics Clinical Practice Guidelines for the Assessment and Treatment of Complex Attention-Deficit/Hyperactivity Disorder
Anxiety and Depression Treatment in Primary Care Pediatrics
Primary Care Pediatricians as a Solution to Treating Anxiety and Depression Commentary

Reports

Protecting Youth Mental Health: The US Surgeon Advisory 2021
Ring the Alarm: Crisis of Black Youth Suicide in America

Books

Recommended for Collaborative

Mental Health Strategies for Pediatric Care. Forman, et al. American Academy of Pediatrics. 2022.
Pediatric Psychopharmacology 3rd edition. Mark A Riddle, MD. American Academy of Pediatrics. 2022. (For practices planning to prescribe medications)

May also be of Interest

Managing Mental Health Concerns in Pediatrics: A Clinical Support Chart. Jane Meschan Foy, MD, FAAP. American Academy of Pediatrics. 2021.
Mental Health Care of Children and Adolescents: A Guide for Primary Care Clinicians. Jane Meschan Foy, MD, FAAP. 2018.

SEEN Adolescent Depression Screening and Follow Up Measure Definitions
Dataset #1 Data Collection Workbook
Dataset #2 Data Collection Workbook
SEEN Measure Guidance
SEEN Practice Data Definition Notations