NR 603 Week 5 Virtual Interactive Student - Clinical Referral Process Guide
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Sample Script of Successful VISE call: Student: "Good Morning Dr. Samuels, I am calling you because you are a Mental Health Specialist and I need to refer a patient to you for evaluation of possible ADHD including treatment recommendations. The patient is a 12 year old male whose mom brought him in to our clinic 3 months ago because teachers at school stated he was struggling to focus on instruction and was not completing assignments. The patient has never had reports of inattentiveness at school until this year. Birth, growth and development have been normal without delays. We completed a physical exam at that time and findings were negative for sleep disorders, abuse at home, anxiety, bullying, thyroid issues and learning problems. BP and VSS were normal on that visit. Physical exam revealed no abnormal pathology to support the symptoms. The patient also scored high on the Vanderbilt Assessment Scale. We worked with the school to develop behavioral strategies which the patient has been using for 3 months without success. He presents for follow up today with the same symptoms and no improvement. I know that ADHD cannot thoroughly be diagnosed in primary care and since we cannot find a medical cause for his symptoms we are referring the patient to you for a thorough testing for ADHD and anxiety and a recommendation of treatment plan including behavior, therapy and medication, if indicated." Faculty/Specialist: "Thank you for referring this patient. I agree ADHD needs further evaluation before treatments such as medications should be started. Please send a copy of the Vanderbilt Assessment scale with you." Angella Samuels
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