Welcome to the New Jersey Pediatric Psychiatry Collaborative!

Tips for implementation:

1. Download the mental/behavioral health screening tools, review the scoring instructions, train your staff, develop your office protocols, and call us with any questions for technical assistance about implementing these screening tools.You Can View our Introductory Webinar, recorded on August 20, 2019, entitled: “FAQs of the PPC and MOC: How to Integrate Mental/Behavioral Health in Your Pediatric Primary Care or Specialty Practice” [Recording / PDF].  We encourage all office staff to view the webinar as well.
2. Download your NJPPC Hub consult form, your Hub contact flyer, the FAQ sheet for families, and review Hub Consult Process & Guidelines
3. Office Flow: Consider handing out screening tools while families are in the waiting room, then having MA or nurse review and score when they see child in exam room. This enables you to review the score and any concerning answers on your way in to the exam room, so you can ask follow-up questions and discuss the result with families, and talk through any next steps, such as NJPPC referral/consult.

SURVEY OF WELL-BEING OF YOUNG CHILDREN (SWYC) SCREENING TOOL - FOR AGES 1 MONTH – 60 MONTHS

1. Screening forms
2. Complete scoring guide
3. Scoring cheat sheet
4. Guide for front desk staff – template
5. Executive Summary/User’s Manual
6. Calculator for determining the correct form to give out
7. If you need the SWYC in other languages, please download here.

PEDIATRIC SYMPTOM CHECKLIST (PSC-35 AND Y-PSC) SCREENING TOOLS – FOR AGES 6 YEARS AND OLDER

1. Pediatric Symptom Checklist (PSC-35) – for parents/caregivers of children ages 6 and older
2. Youth Pediatric Symptom Checklist (Y-PSC-37) – self-report screening tool for adolescents ages 11 and older; similar to PSC-35 but with 2 extra Qs on suicide and built-in subscales (includes legend for easier scoring). This version of the Y-PSC includes 2 extra questions on suicide ideation and suicide attempt, and also includes a legend for the subscales on the left-hand column of the questions. We recommend delving further into a suicide screening tool in response to a concerning Y-PSC-37 screen; you can use the Columbia-Suicide Severity Rating Scale or the Ask Suicide-Screening Questions (ASQ) tool. Note: We recommend giving both the self-report (PSC-Y-37) as well as continuing to give out the parent instrument (PSC-35) for adolescents ages 11 and up, as there are often differences in results, particularly with the internalizing and externalizing questions.
3. PSC Subscale Scoring and Secondary Screening Flow Chart – Developed by Michael Roberts, PsyD, formerly at the Cooper Hub
4. Other Languages: If you need the PSC-35 and Y-PSC in other languages, please download here.

CRAFFT SCREENING TOOL FOR AGES 12 YEARS AND OLDER

1. CRAFFT 2.1N Questionnaire Tool – option to use either the Patient-Administered (self-report) or Clinician Interview version
2. The CRAFFT Contract for Life in English and Spanish
3. Supplemental information and resources, including the CRAFFT screening tool in other languages available here.

SECONDARY SCREENING TOOLS:

If a child or adolescent screens positive for one of the subscales (internalizing, externalizing, and/or attention) of the Pediatric Symptom Checklist, or is positive for suicidal thinking and behavior, you can consider using the following secondary screening tools:

Anxiety:

• Screen for Child Anxiety Related Disorders (SCARED) – Child Version & Parent Version

Attention:

• NICQ Vanderbilt Assessment Scales – Parent Version, Teacher Version & Scoring

Depression:

• Patient Health Questionnaire – PHQ-9 Modified for Teens (PHQ-A)
• ​Center for Epidemiological Studies Depression Scale for Children (CES-DC)
  • Bright Futures in Practice: Mental Health—Volume II, Tool Kit
• Mood and Feelings Questionnaire- In most cases, utilizing the short version is fine; however sometimes it helps to use the long version – choose based on your own clinical judgement.
  • Child self-report long version & short version
  • Parent report on child long version & short version

Suicidal Thinking and Behavior:

• Columbia-Suicide Severity Rating Scale (C-SSRS)
• ASQ  (Ask Suicide Screening Questions)

EDINBURGH POSTNATAL DEPRESSION SCALE

The EPDS is included in the Survey of Wellbeing of Young Children (SWYC) at the 2,4, and 6 month well visit screening tool forms. This 10-question self-rating scale has been proven to be an efficient and effective way of identifying patients at risk for “perinatal” depression. While this test was specifically designed for women who are pregnant or have just had a baby, it has also been shown to be an effective measure for general depression in the larger population.

While the EPDS is not a required NJPPC screening tool, identifying patients at risk for perinatal depression can help support a family’s overall mental health.

Online Screening Tool

Manual Version and Guidance

Edinburgh Tip Sheet

ADDITIONAL PRACTICE SUPPORT:

1. Sample Office Flow for the Screening and Referral Process

2. Sample letter to parents from AAP to explain your new screening procedure
3. Payment/Coding support:

1. • 96110 – SWYC
   • 96127 – PSC-35 & PSC-Y
   • 96160 – CRAFFT 2.1

Some guidance on coding from Dr. Radhakrishnan, from Bellevue Pediatrics in Trenton:

“First you need to determine if you are fee-for-service on Medicaid HMO plans or are you capitated. If you are fee-for-service on all Medicaid plans then bill the Medicaid HMO; they will pay you. If you are capitated then in addition to the bill you submit to the Medicaid HMO’s you need to separately bill the mental health component (96110 or 96127) to Molina Medicaid which is the state agency that processes Medicaid billing.

When you use the SWYC or M-CHAT the CPT code is 96110 and that can be used with the z00.129 well child icd 10 code. When you use the PSC or PSC-Y then you can use the 96127 CPT code with the z13.89 icd10 code.”