Outpatient Behavioral Health and Primary Care Clinical Pathway for the Evaluation/Treatment of Patients at Risk for Anxiety Disorder and Obsessive-Compulsive Disorder
Related Pathways
- Standard Clinical Interview or Validated Tools
- Positive Screen
Negative Screen
Continue routine care
Complete
Evaluation and Diagnostic Assessment
Completed by Primary Care or BH Clinician
Completed by Primary Care or BH Clinician
Negative Evaluation
- Continue routine care
- Monitor for continued symptoms
- Concerns for:
- Suicidal Ideation/Behavior or Psychosis
- Consider referral to ED or Crisis Center
- Standard Clinical Interview or Validated Tools
- Assess Suicidal Ideation (SI), co-morbidities, avoidance
- Case Examples
Mild | Moderate | Severe |
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Treatment
- Interventions Common to All Types of Anxiety and OCD
- Case Examples
- Diagnosis, Treatment by Severity
- Treatment of Resistant Anxiety
- PRN Medication Use
- Adjunctive Treatments
- Psychoeducational Tools
- School Accommodations
- Description of Types of BH Therapy, Definitions
- Additional Tools
Posted: September 2021
Revised: March 2022
Authors: Y. Marroquin, PhD; J. Lewis, PhD; W. Wallace, DO; K. Fletcher, MD; C. Cagande, MD; A. Riisen, PsyD;
J. Keller, DNP; K. Mu, DO;
Reviewed by Children's Hospital of Philadelphia DCAPBS Clinical Care Committee: September 2021
Evidence
- Psychometric Properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A Replication Study
- Assessment and Treatment of Anxiety Disorders in Children and Adolescents
- Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Anxiety Disorders
- Mental Health Care Guide for Primary Care Clinicians: Anxiety, Oregon Psychiatric Access Link about Kids
- Practice Parameter for the Assessment and Treatment of Children and Adolescents With Obsessive-Compulsive Disorder
CHOP Programs
- Child and Adolescent Psychiatry and Behavioral Sciences
- Anxiety Behaviors Clinic (ABC)
- Pediatric Primary Care: 30+ Locations
Educational Media
Related Links