Healthy Minds Fairfax

CONTACT INFORMATION: Our office is open 9 a.m. to 5 p.m., M-F
703-324-7938 TTY 711
12011 Government Center Parkway - Pennino Building
Fairfax, VA 22035
Janet Bessmer, CSA Program Manager
Peter Steinberg, Healthy Minds Fairfax Program Manager

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How do I know if my child is getting good treatment?

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Photo of teen girl smiling and hugging motherHere are some general standards and questions fro

  • Have a safety plan. If your child has suicidal ideation, meaning they are thinking or talking about suicide and might have a plan on how to do it, work with your provider to develop a safety plan.
  • Treatment should have a specified goal. How will my child’s mood or behavior respond to the treatment, and how will those changes be measured?
  • Treatment should be evidence-based. Your mental health practitioner should be able to tell you what research supports the use of this treatment, and how effective it was in reducing the symptoms it is designed to target. (See A Parent’s Guide to Evidence-Based Treatment)
  • Your practitioner should have expertise in using this treatment. Specific training and experience are important whether your clinician is prescribing psychotropic medications and or engaging in behavioral therapy. The best treatments are delivered by professionals who understand the evidence, have been taught rigorously, and have clinical experience to inform their knowledge.
  • A clinician prescribing medication should take great care in establishing the dosage for your child. Children vary widely in their responses to medication, and only careful changes in doses and timing will establish the most effective dose, as well as whether or not the medication works for your child, and how well it works.
  • A child taking medication should be closely monitored as he changes and grows. As children develop, their response to medication can be expected to change. Guidelines vary, but a rule of thumb is that 6-month check-ins are best practice, with more (and sometimes much more) frequent visits when a new medication is started, an old one is discontinued, or a dosage is changed.
    • It is extremely important to stick with your child’s medication plan and any other treatment regimen, and to only change it in consultation with the provider. Do not have your child stop taking medications just because they feel better (the medication may be WHY they are feeling better) or because they seem note to be working (seeing results from a medication may take some time), for example.
  • Your child should feel comfortable with the clinician. An effective professional needs to be able to develop a good rapport with your child. The child needs to be able to share his thoughts and feelings, and if he is engaged in behavior therapy, trusting the clinician is essential for him to make progress.
  • You should have good communication with your child’s clinician. To get good care for your child, you need to feel comfortable sharing your observations and concerns with your clinician, and know that they are being taken seriously. It may not be anyone’s fault that a doctor-family relationship doesn’t work out, but that doesn’t mean you should stick it out.
  • You should be involved in behavioral treatment. Evidence shows that the most effective behavior treatments give parents a role in helping children get better. Your clinician should be enlisting your help (and that of your family, and even friends) to continue treatment outside sessions in the office, as well as the help of teachers, the school psychologist, and other adults who spend time with your child.
  • The professionals involved in your child’s treatment should work together. Children do best when the specialists involved in their care, including pediatricians, psychiatrists, psychologists, and teachers, are in touch with each other, sharing information, and agreeing on goals and the steps to achieve them.

m the nonprofit Child Mind Institute to ask your doctor to determine whether the care your child is getting follows best practices, whether the treatment involves behavioral therapy, medication, or both.

  • Have a safety plan. If your child has suicidal ideation, meaning they are thinking or talking about suicide and might have a plan on how to do it, work with your provider to develop a safety plan.
  • Treatment should have a specified goal. How will my child’s mood or behavior respond to the treatment, and how will those changes be measured?
  • Treatment should be evidence-based. Your mental health practitioner should be able to tell you what research supports the use of this treatment, and how effective it was in reducing the symptoms it is designed to target. (See A Parent’s Guide to Evidence-Based Treatment)
  • Your practitioner should have expertise in using this treatment. Specific training and experience are important whether your clinician is prescribing psychotropic medications and or engaging in behavioral therapy. The best treatments are delivered by professionals who understand the evidence, have been taught rigorously, and have clinical experience to inform their knowledge.
  • A clinician prescribing medication should take great care in establishing the dosage for your child. Children vary widely in their responses to medication, and only careful changes in doses and timing will establish the most effective dose, as well as whether or not the medication works for your child, and how well it works.
  • A child taking medication should be closely monitored as he changes and grows. As children develop, their response to medication can be expected to change. Guidelines vary, but a rule of thumb is that 6-month check-ins are best practice, with more (and sometimes much more) frequent visits when a new medication is started, an old one is discontinued, or a dosage is changed.
    • It is extremely important to stick with your child’s medication plan and any other treatment regimen, and to only change it in consultation with the provider. Do not have your child stop taking medications just because they feel better (the medication may be WHY they are feeling better) or because they seem not to be working (seeing results from a medication may take some time), for example.
  • Your child should feel comfortable with the clinician. An effective professional needs to be able to develop a good rapport with your child. The child needs to be able to share his thoughts and feelings, and if he is engaged in behavior therapy, trusting the clinician is essential for him to make progress.
  • You should have good communication with your child’s clinician. To get good care for your child, you need to feel comfortable sharing your observations and concerns with your clinician, and know that they are being taken seriously. It may not be anyone’s fault that a doctor-family relationship doesn’t work out, but that doesn’t mean you should stick it out.
  • You should be involved in behavioral treatment. Evidence shows that the most effective behavior treatments give parents a role in helping children get better. Your clinician should be enlisting your help (and that of your family, and even friends) to continue treatment outside sessions in the office, as well as the help of teachers, the school psychologist, and other adults who spend time with your child.
  • The professionals involved in your child’s treatment should work together. Children do best when the specialists involved in their care, including pediatricians, psychiatrists, psychologists, and teachers, are in touch with each other, sharing information, and agreeing on goals and the steps to achieve them.

Information adapted from the Child Mind Institute, reposted with permission (content from https://childmind.org/guide/parents-guide-getting-good-care-2/how-do-i-know-if-im-getting-good-treatment/)

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