Communications: News

Child and Teen Checkups - Guideline Updates

Thursday, April 19, 2018   (0 Comments)
Posted by: Lisa Regehr
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Child and Teen Checkup (C&TC) Revisions

Among other changes, the Minnesota Department of Health (DHS) lists all screening components required effective March 1, 2018. It also clarifies language regarding HIV in the Sexually transmitted infection (STI) section:
“Universal HIV screening (offering HIV blood testing to all youth, regardless of reported risk factors) is required at least once between 15-18 years of age. HIV blood testing and results are covered under Minnesota’s minors’ consent statute. If the youth declines the HIV blood test or if their HIV status is already known, document the reason that the HIV blood test was not done. Youth who have risk factors for HIV exposure should be tested at least annually.”

Refer to the MHCP Provider Manual Latest Manual Revisions, Revised: March 21, 2018 for complete details.

For DHS communications regarding the Minnesota Child and Teen Checkups (C&TC) schedule of Age-Related Screening Standards and related policy, refer to the Provider News on the DHS website. Providers can also sign up to receive the Provider News by email. 

Dyslipidemia Risk Assessment Fact Sheet

The Dyslipidemia Risk Assessment Fact Sheet can be accessed here.

Resources for Mental Health Screening

The following mental health screening resources have been updated for Child and Teen Checkups (C&TC), as of January 2018, including updates on using the PHQ-2 screening instrument as a first-step option.

•    List of all recommended Developmental and Mental Health Screening Instruments for C&TC Visits (all ages) in Minnesota - 2018 (PDF)
•    Mental Health Screening (6-20 years) C&TC Fact Sheet: Updated links within this fact sheet include:

The list of recommended Mental Health Screening Instruments for Children 6-21 Years of Age and the detailed comparison table for more information on each instrument.

PHQ-2 Instrument Review: In summary,The PHQ-2 is acceptable as a first-line screener to meet the C&TC requirement for depression or mental health screening for youth 12-20 years of age. While it is preferable to use a more robust screening instrument such as the PHQ-9, particularly in clinics and systems that have not yet developed rigorous screening practices, or where prevalence of depression is low, the PHQ-2 has been validated in numerous studies, showing high sensitivity and sufficient specificity at a cutoff score ≥ 2. Scores at or beyond this cutoff should be further screened with the PHQ-9 or another validated screening measure, at the same screening visit.

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