[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-356719-105":53,"doc-detail-356719-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","pregnant-adolescent-ppp-clinical-guidance","Pregnant-Adolescent-PPP - Clinical Guidance","","Clinical narrative outlines the case of a 15-year-old pregnant adolescent (Kara) referred for earlier psychiatry after vomiting revealed pregnancy, with a history of anxiety and depression following peer bullying and treatment with Prozac 20 mg. It contextualizes elevated pregnancy-related medical complications, mental health concerns, infant outcomes, and educational/economic challenges. The document specifies a structured psychiatric approach: confidentiality, rapport building, state and screening assessment, strength-based focus, risk assessment across general/adolescent/perinatal domains, AACAP-aligned recommendations, and options counseling communication strategies.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/pregnant-adolescent-ppp-clinical-guidance/356719/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/pregnant-adolescent-ppp-clinical-guidance/356719.png","ImageObject",442,249,{"name":88,"@type":89},"Genevieve","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-15","2026-09-23",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information is needed for a psychiatric assessment of a pregnant adolescent?","Question",{"text":109,"@type":110},"Include current state and history, conduct screening, and perform a risk assessment across general, adolescent, and perinatal domains. Use a strength-based focus while building rapport and maintaining confidentiality.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Which mental health disorders and safety factors are highlighted in the AACAP recommendations?",{"text":114,"@type":110},"Screen for physical, sexual, and emotional abuse and domestic violence, and assess for mental health disorders such as depression, anxiety, trauma, and substance use. Also evaluate availability of family or other social supports and access to physical and mental health care.",{"name":116,"@type":107,"acceptedAnswer":117},"What major challenges are described for pregnant adolescents compared with other groups?",{"text":118,"@type":110},"The document lists higher pregnancy complications (e.g., anemia and eclampsia), higher mental health concerns (e.g., postpartum depression and stigma), worse baby outcomes (e.g., low birth weight and stillbirth), and greater educational and economic difficulties (e.g., school dropout and poverty).","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},356719,1791315219,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":45},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Kathryn Emerick MDAPAL Perinatal CoDirector  \nJacquelin Esque MD APAL Pediatric Clinical Director  \nJanuary 17, 2026  \n“ T h i s p u b l i c a t i o n w a s m a d e p o s s i b l e b y S A M H S A g r a n t n u m b e r B 0 9 S M 0 8 5 3 3 5 ( M G B G ) 8 0 8 T I 0 8 3 9 2 7 ( S A B G ) . T h e v i e w s e x p r e s s e d i n t h e s e m a t e r i a l s d o  \nn o t n e c e s s a r i l y r e f l e c t t h e o f f i c i a l p o l i c i e s o r c o n t r a c t u a l r e q u i r e m e n t s o ft h e A r i z o n a H e a l t h C a r e C o s t C o n t a i n m e n t S y s t e m ( A H C C C S ) o r t h e  \nD e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s ; n o r d o e s m e n t i o n o f t r a d e  \nn a m e s , c o m m e r c i a l p r a c t i c e s , o r o r g a n i z a t i o n s i m p l y e n d o r s e m e n t b y t h e U . S . G o v e r n m e n t . ”  \nKara is a 15-year-old young woman, who is a sophomore in high school at a local public school.  \nShe has a history of anxiety and depression which started after an episode of peer bullying in middle school. Treated with Prozac 20mg.  \nShe presented for a peds sick visit because of vomiting and was found to be pregnant.  \nPediatrician referred Kara for a sooner psychiatry appointment given this new information.  \n• Adolescent birth rates globally have decreased but adolescent pregnancy is still common and associated with significant health, social, and economic challenges  \n\n| Higher rates of pregnancy complications |\n| --- |\n| • Poor nutrition\u003Cbr>• Anemia\u003Cbr>• Premature membrane rupture\u003Cbr>• Eclampsia\u003Cbr>• Higher mortality rate compared to adult pregnant women |\n\n\n| Higher rates of mental health concerns |\n| --- |\n| • Prenatal and Postpartum depression\u003Cbr>• Substance use\u003Cbr>• Stigma\u003Cbr>• Abuse and violence |\n\n\n| Higher rates of complications for baby |\n| --- |\n| • Premature delivery\u003Cbr>• Nutritional problems\u003Cbr>• Asphyxia\u003Cbr>• Low birth weight\u003Cbr>• Stillbirth |\n\n\n| Higher rates of educational and economic challenges |\n| --- |\n| • School drop-out\u003Cbr>• Lower education and vocational achievement\u003Cbr>• Living in Poverty |\n\n|  | PARENTING |  |\n| --- | --- | --- |\n| ADOLESCENCE |  |  |\n\n• Psychiatric assessment including current state, history, screening  \n• Risk assessment – general, adolescent, perinatal  \n• AACAP assessment recommendations  \n• Communicate options  \n• Identify support needs  \n• Treatment plan  \nConfidentiality  \nBuild rapport  \nAssess for mental health conditions  \nRisk Assessment  \nSTRENGTH based focus  \n• AACAP recommends assessment of pregnant adolescent includes:  \n▪ Screening for physical/sexual/emotional abuse/domestic violence  \n▪ Assessment for mental health disorders including depression, anxiety, trauma, and substance use  \n▪ Availability of family/other social supports  \n▪ Access to physical and mental health care  \n• AAP Policy Statement on Options Counseling for Pregnant Adolescents  \nCommunication with an adolescent about a positive pregnancy test result. (Adapted from Kirkpatrick L, Goldman P, Bell LA, et al. Structured engagement of community partners to revise a pregnancy options counseling curriculum for pediatric residents. J MedEduc Curric Dev. 2023;10: 23821205231190476.)  \n| Individual |\n| --- |\n| • Cognitive Ability\u003Cbr>• Optimism\u003Cbr>• Self-efficacy\u003Cbr>• Academic skills\u003Cbr>• Relational Skills\u003Cbr>• Problem Solving Skills\u003Cbr>• Involvement in positive activities |\n\n\n| Relationship |\n| --- |\n| • Parenting competencies\u003Cbr>• Positive peers\u003Cbr>• Caring adult(s)\u003Cbr>• Supportive Partner\u003Cbr>• Living with family members |\n\n\n| Community |\n| --- |\n| • Positive school environment\u003Cbr>• Positive community environment\u003Cbr>• Economic opportunities |","cbCail61h5bysIvW","https://ap.wps.com/l/cbCail61h5bysIvW","pdf",10563504,59,"English","# Case Overview\n## Medical and Mental Health Background\n# Adolescent Pregnancy Burden\n## Pregnancy-Related Medical Complications\n## Mental Health Concerns\n## Infant/Neonatal Complications\n## Educational and Economic Challenges\n# Psychiatric Assessment and Care Plan\n## Confidentiality and Rapport\n## Screening and Risk Assessment\n## AACAP Recommendations\n## Options Counseling Communication","[{\"question\":\"What information is needed for a psychiatric assessment of a pregnant adolescent?\",\"answer\":\"Include current state and history, conduct screening, and perform a risk assessment across general, adolescent, and perinatal domains. Use a strength-based focus while building rapport and maintaining confidentiality.\"},{\"question\":\"Which mental health disorders and safety factors are highlighted in the AACAP recommendations?\",\"answer\":\"Screen for physical, sexual, and emotional abuse and domestic violence, and assess for mental health disorders such as depression, anxiety, trauma, and substance use. Also evaluate availability of family or other social supports and access to physical and mental health care.\"},{\"question\":\"What major challenges are described for pregnant adolescents compared with other groups?\",\"answer\":\"The document lists higher pregnancy complications (e.g., anemia and eclampsia), higher mental health concerns (e.g., postpartum depression and stigma), worse baby outcomes (e.g., low birth weight and stillbirth), and greater educational and economic difficulties (e.g., school dropout and poverty).\"}]","Pregnant-Adolescent-PPP - Clinical Guidance | PDF",1790126922]