• A positive screen on a validated screening tool for depressive symptoms, diabetes distress, anxiety, fear of hypoglycemia, or cognitive impairment |
• The presence of symptoms or suspicions of disordered eating behavior, an eating disorder, or disrupted patterns of eating |
• Intentional omission of insulin or oral medication to cause weight loss is identified |
• A serious mental illness is suspected |
• In youth and families with behavioral self-care difficulties, repeated hospitalizations for diabetic ketoacidosis, failure to achieve expected developmental milestones, or significant distress |
• Declining or impaired ability to perform diabetes self-care behaviors |
• Before undergoing bariatric or metabolic surgery and after surgery, if assessment reveals an ongoing need for adjustment support |
• A positive screen on a validated screening tool for depressive symptoms, diabetes distress, anxiety, fear of hypoglycemia, or cognitive impairment |
• The presence of symptoms or suspicions of disordered eating behavior, an eating disorder, or disrupted patterns of eating |
• Intentional omission of insulin or oral medication to cause weight loss is identified |
• A serious mental illness is suspected |
• In youth and families with behavioral self-care difficulties, repeated hospitalizations for diabetic ketoacidosis, failure to achieve expected developmental milestones, or significant distress |
• Declining or impaired ability to perform diabetes self-care behaviors |
• Before undergoing bariatric or metabolic surgery and after surgery, if assessment reveals an ongoing need for adjustment support |