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The Journal of School Nursing
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Feature Article

Bipolar Disorder in School-Age Children

Patricia M. Olson, RN, MMS

Patricia M. Olson, RN, MMS, is an area nurse consultant with the Jefferson County School District, Arvada, CO

Mary Rae Pacheco, RN, MMH

Mary Rae Pacheco, RN, MMH, is codirector of school nursing for Commerce City Community Health Services, Commerce City, CO

This article examines the individual components of bipolar disorder in children and the behaviors that can escalate as a result of misdiagnosis and treatment. The brain/behavior relationship in bipolar disorders can be affected by genetics, developmental failure, or environmental influences, which can cause an onset of dramatic mood swings and dysfunctional behavior. School is often the site where mental health disorders are observed when comparing behaviors with other children. Assessing the emotional, academic, and health needs of a student with a bipolar disorder is a critical step in designing effective interventions and school accommodations. Without appropriate medical, psychological, pharmaceutical, and academic interventions, a child is at risk for uncontrolled mania, depression, substance abuse, or suicide. The school nurse is part of the multidisciplinary team and plays a key role in facilitating case management to potentially reverse this possible negative trajectory. Successful case management provides children with bipolar disorder the opportunity to reach their academic potential.

Key Words: attention deficit hyperactivity disorder (ADHD) • bipolar • case management • depression • mania • school nursing

The Journal of School Nursing, Vol. 21, No. 3, 152-157 (2005)
DOI: 10.1177/10598405050210030501
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