Showing papers in "Child and Adolescent Psychiatric Clinics of North America in 2004"

TL;DR: To increase the involvement of urban youth and families who need mental health services, child mental health agencies and providers might consider the following: examining intake procedures and developing interventions to target specific barriers to service use.

TL;DR: This article is a review of specific psychotherapies that have been supported in clinical trials with the goal of complementing the overall picture of treatment benefit provided in narrative reviews and meta-analyses with a detailing of the specific interventions that have shown significant effects.

TL;DR: This article provides an update on evidence-based practices and interventions in school settings, with a specific focus on prevention and intervention programs that can be delivered within a three-tiered intervention framework.

TL;DR: This article found that there was a gender balance in the formative sample of 359 interviews from which the theory of faith development derived (50% each of male and female respondents) in the original sample, Protestants made up 45% of the interviewees, Catholics represented 36.5%, 11.2% were Jews, and 3.6% were Orthodox Christians.

TL;DR: The evidence base for community-based interventions from a systems of care perspective is strongest for multisystemic therapy and treatment foster care and a relatively well-developed evidence base is revealed for case management.

TL;DR: Recommendations for research are made to accord much greater attention to mechanisms of change in therapy so the authors understand why and how treatments work and can use this information to optimize treatment effects in clinical work.

TL;DR: This article focuses on the psychosexual development of children and adolescents who have sex-typed behavioral patterns that correspond to the diagnosis of Gender Identity Disorder, as defined in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders.

TL;DR: Clinicians should feel free to ask about a child's spiritual life and to work with the family using their spiritual resources if they are perceived to be beneficial in helping the child and family cope with their current situation.

TL;DR: The authors first review several of the definitions, criteria, and strategies that have been used to define scientific evidence and suggest suggestions for further consideration in the process of synthesizing evidence for clinicians.

TL;DR: Experiences over the past few decades have demonstrated that the issue for residential programs is not simply the survival of an important service for seriously troubled children and their families, but rather the development of a new paradigm for residential treatment's role in community service systems.

TL;DR: The typical components that contribute to the development of adolescent sexuality are addressed, the roots of human sexuality from birth and childhood are explained, and three components of adolescents sexuality are detailed: biologic, psychologic, and social cultural.

TL;DR: Two of the most common intersex conditions, androgen insensitivity and Klinefelter's syndrome, are described with an emphasis on aspects that are of relevance to psychiatrists.

TL;DR: Studies of 29 children revealed that despite the absence of the typical postnatal and pubertal androgen surges and the presence of female genitalia, all female-assigned subjects displayed a marked male-typical shift in psychosocial and psychosexual development.

TL;DR: There are few differences in the frequency or intensity of men's and women's self-reported or observed anger, but women's tendency to cry when angry, whereas men are more likely to throw things or hit, remains consistent into adulthood.

TL;DR: In this article, the authors bring the worlds of policy, research, and practice in residential and foster care into much closer proximity so that we can assess what the challenges and strengths are in each domain and chart a course of action for renewal.

TL;DR: A differential developmental trajectories perspective is proposed that integrates recent research about the development of sexual orientation, sexual behavior, and sexual identity and clinical recommendations offer ways to assess sexual orientation and help patients to achieve acceptance of their sexuality.

TL;DR: Changing terms, emphases, and views on the interrelated, but separate, concepts of sex, gender, and identity are put into perspective to show the relevance of certain concepts in dealing with the specific issues of intersex.

TL;DR: In this article, the authors introduce the interface between child and adolescent psychiatry and religion and spirituality, and discuss the effect of religion on clinical conditions among those factors, concluding with some observations on the "secular family".

TL;DR: As residential group care has become a less exclusively milieu-based therapy and more a "tapestry of therapies" that involves individual, group, and family therapy, psychopharmacology, intensive case management, special education services, therapeutic recreational activities, and a residential milieu based on therapeutic principles, the practice of providing detailed descriptions of the type of treatment has deteriorated.

TL;DR: The influence of various cultures (such as Arab, Pakistani, and African American) as seen in practice with Muslim children and their families is discussed.

TL;DR: In this paper, the relationship between children's religious beliefs and spiritual practices and the presence of psychopathology was investigated. And the authors found that when spirituality and religious beliefs/practices are associated with negative mental health outcomes in children or their families, evidence points to "poorness-of-fit," based on an interaction between the child's psychopathology and aspects and religious belief/practice.

TL;DR: The transfer of empirically supported interventions into the residential treatment setting, the targeting of specific problems or disorders that burden children and adolescents, and more sophisticated tests of positive and negative outcomes have been studied as discussed by the authors.

TL;DR: Psychosexual outcomes and issues in syndromes of female pseudohermaphroditism, broadly defined, are described and implications for current debate about the treatment of infants who have ambiguous genitalia are discussed.

TL;DR: The following syndromes of XY intersexuality are reviewed: 5alpha-reductase-2 deficiency, 17beta-hydroxysteroid dehydrogenase-3 deficiency, and complete and partial androgen insensitivity with attention focused on issues of gender identity.

TL;DR: The clinician who includes these factors in treatment is faced with decisions of when to discuss these issues, how to discuss them and in what depth, and finally, when to refer to a religious/spiritual professional.

TL;DR: This article provides an update of pediatric psychopharmacologic treatment evidence and focuses on six classes of medications in pediatric populations: psychostimulants, mood stabilizers, SSRIs, tricyclic antidepressants, antipsychotic agents, and other agents.

TL;DR: An approach to spiritual assessment of children and adolescents that begins with developing an understanding of the family's spiritual and religious life, followed by a developmentally informed method of observing and talking with children and adolescence about their spiritual andreligious beliefs is proposed.

TL;DR: The time is ripe for a reassessment and update of the evidence on evidence-based practice in child mental health care, as a convergence of three social and scientific movements lends support to this endeavor.

TL;DR: This article gives health care professionals a foundation for understanding the legal concepts of adolescent health care decision-making and provides an approach for balancing the potential competing interests of these stakeholders while complying with professional standards, the law, and their own ethical and moral convictions.

TL;DR: Clinicians are well advised to familiarize themselves with the religious professionals, institutions, and resources in the geographic areas in which they practice.