Showing papers in "Child and Adolescent Psychiatric Clinics of North America in 2016"

TL;DR: The authors examined associations between emotional, mental, or behavioral conditions (EMB), adverse childhood experiences (ACEs), and protective factors, such as child resilience, parental coping/stress, and parent-child engagement.

TL;DR: More research on this topic will help to provide consensus on diagnostic criteria and further clarify optimal management of Internet addiction.

TL;DR: Rates of college students' substance use, risk factors, and populations at elevated risk are reviewed, finding many students fail to access appropriate treatment.

TL;DR: Clinicians should always conduct a careful interview with adolescent patients to understand what testing is likely to show and then use testing to validate or refute their expectations, and reflect on their own collection protocols and sample validation procedures to ensure optimal accuracy.

TL;DR: There are a variety of validated tools available to use in the adolescent/young adult population, and there are opportunities to increase the efficiency and scalability of screening by using computerized questionnaires.

TL;DR: Emerging consensus supports the incorporation of relapse prevention medications such as buprenorphine and extended release naltrexone into comprehensive psychosocial treatment including counseling and family involvement.

TL;DR: An overview of the definition of commercial sexual exploitation of children and relevant legislation including the shift toward decriminalization of commercially sexually exploited youth is provided.

TL;DR: In this article, a review of the relationship between mental health and childhood obesity is presented, and treatment options that affect both health problems are considered, as outlined by the research literature.

TL;DR: Evidence-based and promising youth suicide prevention approaches at the primary, secondary, and tertiary levels are addressed, suggesting the value of investing in "upstream" universal interventions that build skills and resilience as well as policies that enable access to care and protection from lethal means.

TL;DR: The current state of the science of technology-based interventions for preventing substance use initiation and mitigating substance use and associated consequences among youth is summarized.

TL;DR: Given the established lasting, and potentially intergenerational, negative implications of maternal depression, enhanced efforts targeting increased identification and early intervention approaches for PPD that have an impact on health outcomes in both infants and mothers represent a critical public health concern.

TL;DR: A high-level overview of the prevalence of substance use disorders is provided to provide a context within which the remaining issue provides in-depth descriptions of the evidence on specific topics.

TL;DR: Future research should include rigorous design features, including attention control groups, allocation concealment, larger sample sizes, longer follow-up assessments, and theory-driven tests of moderation and mediation, and should test larger-scale implementation of prevention programs.

TL;DR: There are many opportunities for growth, including the integration of prevention programs into service systems and primary care, an expansion of program adaptations to fit the needs of local populations, and a greater emphasis on the development of programs targeted at young adult populations.

TL;DR: Treatment of teens with cooccurring substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) should include a systemic and integrated approach to both the SUD and the PTSD.

TL;DR: A review found 10 outcome studies of continuing care treatment and adaptive treatment designs hold promise for establishing decision rules as to which adolescents need low-intensity continuing care services and which need more intensive care.

TL;DR: Evidence suggests that the most effective interventions tend to have well-defined treatment protocols, focus on therapeutic approaches as opposed to external control techniques, and use multimodal cognitive-behavioral treatment strategies.

TL;DR: It is important to continue to search for more effective models, focus on post-treatment maintenance (reduce relapse), and strive for high levels of integrity and fidelity during dissemination efforts to optimize outcomes.

TL;DR: Recognizing the diagnostic criteria for cannabis use disorder, cannabis withdrawal syndrome, and mitigating factors that influence adolescent engagement in cannabis use allows for comprehensive assessment and management in the adolescent population.

TL;DR: School-based and non-school-based interventions are reviewed, as well as the limitations of existing research, gaps in access and availability, and directions for future research and development.

TL;DR: A comprehensive review and grading of the evidence from studies conducted in adolescents with SUDs is presented, suggesting that combining medication with psychosocial interventions may also enhance SUD outcomes for youth.

TL;DR: In this paper, the authors reviewed theories of sexual offending in youth, risk factors for juvenile offending and reoffending, psychopathology in JSOs, risk assessment, and treatment.

TL;DR: This article introduces the Vermont Family Based Approach, and presents the main empirical findings that informed the approach in the context of the early childhood period.

TL;DR: The adolescent brain is subject to intense subcortical reward processes, but is left with an immature prefrontal control system that is often unable to resist the pull of potentially exciting activities like substance use, even when fully aware of the dangers involved.

TL;DR: A user-friendly, clinically focused, and pragmatic review of current and evidence-based family treatments, including multisystemic therapy, multidimensionalFamily therapy, functional family therapy, brief strategicfamily therapy, ecologically based family Therapy, family behavior therapy, culturally informed flexible family treatment for adolescents, and strengths-oriented family therapy is provided.

TL;DR: Current research from which empirically derived principles of integrated treatment can originate and which have informed the development of at least one evidence-based model of integrated mental health and substance treatment are provided.

TL;DR: Genetic risk factors associated with alcohol abuse include common variants in genes coding for alcohol-metabolizing enzymes and gamma-aminobutyric acid A receptors and functional missense mutations in ADH1B and ALDH2 are protective against alcohol dependence.

TL;DR: The need exists to develop and test models of care that integrate co-occurring disorders into both psychiatric and substance abuse treatment settings to account for the variations in adolescent development and the unique risk factor profile of each patient.

TL;DR: The effective rehabilitation of detained youth begins with optimal screening of their mental health needs as they enter the juvenile delinquency system, and juvenile facilities should consider the use of screening instruments like the Massachusetts Youth Screening Instrument-Version 2 as close to intake as feasible.

TL;DR: Justice-involved youth are a complex and heterogeneous population with extremely high rates of mental disorder, trauma, and numerous other psychosocial stressors and Psychosocial interventions remain some of the most robust and effective interventions targeting specific developmental deficits common in this population.