Showing papers in "Child and Adolescent Psychiatric Clinics of North America in 2017"

TL;DR: Much work still needs to be done to further elucidate the cause, risk, treatment, and protective factors for preschool-onset internalizing disorders.

TL;DR: Optimal management of both ID and language disorders requires a multidisciplinary, team-based, and family centered approach and child psychiatrists play an important role on this team, given their expertise with contextualizing and treating challenging behaviors.

TL;DR: Social media users may experience an increase in perceived social support and life satisfaction, and epidemiologic studies suggest that increased SM use is associated with conditions such as depression, anxiety, and sleep disturbance.

TL;DR: The demographics of transitional age youth, ages 16 to 26 years, in the United States, are focused on, the unique characteristics of this developmental period, and how risk and resilience factors may affect the course of development and an individual's pathway to adulthood.

TL;DR: Research findings support the argument that, because of this neurodevelopmental mismatch, transitional age youth are at high risk for engaging in behaviors that lead to negative outcomes, morbidity, and mortality.

TL;DR: A care process model for youths at risk for suicide and self-harm is presented, with guidance for clinicians based on the scientific evidence.

TL;DR: The current state of diagnosis and treatment of schizophrenia is reviewed, describing the recent proliferation of research in high-risk psychosis spectrum conditions, which are different from childhood-onset and early onset schizophrenia, and findings of psychotic-like experiences in the normal population.

TL;DR: The ability to reliably identify most cases of the condition far earlier than the average age of diagnosis presents a novel opportunity for early intervention, but the availability of such an intervention is disparate across US communities, and its impact is imperfectly understood.

TL;DR: There is a paucity of evidence-based practices to effectively treat this population of transitional age youth or provide practice guidelines and the research required to do so should be a priority.

TL;DR: The authors discuss relevant issues related to delivering telemental health, including why this modality is necessary for delivery, what models and evidence for telementsal health exist, when it should be considered across legal/regulatory and ethical considerations, and how best te Clemental health practices may be implemented with diverse youth.

TL;DR: National data is provided on the lack of transition preparation among youth with special health care needs, including those with emotional, behavioral, and developmental conditions, and current US transition goals are presented.

TL;DR: Improved outcomes for individuals with autism spectrum disorder have opened a range of potential pathways during the transition to adulthood, including attending college, entering the labor force, and achieving a degree of independent living.

TL;DR: Of the 2 studies that examined effectiveness using a randomized controlled trial design, there were no statistically significant differences in clinical outcomes, but results were limited by small sample size.

TL;DR: Clinicians should routinely take a media history that distinguishes types and extent of use, content, and psychological impact of media in adolescents, as a critical piece of the initial assessment, risk assessment, and ongoing treatment.

TL;DR: Much can be done to change the trajectory for LGBTQ youth through advocacy, education, culturally competent health care, and policy-making.

TL;DR: This article reviews the available literature regarding the interaction between child and adolescent anxiety and electronic media and proposes healthy online technology interventions, including popups for overuse and identification of digitally enhanced posts.

TL;DR: Treatment algorithm for attention deficit hyperactivity disorder in preschoolers includes behavioral interventions first followed by psychopharmacologic treatment when behavioral therapies fail and other nonpharmacologic and nonbehavioral interventions are discussed including the role of exercise and nutrition.

TL;DR: Transitional age foster youth do not typically receive the types of family supports their nonfoster peers enjoy and benefit from policies promoting a developmentally appropriate, comprehensive, and integrated transition system of care.

TL;DR: Learnings from child-computer interaction that can inform future generations of interventions and guide developers, practitioners, and researchers how to best use new technologies for youth populations are discussed.

TL;DR: The role of CAPs in integrated BH care in subspecialty care is explored, focusing on cost, resource use, financial support, and patient and provider satisfaction.

TL;DR: Results suggest that the Behavioral Health Integration Program model of pediatric integrated care is feasible and that hiring behavioral health staff with specific training in pediatric, evidence-informed behavioral health treatments may be a critical variable in increasing outcomes such as referral rates, self-reported competency, and satisfaction.

TL;DR: The benefits resulting from the use of mobile applications for mental health and telepsychiatry are described and a return on investment analysis framework is presented as a generalized means for evaluating the return on invest of specific health care interventions.

TL;DR: Examining longitudinal links between the neonatal neurobehavioral assessment, temperament, and socioemotional outcomes in early childhood finds no link between neonatal assessment and neurosensory and motor impairment in high-risk infants.

TL;DR: P Practitioners should assess for culturally relevant stressors and incorporate cultural assets such as ethnic-racial identity and cultural values to support the mental health of transitional age youth.

TL;DR: Evaluations of integrated care programs for children's mental health need to adapt and learn on the fly, so that evaluations may best be viewed through the lens of continuous quality improvement rather than evaluations of fixed programs.

TL;DR: The existing and successful integrated care training model, currently implemented at Children's Hospital of Philadelphia, is described and the training competencies are discussed in the context of recommendations for future work and training.

TL;DR: Concepts of mental health and theoretic constructs of successful adulthood that suggest intentional policies and practices are developed with a specific vision of success are reviewed.

TL;DR: Sleep issues are common in preschoolers, defined in this article as ages 3 to 5 years, and are important for long-term mental health and optimization of functioning.

TL;DR: This article explores the impact of health information technology on the therapeutic relationship between patient and psychiatrist, seeking wisdom from adult psychiatry and more broadly from general medical disciplines to draw conclusions regarding how the child psychiatry encounter may be affected.