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Child and Adolescent Psychiatric Clinics of North America

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https://www.readbyqxmd.com/read/30219225/making-meaning-after-the-death-of-a-child
#1
REVIEW
Sandra Clancy, Blyth Lord
Two bereaved mothers recount how they made meaning after the deaths of their children, recounting how opportunities to tell their stories in medical settings enabled them to construct narratives that promoted resilience and a sense of control. Pediatric palliative care can be conceived as opening space for patients and guardians to tell their stories outside of the specifics of illness, so medical teams can work to accommodate families' values and goals, thereby initiating the process of meaning making. Viewing videos of parent stories enables medical trainees to enhance their communications skills, empathy, and compassion...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219224/dealing-with-death-and-dying
#2
EDITORIAL
David Buxton, Natalie Jacobowski
No abstract text is available yet for this article.
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219223/clinician-response-to-a-child-who-completes-suicide
#3
REVIEW
Cheryl S Al-Mateen, Kathryn Jones, Julie Linker, Dorothy O'Keefe, Valentina Cimolai
Although suicide is a leading cause of death for children and adolescents, there is a dearth of literature on clinician responses to suicides in that age group. However, most psychiatrists experience the death of a patient by suicide, with resulting grief reactions including shock, isolation, rumination, self-doubt, and impact on clinical decision making. The impact is more pronounced in trainee clinicians. Postvention is the clinical, administrative, legal, and emotional processes following a suicide. These processes are discussed in detail, with recommendations for policies and training that assist clinicians with this tragic, but common, professional crisis...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219222/assisting-the-school-in-responding-to-a-suicide-death-what-every-psychiatrist-should-know
#4
REVIEW
Emily J Aron, Jeff Q Bostic, Julie Goldstein Grumet, Sansea Jacobson
When a child or adolescent dies by suicide, many individuals are affected, most of whom are attending school. Child and adolescent psychiatrists can be called on during the wake of such tragic events in order to help schools navigate the difficult tasks following a student suicide. Being familiar with suicide postvention guidelines is crucial for anyone involved in managing the events following a student suicide. By understanding the tenets of suicide postvention and resources that are available to schools and clinicians, the tragedy of suicide can also be an opportunity to improve school mental health and suicide prevention...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219221/social-media-consequences-of-pediatric-death
#5
REVIEW
David Buxton, Taylor R Vest
Social media is an important access point for engagement of children and adolescents. For individuals with a life-limiting illness or serving as the caregiver for an ill child, social media can be a helpful outlet for support and information gathering. It has democratized the process of being remembered through providing an ongoing account of thoughts, pictures, and videos that theoretically live on forever via a digital legacy. Providers should be familiar with how this new generation uses social media during their illness, after death, and in the bereavement process...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219220/the-liaison-in-consultation-liaison-psychiatry-helping-medical-staff-cope-with-pediatric-death
#6
REVIEW
Anna C Muriel, Sarah Tarquini, Sue E Morris
Pediatric consultation-liaison clinicians are well positioned to provide support, guidance, and systemic recommendations about how to help medical clinicians cope with the stresses of working with dying children. Interventions to support sustainability in this work need to occur at the institutional and team-based levels as well as in individual practice. Shared clinical work around challenging cases provides opportunities to engage with medical clinicians about their difficult experiences and provide reflection and support...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219219/bereavement-after-a-child-s-death
#7
REVIEW
Danielle Jonas, Caitlin Scanlon, Rachel Rusch, Janie Ito, Marsha Joselow
The death of a child is a heart-wrenching experience that can have a significant impact on parents, siblings, and families while also often having ripple effects throughout the child's community. Pediatric loss has an impact on family structure and dynamics, individual identity formation, and conceptualization as well as professional practice. This article explores bereavement after a child's death through the lens of the family, the parent, the sibling, the forgotten grievers, and the provider.
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219218/parenting-with-a-life-limiting-illness
#8
REVIEW
Sarah E Shea, Cynthia W Moore
Parents with life-threatening illness face unique challenges in their dual roles as patients and parents. They are at risk for depression, parenting stress, and impaired family functioning, and their children are at risk for adjustment difficulties. In addition to treatment of depression and other mental health issues, patients may also benefit from evidence-informed guidance addressing the challenges of parenting while ill. Consultations should be tailored to each family, with consideration of children's developmental stage and temperament...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219217/children-s-artwork-its-value-in-psychotherapy-in-pediatric-palliative-care
#9
REVIEW
Barbara M Sourkes
Pediatric palliative care is a comprehensive treatment approach (physical, psychological, social, spiritual) for children living with life-threatening conditions. These patients and siblings, as well as children of ill parents, face extraordinary psychological challenges. Structured art techniques incorporated into psychotherapy can be powerful for children dealing with life-and-death realities. This article provides the rationale, instructions, and examples for 3 techniques that the author has adapted for children facing illness and bereavement...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219216/ethical-issues-around-pediatric-death-navigating-consent-assent-and-disagreement-regarding-life-sustaining-medical-treatment
#10
REVIEW
Silvana Barone, Yoram Unguru
Decisions regarding whether or not to pursue experimental therapies or life-sustaining medical treatment of children with life-limiting illness can be a significant source of distress and conflict for both families and health care providers. This article reviews the concepts of parental permission (consent), assent, and emerging capacity and how they relate to decision-making for minors with serious illness. Decision-making capacity for adolescents is discussed generally and in the context of emotionally charged situations pertaining to the end of life...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219215/supporting-children-and-families-at-a-child-s-end-of-life-pediatric-palliative-care-pearls-of-anticipatory-guidance-for-families
#11
REVIEW
Bethany Lockwood, Lisa Humphrey
Mental health professionals can play a key role in helping pediatric patients and their families prepare for and endure the death of a child. Impactful interventions include assisting a family's transition toward acceptance of a child's pending death, using prognostication as a tool in emotional preparedness, and education on expectant symptoms to optimize management and sense of caregiver efficacy.
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/30219214/-will-you-remember-me-talking-with-adolescents-about-death-and-dying
#12
REVIEW
Maryland Pao, Margaret Rose Mahoney
This article describes the preparation, rationale, and benefits of talking with adolescents who have life-threatening or life-limiting illness about advance care planning (ACP) and end-of-life concerns in a developmentally sensitive manner. The first step is to ensure that a health care provider is ready to work with adolescents in ACP discussions by taking a self-inventory, learning communication skills, and understanding individual barriers. The authors then outline how to assess patient and family readiness, including developmental, cultural, personal, and psychosocial considerations...
October 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933799/emergency-child-and-adolescent-psychiatry-updates-on-evidence-base-and-innovations-to-improve-care
#13
EDITORIAL
Vera Feuer
No abstract text is available yet for this article.
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933798/training-education-and-curriculum-development-for-the-pediatric-psychiatry-emergency-service
#14
REVIEW
Amy Egolf, Pamela Hoffman, Megan M Mroczkowski, Laura M Prager, John W Tyson, Kathleen Donise
Pediatric psychiatric emergency care is delivered in different settings with vastly different resources around the country. Training programs lack guidance on developing optimal curricula for this highly variable but crucial setting. A model curriculum for child and adolescent psychiatry trainees may be helpful to provide such guidance; its components include recommendations for assessing baseline knowledge, identifying and teaching core subject content, encouraging development of essential skills, and building in supervision for learners...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933797/multidisciplinary-approach-to-enhancing-safety-and-care-for-pediatric-behavioral-health-patients-in-acute-medical-settings
#15
REVIEW
Gary Lelonek, Douglas Crook, Maura Tully, Kristen Trufelli, Lindsay Blitz, Steven C Rogers
Emergency department visits by pediatric behavioral health patients are increasing, increasing the complexity of care. This article describes initiatives at 3 academic medical centers using multidisciplinary teams, including medical, child life, and security staff, to help decrease anxiety and increase patient comfort. Training in Dialectical Behavior Therapy and agitation management simulations increase staff preparedness for working with agitated and emotionally dysregulated patients. Training security personnel and establishing a behavioral health response team ensures that staff members with expertise in managing agitation support the medical teams and patients throughout the hospital...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933796/psychiatric-community-crisis-services-for-youth
#16
REVIEW
Kristina Sowar, Deborah Thurber, Jeffrey J Vanderploeg, Eva C Haldane
Each year, increasing numbers of children and families seek care for psychiatric crises; unfortunately, most communities offer limited services to meet these needs. Youth in crisis often present to emergency departments, but may not need or benefit from that level of care. Instead, data reflect improved clinical and financial outcomes when communities offer a continuum of crisis services. In this article, the authors present care models from two communities - Ventura County, California, and the state of Connecticut - and review program development, implementation, and monitoring...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933795/telepsychiatric-evaluation-and-consultation-in-emergency-care-settings
#17
REVIEW
Austin Butterfield
Telepsychiatric care in the emergency setting is a viable and accessible modality that helps address the needs of patients, families, and communities. An expanding literature base for telepsychiatry in multiple clinical settings has shown benefits, including increased access to care, equal efficacy to face-to-face encounters, cost efficiency, decreased wait-times, decreased unnecessary psychiatric hospitalizations, and high levels of patient satisfaction. The evidence base for emergency telepsychiatry is growing for pediatric populations...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933794/social-services-and-behavioral-emergencies-trauma-informed-evaluation-diagnosis-and-disposition
#18
REVIEW
Patrick J Heppell, Suchet Rao
The emergency department's role in a psychiatric crisis is to assess for safety, provide crisis interventions, reach a diagnosis, make decisions about disposition and treatment, and provide linkage to the next level of care within the hospital or in the community. The evaluation of children and adolescents involved in the child welfare system brings numerous additional challenges to this already-complex environment, including familial and systemic issues and an almost ubiquitous history of trauma. This article endeavors to increase understanding of child welfare-related issues and provides insight toward using a more trauma-informed and comprehensive approach that incorporates all these factors...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933793/current-pediatric-emergency-department-innovative-programs-to-improve-the-care-of-psychiatric-patients
#19
REVIEW
Susan B Roman, Allison Matthews-Wilson, Patricia Dickinson, Danielle Chenard, Steven C Rogers
Emergency departments (EDs) across North America have become a safety net for patients seeking mental health (MH) services. The prevalence of families seeking treatment of children in MH crisis has become a national emergency. To address MH access and improve quality and efficient management of children with MH conditions, the authors describe ED projects targeting this vulnerable population. Five North American health care systems volunteered to feature projects that seek to reduce ED visits and/or improve the care of MH patients: Allina Health, Nationwide Children's Hospital, Children's Hospital of Eastern Ontario, Connecticut Children's Medical Center, and Rhode Island Hospital...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933792/maintaining-safety-and-improving-the-care-of-pediatric-behavioral-health-patients-in-the-emergency-department
#20
REVIEW
Fara R Stricker, Kate B O'Neill, Jonathan Merson, Vera Feuer
Pediatric emergency visits for behavioral health complaints have been increasing for more than a decade. There are currently no best practices or ideal models of care. However, the evidence base for existing emergency department operational concepts can be used to implement modifications to workflow, care model, staffing, and physical environment to address patient needs. Rapid assessment, split flow, blended care model, multidisciplinary team development, mental health nursing triage, and staff training can all positively affect length of stay, staff safety, and patient satisfaction...
July 2018: Child and Adolescent Psychiatric Clinics of North America
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