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Child and Adolescent Psychiatric Clinics of North America

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https://www.readbyqxmd.com/read/27837946/the-emerging-application-of-health-information-technology-in-child-and-adolescent-psychiatry
#1
EDITORIAL
Barry Sarvet, John Torous
No abstract text is available yet for this article.
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837945/teaching-child-and-adolescent-psychiatry-in-the-twenty-first-century-a-reflection-on-the-role-of-technology-in-education
#2
REVIEW
Shih Yee-Marie Tan Gipson, Jung Won Kim, Ah Lahm Shin, Robert Kitts, Eleni Maneta
Technology has become an integral part of everyday life and is starting to shape the landscape of graduate medical education. This article reviews the use of technology in teaching child and adolescent psychiatry (CAP) fellows, and 3 main aspects are considered. The first aspect is use of technology to enhance active learning. The second aspect covers technology and administrative tasks, and the third aspect is the development of a technology curriculum for CAP trainees. The article concludes with a brief review of some of the challenges and pitfalls that have to be considered and recommendations for future research...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837944/considerations-for-conducting-telemental-health-with-children-and-adolescents
#3
REVIEW
Eve-Lynn Nelson, Sharon Cain, Susan Sharp
Innovative technologies are increasingly used in order to address gaps in access to child behavioral health care. Telemental health is one technological modality in which child behavioral services can be practiced successfully across psychiatry, psychology, and developmental medicine. The authors discuss relevant issues related to delivering telemental health, including why this modality is necessary for delivery, what models and evidence for telemental health exist, when it should be considered across legal/regulatory and ethical considerations, where telemental health services are delivered, who is involved in delivery, and how best telemental health practices may be implemented with diverse youth...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837943/the-impact-of-health-information-technology-on-the-doctor-patient-relationship-in-child-and-adolescent-psychiatry
#4
REVIEW
Rajeev Krishna
As health information technology continues to expand and permeate medicine, there is increasing concern for the effect on the therapeutic relationship between patient and psychiatrist. This article explores this impact, seeking wisdom from adult psychiatry and more broadly from general medical disciplines to draw conclusions regarding how the child psychiatry encounter may be affected. Several proposed strategies to mitigate potential negative impacts of health information technology on the therapeutic relationship across practice settings are offered...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837942/transformational-impact-of-health-information-technology-on-the-clinical-practice-of-child-and-adolescent-psychiatry
#5
REVIEW
Todd E Peters
Compared with other medical specialties, psychiatrists have been slower adopters of health information technology (IT) practices, such as electronic health records (EHRs). This delay in implementation could compromise patient safety and impede integration into accountable care organizations and multidisciplinary treatment settings. This article focuses on optimizing use of EHRs for clinical practice, leveraging health IT to improve quality of care, and focusing on the potential for future growth in health IT in child and adolescent psychiatric practice...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837941/patient-portals-in-child-and-adolescent-psychiatry
#6
REVIEW
Ernest Jeremy Kendrick, Christy Benson
Utilization of patient portals in the child and adolescent population presents an exciting and somewhat complex opportunity for providers and young patients. This article summarizes the limited information currently available in the literature about child and adolescent patient portals. The concept and implementation of patient portals are discussed in detail. Data referencing provider, parent, and young patient opinion regarding patient portals are discussed. Important considerations regarding confidentiality and adherence to federal, state, and local regulations, as well as potential institution level solutions are presented...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837940/using-technology-to-improve-treatment-outcomes-for-children-and-adolescents-with-eating-disorders
#7
REVIEW
Alison M Darcy, James Lock
Dissemination and implementation of evidence-based treatments are among the biggest challenges facing clinical psychiatry. Developing scalable evidence-based treatments is a major priority and fraught with challenges. This article describes the development of 3 technology-based innovations. It discusses the use of massive open online courses (MOOCs) and mobile applications. Three projects are presented: (1) the modification of a MOOC methodology for psychotherapy training clinicians in manualized family-based therapy (FBT) for adolescents with anorexia nervosa; (2) a modified MOOC platform for the delivery of FBT; and (3) the development of mobile applications for treatment augmentation and delivery...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837939/mobile-health-interventions-for-psychiatric-conditions-in-children-a-scoping-review
#8
REVIEW
Christopher Archangeli, F Alethea Marti, Emilia Antonievna Wobga-Pasiah, Bonnie Zima
A scoping review was performed to determine what evidence exists to support the clinical use of mobile health (mHealth) interventions to address child psychiatric disorders. The review focused on children less than 18 years old who were diagnosed with a mental disorder, used an mHealth intervention, and included novel outcome data. Each study assessed feasibility of the intervention and concluded that the interventions were accepted and/or liked by patients. 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...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837938/the-economic-benefits-of-mobile-apps-for-mental-health-and-telepsychiatry-services-when-used-by-adolescents
#9
REVIEW
Adam C Powell, Milton Chen, Chanida Thammachart
This article describes the benefits resulting from the use of mobile applications for mental health and telepsychiatry. Potential direct benefits include substitution for other forms of care, prevention of higher-acuity illness, higher rate of psychiatrist use, increased competition of services driving lower treatment costs, lower operating costs for psychiatrists, fewer missed appointments, and revenue for application developers. Potential indirect benefits include improved physical health, enhanced current and future productivity, and reduced demands on caregivers...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837937/confidentiality-and-privacy-for-smartphone-applications-in-child-and-adolescent-psychiatry-unmet-needs-and-practical-solutions
#10
REVIEW
Emily Wu, John Torous, Rashad Hardaway, Thomas Gutheil
This article summarizes the current literature on clinical knowledge and practical gaps regarding the confidentiality and privacy for smartphone and connected devices in child and adolescent psychiatry and offers practical solutions and consideration for the next steps for the field. Important issues to consider include disclosure of information sharing, access privilege, privacy and trust, risk and benefit analysis, and the need for standardization. Through understanding the privacy and confidentiality concerns regarding digital devices, child and adolescent psychiatrists can guide patients and parents though informed decision-making and also help shape how the field creates the next generation of these tools...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837936/the-use-of-health-information-technology-within-collaborative-and-integrated-models-of-child-psychiatry-practice
#11
REVIEW
Sara Coffey, Erik Vanderlip, Barry Sarvet
There is a consistent need for more child and adolescent psychiatrists. Despite increased recruitment of child and adolescent psychiatry trainees, traditional models of care will likely not be able to meet the need of youth with mental illness. Integrated care models focusing on population-based, team-based, measurement-based, and evidenced-based care have been effective in addressing accessibility and quality of care. These integrated models have specific needs regarding health information technology (HIT)...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27837935/online-treatment-and-virtual-therapists-in-child-and-adolescent-psychiatry
#12
REVIEW
Stephen M Schueller, Colleen Stiles-Shields, Lana Yarosh
Online and virtual therapies are a well-studied and efficacious treatment option for various mental and behavioral health conditions among children and adolescents. However, many interventions have not considered the unique affordances offered by technologies that might align with the capacities and interests of youth users. In this article, the authors discuss 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...
January 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27613353/the-changing-landscape-of-adolescent-substance-treatment
#13
EDITORIAL
Ray Chih-Jui Hsiao, Paula D Riggs
No abstract text is available yet for this article.
October 2016: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27613352/erratum
#14
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27613351/integrated-care-for-pediatric-substance-abuse
#15
REVIEW
Rebecca P Barclay, Robert J Hilt
Integrated care is a way to improve the prevention, identification, and treatment of mental health difficulties, including substance abuse, in pediatric care. The pediatrician's access, expertise in typical development, focus on prevention, and alignment with patients and families can allow successful screening, early intervention, and referral to treatment. Successful integrated substance abuse care for youth is challenged by current reimbursement systems, information exchange, and provider role adjustment issues, but these are being addressed as comfort with this care form and resources to support its development grow...
October 2016: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27613350/technology-based-interventions-for-preventing-and-treating-substance-use-among-youth
#16
REVIEW
Lisa A Marsch, Jacob T Borodovsky
Preventing or mitigating substance use among youth generally involves 3 different intervention frameworks: universal prevention, selective prevention, and treatment. Each of these levels of intervention poses unique therapeutic and implementation challenges. Technology-based interventions provide solutions to many of these problems by delivering evidence-based interventions in a consistent and cost-effective manner. This article summarizes the current state of the science of technology-based interventions for preventing substance use initiation and mitigating substance use and associated consequences among youth...
October 2016: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27613349/substance-use-among-college-students
#17
REVIEW
Chloe R Skidmore, Erin A Kaufman, Sheila E Crowell
Emerging adulthood has heightened risk for substance use. College students experience unique challenges, making them prone to use of alcohol, marijuana, and nonmedical use of prescription drugs. This article reviews rates of college students' substance use, risk factors, and populations at elevated risk. Consequences include legal, academic, and mental health problems; engagement in other risky behaviors; increased rates of injury; and death. Researchers, clinicians, and university administrators must identify those at greatest risk and provide prevention and intervention programs...
October 2016: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27613348/substance-abuse-and-trauma
#18
REVIEW
Shannon Simmons, Liza Suárez
There is a strong, bidirectional link between substance abuse and traumatic experiences. Teens with cooccurring substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) have significant functional and psychosocial impairment. Common neurobiological foundations point to the reinforcing cycle of trauma symptoms, substance withdrawal, and substance use. Treatment of teens with these issues should include a systemic and integrated approach to both the SUD and the PTSD.
October 2016: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27613347/cooccurring-psychiatric-and-substance-use-disorders
#19
REVIEW
Zachary D Robinson, Paula D Riggs
Research shows that the majority of adolescents with substance use disorders also have other cooccurring psychiatric disorders, which has been associated with poorer treatment outcomes. Despite considerable consensus that treatment of cooccurring disorders should be integrated or concurrent, most such youth do not receive it. In addition to systemic and economic barriers, few studies have been conducted that inform evidence-based integrated treatment approaches. This article provides a review of 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...
October 2016: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27613346/the-role-of-pharmacotherapy-in-the-treatment-of-adolescent-substance-use-disorders
#20
REVIEW
Christopher J Hammond
Adolescent substance use disorders (SUDs) are a significant public health issue due to the associated morbidity, mortality, and societal cost. While effective for some adolescents, psychosocial interventions generally produce small-to-moderate reductions in substance use. Most youth relapse within 12 months of treatment. One approach to improve outcomes is through adjunctive pharmacotherapy. Medication assisted treatments have been shown to improve adult SUD treatment outcomes, and preliminary studies in adolescents suggest that combining medication with psychosocial interventions may also enhance SUD outcomes for youth...
October 2016: Child and Adolescent Psychiatric Clinics of North America
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