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Child and Adolescent Psychiatric Clinics of North America

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https://www.readbyqxmd.com/read/29933799/emergency-child-and-adolescent-psychiatry-updates-on-evidence-base-and-innovations-to-improve-care
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/29933791/an-emergency-department-clinical-pathway-for-children-and-youth-with-mental-health-conditions
#9
REVIEW
Mona Jabbour, Jeffrey Hawkins, Doreen Day, Paula Cloutier, Christine Polihronis, Mario Cappelli, Allison Kennedy, Clare Gray
Children and youth presenting to the emergency department with mental health concerns present a challenge for clinicians and system capacity. Addressing a significant system gap and sparse strategies in the literature, representative leaders from hospital and community agencies developed a novel pathway to guide efficient and doable risk assessment and ensure timely transition to appropriate community mental health services. This article describes and reflects on our innovative Emergency Department Clinical Pathway for Children and Youth with Mental Health Conditions that bridges traditional barriers between hospital and community settings to address mental health needs for this population...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933790/focused-medical-assessment-of-pediatric-behavioral-emergencies
#10
REVIEW
Joshua A Rocker, Jeffrey Oestreicher
There is no uniformly accepted standard of care for medical clearance of pediatric patients with psychiatric complaints. Emerging data argue for a thorough history and physical examination and against routine laboratory testing. The differential diagnosis of patients presenting with psychiatric health complaints is extensive and includes both medical and psychiatric disorders. Providers should remain mindful of anchoring or diagnosis momentum bias when caring for these patients, especially patients with a psychiatric history...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933789/suicide-evaluation-in-the-pediatric-emergency-setting
#11
REVIEW
Adrian Jacques H Ambrose, Laura M Prager
Suicide is 1 of the top 3 leading causes of death in the pediatric population and a serious public health concern. There are evidence-based screening tools for suicide in the pediatric population; however, predicting suicide risks can be a difficult task. The emergency department is an essential source of mental health care for youths and can serve as an important opportunity for suicide screening and subsequent targeted interventions and resource management. More research is needed in emergency department-based screening algorithms and evidence-driven interventions in the pediatric population...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933788/crisis-in-the-emergency-department-the-evaluation-and-management-of-acute-agitation-in-children-and-adolescents
#12
REVIEW
Ruth Gerson, Nasuh Malas, Megan M Mroczkowski
Acute agitation in children and adolescents in the emergency department carries significant risks to patients and staff and requires skillful management, using both nonpharmacologic and pharmacologic strategies. Effective management of agitation requires understanding and addressing the multifactorial cause of the agitation. Careful observation and multidisciplinary collaboration is important. Medical work-up of agitated patients is also critical. Nonpharmacologic deescalation strategies should be first line for preventing and managing agitation and should continue during and after medication administration...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29933787/the-state-of-emergency-child-and-adolescent-psychiatry-raising-the-bar
#13
REVIEW
Megan M Mroczkowski, Jennifer Havens
The current state of emergency child and adolescent psychiatry includes common historical challenges to safe and effective care as well as recent innovations in multiple settings that increase the quality of that care. These include (1) enhancements within pediatric emergency departments (EDs), (2) specialized and dedicated child psychiatry emergency programs that are hospital based, (3) telepsychiatry programs that spread access to child psychiatric evaluation and treatment planning, and (4) community-based mobile programs diverting youth from EDs...
July 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29502756/child-psychiatry-in-the-age-of-the-internet
#14
EDITORIAL
Kristopher Kaliebe, Paul Weigle
No abstract text is available yet for this article.
April 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29502755/the-interplay-between-digital-media-use-and-development
#15
REVIEW
Roslyn L Gerwin, Kristopher Kaliebe, Monica Daigle
Today's youth develop immersed in a digital media world and the effects are specific to their developmental stage. Clinicians and caretakers should be mindful regarding digital media use patterns; however, this complex and reciprocal relationship defies simple linear descriptions. The impacts of digital media can be powerful. It is important to be cautious but not over-pathologize media use because digital media enables social connections, allows self-soothing in some children, and fills needs for stimulation and self-expression...
April 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29502754/treatment-considerations-in-internet-and-video-game-addiction-a-qualitative-discussion
#16
REVIEW
David N Greenfield
Internet and video game addiction has been a steadily developing consequence of modern living. Behavioral and process addictions and particularly Internet and video game addiction require specialized treatment protocols and techniques. Recent advances in addiction medicine have improved our understanding of the neurobiology of substance and behavioral addictions. Novel research has expanded the ways we understand and apply well-established addiction treatments as well as newer therapies specific to Internet and video game addiction...
April 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29502753/internet-and-video-game-addictions-diagnosis-epidemiology-and-neurobiology
#17
REVIEW
Clifford J Sussman, James M Harper, Jessica L Stahl, Paul Weigle
In the past 2 decades, there has been substantial increase in availability and use of digital technologies, including the Internet, computer games, smart phones, and social media. Behavioral addiction to use of technologies spawned a body of related research. The recent inclusion of Internet gaming disorder as a condition for further study in the DSM-V invigorated a new wave of researchers, thereby expanding our understanding of these conditions. This article reviews current research, theory, and practice regarding the diagnosis, epidemiology, and neurobiology of Internet and video game addictions...
April 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29502752/risky-business-talking-with-your-patients-about-cyberbullying-and-sexting
#18
REVIEW
Elizabeth K Englander
This article reviews cyberbullying and sexting research and presents new research exploring relatively neglected areas of cyberbullying and cell phone ownership among children and outcomes following sexting in college. Two samples are studied: 4584 elementary school children and 1332 college freshman. Findings include: owning a cell phone increased the risk of becoming involved in cyberbullying in grades 3, 4, and 5; and, of college freshman who sexted, 61% reported no outcomes, 19% reported negative outcomes, 13% reported positive outcomes, and 7% reported mixed outcomes...
April 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29502751/media-engagement-and-identity-formation-among-minority-youth
#19
REVIEW
Amy Mayhew, Paul Weigle
Clinicians who work with youth should understand how they engage with screen media, including differences between ethnic groups, and how to maximize its positive potential and minimize negative consequences. This article presents data summarizing patterns of media use by youth, with an emphasis on European Americans, African Americans, and Hispanic Americans. The authors explain how identity formation and social identity theory relate to online influences, benefits, and risks of online engagement, including those specific to minority populations...
April 2018: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29502750/geeks-fandoms-and-social-engagement
#20
REVIEW
Dale Peeples, Jennifer Yen, Paul Weigle
The Internet changed the way the global community interacts and communicates. This cultural shift allows like-minded individuals to connect and share ideas. It creates spaces for stigmatized communities to gather in a virtual presence. Youth now have greater options to explore identity, and to reach peers with niche interests. From a clinical perspective, it is helpful to understand the nature of communities our patients join on the Internet. This article focuses on the broad umbrella of "geek" culture, exploring a variety of interests such as cosplay, fanfiction, and gaming...
April 2018: Child and Adolescent Psychiatric Clinics of North America
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