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Journal of Child and Adolescent Psychiatric Nursing

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https://www.readbyqxmd.com/read/27901303/diagnostic-masking-and-overshadowing-in-intellectual-disability-how-structured-evaluation-helps
#1
Harshini Manohar, Karthick Subramanian, Preeti Kandasamy, Venkatalakshmi Penchilaiya, Anandbabu Arun
PROBLEM: Comorbid psychiatric diagnoses tend to be underdiagnosed in patients with intellectual disability. Diagnosing anxiety disorders in such patients can pose challenges, in particular with regard to obsessive and compulsive disorder (OCD). METHODS: We present the case of an adolescent diagnosed with intellectual disability with poor expressive language skills who presented with nonspecific mood and behavioral symptoms, not improving with routine clinical evaluations and treatment...
November 30, 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27781329/the-magic-wand-question-and-recovery-focused-practice-in-child-and-adolescent-mental-health-services
#2
Karen Wells, Marie McCaig
BACKGROUND: This paper uses a case study to describe the implementation of the Magic Wand Question (MWQ), also known as the miracle question, in a child and adolescent mental health service (CAMHS) in Scotland. The MWQ, a common intervention, is based on a Solution-Focused Brief Therapy (SFBT) approach. This intervention was undertaken by a third year student nurse with the intention of demonstrating how practice can be more closely aligned to a recovery-focused, strengths-based approach, which is in line with national policy...
October 26, 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27633436/identifying-genetic-variants-in-adolescents-with-oppositional-defiant-disorders-and-or-conduct-disorders-a-brief-report
#3
Ukamaka Marian Oruche, Sydney E Ross, Janet S Carpenter, Jamie Renbarger
PROBLEM: To add to diversity in our state biobank, we explored the feasibility of collecting genetic material from adolescents with oppositional defiant disorder (ODD) and/or conduct disorder (CD) and their family members. We also preliminarily explored genetic factors associated with ODD and/or CD by comparing participant data to 1000 Genome Project data on minor allele frequencies. METHODS: Adolescents with ODD and/or CD and family members provided saliva samples for genetic testing...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27633435/feelings-thermometer-an-early-intervention-scale-for-seclusion-restraint-reduction-among-children-and-adolescents-in-residential-psychiatric-care
#4
Briana Marie Andrassy
PROBLEM: Restraints and/or seclusions (R/S) are events that have the potential to cause patient injury, staff injury, re-traumatization, and even death. There is a gap in available data regarding alternative strategies for reducing R/S. METHOD: A 140-bed children and adolescent residential treatment hospital implemented a "Feelings Thermometer Scale" on each unit. The "Feelings Thermometer" allowed the resident to point to a face on the scale to rate how they were feeling from "Cool" to "On Fire!" Once the resident identified with a feeling and rating, options were offered for alternative cool down locations corresponding to each level of escalation...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27633434/disseminating-inpatient-psychiatric-treatment-innovations-why-nurses-must-take-leadership
#5
EDITORIAL
Kathleen R Delaney
No abstract text is available yet for this article.
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27580658/effects-of-a-collaborative-problem-solving-approach-on-an-inpatient-adolescent-psychiatric-unit
#6
Eugenia Ercole-Fricke, Paul Fritz, Linda E Hill, Jill Snelders
OBJECTIVE: Effects of collaborative problem-solving (CPS) approaches on an inpatient adolescent psychiatric unit were investigated during this study, modeling Dr. Ross Greene's CPS theory, which considers that cognitive deficits are associated with adolescent behavioral dysfunction; his research, treatment, and subsequent results on similar units were notably successful. PROBLEM: The staff viewed prestudy, negative behavior modification and resultant punitive consequences as culturally acceptable...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27568490/overly-regulated-thinking-and-autism-revisited
#7
Andrew Cashin, James Yorke
PROBLEM: Humans exist within a socially mediated dynamical system. Frequent demands are experienced to respond to change in the environment to adapt and flourish. People with autism have impaired behavioral and thinking flexibility and experience high levels of anxiety, as change and adaptation do not come naturally. The disability inherent in autism is by definition the impaired social and occupational functioning that results from lack of adaptation. The point of the behavioral triad of restricted and repetitive interests, activities, and behaviors has received relatively little attention as compared to the other two points of the triad...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27555554/innovative-strength-based-care-in-child-and-adolescent-inpatient-psychiatry
#8
Deanna P Sams, David Garrison, Joanne Bartlett
PROBLEM: Child and adolescent psychiatric units serve the highest risk, most vulnerable populations in the mental health delivery system. This article describes the integration of a strength-based approach with a traditional, medical model of psychiatric care on an acute inpatient unit. A strength-based framework allows for increased focus on exploring patients' goals, strengths, relationships, skills, and family communication within the hospital setting. METHODS: The process of integration of strength-based care is described, followed by discussion of the implementation and evaluation of interventions, including mindfulness, family movie, narrative, and animal-assisted therapies...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27553260/prevalence-and-associated-factors-of-depressive-symptoms-among-disadvantaged-adolescents-results-from-a-population-based-study-in-bangladesh
#9
Hashima E Nasreen, Mohammad Ariful Alam, Maigun Edhborg
PROBLEM: Few studies have examined the adolescents' depression in low-income countries and no research has yet been carried out in Bangladesh. This study estimated the prevalence of depressive symptoms and explored the associated factors and help seeking behavior among adolescents in Bangladesh. METHODS: Data originated from a cross section of 2,440 randomly selected boys and girls aged 13-19 years in a rural district and urban slums of Dhaka city, Bangladesh, during October-November 2012...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27552927/suicide-risk-screening-tools-and-the-youth-population
#10
Sharon Patterson
TOPIC: The use of suicide risk screening tools is a critical component of a comprehensive approach to suicide risk assessment. Since nurses frequently spend more time with patients than any other healthcare professional, they are in key positions to detect and prevent suicidal behavior in youth. PURPOSE: To inform nurses about suicide risk screening tools for the youth population. Suicide risk screening tools are research-based standardized instruments that are used to identify people who may be at risk for suicide...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27402334/clinical-considerations-to-enhance-the-efficacy-of-cognitive-behavioral-treatments-for-ocd-including-parental-involvement
#11
LETTER
Marina Iniesta-Sepúlveda, Eric A Storch
No abstract text is available yet for this article.
May 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27402333/building-adolescent-sexual-health-it-is-not-your-mother-s-birds-and-bees
#12
EDITORIAL
Kathleen R Delaney, Misha Cadet
No abstract text is available yet for this article.
May 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27311754/autism-spectrum-disorder-and-psychosis-a-case-study
#13
Andrew Cashin
PROBLEM: While apparently relatively common, there is often little clinician awareness of the risk of psychosis for people with autism. METHODS: A comprehensive review of the peer-reviewed literature and a presentation of a case study. FINDINGS: There is a paucity of research available to determine the prevalence of the experience of psychosis in people with autism. CONCLUSION: There is significant boundary overlap between autism spectrum disorder and schizophrenia spectrum disorder...
May 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27279529/an-introduction-to-the-psychopharmacology-of-children-and-adolescents-with-autism-spectrum-disorder
#14
Jason F Earle
TOPIC: Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder that requires a multidisciplinary approach to treatment. Psychopharmacology can play an important role within an array of services to help children and adolescents with ASD. PURPOSE: This article reviews the current evidence supporting the use of various psychiatric medications to treat common symptoms that often compromise functioning: severe irritability, interfering repetitive behaviors, ADHD, anxiety, depression, and sleep dysregulation...
May 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27279437/psychophysiological-manifestations-associated-with-stress-in-students-of-a-public-university-in-mexico
#15
Elizabeth Pozos-Radillo, Lourdes Preciado-Serrano, Ana Plascencia-Campos, Rosa Valdez-López, Armando Morales-Fernández
PROBLEM: Academic stress is defined as a physiological, emotional, cognitive, and behavioral activation reaction to stimuli. This stress can impact students' ability to cope with the school environment. OBJECTIVE: To identify the psychophysiological manifestations associated with high-level academic stress in public university students in Mexico. METHODS: A representative random sampling of 527 students was evaluated during 2012. The Academic Stress Symptom Inventory and the Rossi classification were used; data were analyzed with a binary logistic regression analysis to estimate association between psychophysiological manifestations and the high level of academic stress in public university students...
May 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27222495/a-case-study-of-an-adolescent-with-health-anxiety-and-ocd-treated-using-cbt-single-case-experimental-design
#16
Cara Roberts-Collins
PROBLEM: The sparse research evidence base for adolescents with health anxiety proposes a challenge in the treatment of such mental health difficulties. Similarities are drawn between health anxiety and obsessive-compulsive disorder (OCD) in terms of their development and maintenance. The literature is reviewed and discussed in relation to the referral, assessment, formulation, cognitive behavioral intervention, and treatment outcome. METHODS: The case of an adolescent girl (aged 15 years) who presented with significant levels of health anxiety and OCD is described...
May 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27220542/raising-the-level-of-nursing-involvement-in-the-national-precision-medicine-initiative-an-example
#17
Ukamaka Marian Oruche, Janet S Carpenter, Jamie Renbarger, Sydney E Ross
PURPOSE: The Precision Medicine Initiative (PMI) goal of ushering in a new and more effective era of health care that benefits all Americans requires two critical and interdependent components: a cohort assembly of 1 million or more Americans who reflect the diversity of the United States of America and an interdisciplinary workforce that includes nursing. The purpose of this article is to provide an example of nursing involvement in PM, specifically as related to gathering biospecimens (saliva) from vulnerable, understudied adolescents with disruptive behavior disorders and their family members...
May 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27220285/the-richness-available-within-medication-management
#18
Doris M Van Byssum
PROBLEM: An 18-year-old male patient comes in for an initial evaluation of his anxiety. His anxiety is not in remission on his current medication, and he is experiencing tics when his anxiety escalates. METHODS: Time and patience are used to complete a comprehensive evaluation of the patient by interviewing him, gathering collateral information from a family member, utilizing a screening tool, reviewing past history and treatment regimens, and conceptualizing the patient...
May 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27091103/the-advantages-of-parental-involvement-in-cognitive-behavioral-treatment-of-childhood-obsessive-compulsive-disorder-a-single-case-example
#19
Rose Oldham-Cooper, David Glasman, Maria Loades
BACKGROUND: Interventions for the treatment of anxiety disorders in children have a growing evidence base. Cognitive-behavioral therapy for the treatment of specific anxiety disorders in children and adolescents, including obsessive-compulsive disorder, is now an established intervention. However, a question remains concerning the benefits of parental involvement in treatment. Some studies report limited or no benefit of including parents in treatment, whereas other studies have indicated additional advantages of parental involvement...
April 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27091102/adolescent-substance-use-moving-screening-into-the-practice-mainstream
#20
EDITORIAL
Kathleen R Delaney
No abstract text is available yet for this article.
April 2016: Journal of Child and Adolescent Psychiatric Nursing
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