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Journal of Child and Adolescent Psychiatric Nursing

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https://www.readbyqxmd.com/read/29992678/reducing-pediatric-psychiatric-hospital-readmissions-and-improving-quality-care-through-an-innovative-readmission-risk-predictor-tool
#1
Helen Ramsbottom, Lisa Collier Farmer
PROBLEM: Less than 30-day readmission has become a national problem. This pediatric medical center discovered that the primary diagnosis of Mood Disorder, not otherwise specified, was the third most common readmission diagnosis hospital-wide. Administration actively sought a resolution to less-than-30-day readmissions because All-Patient-Refined-Diagnostic-Related Groups would soon include pediatric hospitals with reimbursement impact. METHODS: The Iowa Model for evidence-based practice framed the work of case management to identify readmission risk, reduce readmissions, and improve patient quality...
July 10, 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29974565/factors-associated-with-mental-health-among-high-school-students-in-iran-does-mobile-phone-overuse-associate-with-poor-mental-health
#2
Hassan Mahmoodi, Haidar Nadrian, Abdolreza Shaghaghi, Mohammad Asghari Jafarabadi, Asad Ahmadi, Galavidj Sharifi Saqqezi
PROBLEM: Mobile phone (MP) overuse is extensively rising among high school students in developing countries. Our aim in this study is to investigate the association between MP overuse and mental health, in the presence of other determinant factors, among high school students in Iran. METHODS: We recruited a clustered random sample of 1,034 high school students in Saqqez County, Iran, to complete a self-administered questionnaire with three sections: a sociodemographic questionnaire, Mobile Phone Addiction Index, and General Health Questionnaire...
July 4, 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29961978/integrating-behavioral-health-in-the-pediatric-medical-home
#3
Joy A Lauerer, Kimbi G Marenakos, Kathy Gaffney, Christina Ketron, Kara Huncik
TOPIC: Behavioral health disorders (psychiatric illness and substance abuse disorders) represent a significant burden across the nation's health care system. The number of children and adolescents requiring behavioral health care has increased while at the same time the behavioral health workforce continues to experience a shortage of providers. The current model of care is failing to meet the behavioral health needs of children and adolescents. Initiatives are underway that call for improved integration of behavioral health services into primary care...
July 1, 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29602191/perinatal-substance-use-residential-instability-and-negative-behavioral-outcomes-among-adolescents-lessons-from-the-maternal-lifestyle-study
#4
Brandi P Cotton, Matthew C Lohman, Jessica M Brooks, Linda L LaGasse
PROBLEM: Both housing instability and prenatal substance use are known risk factors for behavioral problems among adolescents. METHODS: The purpose of this study was to investigate the association between residential instability (residential mobility and homelessness) and delinquent behaviors among adolescents enrolled in the maternal lifestyle study (MLS), a 16-year research study that explored short-term and long-term effects of in-utero exposure to cocaine and/or opiates (N = 736)...
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29504643/feasibility-of-an-emotional-health-curriculum-for-elementary-school-students-in-an-underserved-hispanic-community
#5
Yuqing Guo, Julie Rousseau, Patricia Renno, Priscilla Kehoe, Monique Daviss, Sara Flores, Kathleen Saunders, Susanne Phillips, Mindy Chin, Lorraine S Evangelista
PROBLEM: Hispanic children have greater mental health challenges but fewer received mental health services than other ethnic groups. A classroom-based Emotional Health Curriculum (EHC) was developed to address mental health disparities in an underserved Hispanic community. METHODS: A quasi-experimental design with one group pre- and post-intervention was used to test the feasibility of an 8-week EHC for one hundred 3rd and 4th grade children in a dual-immersion Spanish-English elementary school...
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29460989/attitudes-toward-adolescent-self-harm-and-its-prevention-the-views-of-those-who-self-harm-and-their-peers
#6
Louise Doyle
PROBLEM: Adolescent self-harm is a common phenomenon; however, little is known about young peoples' attitudes toward self-harm and what they believe can be done to prevent it. This study aimed to identify adolescents' attitudes about self-harm and their perspectives on preventing it. METHODS: A cross-sectional anonymous survey was administered to 856 post-primary school students across 11 schools in Dublin, Ireland. Attitudes toward self-harm were captured through a five-item scale and views on prevention of self-harm were captured through an open-ended survey question...
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29460988/monitoring-the-future-survey-important-messages-for-nursing-practice
#7
EDITORIAL
Kathleen R Delaney
No abstract text is available yet for this article.
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29349890/case-report-cytochrome-p450-implications-for-comorbid-adhd-and-ocd-pharmacotherapy
#8
Michaela K Hogan, Nikhil P Rao
TOPIC: This case report details the treatment of an early adolescent already receiving treatment for attention-deficit hyperactivity disorder who presents with recurrent obsessive-compulsive disorder. Potential atomoxetine (Strattera) and fluoxetine (Prozac) interactions via Cytochrome P450 (CYP450) pathways are examined and alternate therapies are recommended. PURPOSE: Provide a discussion of psychopharmacogenomics, especially in the case of combining medications, CYP450 enzymes, and clinical implications in the context of the burgeoning field of precision medicine...
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28983997/cosleeping-sleep-disturbances-children-s-behavioral-problems-and-parenting-self-efficacy-among-korean-american-families
#9
Eunjung Kim, Rachel Lee, Kevin C Cain
The purpose of this study was to compare sleep disturbances of children and their mothers, children's behavioral problems, and parenting self-efficacy between Korean American families who coslept and those who did not cosleep. Forty-eight mothers of children between 3 and 8 years of age completed the following surveys: Children's Sleep Habits Questionnaire, Pediatric Symptom Checklist, Pittsburgh Sleep Quality Index, Parenting Self-Efficacy Questionnaire, and Acculturation Rating Scale for Mexican Americans II...
May 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28980738/the-child-mental-health-system-is-faltering-why-is-nursing-not-providing-solutions
#10
EDITORIAL
Kathleen R Delaney
No abstract text is available yet for this article.
May 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28960672/engaging-street-involved-youth-using-an-evidence-based-intervention-a-preliminary-report-of-findings
#11
Joanna Lynch, Elizabeth McCay, Andria Aiello, Faith Donald
PROBLEM: Street-involved youth experience many barriers to accessing health and social services. There is a literature gap in the literature regarding evidence-based interventions to facilitate engagement with street-involved youth. METHODS: A qualitative descriptive study of preliminary findings from a large mixed-methods study was undertaken to assess the impact of a resilience-based motivational intervention. This intervention was grounded in frameworks including strengths-based and resilience-based communication using the Seven C's Model of Resilience, positive youth development, and motivational interviewing that are particularly relevant to youth...
May 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28921761/risk-factors-leading-to-increased-rehospitalization-rates-among-adolescents-admitted-to-an-acute-care-child-and-adolescent-psychiatric-hospital
#12
Logan McCarthy, Lisa M Pullen, Jennifer Savage, Jonathan Cayce
PROBLEM: Suicide is the third leading cause of death in adolescents in the United States, with suicidal behavior peaking in adolescence. Suicidal and self-harming behavior is often chronic, with an estimated 15-30% of adolescents who attempt suicide having a second suicide attempt within a year. The focus of acute psychiatric hospitalization is on stabilization of these psychiatric symptoms resulting at times in premature discharge. Finding from studies based on high rehospitalization rates among adolescents admitted to an acute psychiatric hospital indicates that adolescents continue to experience crisis upon discharge from an acute psychiatric hospital, leading to the question of whether or not these adolescents are being discharged prematurely...
May 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28653508/evaluation-of-the-use-of-a-sensory-room-on-an-adolescent-inpatient-unit-and-its-impact-on-restraint-and-seclusion-prevention
#13
Angela Seckman, Olimpia Paun, Biljana Heipp, Marie Van Stee, Vonda Keels-Lowe, Frank Beel, Cari Spoon, Louis Fogg, Kathleen R Delaney
TOPIC: Restraint and seclusion (R/S) reduction initiatives require multimodal efforts, particularly proactive approaches to facilitate patients' regulation. Sensory approaches are an increasingly popular method for helping patients self-regulate. A plan-do-check-act quality improvement model was used to measure practical aspects of a newly implemented sensory room on an adolescent psychiatric inpatient unit. PURPOSE: This article describes an adolescent unit's implementation processes and methods used to evaluate a sensory room and its impact on R/S use, staff-patient relationships, and patients' aggressive behaviors...
May 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28557252/a-case-study-integrating-cbt-with-narrative-therapy-externalizing-techniques-with-a-child-with-ocd-how-to-flush-away-the-silly-gremlin-a-single-case-experimental-design
#14
Rosemary Banting, Susannah Lloyd
PROBLEM: Evidence exists for the use of cognitive behavioral therapy (CBT) combined with externalizing techniques from narrative therapy for pediatric obsessive compulsive disorder (OCD); however, no research gives a detailed account of what the externalizing process looks like in session or how it is incorporated into conceptualization. Literature is appraised with respect to the referral, assessment, formulation, intervention and outcome. METHODS: The case describes a 10-year-old boy who was referred with severe OCD...
May 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28547781/moms-growing-together-piloting-action-methods-and-expressive-arts-in-a-therapeutic-group-for-teen-mothers
#15
Lee SmithBattle, Chutima Chantamit-O-Pas, Patricia Freed, Dorcas McLaughlin, Joanne K Schneider
PURPOSE: The purpose of this pilot study was to test the safety, acceptability, feasibility, and effectiveness of Moms Growing Together (MGT), an intervention to prevent and reduce psychological distress in teen mothers. STUDY DESIGN AND METHODS: A mixed method design was used. The primary outcomes were reported satisfaction with MGT (acceptance); successful recruitment and retention of teen mothers (feasibility); and prevention or reduction of psychological distress (safety and effectiveness)...
May 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28513063/challenges-and-opportunities-for-addressing-adolescent-cyberbullying-within-the-context-of-clinically-meaningful-psychological-outcomes
#16
EDITORIAL
Melissa D Pinto
No abstract text is available yet for this article.
February 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28513062/what-are-the-family-needs-when-a-parent-has-mental-health-problems-evidence-from-a-systematic-literature-review
#17
REVIEW
Patricia Wahl, Dirk Bruland, Ullrich Bauer, Orkan Okan, Albert Lenz
PROBLEM: Little evidence exists showing how a given high-risk group of children born to parents with poor mental health seek help and how care may be improved in order to better reach and support their families. METHODS: A systematic literature review was undertaken to identify the needs and help-seeking behaviors of children and their parents. Through an analysis of both quantitative and qualitative studies, published in German- and English-speaking research literature, the needs of children and parents were identified and categorized...
February 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28513061/disorder-specific-versus-generic-cognitive-behavioral-treatment-of-anxiety-disorders-in-children-and-young-people-a-systematic-narrative-review-of-evidence-for-the-effectiveness-of-disorder-specific-cbt-compared-with-the-disorder-generic-treatment-coping-cat
#18
REVIEW
Rose Oldham-Cooper, Maria Loades
BACKGROUND: Coping Cat (CC), a generic cognitive-behavioral intervention for anxiety disorders in children and young people, is recommended in the United Kingdom for social anxiety disorder (SAD), generalized anxiety disorder, separation anxiety (SA), and specific phobias (SP), with disorder-specific approaches generally favored in treatment of anxiety disorders in adults. OBJECTIVES: To compare CC with disorder-specific cognitive-behavioral therapy (CBT) interventions based on anxiety-related treatment outcomes...
February 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28463455/hospital-rules-and-regulations-the-perspectives-of-youth-receiving-psychiatric-care
#19
Catherine Pugnaire Gros, Ciara Parr, David K Wright, Marjorie Montreuil, Julie Frechette
BACKGROUND: Rules and regulations represent an aspect of psychiatric hospitalization about which little is known. STUDY PURPOSE: To explore the perceptions of rules from the perspective of youth receiving hospital-based psychiatric services. DESIGN: Qualitative descriptive. METHODS: Perceptions of rules were elicited through semi-structured interviews with a convenience sample of six youth. RESULTS: Rules were perceived as governing virtually all aspects of everyday living in the hospital environment...
February 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28463436/ethical-considerations-for-involving-latina-adolescents-in-mental-health-research
#20
Allison L McCord
TOPIC: US Latina adolescents experience significant mental health disparities, such as depressive symptoms and suicidal ideation and, therefore, should be involved in research studies focused on minimizing these health disparities. However, researchers must consider the specific ways this population is vulnerable and provide adequate protections to reduce risks related to these vulnerabilities. PURPOSE: The purpose of this article is to describe the different ways that Latina adolescents with mental health problems can be vulnerable research participants, identify strategies to protect this population during a research study, and describe steps taken to apply these strategies in an ongoing qualitative study examining depression in Latina adolescents...
February 2017: Journal of Child and Adolescent Psychiatric Nursing
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