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Journal of the Canadian Academy of Child and Adolescent Psychiatry

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https://www.readbyqxmd.com/read/29662527/stimulant-withdrawal-in-a-child-with-autism-spectrum-disorder-and-adhd-a-case-report
#1
Aneta Krakowski, Abel Ickowicz
Objective: To consider whether the concepts of tolerance and withdrawal to stimulant medications apply to a preadolescent female, affected by autism spectrum disorder (ASD) and treated for associated attention-deficit/hyperactivity disorder (ADHD). Methods: We describe the case history and review scientific English language literature pertaining to acute withdrawal effects associated with methylphenidate and amphetamine derivatives in children. Results: An 11-year-old female with ASD and ADHD referred to our clinic experienced vomiting, headaches, and light sensitivity following abrupt discontinuation of methylphenidate; she subsequently presented with migraines and marked malaise immediately after a dose reduction in lisdexamfetamine...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662526/factors-predicting-length-of-stay-in-an-adolescent-psychiatric-unit-south-bronx-ny-a-short-report
#2
Muhammad Zeshan, Ahmed Waqas, Sadiq Naveed, Hamzah Ghulam, Pankaj Manocha
Objective: Mental health disorders account for around 1.8 million inpatient community hospital stays in the U.S.A. Our study aims to highlight the factors impacting the length of stay at a community hospital in the U.S.A. Methods: We reviewed 300 randomly selected charts to examine the factors impacting the length of stay in an adolescent inpatient psychiatric unit in 2011 and 2015. All data were analyzed in SPSS v. 20 with multiple regression analysis. Results: Longer length of stay among adolescents was associated with multiple psychiatric diagnoses, co-occurring medical comorbidities, not living with biological parents, history of mental illness, legal problems, substance use in the family, seclusion, restraints during current admission, and schizophrenia...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662525/video-conferencing-telehealth-linkage-attempts-to-schools-to-facilitate-mental-health-consultation
#3
John D McLennan
Objective: Telehealth to schools may be a strategic approach to expand child mental health service delivery, however, there are only a few published examples. This report describes video-conferencing telehealth linkage attempts to schools to facilitate mental health consultation. Methods: A series of synchronous video-conferencing linkage strategies were attempted to connect a mental health consultation service to multiple schools in a Canadian setting. Consultation to support the implementation of the Daily Report Card, for students with attentional and behavioural problems, was the core content of this pilot linkage attempt...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662524/parent-only-group-cognitive-behavioral-intervention-for-children-with-anxiety-disorders-a-control-group-study
#4
Elham Salari, Zahra Shahrivar, Javad Mahmoudi-Gharaei, Elham Shirazi, Mitra Sepasi
Objective: Parents play an important role in development and continuation of anxiety disorders in children. Yet the evidence on parent contribution in cognitive behavioral therapy (CBT) for childhood anxiety is limited. This open randomized trial examined the effectiveness of a parent-directed group CBT to manage children with anxiety disorders. Method: Parents of 42 children aged 6-12 with primary anxiety disorders were allocated to a six, two-hour weekly intervention and a wait-list (WL) control...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662523/sexual-health-of-adolescent-patients-admitted-to-a-psychiatric-unit
#5
Megan E Harrison, Stephanie Veldhuijzen van Zanten, Ariana Noel, Louise Gresham, Mark L Norris, Amy Robinson, Jason Chan, Addo Boafo
Objective: To review sexual health screening practices during admission to an adolescent psychiatry unit. Method: Retrospective chart review of randomly selected youth admitted over a one-year period (2013). Data extracted included demographics, reasons for admission, sexual health history, as well as any comorbid behaviours noted. The main outcome measure was whether sexual health details were documented at any time during admission; if so, this information was extracted for analysis...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662522/regional-variations-in-suicide-and-undetermined-death-rates-among-adolescents-across-canada
#6
Johanne Renaud, Alain Lesage, Mathieu Gagné, Sasha MacNeil, Gilles Légaré, Marie-Claude Geoffroy, Robin Skinner, Steven McFaull
Objective: Trends in rates of adolescent suicide and undetermined deaths in Canada from 1981 to 2012 were examined, focusing specifically on variations between Canadian regions. Exploratory hypotheses were formulated for regional variability in adolescent suicide rates over time in Canada. Methods: A descriptive time trend analysis using public domain vital statistics data was performed. All deaths from 1981 to 2012 among 15 to 19 year olds coded as suicides or undetermined intent according to the International Classification of Diseases, 9th and 10th Revisions were included...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662521/evaluating-training-programs-for-primary-care-providers-in-child-adolescent-mental-health-in-canada-a-systematic-review
#7
Sandra Gotovac, Stacey Espinet, Reza Naqvi, Lorelei Lingard, Margaret Steele
Introduction: The need for child/adolescent mental health care in Canada is growing. Primary care can play a key role in filling this gap, yet most providers feel they do not have adequate training. This paper reviews the Canadian literature on capacity building programs in child and adolescent psychiatry for primary care providers, to examine how these programs are being implemented and evaluated to contribute to evidence-based initiatives. Methods: A systematic literature review of peer-reviewed published articles of capacity building initiatives in child/adolescent mental health care for primary care practitioners that have been implemented in Canada...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662520/measuring-children-s-mental-health-in-ontario-policy-issues-and-prospects-for-change
#8
Laura Duncan, Michael H Boyle, Julia Abelson, Charlotte Waddell
Children's mental health in Canada is characterized by high needs coupled with stark service shortfalls. In Ontario and in many provinces, addressing these shortfalls is hampered by the absence of a measurement system, something that researchers have long called for. This commentary aims to review the issues and suggest prospects for improving the measurement of children's mental health in Ontario and elsewhere. As background, we first describe the children's mental health needs; outline the rationale for a measurement system; describe previous attempts to introduce such systems, including in Ontario; and discuss the current Ontario situation...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662519/response-to-a-critique-for-the-new-canadian-fasd-diagnostic-guidelines
#9
Jocelynn L Cook, Courtney R Green, Christine Lilley, R Psych, Sally Anderson, Mary Ellen Baldwin, Albert E Chudley, Julianne Conry, Nicole LeBlanc, Christine A Loock, Bernadene Mallon, Audrey McFarlane, Valerie Temple, C Psych
No abstract text is available yet for this article.
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662518/letter-to-the-editor
#10
Michael Cheng
No abstract text is available yet for this article.
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662517/measuring-children-s-mental-health-outcomes-from-a-service-perspective
#11
EDITORIAL
Khrista Boylan
No abstract text is available yet for this article.
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29399020/comparing-self-concept-among-youth-currently-receiving-inpatient-versus-outpatient-mental-health-services
#12
Chris Choi, Mark A Ferro
Objective: This study compared levels of self-concept among youth who were currently receiving inpatient versus outpatient mental health services. Method: Forty-seven youth were recruited from the Child & Youth Mental Health Program at McMaster Children's Hospital. Self-concept was measured using the Self-Perception Profile for Children and Adolescents. Results: The mean age was 14.5 years and most participants were female (70.2%). ANOVAs comparing self-concept with population norms showed large significant effects (d = 0...
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29375637/instructions-destin%C3%A3-es-aux-auteurs
#13
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29375635/comparing-self-concept-among-youth-currently-receiving-inpatient-versus-outpatient-mental-health-services
#14
Chris Choi, Mark A Ferro
Objective: This study compared levels of self-concept among youth who were currently receiving inpatient versus outpatient mental health services. Method: Forty-seven youth were recruited from the Child & Youth Mental Health Program at McMaster Children's Hospital. Self-concept was measured using the Self-Perception Profile for Children and Adolescents. Results: The mean age was 14.5 years and most participants were female (70.2%). ANOVAs comparing self-concept with population norms showed large significant effects (d = 0...
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29375634/returning-to-stimulants-in-children-with-treatment-resistant-adhd-a-case-series
#15
John D McLennan, Sterling Sparshu
Objective: To present a case series of children retrialed on stimulants after initial poor stimulant responses given the paucity of information on the usefulness of this strategy. Methods: Health records from an ADHD medication service were obtained for six children who: (i) were medication naïve at service entry; (ii) had trials of at least one stimulant from each stimulant class; (iii) subsequently received a non-stimulant ADHD medication; and, (iv) were then retried on stimulants...
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29375633/open-trial-of-family-based-treatment-of-anorexia-nervosa-for-transition-age-youth
#16
Gina Dimitropoulos, Ashley L Landers, Victoria Freeman, Jason Novick, Andrea Garber, Daniel Le Grange
Objective: This pilot study conducted an open trial of a manualized adaptation to Family-Based Treatment for Transition Age Youth (FBT-TAY) for Anorexia Nervosa (AN). The aims were: (1) determine the acceptability of FBT for TAY; and, (2) establish preliminary effect sizes for the impact of FBT-TAY on eating disorder behaviour and weight restoration. Method: Twenty-six participants across two paediatric and one adult hospital site were recruited to participate. Participants completed the Eating Disorder Examination Questionnaire (EDE-Q) at the start of treatment, the end-of-treatment, and three-month follow-up...
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29375632/the-experience-of-psychiatric-care-of-adolescents-with-anxiety-based-school-refusal-and-of-their-parents-a-qualitative-study
#17
Jordan Sibeoni, Massimiliano Orri, Marc-Antoine Podlipski, Mathilde Labey, Sophie Campredon, Priscille Gerardin, Anne Revah-Levy
Objective: Anxiety-based school refusal in adolescence is a complex, sometimes difficult to treat disorder that can have serious academic and psychiatric consequences. The objective of this qualitative study was to explore how teens with this problem and their parents experience the psychiatric care received. Methods: This qualitative multicenter study took place in France, where we conducted semi-structured interviews with adolescents receiving psychiatric care for anxiety-based school refusal and with their parents...
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29375631/emergency-department-referrals-for-adolescent-urgent-psychiatric-consultation-comparison-of-clinical-characteristics-of-repeat-presentations-and-single-presentation
#18
Nasreen Roberts, Robert Nesdole, Tina Hu
Objective: a) to examine the demographic and clinical characteristics of repeat-presentations to an adolescent urgent psychiatric clinic, and b) to compare them with single-time presentation. Method: This 18-month retrospective study compared repeat-presenters to age and gender matched single-time presenters. Demographic variables included age gender and ethnicity. Clinical variables included reason for referral, family history, diagnosis, recommendations and compliance...
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29375630/youths-experiences-of-school-re-integration-following-psychiatric-hospitalization
#19
Michèle Preyde, Shrenik Parekh, John Heintzman
Objective: The purpose of this study was to report youths' experiences of school re-integration post-discharge from psychiatric hospital. No reports of school reintegration from the patient perspective could be located; hence, a second objective was to explore school-related and clinical factors associated with youth who reported an unfavourable school re-integration experiences. Methods: Patients were recruited while in hospital for acute psychiatric care. They provided informed consent to be contacted post discharge regarding their perceptions of their school reintegration experience...
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29375629/clinical-utility-of-screening-for-anxiety-and-depression-in-children-with-tourette-syndrome
#20
Leonie Marwitz, Tamara Pringsheim
Background: Tourette syndrome (TS) is often co-morbid with attention deficit hyperactivity disorder (ADHD) and obsessive compulsive disorder (OCD). Studies of TS, anxiety and depression have found variable results depending on study methodology and sample characteristics. Our aim was to examine the clinical utility of routine screening for anxiety and depression in children with TS. Methods: Using a clinic-based sample, we evaluated the proportion of children with TS meeting diagnostic criteria for ADHD, OCD, generalized anxiety disorder (GAD), separation anxiety disorder (SAD), and major depressive disorder (MDD); the frequency of above average anxiety and depressive symptoms using the Multidimensional Anxiety Scale for Children (MASC) and the Children's Depression Inventory (CDI); and the association between diagnoses and symptom severity...
January 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
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