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Journal of the Canadian Academy of Child and Adolescent Psychiatry

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https://www.readbyqxmd.com/read/30038658/evaluation-of-the-effectiveness-and-safety-of-olanzapine-as-an-adjunctive-treatment-for-anorexia-nervosa-in-adolescents-an-open-label-trial
#1
Wendy Spettigue, Mark L Norris, Danijela Maras, Nicole Obeid, Stephen Feder, Megan E Harrison, Rebecca Gomez, Maeghan Cy Fu, Katherine Henderson, Annick Buchholz
Objectives: To evaluate the effectiveness and safety of adjunctive olanzapine treatment for low weight adolescents with anorexia nervosa (AN). Methods: A non-randomized open-label trial was conducted between 2010 and 2014. Participants received standard treatment and were invited to take olanzapine at study enrollment. Participants could accept, continue, or discontinue olanzapine as treatment progressed. Weight and psychological outcomes were monitored. Results: Of 239 adolescents assessed, 65 met inclusion criteria, 38 enrolled in the study, and 32 were retained for analysis...
August 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/30038657/the-health-and-well-being-of-children-and-adolescents-accessing-in-patient-psychiatry-a-brief-report
#2
Michèle Preyde, Amy Tran, Shrenik Parekh, John Heintzman
Objective: People with mental illness have high rates of physical illness that are not detected and that shorten their lifespan. Health behaviours are central to physical health, and many children and adolescents with psychiatric illness may be at risk for poor physical health. The purpose for this study was to explore the self-reported health behaviours and well-being of pediatric psychiatric patients and their association with mental health problems. Methods: Pediatric patients hospitalized for psychiatric care were invited to complete a survey containing items on amount of physical activity, nutrient intake and sleep, a standardized perceived stress scale, and the Strengths and Difficult Questionnaire...
August 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/30038656/practical-crisis-management-for-parents-and-clinicians-adolescent-suicidal-aggressive-elopement-behaviours-intensive-treatment-settings
#3
Wade Junek
Objective: In the many guidelines, recommendations and strategies for crisis management of suicide-related behaviours, aggression/vandalism and elopement in adolescents, immediately usable and specifically detailed descriptions and rationales of the strategies, especially for parents, are noticeably absent. This paper describes a feasibility project to develop one overall detailed strategy with specific adaptations for each of the three crises for adolescents in intensive services. It is a contribution to the discussion and joint service/parent management of these crises...
August 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/30038655/sleep-related-issues-in-children-and-adolescents-presenting-at-community-mental-health-clinics
#4
Elizabeth C Quon, Alena Talbot Ellis, Aimee Coulombe
Objective: To examine sleep-related issues in children and adolescents presenting at community clinics with diverse mental health concerns using a brief sleep questionnaire and to examine whether sleep issues would improve with mental health interventions. Method: Study 1: A questionnaire-based study that used a modified version of the Pittsburgh Sleep Quality Index to measure sleep-related issues in youth aged 4-18 years presenting at community mental health clinics...
August 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/30038654/retaining-a-sample-of-homeless-youth
#5
Cheryl Forchuk, Tony O'Regan, Mo Jeng, Amanda Wright
Objective: Hard to reach populations need to be included in research studies to ensure proper representation of the general population. This paper explores tracking strategies used in the Youth Matters in London project to retain a sample of homeless youth. Method: A total of 187 youth, aged between 16 and 24 years, homeless or precariously housed, and experiencing a serious mental health issue were recruited at a community drop-in center, by word of mouth and by snowball sampling...
August 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/30038653/dimensional-and-categorical-correlates-of-substance-use-disorders-among-canadian-adolescents-with-bipolar-disorder
#6
Antonette Scavone, Vanessa Timmins, Jordan Collins, Brenda Swampillai, Trehani M Fonseka, Dwight Newton, Melanie Naiberg, Rachel Mitchell, Athena Ko, Joshua Shapiro, Katelyn Collinger, Carolyn Boulos, Benjamin I Goldstein
Objectives: Despite increasing evidence of excessive substance use disorder (SUD) prevalence among adolescents with bipolar disorder (BP), little is known about this topic among Canadian adolescents with BP. We therefore sought to examine the clinical characteristics and dimensional measures of psychopathology associated with comorbid SUD among Canadian BP adolescents. Method: Participants were 100 adolescents, ages 13-19 years, with BP I, II, or not otherwise specified (NOS)...
August 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/30038652/persisting-concerns-regarding-the-new-canadian-fasd-guidelines
#7
COMMENT
John McLennan, Peter Braunberger
No abstract text is available yet for this article.
August 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/30038651/diagnosing-bpd-in-adolescents-more-good-than-harm
#8
EDITORIAL
Khrista Boylan
No abstract text is available yet for this article.
August 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29662527/stimulant-withdrawal-in-a-child-with-autism-spectrum-disorder-and-adhd-a-case-report
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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