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https://www.readbyqxmd.com/read/29160158/-i-think-he-will-have-it-throughout-his-whole-life-parent-and-youth-perspectives-about-childhood-mental-health-problems
#1
Kyleigh E Schraeder, Graham J Reid, Judith Belle Brown
Children's mental health (CMH) problems can be long-lasting. Even among children and youth who receive specialized CMH treatment, recurrence of problems is common. It is unknown whether youth and their parents view the possibility of future mental health problems. This has important implications for how CMH services should be delivered. This grounded theory study gained perspectives from youth (aged 12-15 years) who received CMH treatment ( n = 10) and their parents ( n = 10) about the expected course of CMH problems...
November 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/29019633/behavioral-health-disparities-among-children-and-youth-with-special-health-care-needs
#2
Anne Elizabeth Glassgow, Benjamin Van Voorhees
The burden of mental health morbidity, disability, and mortality in children is not equally distributed across populations in the United States. The consequence is widespread differences in health status between certain groups of children that result in systematic behavioral health disparities. In the US, an estimated 12.8% of children (9.4 million) have a special health care need. Mental, emotional, and behavioral problems and disorders are widespread among children and youth with special health care needs (CYSHCN), but are often undetected and untreated despite the adverse consequences to children throughout the life course...
October 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28972049/child-abuse-in-children-and-youth-with-special-health-care-needs
#3
Nicola Brodie, Maria D McColgan, Nancy D Spector, Renee M Turchi
No abstract text is available yet for this article.
October 2017: Pediatrics in Review
https://www.readbyqxmd.com/read/28970742/exploring-integration-of-care-for-children-living-with-complex-care-needs-across-the-european-union-and-european-economic-area
#4
Maria Brenner, Miriam O'Shea, Philip J Larkin, Stine Lundstroem Kamionka, Jay Berry, Harriet Hiscock, Michael Rigby, Mitch Blair
INTRODUCTION: The aim of this paper is to report on the development of surveys to explore integration of care for children living with complex care needs across the European Union (EU) and European Economic Area (EEA). THEORY AND METHODS: Each survey consists of a vignette and questions adapted from the Standards for Systems of Care for Children and Youth with Special Health Care Needs and the Eurobarometer Survey. A Country Agent in each country, a local expert in child health services, will obtain data from indigenous sources...
April 24, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28942565/relationship-of-adverse-family-experiences-to-resilience-and-school-engagement-among-vermont-youth
#5
Laurin Kasehagen, Laurel Omland, Melissa Bailey, Charlie Biss, Breena Holmes, Patsy Tassler Kelso
INTRODUCTION: Adverse childhood experiences (ACEs) are associated with a range of health outcomes and risk behaviors. In 2011-2012, the National Survey of Children's Health (NSCH) included questions about adverse family experiences (AFEs). AFE survey questions are similar to ACE questions, except there are no questions about emotional/physical/sexual trauma, and questions are asked of parents rather than children. Although the relationship between ACEs and work/school absenteeism has been studied, the relationships between AFEs of school-aged children, school performance, and buffering behaviors have not been explored in depth...
September 23, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28828568/development-and-psychometric-evaluation-of-the-promis-pediatric-life-satisfaction-item-banks-child-report-and-parent-proxy-editions
#6
Christopher B Forrest, Janine Devine, Katherine B Bevans, Brandon D Becker, Adam C Carle, Rachel E Teneralli, JeanHee Moon, Carole A Tucker, Ulrike Ravens-Sieberer
PURPOSE: To describe the psychometric evaluation and item response theory calibration of the PROMIS Pediatric Life Satisfaction item banks, child-report, and parent-proxy editions. METHODS: A pool of 55 life satisfaction items was administered to 1992 children 8-17 years old and 964 parents of children 5-17 years old. Analyses included descriptive statistics, reliability, factor analysis, differential item functioning, and assessment of construct validity. Thirteen items were deleted because of poor psychometric performance...
August 21, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28800802/special-considerations-in-the-pediatric-psychiatric-population
#7
REVIEW
Genevieve Santillanes, Ruth S Gerson
Youth with psychiatric and behavioral complaints commonly present to emergency departments (EDs), which often lack dedicated mental health staff. This article addresses techniques EDs can use to better care for children in need of psychiatric assessment and medical clearance, specifically addressing the evaluation of youth with suicidal ideation and coexisting medical and psychiatric needs. The evaluation and management of youth with agitation and aggression are also discussed. The article concludes with a discussion of systems changes needed to truly improve emergency care for psychiatrically ill youth...
September 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28667233/self-management-and-transition-to-adult-health-care-in-adolescents-and-young-adults-a-team-process
#8
John D Mahan, Cecily L Betz, Megumi J Okumura, Maria E Ferris
As health care continues to evolve, the need for more effective health care transition (HCT) for all youth, but particularly children with chronic conditions and special health care needs, becomes even more important. With more than 90% of adolescents with chronic medical conditions now surviving into adulthood, suboptimal transition can lead to poorer quality of life and less successful adulthood.Through a series of clinical vignettes, the challenges of HCT are presented herein and accompanied by comments that underscore how these adolescents can best be helped to transition to successful adulthood...
July 2017: Pediatrics in Review
https://www.readbyqxmd.com/read/28656806/baseline-characteristics-of-dependent-youth-who-have-been-commercially-sexually-exploited-findings-from-a-specialized-treatment-program
#9
Monica Landers, Kimberly McGrath, Melissa H Johnson, Mary I Armstrong, Norin Dollard
Commercial sexual exploitation of children has emerged as a critical issue within child welfare, but little is currently known about this population or effective treatment approaches to address their unique needs. Children in foster care and runaways are reported to be vulnerable to exploitation because they frequently have unmet needs for family relationships, and they have had inadequate supervision and histories of trauma of which traffickers take advantage. The current article presents data on the demographic characteristics, trauma history, mental and behavioral health needs, physical health needs, and strengths collected on a sample of 87 commercially sexually exploited youth...
June 28, 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/28562311/refining-our-understanding-of-value-based-insurance-design-and-high-cost-sharing-on-children
#10
Randall P Ellis, Sara S Bachman, Hui Ren Tan
BACKGROUND: There is significant concern about the financial burdens of new insurance plan designs on families, particularly families with children and youth with special health care needs (CYSHCN). With value-based insurance design (VBID) plans growing in popularity, this study examined the implications of selected VBID cost-sharing features on children. METHODS: We studied children's health care spending patterns in 2 data sets that include high deductible and narrow network plans among others...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28562309/value-based-insurance-design-pharmacy-benefits-for-children-and-youth-with-special-health-care-needs-principles-and-opportunities
#11
Mark E Helm
Value-based insurance design (VBID) represents an innovative approach to health insurance coverage. In the context of pharmacy benefits, the goal of VBID is to minimize access barriers to the most effective and appropriate treatments for specific medical conditions. Both private and public insurance programs have explored VBID pharmacy projects primarily for medical conditions affecting adults. To date, evidence for VBID pharmacy programs for children and youth with special health care needs (CYSHCN) appears lacking...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28562308/partners-for-kids-care-coordination-lessons-from-the-field
#12
Rory Cusack Weier, William Gardner, Kimberly Conkol, Kathleen Pajer, Kelly J Kelleher
OBJECTIVE: The goal of this trial was to present a case study of care coordination for children and youth with special health care needs from an exclusively pediatric accountable care organization, and compare precare and postcare data on their use of inpatient and emergency department services. METHODS: This pre-post comparison of the health care utilization included a subset of 733 children enrolled in Partners for Kids care coordination funded through a delegation arrangement with several Medicaid managed care plans...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28562307/the-eye-of-the-beholder-a-discussion-of-value-and-quality-from-the-perspective-of-families-of-children-and-youth-with-special-health-care-needs
#13
Betsy Anderson, Julie Beckett, Nora Wells, Meg Comeau
There is broad agreement that increasing the cost-effectiveness and quality of health care services, thereby achieving greater value, is imperative given this country's current spiraling costs and poor health outcomes. However, how individuals or stakeholder groups define value may differ significantly. Discussion of value in the context of health care, in particular value-based purchasing and value-based insurance design, must acknowledge that there is no universal consensus definition as to what constitutes value...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28562306/statement-of-the-problem-health-reform-value-based-purchasing-alternative-payment-strategies-and-children-and-youth-with-special-health-care-needs
#14
Sara S Bachman, Meg Comeau, Thomas F Long
There is increasing interest in maximizing health care purchasing value by emphasizing strategies that promote cost-effectiveness while achieving optimal health outcomes. These value-based purchasing (VBP) strategies have largely focused on adult health, and little is known about the impact of VBP program development and implementation on children, especially children and youth with special health care needs (CYSHCN). With the increasing emphasis on VBP, policymakers must critically analyze the potential impact of VBP for CYSCHN, because this group of children, by definition, uses more health care services than other children and inevitably incurs higher per person costs...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28562305/innovative-health-care-financing-strategies-for-children-and-youth-with-special-health-care-needs
#15
James M Perrin
No abstract text is available yet for this article.
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28371887/information-needs-of-physicians-care-coordinators-and-families-to-support-care-coordination-of-children-and-youth-with-special-health-care-needs-cyshcn
#16
Pallavi Ranade-Kharkar, Charlene Weir, Chuck Norlin, Sarah A Collins, Lou Ann Scarton, Gina B Baker, Damian Borbolla, Vanina Taliercio, Guilherme Del Fiol
Objectives: Identify and describe information needs and associated goals of physicians, care coordinators, and families related to coordinating care for medically complex children and youth with special health care needs (CYSHCN). Materials and Methods: We conducted 19 in-depth interviews with physicians, care coordinators, and parents of CYSHCN following the Critical Decision Method technique. We analyzed the interviews for information needs posed as questions using a systematic content analysis approach and categorized the questions into information need goal types and subtypes...
September 1, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28322650/parental-feeding-behaviors-and-weight-related-concerns-in-children-with-special-needs
#17
Michele Polfuss, Pippa Simpson, Rachel Neff Greenley, Liyun Zhang, Kathleen J Sawin
Parental feeding behaviors and concern about child weight are associated with obesity among youth who are typically developing. Little is known about this relationship among parents of youth with special needs, despite these children having higher obesity risk. This study used an online survey to explore associations among parental feeding behaviors, parent weight concerns, demographics, and child weight status in a sample of 356 parents of children diagnosed with autism spectrum disorder, spina bifida, and Down syndrome...
August 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28292458/treating-youths-in-the-juvenile-justice-system
#18
REVIEW
Ann L Sattler
Adolescents involved with the juvenile justice system have higher rates of risky sexual behaviors, resulting in high rates of sexually transmitted infections and increased risk of human immunodeficiency virus, early or complicated pregnancy, and parenting issues. Comorbid substance abuse, gang association, mental health issues, and history of having been abused as children result in further elevated rates. Girls and lesbian, gay, bisexual, and transgender youths represent growing subpopulations with special risks...
April 2017: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27845550/child-and-adolescent-mental-health-care-in-iran-current-status-and-future-directions
#19
Vandad Sharifi, Ramin Mojtabai, Zahra Shahrivar, Javad Alaghband-Rad, Hadi Zarafshan, Lawrence Wissow
BACKGROUND: The need for mental health care among children and adolescents in Iran, as in other low and middle income countries (LAMIC) remains mostly unmet. In this paper, we sought to provide an overview of the extent of unmet need and mental health services in Iran. We also aimed to propose approaches to address this gap. METHOD: We reviewed the published epidemiologic studies of child and adolescent mental and behavioral health problems in Iran. We also examined the current status of child mental health services and the gaps between current needs and available services based on published literature that included papers published in scientific journals, as well as governmental and other administrative reports...
November 2016: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/27699565/predictors-of-elopement-exhibited-by-school-aged-children-with-special-health-care-needs-towards-the-development-of-a-screening-instrument-for-elopement
#20
Lucy Barnard-Brak, David M Richman, Rosario Moreno
Elopement exhibited by school-aged children with special health care needs is a relatively low frequency problem behavior with the potential for severe negative consequences for the child and family. Using data from the Centers for Disease Control and Prevention (CDC) Survey of Pathways to Diagnosis and Services, our results represent one of the first empirical studies of variables that may be associated with children with special health care needs engaging in elopement. Using data from a nationally representative sample of children with special health care needs, our results revealed two variables that were statistically significant predictors of parent-reported elopement in the past year: (1) the child's chronological age, and (2) the presence of an autism spectrum disorder (ASD) diagnosis...
December 2016: Journal of Primary Prevention
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