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Child &adolescent psychiatry

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https://www.readbyqxmd.com/read/28922069/glutamatergic-agents-in-the-treatment-of-compulsivity-and-impulsivity-in-child-and-adolescent-psychiatry-a-systematic-review-of-the-literature
#1
Konstantin Mechler, Alexander Häge, Nina Schweinfurth, Jeffrey C Glennon, Rick M Dijkhuizen, Declan Murphy, Sarah Durston, Steven Williams, Jan K Buitelaar, Tobias Banaschewski, Ralf W Dittmann, The Tactics Consortium
OBJECTIVE: Research has implicated glutamatergic projections between the various frontal subregions in the pathogenesis of compulsivity and impulsivity. Reducing striatal glutamate release, or antagonising the action of glutamate at its receptors, may therefore represent viable treatment strategies. Several glutamatergic agents with regulatory approval for other indications are available and may be of potential benefit in the treatment of compulsivity/impulsivity in psychiatric disorders in paediatric patients...
September 18, 2017: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
https://www.readbyqxmd.com/read/28916010/competencies-and-training-guidelines-for-behavioral-health-providers-in-pediatric-primary-care
#2
REVIEW
Wanjiku F M Njoroge, Ariel A Williamson, Jennifer A Mautone, Paul M Robins, Tami D Benton
This article focuses on the cross-discipline training competencies needed for preparing behavioral health providers to implement integrated primary care services. After a review of current competencies in the disciplines of child and adolescent psychiatry, psychology, and social work, cross-cutting competencies for integrated training purposes are identified. These competencies are comprehensive and broad and can be modified for use in varied settings and training programs. An existing and successful integrated care training model, currently implemented at Children's Hospital of Philadelphia, is described...
October 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28916008/preparing-trainees-for-integrated-care-triple-board-and-the-postpediatric-portal-program
#3
REVIEW
Mary Margaret Gleason, Sandra Sexson
Training combining the disciplines of pediatrics, psychiatry, and child and adolescent psychiatry dates back to World War II, but formal combined programs began more than 3 decades ago as the Triple Board Program and 10 years ago as the Postpediatric Portal Program (PPPP). Triple board training was rigorously examined as a pilot program and ongoing surveys suggest that it provides successful training of physicians who can pass the required board examinations and contribute to clinical, academic, and administrative/advocacy endeavors...
October 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28910997/paediatric-nuclear-medicine-imaging
#4
Lorenzo Biassoni, Marina Easty
Background: Nuclear medicine imaging explores tissue viability and function by using radiotracers that are taken up at cellular level with different mechanism. This imaging technique can also be used to assess blood flow and transit through tubular organs. Nuclear medicine imaging has been used in paediatrics for decades and this field is continuously evolving. Sources of data: The data presented comes from clinical experience and some milestone papers on the subject...
September 1, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28887619/-psychodynamics-in-organisation-and-cooperation-of-child-and-adolescents-institutions
#5
Rainer Fliedl, Kathrin Sevecke
According to underlying law (Krankenanstaltengesetz) the internal structure of Departments of Child and Adolescent Psychiatry (CAP) represents a matrix structure, defining formal roles and tasks of the personel. In contrast, external cooperation is defined in several different laws. Furthermore, patients and their systems are exhibiting a high tensional potential. These different influences can cause more or less severe enmeshments. Thus, during the treatment of this patients it is necessary to take into account the possibility of these enmeshments...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/28886835/-alex-an-example-of-a-successful-transition-to-adult-psychiatry
#6
Thierry Rochet
A successful transition between child psychiatry and adult psychiatry is the result of a joint project. To ensure the continuity of the adolescent's care, the two protagonists need a common and constructive clinical interpretation, and a shared understanding of the problems, without which the transition will be difficult. The story of Alex, a young teenager cared for since early childhood, illustrates the communication methods which must be put in place.
September 2017: Soins. Psychiatrie
https://www.readbyqxmd.com/read/28886832/-towards-a-partnership-based-care-approach-to-adolescence
#7
Marlène Vilaplana, Caroline Blond, Geoffrey Ardoin, Francis Moreau, Laurent Defromont, Sidonie Lips
The transition from child psychiatry to adult psychiatry is difficult. The need to reinforce this 'bridge' between the services is clear. A system focused on the assessment and orientation of adolescents, set up a year ago by Lille-Métropole public mental health service, aims to favour collaboration on a local level between the different players from the social, medical and educational sector working with young people aged between 12 and 21 in order to facilitate this transition.
September 2017: Soins. Psychiatrie
https://www.readbyqxmd.com/read/28886831/-from-the-perinatal-period-to-adolescence-the-three-stages-of-coordination
#8
Alexia Thierry, Stéphane Laplace, Adeline Gourbil, Stéphane Saint-André
The need for coordinated organisation between infant-child psychiatry and adult psychiatry is highlighted through key periods, with the aid of a clinical case: the perinatal period and the hospitalisation of a mother with her child; the psychiatric support of the unwell mother and that of her daughter; then the transition for the 16-year-old teenager towards adult psychiatry. Taking into consideration the mother-child bond is essential and requires collaborative care projects, the creation of opportunities for joint reflection and organisation, and the acknowledgement that internal institutional divisions exist which are too often denied...
September 2017: Soins. Psychiatrie
https://www.readbyqxmd.com/read/28882194/gps-and-child-and-adolescent-psychiatry-specialists-experiences-of-joint-consultations-in-the-gp-s-office-a-qualitative-study
#9
Tori Guldahl Seierstad, Mette Brekke, Ingun Toftemo, Ole Rikard Haavet
BACKGROUND: The study is an exploration of a joint consultation model, a collaboration between general practitioners (GPs) and specialists from child and adolescent mental health services (CAMHS) in Lillehammer, Norway. METHODS: A qualitative study based on two focus group interviews, one with participating GPs and one with participating specialists from the local CAMHS. Participants were five GPs, with work experience varying from 6 months to 20 years (four of them specialists in general medicine) and two CAMHS specialists-a psychiatrist and a psychologist-both with more than 20 years of experience...
September 7, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28880356/-diagnostics-of-attachment-in-child-and-adolescent-psychiatry
#10
M J van Hoof
Growing concern about how the neglect and abuse of children can be tackled and prevented has led to increased interest in the parent-child relationship and the concept of attachment. It is vitally important that the diagnostics relating to attachment are accurate. One of the main problems is that up till now the parent-child relationship has not been assessed and analysed in accordance with reliable, unambiguous standards.<br/> AIM: To search the literature in order to identify the prerequisites for reliable diagnostics of attachment...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28877317/association-of-white-matter-structure-with-autism-spectrum-disorder-and-attention-deficit-hyperactivity-disorder
#11
Yuta Aoki, Yuliya N Yoncheva, Bosi Chen, Tanmay Nath, Dillon Sharp, Mariana Lazar, Pablo Velasco, Michael P Milham, Adriana Di Martino
Importance: Clinical overlap between autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) is increasingly appreciated, but the underlying brain mechanisms remain unknown to date. Objective: To examine associations between white matter organization and 2 commonly co-occurring neurodevelopmental conditions, ASD and ADHD, through both categorical and dimensional approaches. Design, Setting, and Participants: This investigation was a cross-sectional diffusion tensor imaging (DTI) study at an outpatient academic clinical and research center, the Department of Child and Adolescent Psychiatry at New York University Langone Medical Center...
September 6, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28870688/-what-do-virtual-reality-tools-bring-to-child-and-adolescent-psychiatry
#12
S Bioulac, E de Sevin, P Sagaspe, A Claret, P Philip, J A Micoulaud-Franchi, M P Bouvard
Virtual reality is a relatively new technology that enables individuals to immerse themselves in a virtual world. It offers several advantages including a more realistic, lifelike environment that may allow subjects to "forget" they are being assessed, allow a better participation and an increased generalization of learning. Moreover, the virtual reality system can provide multimodal stimuli, such as visual and auditory stimuli, and can also be used to evaluate the patient's multimodal integration and to aid rehabilitation of cognitive abilities...
September 1, 2017: L'Encéphale
https://www.readbyqxmd.com/read/28855962/does-child-and-adolescent-mental-health-in-service-training-result-in-equivalent-knowledge-gain-among-cadres-of-non-specialist-health-workers-in-uganda-a-pre-test-post-test-study
#13
Angela Akol, Joyce Nalugya, Sylvia Nshemereirwe, Juliet N Babirye, Ingunn Marie Stadskleiv Engebretsen
BACKGROUND: Early identification and management of child and adolescent mental health (CAMH) disorders helps to avert mental illness in adulthood but a CAMH treatment gap exists in Uganda. CAMH integration into primary health care (PHC) through in-service training of non-specialist health workers (NSHW) using the World Health Organisation (WHO) Mental Health Gap Action Programme (mhGAP) Intervention Guide (IG) is a strategy to address this gap. However, results of such training are not supported by information on training development or delivery; and are undifferentiated by NSHW cadre...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28853045/-the-history-of-child-and-adolescent-psychiatry-in-austria-essay-about-a-long-development
#14
Leonhard Thun-Hohenstein
The history of child and adolescent psychiatry in Austria is very short - it was established first in 1975, finally it achieved the status of a seperate specialisation in 2007. In earlier years the name of this specialty was used under the guise of scientific interest for malpractice and child abuse or child murder during the times of the 2nd World War.But also, the development after 1945 showed how long abviant ideas could survive. During the last decade CAP showed a formidable development, quality and support of patient care improved significantly...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/28853042/-future-development-of-child-and-adolescent-psychiatry-in-austria
#15
Leonhard Thun-Hohenstein, Rainer Fliedl, Kathrin Sevecke, Andreas Karwautz
Anniversaries are turningpoints for reflexions of the past and planing for the future. In conclusion of all papers in this actual issue one can say tha CAP has reached a respected place in the medical landscape. Also internationally, the work of Austrian child and adolescent psychiatrist is recognised and respected. CAP is cooperating as an respected discipline with adjacent specialties as pediatrics and psychiatry as well as with external partners as Kinder- und Jugendhilfe (social child welfare).Anyway, the actual situation shows several deficits concerning patient care on all levels of the health system as well as in education and training of sufficient numbers of child and adolescent psychiatrists...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/28853027/-ten-years-of-child-and-adolescent-psychiatry-in-austria-a-new-medical-speciality-within-the-structures-of-public-health-services
#16
Charlotte Hartl, Andreas Karwautz
We discuss the comprehensive work for the development of child and adolescent psychiatry in Austria, summarize the current status of care in various settings and focus on further developments. Intramural care offers about 50% of the places needed and is heterogeneously distributed over the country, extramural care offers already around one quarter of care in need. We calculated a fully developed extramural care system from about 2033. Further development of the Austrian care system in child and adolescent psychiatry needs collaborative efforts of all responsible players...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/28853017/-child-and-adolescent-psychiatry-a-panorama
#17
Franz Resch
The child- and adolescent psychiatry has emancipated itself 10 years ago from an additional specialist physician's area to a separate specialist medical domain with a specific curriculum. Associated with this is an irreconcilable interlacing with the psychotherapy of childhood and adolescence. Even if childhood and juvenile psychiatry is always settled within the framework of a biopsychosocial model, psychotherapy is of particular importance. In the following, the psychotherapeutic requirements and ethical issues of the human being are to be formulated according to a view on the new morbidity and the Zeitgeist in which we are working...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/28853003/-preventive-human-rights-monitoring-in-child-and-adolescent-psychiatry-and-welfare-institutions
#18
Ernst Berger, Caroline Paar
Since 1 July 2012 the Austrian Ombudsman Board (AOB) together with its six regional expert commissions form the so called "National Prevention Mechanism" implementing the UN Optional Protocol to the Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment (OPCAT). The commissions are mandated to conduct regular, unrestricted and unannounced visits to all types of places in which there is or can be a deprivation or restriction of personal liberty, such as prisons, police stations, but also psychiatric hospitals or residential homes/groups for children and juveniles supervised by youth welfare services...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/28852995/-key-topics-in-austrian-child-and-adolescent-psychiatry-2007-2017
#19
Andreas Karwautz, Cvetka F Lipuš, Martin Fuchs
The medical speciality "Child and Adolescent Psychiatry" exists since 2007. 2015 a new training regulation defined an increment to "Child and Adolescent Psychiatry and Psychotherapeutic Medicine". To document the achievements in research within the last 10 years for the first time, all papers listed in Pubmed and all books published by the member of the ÖGKJP were summarized. Additionally, the clinical/scientific key aspects of all large teaching centres were documented.All members of the ÖGKJP are scientifically active in various areas of child psychiatry...
August 30, 2017: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/28833975/genetic-testing-in-intellectual-disability-psychiatry-opinions-and-practices-of-uk-child-and-intellectual-disability-psychiatrists
#20
Kate Wolfe, Kerstin Stueber, Andrew McQuillin, Fatima Jichi, Christine Patch, Frances Flinter, André Strydom, Nick Bass
BACKGROUND: An increasing number of genetic causes of intellectual disabilities (ID) are identifiable by clinical genetic testing, offering the prospect of bespoke patient management. However, little is known about the practices of psychiatrists and their views on genetic testing. METHOD: We undertook an online survey of 215 psychiatrists, who were contacted via the Royal College of Psychiatrist's Child and Adolescent and Intellectual Disability Psychiatry mailing lists...
August 23, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
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