Full Text Journal Articles in
Journal Child Adolesc Psychiatr Clin N Am

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Collaboration Between Child and Adolescent Psychiatrists and Mental Health Pharmacists to Improve Treatment Outcomes.

Debbie H Lu, Julie A Dopheide, Dri Wang, Jessica K Jeffrey, Steven Chen,

Access to mental health care is a long-standing challenge. The high, rising prevalence of mental health disorders and a shortage of mental health professionals has further strained an already fragile system. The clinical pharmacy is underutilized within the mental health space. Interdisciplinary collaboration between child psychiatrists and mental health pharmacists ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):797-808]

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At the Cliff: Partnership and Collaboration to Address our Public Mental Health Crisis.

Suzie C Nelson, Jessica K Jeffrey, Mark S Borer, Barry D Sarvet,

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):xiii-xviii]

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Effective Partnership Care Models with Advanced Practice Psychiatric Nurses.

Suzie C Nelson, Jessica K Jeffrey, Andrew Lustbader, Jessica Rak, Mona Gandhi, Rajeev Krishna, Marcus Merriman, Vonda Keels-Lowe, Amy Hoisington-Stabile,

The unmet behavioral health treatment needs of children and adolescents have become a public health crisis in the United States, with only 20% of youths obtaining assessment and intervention when indicated. Workforce shortages, including mental health professionals who can provide pharmacologic intervention within an appropriate biopsychosocial context, directly impede our ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):827-838]

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Collaboration with Schools and School-Based Health Centers.

Erika Ryst, Shashank V Joshi,

Since the early 1900s when school-based health services were first introduced, models of school-based health have evolved toward comprehensive and integrated models that include mental health. New and innovative models of Comprehensive Mental Health Systems offer a range of prevention and intervention strategies that are delivered across collaborative systems of ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):751-765]

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Child Psychiatrists and Psychologists: Enhanced Collaboration in Primary Care.

Mark S Borer, Susan H McDaniel,

Psychiatry and psychology have a long history of competition that too often interferes with the collaboration that can characterize complementary contributions to our common missions. We hope this article will inspire our disciplines to expand on this collaboration, for the sake of our children and families, our communities, our colleagues, ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):809-826]

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A Public Partnership to Support Well-Being: Population Health Implementation of Trauma and Resilience Informed Care Across Child and Family Ecosystems.

Patricia Lester, Catherine Mogil, Norweeta Milburn, Gita Murthy, Jonathan Sherin,

Early life adversity and trauma can jeopardize child and family well-being. Mitigating the effects of early adversity and trauma requires a tiered, public health approach that includes trauma-informed mental health promotion, prevention, screening, early intervention, and effective and equitable treatment across community ecosystems and service systems. This article describes the ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):737-750]

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The Role of the Child and Adolescent Psychiatrist in Systems of Care.

Michael Sierra, Kaye McGinty,

To effectively fulfill various roles in systems of care, a child and adolescent psychiatrist must first define "system of care" and become familiar with the child-serving systems that make up the overarching system of care. They should know what roles are currently being fulfilled by child and adolescent psychiatrists, recognize ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):727-736]

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Ethical Imperatives for Participation in Integrated/Collaborative Care Models for Pediatric Mental Health Care.

Shannon L Mazur, Gail A Edelsohn, Peter A DePergola, Barry D Sarvet,

The significant and ongoing shortage of child and adolescent psychiatrists has limited access to mental health care in the pediatric population. In response to this problem, integrated/collaborative care models have been established. These models, as all imperfect things in medicine, have their own set of challenges. A careful ethical analysis ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):697-712]

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Engaging Pediatric Primary Care Clinicians in Collaborative and Integrated Care.

Sourav Sengupta,

Pediatric primary care clinicians (PPCCs) are managing increasing mental health challenges in the children and adolescents they treat. Child and adolescent psychiatrists (CAPs) are increasingly involved in collaborative and integrated care (CIC) work that builds the knowledge and skills of PPCCs to manage mild to moderate mental health challenges for ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):767-776]

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Rating Scales for Behavioral Health Screening System Within Pediatric Primary Care.

Jessica K Jeffrey, Angela L Venegas-Murillo, Rajeev Krishna, Nastassia J Hajal,

Barriers to conducting standardized behavioral health screening within pediatric primary care settings include engaging youth and families, limited time available for this activity, and difficulties related to obtaining behavioral health consultation and treatment from specialists. Child and adolescent psychiatrists may assist pediatric primary care practices with engaging youth and families ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):777-795]

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Interprofessional Education in Child and Adolescent Mental Health: A Scoping Review.

Michelle Kiger, Kara Knickerbocker, Caitlin Hammond, Suzie C Nelson,

To identify elements of effective interprofessional education (IPE) within child and adolescent mental health (CAMH), we conducted a scoping literature review. A search of four databases revealed 32 studies that met inclusion criteria describing IPE interventions regarding CAMH. Studies included a range of medical, mental health, allied health, educational, and ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):713-726]

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Teamwork: A Multidisciplinary Review.

William Clark,

Promoting integrated care initiatives is an important approach to addressing growing gaps in access to mental health. This article presents a multidisciplinary review of essential team elements and how to optimize team performance. Fostering a collaborative team approach can produce more effective and efficient mental health care. ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(4):685-695]

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This Is Your Brain on Irritability: A Clinician's Guide to Understanding How We Know What We Know Now, and What We Need to Know in the Future, About Irritability in Children and Adolescents.

Daniel P Dickstein, Christine M Barthelemy, Gracie A Jenkins, Lena L A DeYoung, Anna C Gilbert, Petya Radoeva, Kerri L Kim, Heather A MacPherson,

Irritability is a common reason why children and adolescents are brought for psychiatric care. Although research is advancing what is known about the underlying brain and behavior mechanisms of irritability, clinicians often are shut out of that research. This article explains some of these research methods, providing brief summaries of ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):649-666]

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Preventing Irritability and Temper Outbursts in Youth by Building Resilience.

Manpreet K Singh, Rebecca Hu, David J Miklowitz,

Severe irritability and temper outbursts are risk factors for the onset of serious and lifelong mood disorders. In treating children and adolescents with severe irritability, clinicians should evaluate and address safety issues before acute stabilization of symptoms. Then, clinicians can initiate interventions to prevent the onset or relapses of the ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):595-610]

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Treatment of Childhood Emotion Dysregulation in Inpatient and Residential Settings.

Jaclyn Datar Chua, Christopher Bellonci, Michael T Sorter,

Children hospitalized in inpatient and residential treatment facilities often present with severe emotion dysregulation, which is the result of a wide range of psychiatric diagnoses. Emotion dysregulation is not a diagnosis but is a common but inconsistently described set of symptoms and behaviors. With no agreed upon way of measuring ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):505-525]

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The Irritable and Oppositional Dimensions of Oppositional Defiant Disorder: Integral Factors in the Explanation of Affective and Behavioral Psychopathology.

Jeffrey D Burke, Oliver G Johnston, Emilie J Butler,

Oppositional defiant disorder includes distinct but inseparable dimensions of chronic irritability and oppositional behavior. The dimensions have been identified in early childhood to adulthood, and show discriminant associations with internalizing and externalizing psychopathology. The introduction of disruptive mood dysregulation disorders and the requirements that it take precedence over oppositional defiant ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):637-647]

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Irritability, Anger, and Aggression in the Context of Pediatric Bipolar Disorder.

Luis R Patino, Melissa P DelBello,

Irritability, anger, and aggression, although not specific for pediatric bipolar disorder (BD), can be a common finding and an important source of distress and impairment in these patients. Over the past 2 decades the diagnostic significance of irritability in pediatric BD has been highly debated. Beyond the debate of its diagnostic ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):561-571]

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Explosive Outbursts at School.

Jeff Q Bostic, Richard Mattison, D Cunningham,

Explosive outbursts (EO) by students are an intensely distressing experience for that student as well as for all school staff and students present during the outburst. These EO are characterized by rapid escalations, usually far out of proportion to precipitating events, may include significant verbal and/or physical aggression, require intensive ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):491-503]

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Chronic Irritability in Youth: A Reprise on Challenges and Opportunities Toward Meeting Unmet Clinical Needs.

Ellen Leibenluft, Katharina Kircanski,

This commentary focuses on irritability, one subtype of emotion dysregulation. We review literature demonstrating that irritability is not a developmental phenotype of bipolar disorder, but is longitudinally associated with unipolar depression and anxiety and genetically associated with unipolar depression, anxiety, and attention-deficit hyperactivity disorder. We describe how irritability is amenable ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):667-683]

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A Review of the Evidence Base for Psychosocial Interventions for the Treatment of Emotion Dysregulation in Children and Adolescents.

James G Waxmonsky, Raman Baweja, Pevitr S Bansal, Daniel A Waschbusch,

Many children with a range of psychiatric diagnoses manifest impaired levels of emotion dysregulation (ED). Over the past decade, there has been increasing examination of psychosocial interventions for ED. We found preliminary evidence of positive effects for a wide range of psychosocial treatments that were associated with improvements in emotion ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):573-594]

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Early Predictors of Adolescent Irritability.

Ellen M Kessel, Lea R Dougherty, Samantha Hubacheck, Emma Chad-Friedman, Tom Olino, Gabrielle A Carlson, Daniel N Klein,

Limited research has examined precursors/risk factors for adolescent irritability. This study examines continuity of irritability from early childhood to adolescence and identifies antecedents of adolescent irritability. Across self-reports and mother-reports, evidence was found for continuity of irritability. A range of variables assessed at age 3 predicted irritability at age 15. ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):475-490]

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Psychoeducational and Skill-building Interventions for Emotion Dysregulation.

Taban Salem, Kimberly A Walters, Joseph S Verducci, Mary A Fristad,

Family psychoeducation plus skill building is a class of interventions considered to be well-established for youth with mood disorders or emotion dysregulation. Psychoeducational psychotherapy (PEP) is an example of this class of interventions. PEP provides psychoeducation for parents and children, skill building to help children better regulate emotions and behaviors, ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):611-622]

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Psychopharmacology of Treating Explosive Behavior.

Carrie Vaudreuil, Abigail Farrell, Janet Wozniak,

Explosive and aggressive behavior in children can pose safety risks, disturb family functioning, and lead to significant impairments. Pharmacologic management should be based on the first-line treatment of the primary psychiatric diagnoses of the patient and initiated in combination with appropriate psychosocial interventions. Review of the literature suggests that risperidone ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):537-560]

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Development of Emotion Regulation in Typically Developing Children.

Judith A Crowell,

Emotion regulation (ER) is a complex process that combines inherent as well as environmental and learned components of reactivity and regulation. Elements of ER are present from birth and are elaborated across development. An understanding of emotion dysregulation requires careful examination of all the elements that constitute typical ER so ... Read more >>

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):467-474]

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Emotion Dysregulation in Children and Adolescents: Part II.

Manpreet K Singh, Gabrielle A Carlson,

Child Adolesc Psychiatr Clin N Am (Child and adolescent psychiatric clinics of North America)
[2021, 30(3):xiii-xiv]

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