Coordinated System of Care Approaches for Pediatric Emergency and Crisis Stabilization, Mobile Treatment, and Wraparound Services
Youth have been increasingly struggling with their mental health, leading to an unprecedented rise in emergency room visits and inpatient psychiatric admissions. It is prudent for mental health providers to be familiar with all services within a continuum of care that can address the early phases of a crisis, allowing youth to remain in the community while being treated. The system of care (SOC) approach has demonstrated positive effects in mitigating the need for hospital-based services. There is a call among experts to integrate SOC concepts during inpatient psychiatric admissions to promote youth remaining within a comm...
Source: Child and Adolescent Psychiatric Clinics of North America - April 30, 2024 Category: Psychiatry Authors: Colby Tyson, Priya Punnoose Source Type: research

Understanding the Social Drivers for LGBTQIA+ Youth Suicide
LGBTQIA+ youth are disproportionately affected by mental health issues including suicidal ideation and suicide attempts. Minoritized youth have numerous social and structural factors influencing their health, including a lack of access to care and resources. However, these youth and their caregivers also have many unique and individual cultural strengths. Awareness of special considerations and work toward dismantling structural drivers is essential in improving the health of these youth. Additionally, it is important to support minoritized youth and their caregivers through tailored evidence-based treatments in addressing...
Source: Child and Adolescent Psychiatric Clinics of North America - April 30, 2024 Category: Psychiatry Authors: Chelsea Cosner, Brianna Dubose, Tripti Soni, Brandon J. Johnson, Naomi A. Schapiro Source Type: research

The Role of the Medical Director and Psychiatric Medical Director in Child Welfare Serving Agencies
Collaboration between the child welfare system and health care practitioners has become increasingly necessary in order to meet the often-significant health needs of system-involved youth. Child welfare medical directors and psychiatric medical directors have been implemented as a means to address this need in several state child welfare systems. Building on the core principles of the National Guidelines for Child and Youth Behavioral Health Crisis Care, medical and psychiatric medical directors can help ensure youth receive the least-restrictive, most appropriate level of behavioral health care; prioritizing care involvem...
Source: Child and Adolescent Psychiatric Clinics of North America - April 30, 2024 Category: Psychiatry Authors: Bridgette Farris, Madeline Hudson, Sara Coffey Source Type: research

Youth Engagement Synergy in Mental Health Legislation and Programming
Youth engagement in implementing mental health legislation and programming is an intuitive best practice. However, well-intentioned efforts to work inclusively with youth are often perfunctory. Drawing from select community partnership models and insights from providers, public health advisors, and youth, we examine the typology, processes, and outcomes of youth engagement. We critically apply the theory of partnership synergy to understand how the convergence of youth and adult experiences and knowledge can advance mental health programming beyond what could be achieved by a single group. (Source: Child and Adolescent Psy...
Source: Child and Adolescent Psychiatric Clinics of North America - April 30, 2024 Category: Psychiatry Authors: Ezer Kang, Christine Kindler, Arc Telos Saint Amour, Kris Locus, Kalei R.J. Hosaka, Marissa Cummings Leslie, Nikhil Patel Source Type: research

Home, School, and Community-based Services for Forcibly Displaced Youth and Their Families
Forced displacement can expose youth to unimaginable levels of traumatic life events. We discuss how home-based, school-based, and community-based services can be strategically situated to address the psychological sequelae of such events. Given the systemic challenges that refugee youth face when establishing trust in their new environments, are often from collectivist cultural backgrounds, espouse stigma towards professional help seeking, and must prioritize accessing services for their basic needs, these types of settings can be particularly relevant. In the administration of such services, we advocate for an intentiona...
Source: Child and Adolescent Psychiatric Clinics of North America - April 27, 2024 Category: Psychiatry Authors: Zainab Hosseini, Mojdeh Motamedi Source Type: research

Skills Needed in Psychiatrist Leadership for Building and Sustaining Child Mental Health Systems of Care
Systems of care (SOC) is a proven and community-based service network addressing the mental health needs of children and families. Child and adolescent psychiatrists play a crucial role in leading SOCs, utilizing skills such as partnership building and strategic planning. Barriers to mental health care, including access issues and stigma, can be tackled through multisector collaboration. Overcoming challenges such as cultural differences and fragmented systems requires effective leadership. In a SOC, core principles involve culturally competent care, evidence-based practices, collaborative decision-making, and smooth trans...
Source: Child and Adolescent Psychiatric Clinics of North America - April 27, 2024 Category: Psychiatry Authors: Alicia Barnes, Yasir Masood, Murielle Tembunde, Altha J. Stewart Source Type: research

Milieu Management and Therapeutic Groups in Inpatient Child and Adolescent Psychiatry Units
The therapeutic milieu has long been considered an essential mechanism of recovery for youth requiring inpatient psychiatric admissions. However, with increasing demand for crisis services, shrinking length of stay, rising patient acuity, and critical workforce shortages, innovation is necessary to maintain the goals of the therapeutic milieu (and equip the workforce to meet this challenge). This review surveys the evolution of the goals of milieu therapy over time, evidence for increasing challenges, and initial evidence for possible solutions. The study concludes with a case example detailing efforts to improve milieu th...
Source: Child and Adolescent Psychiatric Clinics of North America - April 27, 2024 Category: Psychiatry Authors: Caroline Hodgson, Rajeev Krishna, Kento Akasaka Source Type: research

Mobilizing Meaning
Religion and spirituality have long been known to impact both physical and mental health. Considering religion and spirituality as possible additions to social determinants of health, this article examines the current state of religion and spirituality in the United States and also discusses the ways in which they can contribute to the mental health of children and adolescents. Further, this article also discusses new approaches within religion and spirituality to address the changing needs of future generations. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 17, 2024 Category: Psychiatry Authors: Emily Hochstetler, Kelly Hill Source Type: research

The Role of School-based Interventions and Communities for Mental Health Prevention, Tiered Levels of Care, and Access to Care
This article highlights the key role of schools in addressing rising mental health disorders among youth. It champions collaboration between health and educational sectors, emphasizing child and adolescent psychiatrists ’ significant contribution to school-based mental health literacy and interventions. This article encourages for child and adolescent psychiatrists’ involvement in policy advocacy for accessible and inclusive mental health care, championing sustainable mental health services through advocating f or funding, training, and policy support. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 16, 2024 Category: Psychiatry Authors: Kristie Ladegard, Shirley Alleyne, Jeylan Close, Maura Dunfey Hwang Source Type: research

Advancing Youth Justice
Child and adolescent psychiatrists (CAPs) play a crucial role beyond the provision of clinical care. CAPs are uniquely placed to understand and help patients navigate the fine line among psychiatric care, health and well-being, and the laws and policies supporting or impairing these processes. Focusing on vulnerable populations, such as legal system impacted youth and families, CAPs can contribute to the ongoing development of a more just and equitable world for the children of today and of tomorrow. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 16, 2024 Category: Psychiatry Authors: Barbara Robles-Ramamurthy, Eraka Bath, Elizabeth A. Lowenhaupt, Marina Tolou-Shams Source Type: research

Creating an Equitable System of Care for Minoritized Youth and Addressing Systemic and Structural Barriers
We provide an overview of the systems of care and the barriers faced by minoritized youth. We discuss ways to address barriers by forging alliances, improving communication with cultural humility, and a nonjudgmental approach. We underscore the importance of a holistic evaluation of minoritized children while leveraging their resilience to create a comprehensive and multipronged plan of action. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 12, 2024 Category: Psychiatry Authors: Deepika Shaligram, Sarah H. Arshad, Kenneth Rogers, Angel Adolfo Caraballo, Rameshwari V. Tumuluru Source Type: research

Using Advocacy to Address the Crisis of Children ’s Mental Health
Children and youth in the United States are experiencing a mental health crisis that predates the COVID-19 pandemic. Child and adolescent psychiatrists have the knowledge and skillset to advocate for improving the pediatric mental health care system at the local, state, and federal levels. Child psychiatrists can use their knowledge and expertise to advocate legislatively or through regulatory advocacy to improve access to mental health care for youth. Further, including advocacy education in psychiatry and child psychiatry graduate medical education would help empower child psychiatrists to make an impact through their ad...
Source: Child and Adolescent Psychiatric Clinics of North America - April 12, 2024 Category: Psychiatry Authors: Laura Willing, Justin Schreiber Source Type: research

Identifying Precise Targets to Improve Child Mental Health Care Equity
To reduce child mental health disparities, it is imperative to improve the precision of targets and to expand our vision of social determinants of health as modifiable. Advancements in clinical research informatics and please state accurate measurement of child mental health service use and quality. Participatory action research promotes representation of underserved groups in informatics research and practice and may improve the effectiveness of interventions by informing research across all stages, including the identification of key variables, risk and protective factors, and data interpretation. (Source: Child and Adol...
Source: Child and Adolescent Psychiatric Clinics of North America - April 12, 2024 Category: Psychiatry Authors: Bonnie T. Zima, Juliet B. Edgcomb, Lisa R. Fortuna Source Type: research

Global Mental Health and Immigrant Families
There are few human tragedies that stir sympathy and concern more deeply than seeing children suffer secondary to war, displacement, and increasingly frequent epidemics of violence around the world. Falling witness or victim to acts of war and terrorism and subsequent fleeing of millions of children across the world stirs an array of powerful human emotions. Such circumstances by definition involve destruction, pain, and death. It is, paramount that we all work collaboratively, to provide psychological assistance, training, and education and work with various stakeholders to decrease the psychological impact of displacemen...
Source: Child and Adolescent Psychiatric Clinics of North America - April 12, 2024 Category: Psychiatry Authors: Paramjit T. Joshi, Lisa M. Cullins, Carolyn Cookson Source Type: research

The Declaration of the National Emergency in Child and Adolescent Mental Health: It Takes a Village
Recognition of the high prevalence of children ’s mental health conditions and challenges to accessing needed care faced by children and their families have been long-standing concerns, emerging well before the onset of the COVID-19 pandemic. Global data examining the prevalence of at least one mental health and/or substance-use disorder for 2 516 million people aged 5 to 24 years in 2019 found that at least 293 million people were affected by at least one mental health disorder and 31 million affected by a substance-use disorder. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 10, 2024 Category: Psychiatry Authors: Tami Benton, Lee Beers, Gaye Carlson, Warren Yiu Kee Ng Source Type: research