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

An Assertive Community Intervention to Engage Youth with Opioid Use Disorder and Their Families
Medications for opioid use disorder (MOUD) are the most effective treatment for OUD. Many patients struggle with adherence, but young adults face unique developmental barriers and experience higher relapse rates. The Youth Opioid Recovery Support (YORS) intervention is a developmentally informed behavioral approach to increase medication adherence through assertive outreach, family involvement, low-barrier access to extended-release MOUD, and contingency management. Early studies have shown promising results, and a randomized controlled trial is underway. Here we describe the implementation of YORS using case examples, off...
Source: Child and Adolescent Psychiatric Clinics of North America - April 6, 2024 Category: Psychiatry Authors: Kevin Wenzel, Kamala Mallik-Kane, Kathleen Anderson, Marc Fishman Source Type: research

Bringing the village to the child: answering the call to lead and transform child and adolescent psychiatry
As President of the American Academy of Child and Adolescent Psychiatry (AACAP), Dr Tami Benton ’s Presidential Initiative invited Child and Adolescent Psychiatrists to “transform the current ailing system of mental health care into something new—a system that provides care that is accessible and effective, one that fosters mental health and well-being for America’s children.”1 A str ategy to catalyze this change includes the publication of creative, innovative, and equity-focused ideas from AACAP’s leaders, summarized in this issue. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 6, 2024 Category: Psychiatry Authors: Barbara Robles-Ramamurthy, Wanjik ũ F.M. Njoroge, Tami D. Benton Tags: Preface Source Type: research

Preparing Trainees for Public Health Advocacy Through Community Partnerships
This article reviews the existing literature related to medical training in public advocacy and provides the reader with several training examples to consider in a child and adolescent psychiatry fellowship or in combined training programs. Advocacy training embedded within community, forensic, integrated care, school, and many other experiences throughout training provides the skills and tools that the trainee will use in the future when they practice in any setting. This comprehensive training approach aligns with the evolving landscape of child and adolescent mental health where a deep commitment to public health and ad...
Source: Child and Adolescent Psychiatric Clinics of North America - April 5, 2024 Category: Psychiatry Authors: Consuelo Cagande, Yvorn Aswad, Aateqa Ismail, C. Paula Lewis-de los Angeles, Katrina Fletcher, Jeffrey Hunt Source Type: research

Workforce Initiatives to Advance Health Equity and Diverse Representation
The persistence of health inequity and the need for workforce diverse representation within child and adolescent psychiatry require systemic solutions. There are recommendations and strategies particularly for the training programs with “all of the above” approach to tackle these complex systemic issues. One of the ways is to think through existing and innovative training pipelines by making them less leaky, enhancing quality, expanding the type and size, and connecting them to reach children and adolescents in need. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 4, 2024 Category: Psychiatry Authors: Myo Thwin Myint, Han Yue, Isheeta Zalpuri, Neha Sharma, Colin Stewart Source Type: research

Justice-Involved Youth
Justice-involved youth have high rates of mental health symptoms and diagnoses. Unaddressed mental health needs are associated with exposure to adversity and trauma, as well as unidentified or mislabeled symptoms that may be present early in life. Justice-involved youth disproportionately come from low-income families and minoritized populations. Community-based interventions that address family and community factors associated with justice involvement are key to improving mental health and life trajectory outcomes for youth. Policies and interventions that address unmet educational needs, support families, and promote ear...
Source: Child and Adolescent Psychiatric Clinics of North America - April 3, 2024 Category: Psychiatry Authors: Courtney L. McMickens, Nicole Jackson, Kamille Williams, LeRoy Reese, Loren S. Hardeman, Sarah Y. Vinson Source Type: research

Re-Imagining Child Welfare to Support Children and Families
Children and adolescents in foster care include many of the most severely traumatized victims of child abuse and neglect. They deserve the best possible care and treatment, yet their outcomes remain poor. The persistence of poor outcomes for youth in foster care reflects challenges of psychiatric diagnostic formulation and of service system design/access, both areas in which child and adolescent psychiatrists have a key role to improve care and outcomes. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - April 3, 2024 Category: Psychiatry Authors: Ruth Gerson, David L. Corwin, Lisa Durette Source Type: research

Integrating the Attachment, Regulation, and Competency Trauma-Informed Framework in Inpatient, Day Treatment, Partial Hospitalization,and Residential Treatment Settings
Pediatric mental health needs are currently on the rise across all levels of care. The COVID-19 pandemic accentuated concerns within our mental health system, not only for those requiring care, but also for care providers. One particular area of concern is access to care for those that require acute care or crisis stabilization (eg, emergency department visits or stays on crisis stabilization units). The Attachment, Regulation, and Competency (ARC) approach, a flexible trauma-informed treatment framework, provides equitable and effective treatments for youth as well as systems to support health care professionals caring fo...
Source: Child and Adolescent Psychiatric Clinics of North America - March 26, 2024 Category: Psychiatry Authors: Sarah Wentling, Morgan N. Di Napoli Parr, Austin L. Boroshok, Stephen K. Cheng, Antonia Girard, Cassandra Raphael, Sarah Edwards, Kimberly Gordon-Achebe Source Type: research