Child and Adolescent Psychiatric Clinics of North America This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Interprofessional Education in Child and Adolescent Mental Health
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 community professionals in clinical, school-based, and community-based settings. The majority of studies have focused on autism or general child mental health. Outcomes were generally positive but skewed toward attitudinal and knowledge-based measures. Practice-base...
Source: Child and Adolescent Psychiatric Clinics of North America - August 5, 2021 Category: Psychiatry Authors: Michelle Kiger, Kara Knickerbocker, Caitlin Hammond, Suzie Nelson Source Type: research

Engaging Pediatric Primary Care Clinicians in Collaborative and Integrated Care
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 children and adolescents in primary care. CAPs who can establish good working relationships, communicate clearly and efficiently, and facilitate the care of this population will be successful in engaging our PPCC partners in CIC. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - August 5, 2021 Category: Psychiatry Authors: Sourav Sengupta Source Type: research

Teamwork
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. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - July 20, 2021 Category: Psychiatry Authors: William Clark Source Type: research

Development of Emotion Regulation in Typically Developing Children
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 that relevant domains can be therapeutically targeted. This contribution reviews the development of ER in typically developing youth to set the stage for discussion of points of intervention. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Judith A. Crowell Source Type: research

Early Predictors of 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. These findings suggest that adolescent irritability is characterized by distinct developmental pathways from age 3 that have potential to result in an irritable phenotype at age 15. Adolescent-reported and mother-reported irritability may be capturing distinct underlying constructs of irritability; both should be considered in...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Ellen M. Kessel, Lea R. Dougherty, Samantha Hubacheck, Emma Chad-Friedman, Tom Olino, Gabrielle A. Carlson, Daniel N. Klein Source Type: research

Explosive Outbursts at School
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 staff intervention, are often difficult for the student to process, and are typically recurrent. These explosions cross multiple psychiatric and educational diagnostic categories and require diverse interventions to address behavioral, emotional, impulsive, and sensory components....
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Jeff Q. Bostic, Richard Mattison, D. Cunningham Source Type: research

Treatment of Childhood Emotion Dysregulation in Inpatient and Residential Settings
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 emotion dysregulation, the authors summarize the existing contemporary treatment focusing on proxy measures of emotion dysregulation in inpatient and residential settings. Interventions are summarized and categorized into individual- and systems-level interventions in addressing aggressive be...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Jaclyn Datar Chua, Christopher Bellonci, Michael T. Sorter Source Type: research

Designing and Testing a Developmentally Appropriate Intervention for Children in a Psychiatric Residential Treatment Facility
Preadolescent children in residential care have treatment needs that are different from adolescents. An intervention was created using developmental theory to inform decisions about the timing, objectives, strategies, and context best suited to preadolescents in an intensive residential treatment center. Aggressive behavior, seclusions, and restraints data for preadolescents during a 32-month period was used in the analysis. There was a significant decrease in aggressive behavior, seclusions, and restraints for preadolescents during the periods when the developmentally appropriate intervention was used versus the times whe...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Jonathan C. Huefner, Christopher O ’Brien, Dennis G. Vollmer Source Type: research

Psychopharmacology of Treating Explosive Behavior
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 has the most supporting evidence in the treatment of explosive behavior. Stimulants have been shown to be helpful in the treatment of explosive behavior in attention-deficit/hyperactivity disorder. Medication treatment can be associated with signific...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Carrie Vaudreuil, Abigail Farrell, Janet Wozniak Source Type: research

Irritability, Anger, and Aggression in the Context of Pediatric Bipolar Disorder
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 significance, the clinical importance of irritability, anger, and aggression in youth with BD has been well established. In this review, the authors discuss evaluation a nd management strategies of irritability, anger, and aggression in youth with BD. (Source: Child and Adolescent Psychiatric...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Luis R. Patino, Melissa P. DelBello Source Type: research

A Review of the Evidence Base for Psychosocial Interventions for the Treatment of Emotion Dysregulation in Children and Adolescents
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 recognition, emotional reactivity, and emotion regulation. More studies are needed because results are limited by the small number of controlled trials, heavy reliance on parent ratings, and heterogeneity of the samples. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: James G. Waxmonsky, Raman Baweja, Pevitr S. Bansal, Daniel A. Waschbusch Source Type: research

Preventing Irritability and Temper Outbursts in Youth by Building Resilience
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 undesired behavior and its functional consequences. This review summarizes primary, secondary, and tertiary relapse prevention strategies, with an emphasis on strategies that build resilience in youth that mitigate the onset, recurrence, and progression of emotion dysregulation...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Manpreet K. Singh, Rebecca Hu, David J. Miklowitz Source Type: research

Psychoeducational and Skill-building Interventions for Emotion Dysregulation
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, and strategies for parents to better facilitate school-based interventions, develop specific symptom management techniques, and generate coping strategies for the entire family. Evidence is summarized supporting the efficacy of PEP for reducing rage, overall...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Taban Salem, Kimberly A. Walters, Joseph S. Verducci, Mary A. Fristad Source Type: research

A Modular, Transdiagnostic Approach to Treating Severe Irritability in Children and Adolescents
Severe irritability is common in treatment-referred youth, often occurring in externalizing, anxiety, and mood conditions. The best available evidence indicates behavioral parent training and cognitive-behavioral therapy as first-line interventions. Modular approaches (eg, MATCH) can package these strategies in a flexible format, facilitating personalization. Ample evidence supports MATCH ’s effectiveness generally and initial evidence supports its effectiveness for irritability specifically. We provide an overview of MATCH and its application to severe irritability. Emphasis is placed on behavioral parent training as a ...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Spencer C. Evans, Lauren Santucci Source Type: research

The Irritable and Oppositional Dimensions of Oppositional Defiant Disorder
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 disorder diagnostically are not supported by evidence and introduce confusion about the structure and linkages of irritability and oppositional behavior, and obscure the importance of the behavioral dimension in exp...
Source: Child and Adolescent Psychiatric Clinics of North America - May 28, 2021 Category: Psychiatry Authors: Jeffrey D. Burke, Oliver G. Johnston, Emilie J. Butler Source Type: research