Contributors
JUSTINE LARSON, MD, MPH, DFAACAP (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - November 19, 2022 Category: Psychiatry Source Type: research

Contents
Paula Riggs, Jesse D. Hinckley, and J. Megan Ross (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - November 19, 2022 Category: Psychiatry Source Type: research

Forthcoming Issues
Complimentary and Integrative Medicine Part I: Diagnosis (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - November 19, 2022 Category: Psychiatry Source Type: research

Impact of Adolescent Cannabis Use on Neurocognitive and Brain Development
Research examining associations between frequent cannabis use in adolescence and brain-behavior outcomes has increased substantially over the past 2 decades. This review attempts to synthesize the state of evidence in this area of research while acknowledging challenges in interpretation. Although there is converging evidence that ongoing, frequent cannabis use in adolescence is associated with small reductions in cognitive functioning, there is still significant debate regarding the persistence of reductions after a period of abstinence. Similarly, there is controversy regarding the replicability of structural and functio...
Source: Child and Adolescent Psychiatric Clinics of North America - October 22, 2022 Category: Psychiatry Authors: J. Cobb Scott Source Type: research

Cannabis Use Disorder in Adolescents
With increasing cannabis potency, increasing variety of methods of cannabis use, and lower perceived risk of cannabis use, it is increasingly important clinicians who work with adolescents remain up-to-date on the latest literature regarding cannabis use and its associated outcomes. Adolescent cannabis use is associated with chronic cognitive, psychosocial, psychiatric, and physical outcomes. Clinicians working in this field should be able to recognize cannabis use disorder, understand how adolescent cannabis use can impact the developing mind, and have informed discussions with patients and families regarding risks of use...
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Daniel Hashemi, Kevin Gray Source Type: research

National Institute on Drug Abuse
This article describes NIDA dissemination efforts and resources that are available to inform clinicians, teens, families, and educators about youth and substance use. Resources that are available include content addressing facts about youth drug use, trends in use, and stigma, in addition to substance use disorder (SUD) prevention and treatment. Information is provided about resources such as infographics, research-based practice guides, training, educational events, and online videos. How input is solicited to inform dissemination efforts is described and future directions for NIDA ’s dissemination efforts are outlined....
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Geetha A. Subramaniam, Laura Nolan, Kristen Huntley, Michelle Corbin, Kenyatta Crenshaw, Todd Mandell, Janet Linton, Quandra Blackeney Source Type: research

Cannabis and Psychosis
Psychosis and cannabis use may overlap in multiple ways in young people. Research suggests that cannabis use increases risk for having psychotic symptoms, both attenuated (subthreshold) and acute. Cannabis use may also exacerbate psychosis symptoms among young people with underlying psychosis risk and psychotic disorders. Although there are suggestions for treating co-occurring psychosis and cannabis use in young people (e.g., incorporating cannabis use assessment and treatment strategies into specialized early psychosis care), there are many gaps in clinical trial research to support evidence-based treatment of these over...
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Michelle L. West, Shadi Sharif Source Type: research

A Review of the Effects of Adolescent Cannabis Use on Physical Health
The current review highlights the available research related to cannabis and indicators of physical health in a variety of domains. Various studies have found associations between cannabis use with pulmonary, cardiovascular, gastrointestinal, and endocrine function as well as body mass index and sleep. At this time, more research is needed to understand the influence of cannabis use on physical health, particularly among adolescent samples. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Abigail L. Tuvel, Evan A. Winiger, J. Megan Ross Source Type: research

Treatment of Adolescent Cannabis Use Disorders
This review summarizes treatments for cannabis use disorder (CUD) in adolescents. The best supported CUD treatments are cognitive behavioral psychotherapies, including family-based models that facilitate environmental changes and youth-focused models that incorporate skills training, motivational interviewing, and contingency management to promote reductions in cannabis use. Some medications show promise in reducing cannabis craving and withdrawal symptoms. Further research is needed on the efficacy and implementation of existing treatments given the changes in cannabis use trends over time and on emerging technologies tha...
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Zachary W. Adams, Brigid R. Marriott, Leslie A. Hulvershorn, Jesse Hinckley Source Type: research

Epilogue
We wish to thank the authors for their important contributions to this issue. The main goal of this issue is to provide clinician readers with clinically meaningful research-based information about adolescent cannabis use and psychoeducation resources for youth and families (Geetha A. Subramaniam and colleagues ’ article, “National Institute on Drug Abuse: Dissemination of Scientific Knowledge to Improve Adolescent Health,” in this issue). It is especially important for behavioral health clinicians and pediatric primary care providers to have a sound science-based understanding of the adverse effects of adolescent ca...
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Paula Riggs Source Type: research

A Pragmatic Clinical Approach to Substance Abuse Prevention
Research has led to the development of hundreds of evidence-based prevention interventions, most of which are school-based prevention programs. Most primary care clinicians and child/adolescent behavioral health clinicians are unfamiliar with and/or lack training in evidence-based prevention interventions. However, most clinicians in these settings routinely screen children for developmental delays and skills deficits that increase the risk of developing substance abuse and a broad range of mental health and behavior problems by adolescence. It is hoped that the broader use of these practical evidence-based prevention tool...
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Paula D. Riggs Source Type: research

Substance Use Screening, Brief Intervention, and Referral to Treatment in Pediatric Primary Care, School-Based Health Clinics, and Mental Health Clinics
This article provides an update on the evidence base for screening, brief intervention, referral to treatment, and the current state of implementation focused on management of cannabis use disorder. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Jessica B. Calihan, Sharon Levy Source Type: research

Complementary and Integrative Medicine/Functional Medicine in Child and Adolescent Psychiatric Disorders: Should It Be Taken Seriously?
According to a clinical report by the American Academy of Pediatrics, in an integrative approach, evidence-based complementary therapies may be used as primary treatments or combined with conventional therapies.1 The clinical report also states that interest in pediatric integrative medicine has increased due to the desire to decrease prescription use, the need for more effective approaches to preventive health in children,2,3 and the prevalence of use in children living with chronic illness.4,5 However, the clinical report also acknowledges that consumer interest in and use of complementary therapies have outpaced trainin...
Source: Child and Adolescent Psychiatric Clinics of North America - October 21, 2022 Category: Psychiatry Authors: Deborah R. Simkin, Eugene Arnold, L. Eugene Arnold Tags: Preface Source Type: research

Impact of Cannabis Legalization on Adolescent Cannabis Use
Because of substantial limitations in available national data, such as inconsistencies among surveys and small sample sizes, the increased prevalence of cannabis use among adolescents since recreational legalization has not been directly observed. Nevertheless, both usage frequency and product potency have significantly increased, alongside alternative routes of delivery to smoking, such as vaping cannabis.  Moreover, certain populations may be especially vulnerable to the effects of legalization. Regardless of differing state-level cannabis legalization status, the adverse consequences of cannabis on youth have clear ne...
Source: Child and Adolescent Psychiatric Clinics of North America - October 20, 2022 Category: Psychiatry Authors: Kristie Ladegard, Devika Bhatia Source Type: research

Adolescent Cannabis Use, Comorbid Attention-Deficit/Hyperactivity Disorder, and Other Internalizing and Externalizing Disorders
Cannabis use often co-occurs with attention-deficit/hyperactivity disorder and other internalizing and externalizing disorders. Treatment planning, including pharmacologic and psychosocial interventions, for these comorbid disorders require thorough diagnostic evaluation to determine the extent of social, emotional, and behavioral impairments, severity of substance use, and motivation for change. Improved understanding of these comorbid disorders will inform treatment planning that address current symptoms and behaviors and may also prevent the development of mental health and substance use disorders in early adulthood. (S...
Source: Child and Adolescent Psychiatric Clinics of North America - October 20, 2022 Category: Psychiatry Authors: Karla Molinero, Jesse D. Hinckley Source Type: research