Leveraging Clinical Informatics to Improve Child Mental Health Care
Acceleration in the use of health information technologies has stimulated an equally increasing need for workforce development in clinical informatics. The near universal adoption of electronic health records (EHRs), centralization of medical records within care networks, development of specialty-adapted physician support tools, and production of vast clinical data mines1 provides new opportunities to leverage these technologies to improve access and quality of care. Recently, many physicians have newly implemented video appointments with minimal training on how to integrate with EHR systems. (Source: Journal of the Americ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Authors: Nicole M. Benson, Juliet B. Edgcomb, Adam B. Landman, Bonnie T. Zima Tags: Translations Source Type: research

Correction
Revision to Stage 1 Registered Report, “Promoting Treatment Access Following Pediatric Primary Care Depression Screening: Randomized Trial of Web-Based, Single-Session Interventions for Parents and Youths” (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Tags: Correction Source Type: research

Hats Off: Journal Awards 2020
This summer, your president-elect, your editor, and last year ’s Journal award winners were challenged with selecting 3 new award-winning JAACAP articles.a To be eligible, articles must epitomize scholarly excellence in a key area of our discipline and have been published in the Journal between July of the previous year and June of the current year by a lead or senior author who is a child and adolescent psychiatrist and an AACAP member. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Authors: Douglas K. Novins, Warren Y.K. Ng, Robert L. Findling, James J. McGough, Manpreet K. Singh Tags: AACAP official action Source Type: research

The Bus
This month ’s Book Forum features 3 interrelated reviews: an Australian Netflix series about young adults with autism looking for love, a manual on treating children and adolescents on the spectrum with cognitive behavioral therapy, and a text exposing the despicable work of a child psychiatrist who shall no t be named. To counter that ugliness, I offer you a poem written by the loveliest of humans. This poet is a young man with high-functioning autism who has benefited from cognitive behavioral therapy, and who, after watching Love on the Spectrum, went on his first date. (Source: Journal of the American Academy of ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Authors: Julie A. Chilton Tags: Book forum Source Type: research

Editorial Board Page
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Source Type: research

Council Page
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Source Type: research

Table of Contents
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Source Type: research

Invisible Allies: Thanking Our Reviewers
Reviewing manuscripts is hard work. We wish to express our heartfelt appreciation to the 374 hard workers listed below, who so diligently served their Journal between July 1, 2019, and June 30, 2020. Our additional gratitude to our twelve colleagues (Matthew G. Biel, Daniel A. Geller, Christian Kieling, Ellen Leibenluft, Bennett L. Leventhal, Andr és Martin, Jonathan Posner, Armin Raznahan, Lawrence Scahill, Manpreet K. Singh, Joel S. Stoddard, and Argyris Stringaris) who served as ad hoc and guest editors and helped ensure that all manuscripts, our own included, were treated under the same editorial standards. We a...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Tags: Editor's corner Source Type: research

Corrigendum
In the 2019 Scientific Proceedings supplement to JAACAP, New Research Poster 3.35, “Pediatric Acute-Onset Neuropsychiatric Syndrome and Autoimmune Family History” (2019;58:S206), the last name of author Sydney Rice, MD, was listed incorrectly. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Tags: Correction Source Type: research

Correction
In the Translations article “Digital Phenotyping With Mobile and Wearable Devices: Advanced Symptom Measurement in Child and Adolescent Depression” by Lydia Sequeira, Marco Battaglia, Steve Perrotta, Kathleen Merikangas, and John Strauss, published in the September 2019 issue of the Journal of the American Academy of Child and Adolescent Psychiatry (2019; 9:841-845), there was a citation error involving quotations missing around the following text: logged call events (ie, time/date of the call, duration, and contact of both incoming and outgoing calls), short message service (SMS) text message events (ie, time/...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Tags: Correction Source Type: research

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“The perfect girl smells like orange juice.” Meet Kelvin, a 21-year-old single young person with autism spectrum disorder (ASD), “a disability which helps me concentrate on one thing rather than get distracted by others.” He lives with his single father, has been learning Japanese, and his i nterests include drawing, manga, and computer. Like other young people his age, Kelvin is searching for love. As he anticipates the world of dating and what love means to him, he tells us, “I got pictures of girls in my brain right now and they look cute.” (Source: Journal of the American Academy of ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Authors: Anish R. Dube Tags: Book forum Source Type: research

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Youths with autism spectrum disorder (ASD) often present with complex clinical presentations and immense behavioral health needs. These co-occurring symptoms include, but are not limited to, anxiety, depression, disruptive behavior, and sleep problems. To put it bluntly, these issues are not yet adequately addressed by the fields of psychology and psychiatry. Cognitive-behavioral therapy (CBT) is the gold standard nonpharmacologic intervention for such clinical problems; yet, CBT providers are often scarce, and, even when available, few clinicians feel confident adapting this modality for individuals on the autism spectrum...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Authors: Megan E. Tudor Tags: Book forum Source Type: research

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יִמַח שְׁמוֹ וְזִכְרוֹLet his name and his memory be erased (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Authors: Andr és Martin Tags: Book forum Source Type: research

Transparency: Disclosure of Financial Interests
In keeping with the Journal ’s policies,1 we provide a listing of disclosures for all members of the editorial masthead and the ad hoc and guest editors (marked with an asterisk) as of October 21, 2020. This list, based on annually updated signed statements on file in the editorial office, includes all biomedical financial i nterests and potential conflicts of interest disclosed for the previous 24 months and the foreseeable future. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 26, 2020 Category: Psychiatry Tags: Editor's corner Source Type: research

Sex-specific Developmental Trajectories of Psychopathology: The Case of Substance Misuse
Childhood psychopathology can cause an array of adverse outcomes later in later life, among which substance use disorders (SUDs). Perhaps because substance abuse is thought to be on the externalizing continuum, the prospective association between childhood externalizing disorders and SUDs is more frequently studied than the association with internalizing disorder. Indeed, research on attention deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD) and conduct disorder (CD), quite consistently demonstrate that these disorders are associated with an increased SUDs risk in later life1. (Source: Journal of ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 23, 2020 Category: Psychiatry Authors: Annabeth P. Groenman Tags: Editorial Source Type: research

Computational Modeling of Attentional Impairments in Disruptive Mood Dysregulation and Attention Deficit/Hyperactivity Disorder
Computational models provide information about cognitive components underlying behavior. When applied to psychopathology-relevant processes, they offer additional insight to observed differences in behavioral performance. Drift diffusion models have been successfully applied to investigate processing efficiency during binary choice tasks. Using these models, we examine the association between psychopathology (irritability and inattention/hyperactivity) and processing efficiency under different attentional demands. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 23, 2020 Category: Psychiatry Authors: Simone P. Haller, Joel Stoddard, David Pagliaccio, Hong Bui, Caroline MacGillivray, Matt Jones, Melissa A. Brotman Tags: New Research Source Type: research

Editorial: What to Do About Rigid, Repetitive Behaviors in Autism Spectrum Disorder?
Rigid, repetitive behaviors (RRBs) as a part of autism spectrum disorder (ASD) are perplexing. First, how is it that they associate with deficits in social communication and social interaction to create a strong symptomatic association for the DSM-5 diagnosis of ASD?1 Deficits in social communication make sense in how they define a developmental disorder, but what is the mechanism by which social interaction and RRBs connect to define the classification of ASD? Perhaps it is that, rather than by neurotransmitters or linked structural brain regions, ASD is a neural systems condition mediated by abnormalities in regionally d...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 22, 2020 Category: Psychiatry Authors: Robert L. Hendren Tags: Editorial Source Type: research

Moving from innovation to validation with independent sample testing Editorial on Neural correlates of positive emotion processing that distinguish healthy youth at familial risk for bipolar versus major depressive disorder
It is well established that family history is the most important known risk factor for the development of a mood disorder. 1 Approximately 25% of at-risk offspring will develop a mood disorder; 1,2 yet this is only slightly higher than the lifetime rate of a mood disorder overall of 21.4%.3 These statistics suggest heterogeneity within mood disorders generally and within those at familial risk. More information, particularly in the form of trait level biomarkers, is sorely needed to accurately predict mood disorder risk and development. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 18, 2020 Category: Psychiatry Authors: Michele A. Bertocci Tags: Editorial Source Type: research

Post-High School Daily Living Skills Outcomes in Autism Spectrum Disorder
This study investigated the impact of high school exit on participants ’ trajectories of daily living skills age equivalent (DLS-AE) scores from ages 2-26 and the relationship between DLS-AE trajectories and employment and education outcomes. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 18, 2020 Category: Psychiatry Authors: Elaine B. Clarke, James B. McCauley, Catherine Lord Tags: New Research Source Type: research

Editorial: Targeting the Core Symptoms of Autism Spectrum Disorder With Mechanism-based
Medications can help manage behavioral problems associated with autism spectrum disorder (ASD), but no pharmacological treatment has proved effective for the core symptoms of the disorder. This issue reports the primary results of the randomized clinical trial Bumetanide in Autism Medication and Biomarker (BAMBI), which tested the efficacy of bumetanide, a loop diuretic acting as a selective antagonist of the chloride importer NKCC1, for the core symptoms of ASD in 92 children aged 7-15 years.1 The study by Sprengers et al. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 16, 2020 Category: Psychiatry Authors: Benedetto Vitiello Tags: Editorial Source Type: research

Personalized Depression Prevention: A Randomized Controlled Trial to Optimize Effects Through Risk-Informed Personalization
To evaluate whether evidence-based depression prevention programs can be optimized by matching youth to interventions that address their psychosocial vulnerabilities. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 13, 2020 Category: Psychiatry Authors: Jami F. Young, Jason D. Jones, Robert Gallop, Jessica S. Benas, Christie M. Schueler, Judy Garber, Benjamin L. Hankin Tags: New Research Source Type: research

Why Spanish Matters
My team was once called to the pediatric emergency department to see an adolescent who had intentionally overdosed on acetaminophen. Beside her, with a face marked by numbness, was her mother who only spoke Spanish. I, a medical student, was the sole person on the team with fluency in this language. Thus began my role as cultural broker where I drew upon my integrated bicultural identity. In this identity, the person adopts the receiving culture and retains the values of the culture of origin.1 This allowed me to more comprehensively navigate the relationship with the family. (Source: Journal of the American Academy of Chi...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 12, 2020 Category: Psychiatry Authors: Christian S. Monsalve Tags: Attachments Source Type: research

Editorial: Individualizing Interventions for Young Children With Autism: Embracing the Next Generation of Intervention Research
“If you have known one child with autism, you have known one child with autism.” Clinical heterogeneity is a defining feature of autism spectrum disorder (ASD). This includes heterogeneity of implicated genes, etiological pathways, neurocognitive mechanisms, behavioral characteristics, comorbid conditions, and developmental trajectories. It is not surprising that children with ASD also vary greatly in their response to interventions. A better understanding of “which children benefit from which intervention” is critical to ensure that each child has access to the most effective interven tion, deliver...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 12, 2020 Category: Psychiatry Authors: Michael Siller Tags: Editorial Source Type: research

The Colliding Worlds of Telepsychiatry, Social Media, and COVID-19
While flipping through my university ’s newspaper recently, I came across a startling headline: “Ditch your therapist, start a Finsta.”1 A portmanteau of “fake” and “Instagram”, Finstas are secondary Instagram accounts young people use to post less polished photos of themselves. Paradoxically meant to be more authentic th an Rinsta (real + Instagram) accounts, Finstas are intended for small, curated audiences. The student journalist dispensed her advice boldly: “Finsta is a good place for all the minutiae you don’t want to share with your therapist, don’t have tim...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 11, 2020 Category: Psychiatry Authors: Michelle C. Bach Tags: Attachments Source Type: research

The Pediatric Symptom Checklist: A Bridge to Child and Adolescent Psychiatry From Pediatrics
During my residency training in Pediatrics and Child/Adolescent Psychiatry (1973-79), I wondered how pediatricians identify children with psychosocial problems. Some behavioral problems were obvious because a parent raised a concern. Most pediatricians would ask one or two psychosocial questions, and some, attuned to emotional issues, would identify children based on their clinical impressions. However, the few studies which had been done at the time indicated that the rates of psychosocial problems identified by pediatricians were far lower than predicted by epidemiological studies. (Source: Journal of the American Academ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 11, 2020 Category: Psychiatry Authors: Michael S. Jellinek Tags: Attachments Source Type: research

Lessons From the 1918 Flu Pandemic: A Novel Etiologic Subtype of ADHD?
In 2009, Dr. A. Fauci stated “The 1918-1919 influenza pandemic was a defining event in the history of public health.”1 In 2020, a popular medical website suggested the 1918 pandemic may offer “lasting lessons for the world in the grip of COVID-19.”2 One lesson from the 1918 pandemic relates to residual long-term effects . In his influential 1971 book, Minimal Brain Dysfunction in Children,3 Dr. P. Wender reviewed historical accounts of the 1918 pandemic and suggested viral infection had selective brain effects on catecholamine nuclei, and behavioral sequelae in some children emerged and overlapped w...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 10, 2020 Category: Psychiatry Authors: James M. Swanson, Nora D. Volkow Tags: Letter to the Editor Source Type: research

Editorial: Best Practices in Child Antipsychotic Use Monitoring
One major change in our field over the past 20 years has been the rapid increase and acceptance of antipsychotic use for children. Pediatric use of antipsychotics was quite rare as recently as the 1990s, but by the mid 2000 ’s there had already been a roughly 6 fold increase in antipsychotic prescribing. There is of course nothing inherently wrong with rapidly increasing utilization of a drug class, particularly when it yields significant clinical results. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 8, 2020 Category: Psychiatry Authors: Robert J. Hilt Tags: Editorial Source Type: research

Systematic Review: Assessment of Sluggish Cognitive Tempo Over the Past Decade
To conduct a systematic review of the measures designed to assess sluggish cognitive tempo (SCT) since the first SCT scale using careful test-construction procedures was published in 2009. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 6, 2020 Category: Psychiatry Authors: Stephen P. Becker Tags: Review Source Type: research

Towards a Data Driven Approach to Screen for Autism Risk at 12 Months of Age
This study aimed to develop a classifier for infants at 12 months of age based on a parent-report measure (the First Year Inventory v.2.0; FYI), to: (1) classify infants at elevated risk, above and beyond that attributable to familial risk status for ASD; and, (2) serve as a starting point to refine an approach for risk estimation in population samples. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 5, 2020 Category: Psychiatry Authors: Shoba Sreenath Meera, Kevin Donovan, Jason J. Wolff, Lonnie Zwaigenbaum, Jed T. Elison, Truong Kinh, Mark D. Shen, Annette M. Estes, Heather C. Hazlett, Linda R. Watson, Grace T. Baranek, Meghan R. Swanson, Tanya St. John, Catherine A. Burrows, Robert T. Tags: New Research Source Type: research

Predicting Autism Risk in Infancy
By definition, autism spectrum disorder (ASD) emerges during early childhood. However, despite longstanding recommendations for earlier identification and intervention, there has been relatively slow progress in lowering the average age of diagnosis and enrollment in treatment for affected children. This has been due to several factors, including the inadequacy of behavioral risk markers and clinical practice entailing a “wait to see” or “wait to fail” approach to identification. Converging evidence now suggests that brain changes precede changes in behavior in children with ASD. (Source: Journal of...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 5, 2020 Category: Psychiatry Authors: Jason J. Wolff, Joseph Piven Tags: In Context Source Type: research

White Fragility: Why It ’s So Hard for White People to Talk About Racism; How to Be an Antiracist; Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century
A third-year resident on duty in the psychiatric emergency department evaluates an 18-year-old African American man who was brought to the hospital by police for “bizarre behavior.” On the day of his initial presentation, the patient reported to his job in retail where, according to the police report, he was sitting by himself in a corner of the breakroom when he suddenly started shouting at coworkers: “What are you saying?! … Stop talking about me! I’m going to f- you up.” (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - November 1, 2020 Category: Psychiatry Authors: Jessica Isom, J. Corey Williams, Matthew Goldenberg Tags: Book forum Source Type: research

Systematic Review: Medication Effects on Brain Intrinsic Functional Connectivity in Patients With Attention-Deficit/Hyperactivity Disorder
Resting-state fMRI (R-fMRI) studies of the neural correlates of medication treatment in attention-deficit/hyperactivity disorder (ADHD) have not been systematically reviewed. Systematically identify, assess and summarize within-patient R-fMRI studies of pharmacological-induced changes in patients with ADHD. We critically appraised strengths and limitations, and provide recommendations for future research. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 30, 2020 Category: Psychiatry Authors: Victor Pereira-Sanchez, Alexandre R. Franco, Dorice Vieira, Pilar de Castro-Manglano, Cesar Soutullo, Michael P. Milham, Francisco X. Castellanos Tags: Review Source Type: research

Systematic Review: The Measurement Properties of the Children ’s Depression Rating Scale−Revised in Adolescents With Major Depressive Disorder
To systematically appraise existing evidence of the measurement properties of the Children ’s Depression Rating Scale−Revised (CDRS-R) in adolescents with major depressive disorder (MDD). The CDRS-R is the most commonly used scale in adolescent depression research, yet was originally designed for use in children 6 to 12 years old. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 29, 2020 Category: Psychiatry Authors: Emma Stallwood, Andrea Monsour, Craig Rodrigues, Suneeta Monga, Caroline Terwee, Martin Offringa, Nancy J. Butcher Tags: Review Source Type: research

Systematic Review and Meta-Analysis: The Association Between Child and Adolescent Depression and Later Educational Attainment
The association between depression and educational attainment in young people is unclear. This systematic review and meta-analysis examines the longitudinal association between depression and subsequent attainment, and its potential effect modifiers and mediators. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 29, 2020 Category: Psychiatry Authors: Alice Wickersham, Holly VR. Sugg, Sophie Epstein, Robert Stewart, Tamsin Ford, Johnny Downs Tags: Review Source Type: research

Systematic Review: The Measurement Properties of the Children ’s Depression Rating Scale-Revised in Adolescents With Major Depressive Disorder
To systematically appraise existing evidence of the measurement properties of the Children ’s Depression Rating Scale-Revised (CDRS-R) in adolescents with MDD. The CDRS-R is the most commonly used scale in adolescent depression research yet was originally designed for use in children six to twelve years old. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 29, 2020 Category: Psychiatry Authors: Emma Stallwood, Andrea Monsour, Craig Rodrigues, Suneeta Monga, Caroline Terwee, Martin Offringa, Nancy J. Butcher Tags: Review Source Type: research

The Need for a Clinically Useful Schema of Social Communication
The recent Translations article by Bishop et  al.1 draws much-needed attention to social communication (SC) in autism spectrum disorder (ASD) and to the need in autism research for treatment-sensitive measures of this key domain. In this context, the authors define SC ability as “the appropriate use and modulation of verbal and nonverbal be haviors during interactions with others”1(p. 555). “Appropriate” is defined relative to normative behaviors for developmental age and language level based on parent report. This stirred us to share our concern that clinicians, too, need ways to assess SC. Hi...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Authors: Marion S. Blank, J. Blake Turner, Prudence W. Fisher, Elisabeth B. Guthrie, Agnes H. Whitaker Tags: Letter to the editor Source Type: research

Dr. Bishop et al. Reply
In “The Need for a Clinically Useful Schema of Social Communication,” Blank et al. present an observation and coding method (The Initiating, Responding, Expectancy Violations [IREV] schema) for identifying “expectancy violations (EVs),” which may signal clinically significant departures from n ormal social communication behavior (eg, in individuals with autism spectrum disorder [ASD]).1 The authors point out that “historically, observation of a patient’s (social communication) has not been part of the routine psychiatric mental status examination,” and argue that this is an im...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Authors: Somer L. Bishop, Shuting Zheng, Aaron Kaat, Cristan Farmer, Stephen Kanne, Vanessa Bal, Stelios Georgiades, Audrey Thurm Tags: Letter to the editor Source Type: research

Protecting Youth Mental Health During the COVID-19 Pandemic: A Challenging Engagement and Learning Process
Globally, the COVID-19 pandemic is causing extensive morbidity and mortality and is fueling psychological distress across populations. Early evidence has shown an increase in anxiety, depression and sleep problems in the general population.1,2 Although pandemics shatter the functioning of communities and families globally, there is a paucity of studies targeting the effects of pandemics on youth mental health. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Authors: C écile Rousseau, Diana Miconi Tags: Clinical perspectives Source Type: research

Global Child Mental Health Research: Time for the Children
Although 9 of 10 of the world ’s children live in low- and middle-income countries (LMICs), and children constitute nearly half of the populations of these countries, far too little research has focused on child mental health in LMICs.1 The expansion of research in global health and global mental health over the past several d ecades has not yet been matched by new research in child and adolescent mental health in LMICs.2 It is time for that to change. New research should include a focus on social drivers and the mechanisms by which they contribute to mental illnesses. (Source: Journal of the American Academy of Chil...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Authors: Stevan Weine, Andrea Horvath Marques, Mahi Singh, Beverly Pringle Tags: Commentary Source Type: research

Applying Antiracist Concepts to Clinical Practice
The recent civic unrest sweeping the United States has catalyzed a long overdue reckoning with structural racism and the many legacies of White supremacy. A renewed sense of urgency has compelled medical institutions to confront an entrenched history of medical racism and its contemporary contributions to racialized health care disparities. Within psychiatry, medical racism has shaped every dimension of practice, driving racial disparities in access to care, quality of care, and diagnostic and treatment plans as well as the capacity to recruit and retain a racially diverse workforce. (Source: Journal of the American Academ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Authors: Jessica Isom, J. Corey Williams Tags: Book forum Source Type: research

Editorial Board
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Source Type: research

Council Page
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Source Type: research

Table of Contents
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Source Type: research

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A third-year resident on duty in the psychiatric emergency department evaluates an 18-year-old African American man who was brought to the hospital by police for “bizarre behavior.” On the day of his initial presentation, the patient reported to his job in retail where, according to the police report, he was sitting by himself in a corner of the breakroom when he suddenly started shouting at coworkers: “What are you saying?! … Stop talking about me! I’m going to f- you up.” (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 27, 2020 Category: Psychiatry Authors: Jessica Isom, J. Corey Williams, Matthew Goldenberg Tags: Book forum Source Type: research

Trends in Antipsychotic Medication Use in Young Privately Insured Children
To estimate trends of annual antipsychotic medication use by privately insured US young children (2-7 years) and to describe clinical and treatment characteristics of these children. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 19, 2020 Category: Psychiatry Authors: Greta A. Bushnell, Stephen Crystal, Mark Olfson Tags: New Research Source Type: research

Impact of COVID on College Student Mental Health and Wellness
To test the impact of the coronavirus disease 2019 (COVID) pandemic on the emotions, behavior, and wellness behaviors of first-year college students. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 19, 2020 Category: Psychiatry Authors: William E. Copeland, Ellen McGinnis, Yang Bai, Zoe Adams, Hilary Nardone, Vinay Devadanam, Jeffrey Rettew, Jim J. Hudziak Tags: New Research Source Type: research

Clinical Decision Support Systems: An Innovative Approach to Enhancing Child and Adolescent Mental Health Services
In the “good old days,” Hippocrates narrowed the basic understanding of disease and clinical practice to four “humors”: blood, phlegm, yellow bile and black bile. Today, medical practice takes place in a rapidly expanding realm of an ever-changing knowledge base that makes it difficult to include a ll evidence-based information about etiology, epidemiology, phenomenology, assessment, prevention, treatment, and more, in day-to-day patient care. This is made more challenging by the complexity and growing interest in “personalized medicine” and “precision medicine.” While some c...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 14, 2020 Category: Psychiatry Authors: Carolyn E. Clausen, Bennett L. Leventhal, Øystein Nytrø, Roman Koposov, Odd Sverre Westbye, Thomas Brox Røst, Victoria Bakken, Kaban Koochakpour, Ketil Thorvik, Norbert Skokauskas Tags: Translations Source Type: research

One-Size Does Not Fit All: Making Suicide Prevention and Interventions Equitable for Our Increasingly Diverse Communities
According to the National Center for Health Statistics, the age-adjusted suicide rate in the United States (US) has increased by 33% from 1999-2017, and the largest increases are among females aged 10-14 (240% increase) and 15-24 (93% increase).1 Currently, suicide is the second leading cause of death for youth aged 10-24 nationally. Decades of studies have noted that the most consistent predictors of death by suicide are previous self-injurious thoughts and behaviors (SITBs), which are disproportionately elevated among Black and Latinx youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 14, 2020 Category: Psychiatry Authors: Jocelyn I. Meza, Eraka Bath Tags: Clinical Perspectives Source Type: research

Preterm Birth Is Associated With Depression From Childhood to Early Adulthood
We examined the associations between gestational age, poor fetal growth and depression in individuals aged 5 to 25 years. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 14, 2020 Category: Psychiatry Authors: Subina Upadhyaya, Andre Sourander, Terhi Luntamo, Hanna-Maria Matinolli, Roshan Chudal, Susanna Hinkka-Yli-Salom äki, Svetlana Filatova, Keely Cheslack-Postava, Minna Sucksdorff, Mika Gissler, Alan S. Brown, Liisa Lehtonen Tags: New Research Source Type: research

Trigeminal Nerve Stimulation for Attention-Deficit/Hyperactivity Disorder: Cognitive and Electrophysiological Predictors of Treatment Response
The current study applies a precision medicine approach to Trigeminal Nerve Simulation (TNS), an FDA approved, neuromodulation treatment for attention-deficit/hyperactivity disorder (ADHD) by testing secondary outcomes of cognitive and electrophysiological (EEG) predictors of treatment response among subjects from the original randomized controlled trial. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 14, 2020 Category: Psychiatry Authors: Sandra K. Loo, Giulia C. Salgari, Alissa Ellis, Jennifer Cowen, Andrea Dillon, James J. McGough Tags: New Research Source Type: research