5.4 The Online Fight Against Stigma: Resources for Clinicians and Families to Realize Social Justice for Youth With Mental Illnesses
The goals of this session are to understand the efficacy of social media use for mental health education and advocacy and to provide a comprehensive review of resources for providers, parents, and children. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Sundus Mari Source Type: research

Telebehavioral Health Interventions: Diverse Populations and Settings
Attendees at this presentation have the opportunity to learn about evolving models of delivering behavioral interventions to youth through videoconferencing, telebehavioral health (TBH). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Kathleen Myers, Andrea M. Chronis-Tuscano Tags: Clinical Perspectives 6 Source Type: research

6.1 Primary Care Partnership From Afar: Bringing Evidence-Based Child Behavioral Treatments for Disruptive Behavior and Depression to Remote Communities
Access to psychiatry and behavioral treatment is limited in remote geographical regions where most mental health concerns are managed by primary care physicians (PCPs). The Partnership Access Line (PAL) at Seattle Children ’s Hospital conducted a “PAL Plus” pilot in 2017 under a state-funded mandate to bring behavioral mental health treatment to the underserved areas of Washington State. The pilot was designed to support PCPs in managing mental health concerns by facilitating fast access to brief mental health t herapy. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Erin Schoenfelder Gonzalez, Nathaniel Jungbluth, Cari McCarty, Robert J. Hilt Source Type: research

6.2 A Hospital Model of Telehealth Behavioral Assessment and Intervention for Individuals With ASD and Severe and Specialized Treatment Needs
The Biobehavioral Program and Pediatric Feeding Program at Seattle Children's Hospital deliver interdisciplinary behavior analytic assessment and intervention to children diagnosed with ASD and related disorders, with challenging behaviors and avoidant-restrictive food-intake disorders. Unfortunately, there are various obstacles in delivering these services across the state, which result in disparities in access to care. The goals of this project were as follows: 1) to increase access to care and minimize disparities with the use of telehealth services; 2) to embed telehealth within the continuum of care of our services; a...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Yaniz Padilla Dalmau, Danielle Dolezal, Eric Boelter Source Type: research

6.3 Lessons Learned Across Pediatric Psychology Projects Using Home-Based Telebehavioral Health
Attendees at this presentation will learn about practical approaches to safely establishing home-based pediatric psychology applications for youth with medical illnesses and physical health conditions. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Eve-Lynn Nelson, Susana Patton, Ann Davis, Shawna Wright, Noreen Thompson, Donna Yadrich, Carol Smith Source Type: research

6.4 Practical Issues in Delivering Home-Based Telebehavioral Health
Attendees at this presentation will learn about the following: 1) the evidence supporting home-based (HB)-telebehavioral health (TBH); 2) risks and benefits of HB-TBH; 3) practical approaches to safely establishing HB-TBH services; and 4) clinical strategies for effectively delivering TBH interventions to the home. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Kathleen Myers, Eve-Lynn Nelson Source Type: research

Child and Adolescent Psychiatry Case Studies: A Broad Range of Ethical Dilemmas
The goals of this presentations are as follows: 1) to emphasize the role of medical ethics and professionalism in the ongoing education of child and adolescent psychiatrists; and 2) to support the professional development of the attendees using case studies that highlight current salient clinical, social, service delivery, training, and legal issues. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Basil Bernstein, Adrian Sondheimer Tags: Clinical Perspectives 7 Source Type: research

7.1 Scientifically Supported Treatments of ASD Versus Complementary and Alternative Approaches
Use of complementary and alternative medicine (CAM) approaches in youth with ASD is common, with up to 65% of families reporting CAM usage. The great majority of CAM has little evidence for efficacy, but access to treatments with strong evidence, such as certain psychotropic medications and applied behavioral analysis, is limited. This situation places families and providers in a potential ethical quandary when youth with ASD have emotional or behavioral challenges. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Matthew Siegel Source Type: research

7.2 Cannabis and Its Legalization
The goals of this session are as follows: 1) to provide child and adolescent psychiatrists with information on the scope of concerns surrounding legalization of marijuana for adolescents, families, and the larger community; and 2) to outline key ethical issues resulting from greater access by youngsters to marijuana. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Andrea P. Mann Source Type: research

7.3 Social Media: Sexting and Texting
The goals of this presentation are as follows: 1) to briefly present a clinical case in which texting and sexting play a significant role; 2) to elicit audience participation in potential ethical issues raised by the case, keeping in mind the AACAP Code of Ethics; and 3) to discuss with expert input potential ways of resolving ethical issues raised to develop a framework for approaching similar cases. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Sandra M. DeJong Source Type: research

7.4 Technological Advances: Pharmacogenomic Testing and Pill-Design Tracking
This clinical case presentation will use clinical material to highlight ethical issues related to the clinical use of pharmacogenomic testing and the newly approved pill designs intended to track medication compliance. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Vishal Madaan Source Type: research

7.5 Child and Adolescent Psychiatrist Resident Training and Mandated Reporting of Abuse/Neglect
The goals of this session are as follows: 1) to review the experience of potentially fraught supervisee-supervisor relationships within child and adolescent psychiatry training programs; 2) to highlight the nature of potentially clashing ethical and legal obligations in the context of mandated reporting of abuse/neglect; and 3) to examine the impact of mandated reporting on the supervisor-trainee relationship. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Adrian Sondheimer Source Type: research

Development of a Unified System of Care for Adolescent Depression in an Academic Medical Center
Depression in adolescence can lead to significant problems in school, relationships, and overall health. Teenagers affected by depression are more likely to be seen in pediatric primary care rather than by a mental health specialist. Youth with chronic medical illness have rates of depression 3 times greater than that of the general population. This Clinical Perspectives will review the organizational, clinical, and technological developments needed to create a unified system for the management of adolescent depression, spanning primary care, specialty chronic illness, and mental health care settings within an academic med...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: R. Eric Lewandowski, Karen Ron-Li Liaw, Elizabeth McCauley Tags: Clinical Perspectives 8 Source Type: research

8.1 Implementation of a Care Pathway for the Management of Adolescent Depression in Pediatric and Mental Health Settings
Depression is a prevalent and impairing condition among adolescents, although most affected youth do not receive the necessary care. The majority of teenagers with depression present in pediatric primary care,  where providers report feeling underprepared to diagnose and manage depression. Screening for depression in primary care has the potential to improve case identification and entry to treatment, but limitations in access to diagnostic assessment and treatment prevent optimal follow of teenagers int o appropriate treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: R. Eric Lewandowski Source Type: research

8.2 Collaborative Care for Adolescent Depression in Pediatric Mental Health Care
Given that adolescents with depression are more likely to present in pediatric care than in specialty mental health care, pediatrics clinics are ideal settings to implement a collaborative care model of mental health care. This session will describe a collaborative model that integrates screening, assessment, treatment, and service coordination in the pediatrics home in a public hospital as part of a unified system of care for adolescents with depression. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Jeanne Greenblatt Source Type: research

8.3 Implementation of a Co-Designed Depression Care Pathway in Pediatric Specialty Care
Youth with depression most commonly present in pediatric settings rather than in specialty mental health care. Teenagers presenting in pediatric specialty care with chronic illness are especially at risk, given that rates of depression and anxiety in this population are as much as 4 times as those found in healthy peers. Integrated behavioral health (IBH) services in pediatric settings improve access to care for affected teenagers. Universal screening, assessment, and evidence-based behavioral health treatments are key components in IBH models. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Rebecca Lois Source Type: research

8.4 Development of an Integrated Clinical Informatics System to Support a Unified System of Care for Adolescent Depression
Clinical informatics systems are powerful tools for tracking and improving care across health systems. This session will describe technological advances in the development of a unified system for the management of adolescent depression in an academic medical center. We will detail responses to challenges in harmonizing systems for managing adolescent depression across varied pediatric and mental health settings. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Timothy L. Verduin Source Type: research

Intensive Treatment of OCD: Understanding the Landscape Including Specific and Novel Strategies to Enhance Effectiveness
This Clinical Perspectives is designed to educate attendees about intensive treatment of OCD, to describe the indicators for intensive treatment and moderators of response, and to introduce novel treatment models. Attendees may apply aspects of these interventions in their traditional treatment of OCD. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Justin W. Mohatt, John T. Walkup Tags: Clinical Perspectives 9 Source Type: research

9.1 Intensive Treatment for OCD and Anxiety: Program Description, Flexible Implementation, and Preliminary Patient Responses
CBT with exposure and response prevention (ERP) is the frontline psychosocial intervention for OCD. There is a growing evidence base indicating that implementing CBT with ERP in a short-term intensive manner is as effective as longer-term weekly therapy. Access to evidence-based services can be limited by factors, including geography, finances, and school/work schedules. A short-term highly individualized intensive model may provide a greater number of patients with access to care despite these limitations. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Avital E. Falk Source Type: research

9.2 Community-Based Delivery to Enhance Accessibility and Effectiveness of Exposure With Response Prevention: Conceptual Rationale and Practical Implementation at Bradley Hospital
Exposure with response prevention (ERP) is effective for youth  with OCD and anxiety disorders, but access to the treatment is poor, and not all recipients respond. This presentation will describe the rationale for community-based, rather than office-based, delivery of ERP as a means of improving treatment accessibility and effectiveness and for the impleme ntation of community-based ERP in partial hospital and outpatient services at the Bradley Hospital Pediatric Anxiety Research Center (PARC). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Brady G. Case Source Type: research

9.3 Treating Pediatric OCD Within the Family System in Residential and Partial Hospitalization Settings
Adequately addressing OCD is important to developmentally appropriate functioning for children and adolescents. Research has demonstrated that moderate to severe pediatric OCD is amenable to treatment combining exposure response prevention in combination with SSRIs. Although outpatient treatment may be sufficient, several variables play a role in determining whether children require higher levels of care to address OCD symptoms, including specific symptoms, symptom severity, availability of evidence-based treatment, family accommodation, impact on activities of daily living, and comorbid disorders. (Source: Journal of the ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Stephanie C. Eken Source Type: research

9.4 OCD Camp: Combining Exposure and Response Prevention and Adventure Therapy for Youth and Young Adults With OCD
Exposure and response prevention (ERP) is the gold-standard psychotherapy for OCD and has been found to be highly effective across numerous treatment trials for youth and adolescents. However, not all patients benefit from ERP for a variety of reasons (ie, treatment refusal, treatment dropout, low motivation). Thus, there is a need to identify novel ways to augment and enhance existing evidence-based treatments for OCD for some patients. Adventure therapy (AT) has been applied and studied in youth with a wide range of mental health concerns. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Travis L. Osborne Source Type: research

Integrating Clinical Genetics Into Child Psychiatry: Lessons From Neurogenetics Clinics
A genetic etiology can now be identified for many children with neurodevelopmental disorders. These children often have behavioral challenges, such as aggression, self-injurious behaviors, anxiety, and hyperactivity. Many different clinical models have been created in an attempt to best serve this unique group of children. However, there is no consensus on what model is the most effective. We will present the following: 1) different models of care for children with neurogenetic syndrome and the benefits and drawbacks of each; and 2) the use and feasibility of diagnostic genetic testing in psychiatric neurodevelopmental dis...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Benjamin Schneider, Allan L. Reiss, Raphael Bernier Tags: Clinical Perspectives 10 Source Type: research

10.1 A Multidisciplinary Model of Care for Children With Neurogenetic Disorders
The goal of this session is to describe our experience with the multidisciplinary Developmental Neurogenetics (DNG) Clinic that offers psychiatry, neurology, and medical genetics services to children with complex neurogenetic syndromes. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Aaron Besterman Source Type: research

10.2 The Rare Autism-Related Genetic Consultation Clinic: A Short-Term Consultation Service for Patients With Rare Genetic Changes Linked to Autism
The goal of this study is to describe our experience running a specialized short-term consultation clinic for ASD-related neurogenetic disorders, the RARE Clinic. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Jennifer Gerdts Source Type: research

10.3 Diagnostic Genetic Testing in a Psychiatry Clinic for ASD and Other Neurodevelopmental Disorders
The goal of this session is to describe our experience of providing comprehensive diagnostic genetic testing to our patients in our clinic that specializes in the treatment of ASD and neurodevelopmental disorders. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: John N. Constantino Source Type: research

10.4 Treating Children With Neurogenetic Disorders in an Outpatient Child Psychiatry Clinic
The goal of this study is to describe the clinical experience of approaching a child with neurodevelopmental disorder using a family-based approach. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Robert R. Althoff Source Type: research

Perspectives on Culture and Diversity: Insights From Child and Adolescent Psychiatrists Who Are Mothers and Racial or Sexual Minorities
The disparities in mental health care in the United States emphasize the importance of all mental health providers, including child and adolescent psychiatrists, enhancing their skills in providing clinical care, training mental health providers, including fellows in child and adolescent psychiatry, and doing research. The literature and personal and professional experiences of child psychiatrists will provide insights. The special situation of mental health services for the gender minority mother and family, the African American mother and family, the immigrant mother and family, and the Asian mother and family will be pr...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Ellen H. Sholevar, Tami D. Benton Tags: Clinical Perspectives 11 Source Type: research

11.1 African American Motherhood: Cultural and Societal Influences
African American motherhood has been written about and discussed extensively. Stigma and negative stereotypes may pose burdens for both the mothers and their children and add to the typical work of mothering and raising children. Often, the concept of motherhood in African Americans is compared with the “ideal” white family, and the richness and strengths of the African American culture have not been appreciated. Unfortunately, black mothers have been perceived as retarding their children’s academic growth, having high rates of single parenthood, and adding to the breakdown of the black famil y unit. (Sou...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Deborah Deas Source Type: research

11.2 Effective Mental Health Care for Asian American Families and Children: A Mother ’s Personal and Professional Perspective
Lecture presentation will be used to present the issues confronting the diverse group of Asian American families and children in the United States. This group has been termed the “model minority,” yet there are many barriers to obtaining effective mental health services. The Asian American population is growing rapidly and will in the future represent a larger proportion of the US population. Language and other barriers embedded in the cultures of origin, as well as a la ck of cultural competence of mental health providers in the United States, perpetuate a lack of effective mental health care, education of tra...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Amy Kim Source Type: research

11.3 Multicultural Mothering: Implications for Personal and Professional Development
The goals of this session are to share and explore the experiences of mothering from the perspectives of an immigrant. This discussion will also address this subject from the perspective of the professional working with other immigrant mothers and children as patients and promote a better understanding of more effective ways to facilitate pride in one ’s own background, as well as enjoyment of the richness of integration and assimilation. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Aradhana Bela Sood Source Type: research

11.4 Motherhood: Sexual Minority Women and Their Journey to Parenting
A life course-developmental perspective can be used to help understand how experiences in life may impact a person at each developmental stage. The process of deciding to have children and becoming a  parent often involves reworking the process of “coming out” as a lesbian woman. Growing up as a sexual minority can influence the strengths and vulnerabilities that one brings to parenting. Children may encounter obstacles that stem from the homophobia, stigmatization, and microaggressions t hat are directed toward them because of their parent’s sexual orientation. (Source: Journal of the Amer...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Cynthia Telingator Source Type: research

Telemental Health and Support/Service Animals: Resources From the Higher Education Mental Health Alliance (HEMHA)
Civility, collegiality, and consensus building have been the hallmarks of the Higher Education Mental Health Alliance (HEMHA) experience. Alliance members will share its multiorganizational successes by describing their effective collaborations in producing the Distance Counseling Guide and by soliciting feedback for its next intended product, the guides on emotional support animals and disability service dogs or miniature horses. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Vivien Chan, Adele L. Martel, Jennifer L. Derenne Tags: Clinical Perspectives 12 Source Type: research

12.1 AACAP and HEMHA: How We Joined the Alliance
The goal of this session is to describe the history and process of AACAP ’s involvement in the Higher Education Mental Health Alliance (HEMHA). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Adele L. Martel Source Type: research

12.2 Telepsychiatry, Telemental Health, and Higher Education
The goal of this session is to present a mental health-relevant summary of considerations for telemental health services that are specific to the institutes of higher education and emphasized by AACAP ’s existing resources. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Hope W. Levin Source Type: research

12.3 Project Management: Distance Counseling and Managing Nine Professional Organizations Toward Consensus
The goals of this session are to present an example of multiorganizational leadership in project management of the Distance Counseling Guide and to share parallels of this in project management considerations of telemental health implementation for institutes of higher education. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Shari A. Robinson Source Type: research

12.4 Campus Culture Considerations for Telemental Health Services
This session presents cultural and diversity considerations specific to colleges and universities as they relate to the delivery of telemental health services. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Kathryn P. (Tina) Alessandria Source Type: research

12.5 Emotional Support and Service Animals on Campus: Dialogue and Controversies
This presentation provides the current definition of emotional support animals (ESAs) and disability service animals and explores controversies in the interpretation and implementation of ESAs compared with service dogs or miniature horses. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Amy W. Alexander Source Type: research

The Four-Phase Model for Pediatric Somatization: Applications for Clinical Care and Systemwide Strategies
The objectives of this Clinical Perspectives are as follows: 1) to describe a 4-phase model; 2) to identify effective clinical strategies, resources, and treatment for use with patients and their families; 3) to describe program and systems management strategies to improve care in tertiary hospital settings; and 4) to share current empirical evaluations of our approaches. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Andrea J.M. Chapman, Sigita Plioplys Tags: Clinical Perspectives 13 Source Type: research

13.1 The Development and Evaluation of a Multifamily Treatment Approach for Adolescents Affected by Somatic Symptoms
The physical experience of emotional stress is a hallmark of somatic symptom and related disorders (SSRDs). Such physical experiences are involuntary, common, and adaptive over the course of development; however, for 8 –12% of youth, physical symptoms cause significant distress and severe impairments in attending school, exercising, and socializing. Often, these youth and their families search for physical rather than emotional explanations for symptoms. This places an enormous burden on the medical system, and there are currently few resources for treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Amrit K. Dhariwal Source Type: research

13.2 A Multidisciplinary Program Approach: Integrating Care in Somatic Symptom Disorder
Collaborative care is required for somatic symptom and related disorders (SSRDs), yet most institutions are not yet incorporating this form of care. A new approach uses 4 phases with an integrated somatic clinic improving poor engagement and delays in diagnosis and sharing the burden of costs with pediatrics, rehabilitation medicine, and mental health. Comanagement by rehabilitation and mental health assists with role clarification between specialists and creates a more rewarding experience. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Tyler Pirlot Source Type: research

13.3 A Systemwide Hospital Strategy for Pediatric Somatic Symptom Disorder
Patients with somatic symptom and related disorders (SSRDs) have complex needs with potential for morbidity and high costs. They require a collaborative interdisciplinary approach. The presentation highlights the 4-phase model of somatization applied to a systemwide strategy in a large pediatric hospital. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Claire M. De Souza Source Type: research

13.4 A Multilevel Framework for Evaluating a Systemwide Somatization Strategy
We present a multilevel evaluation framework to assess the burden of care and impact of interventions. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Hana Saab Source Type: research

13.5 Clinical Interventions and Resources to Help Children and Families Move From Confusion to Recovery
The physical experience of emotional stress is a hallmark of somatic symptom and related disorders (SSRDs). Such physical experiences are involuntary, common, and adaptive over the course of development. However, for 8 –12% of youth, physical symptoms cause significant distress and severe impairments in attending school, exercising, and socializing. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Andrea J.M. Chapman Source Type: research

The Lion Sleeps Tonight: Treating Sleep Problems in the Context of Psychiatric Disorders
This Clinical Perspectives will provide practicing clinicians with valuable advanced knowledge on the epidemiology, pathophysiology, and pharmacological and behavioral treatment of insomnia as commonly seen among children, adolescents, and young adults with mental health conditions. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Anna Ivanenko, Jess P. Shatkin Tags: Clinical Perspectives 14 Source Type: research

14.1 Introduction: Interface Between Sleep and Psychopathology
This Clinical Perspectives will provide an overview of epidemiology of common sleep problems in children and adolescents and provide a conceptual framework of the bidirectional relationship between sleep disorders and mental illnesses. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Anna Ivanenko Source Type: research

14.2 Sleep Hygiene and CBT for Insomnia (CBT-I)
The presentation will provide participants with an understanding of standard sleep hygiene recommendations and their utility, along with other, less commonly addressed interventions to promote a good night ’s sleep. In addition, CBT for insomnia (CBT-I), a brief intervention that includes both behavioral and psychological procedures, will be described. At the end of this presentation, participants will be able to: 1) identify the limited evidence base for typical sleep hygiene recommendations; 2) de termine which sleep hygiene practices are likely to be most effective for children and adolescents; 3) describe when an...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Jess P. Shatkin Source Type: research

14.3 Insomnia in Children With ASD: Treatment Strategies
The objective of this presentation is to educate the attendees about the treatment options for sleep problems in children with ASD. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Kyle P. Johnson Source Type: research

14.4 Behavioral and Pharmacological Interventions for Insomnia Associated With Pediatric Anxiety and Depression
Children with mental illness have a greater risk for sleep disorders, and mood and anxiety disorders are frequently accompanied by sleep disturbances. The goal of this presentation is to examine the associations between sleep and mood/anxiety disorders, as well as the appropriate interventions. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Argelinda Baroni Source Type: research

14.5 Sleep Problems Comorbid With ADHD: Rational Approach to Treatment
This Clinical Perspectives will as follows: 1) provide an update on the most common sleep disorders comorbid with ADHD in children and adolescents, including behavioral insomnia, delayed sleep-wake phase disorder, sleep-disordered breathing and restless legs syndrome/periodic limb movement disorder; 2) review empirically supported behavioral treatments for ADHD-related insomnia; and 3) present an outline to assist the child mental health professional in developing a practical and rational approach to both the selection of ADHD medication regimens and the use of sedative hypnotic drugs in patients with ADHD or at risk for i...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Judith Owens Source Type: research