Journal of the American Academy of Child and Adolescent Psychiatry Journal of the American Academy of Child and Adolescent Psychiatry RSS feedThis 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.

2.1 Trauma Imposters: Applying a Trauma-Informed Lens to Patient Assessment
The objective of this presentation is to provide an overview of how child and adolescent psychiatrists can better recognize symptoms of trauma and integrate routine inclusion of trauma in the differential diagnosis. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Danielle R. Shaw Source Type: research

2.2 “Black and Blue”—Taking a Deeper Look Into the Impact of Systematic Racism on Black and Brown Youth and the Role of the Child and Adolescent Psychiatrist in Dismantling Barriers to Care
The objective is to challenge our community of practitioners to gain a deeper appreciation for youth presenting with depressive episodes and anxiety states in relation to their experiences of complex trauma. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Mikal Hicks-Black Source Type: research

2.3 Breaking the Cycle: Understanding Privilege, Bias, and How We Can Change Ourselves and Our Systems to Engage Traumatized Minority Youth and Provide Trauma-Informed Care
The objective of this session is to understand ways in which individual and systemic biases continue the cycle of trauma in these individuals and explore new ways to engage these youth from an individual and system perspective to break this cycle. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Thomas Michael Ricart Source Type: research

Racism as Trauma: The Impact of Intergenerational Trauma on Black Youth
The purpose of this presentation is to educate child and adolescent psychiatrists, medical students, and psychiatry trainees about the impact of intergenerational trauma on Black youth, examine the various manifestations of their trauma, and discuss interventions and resources to address the issue. Racism in its various forms including internalized, interpersonal, institutional, and structural have reared its harmful effects on mental health and catalyzed a detrimental cycle of trauma in the African American community. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Abiba Salahou, Akeem N. Marsh, Kenneth M. Rogers Tags: Clinical Perspectives 3 Source Type: research

3.1 Disentangling the Weeds of Racism, Racial Trauma, and PTSD
Implicit bias and systemic racism are hot-button phrases in the public discourse surrounding issues like mass incarceration and police brutality, with questions raised regarding individuals ’ actions as well as the function of the entire criminal legal system. In medicine, these concepts are considered largely in the abstract with limited consideration of their impact at a public health level as social determinants of health. Additionally, the role of trauma has been increasingly rec ognized as adversely impacting health, yet the relationship between racism, its related trauma, and PTSD has historically been underappreci...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Akeem N. Marsh Source Type: research

3.2 The Early Impact of Childhood Racial Trauma: A Developmental Perspective
Black youth are at greater risk of experiencing higher adverse childhood experiences (ACEs) than their White peers. Despite this elevated vulnerability that is associated with an increased risk of PTSD, mood disorders, and suicide, Black children are less likely to be screened or treated for mental illness and more likely to be disproportionately disciplined and their behavior criminalized. Participants will: 1) recognize the psychological impact of ACEs in Black youth; 2) understand how and why racism is considered an ACE; 3) identify how racial trauma impacts brain development of Black youth; 4) identify the different ty...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Nicole Christian-Brathwaite Source Type: research

3.3 When Viral Images of Anti-Black Violence Keep “Trending”: The Impact of Media-Induced Vicarious Trauma on Black Youth
When considering the effects of racism on Black youth, it is important to recognize that trauma is not always intentional abuse and neglect. Trauma in Black youth can manifest as vicarious racial trauma, whereby Black youth experience second-hand exposure to raw, unedited, violent images of brutality against Black people. With the increasing prevalence of social media in society, Black youth have more immediate access to traumatizing imagery depicting assassinations of Black people who look like them. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Abiba Salahou Source Type: research

3.4 Best Practices for Supporting Patients and Colleagues Suffering from the Effects of Racial Trauma
Structural racism has the potential to result in both direct and indirect trauma that can affect the psychological health of Black youth in America. Participants will: 1) discuss current literature relevant to healing from racial trauma; 2) familiarize themselves with a toolkit outlining techniques and skills to support patients and colleagues struggling with the effects of racial trauma; and 3) identify how and when to utilize the toolkit presented through case-based learning and interactive group discussions. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Danielle Howell Source Type: research

When Young Children Need Psychotropic Medications: How to Address ADHD, Anxiety, and Disruptive Behaviors
There are a number of highly effective, evidence-based psychotherapeutic strategies used in young children. They are not always sufficient in addressing severe symptomatology with which preschoolers are struggling. Psychopharmacological approaches are then considered. Most medications in this patient population are off-label with limited data available. Head-to-head comparisons on medications vs psychotherapy or medications vs medication and psychotherapy is lacking. Culture and race are also important aspects that need to be taken into consideration when assessing for medication. (Source: Journal of the American Academy o...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Joyce N. Harrison, Julia Shekunov Tags: Clinical Perspectives 4 Source Type: research

4.1 Treatment of ADHD in Young Children and Review of the Literature
The objective of this presentation is to understand the role of psychopharmacological and psychosocial treatments of ADHD in children under the age of 6 years. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Steven R. Pliszka Source Type: research

4.2 Treating Internalizing Disorders in Early Childhood
There is scant evidence reviewing pharmacological treatment of depression and anxiety in preschool-age children. While treatment of young children centers around a thorough evaluation and psychotherapeutic approaches, medications are also considered when standard interventions fail or acute safety is a concern. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Emily Aron Source Type: research

4.3 Review of Psychopharmacologic Treatments for Children Displaying Disruptive Behavior
Disruptive disorders consist of conduct disorder (CD) and ODD. Currently, there are no psychopharmacological agents that are specifically used to target disruptive disorders. Multimodal interventions are often a key to addressing complex symptomatology as well as high comorbidity of disruptive disorders. Despite a lack of clear guidelines and limited data, medications are used for more severe cases. This presentation will review the role of psychopharmacological treatments of disruptive behaviors in children under the age of 6 years. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Magdalena Romanowicz Source Type: research

4.4 Considering the Meaning of the Medication for Families and Clinicians
The objective of this presentation is to describe clinical approaches to integrating medications into a comprehensive treatment plan, with attention to how explanatory models of child emotional and behavioral problems may influence family decision making. Family-centered treatment planning requires attention to the meaning that families make of their child ’s symptoms and to the treatments as well as an awareness of clinicians’ attributions to the medications. Studies of how families make meaning of preschool mental health concerns are limited, but demonstrate a wide variety, including related to personality, behaviora...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Mary Margaret Gleason Source Type: research

Beyond Being a Good Enough Mother: The Role of Extended Maternal Figures in Clinical Practice Through a Cultural-Sensitive Lens
Although matriarchs are esteemed in certain cultures, their role is often overlooked in individualistic societies, such as ours, which places greater autonomy on the child or adolescent and less on the parent or guardian. We aim to explore the modern role of extended maternal figures through diverse cultures (Black, Hispanic, Asian, and Middle Eastern) to inform ethical considerations in shared decision making in clinical practice. Significant extended maternal figures can take the form of grandmothers, aunts, godparents, and even friends of the family who become respected guardians and become involved in the care of our c...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Ailyn D. Diaz, Julianna M. Finelli Tags: Clinical Perspectives 5 Source Type: research

5.1 Extended Maternal Figures in Black Families and Culture
There are many erroneous narratives around Black families including the “absentee Black father” and the “unfit” Black mother. When clinicians see the involvement of extended maternal figures (EMFs), they may assume it is due to these narratives. However, there are many reasons why extended family and other maternal figures may be involved in the mental health ca re of children and adolescents. For Black families, there is a sense of collectivism in child rearing, that is, Black children are more likely to grow up in households in which their grandparents are present. (Source: Journal of the American Academy of Chil...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Nicole K. Cotton Source Type: research