Get them in the door: updates on the assessment and treatment of school refusal
School refusal is a pervasive problem with complex causes and long-reaching consequences. Youth who are chronically absent from school often fail to complete one of the basic developmental tasks of adolescence —developing autonomy. In turn, their social interactions, academic achievement, and sense of self-efficacy and positive identity are likely to be curtailed severely. Consequently, there is increased likelihood to engage in criminal behavior, sexual risk behaviors, abuse of illicit substances, and dropout from school entirely. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Lois T. Flaherty, Iliyan Ivanov, Tara S. Peris Tags: Clinical Perspectives 58 Source Type: research

58.1 overview of school refusal
School refusal refers to persistent reluctance or refusal to go to school. It can occur with either separation anxiety disorder or social anxiety disorder. Whereas social anxiety disorder and separation anxiety disorders are much more prevalent in younger children (4%) than they are in adolescents (1.6%), failure to attend school is much more prevalent among high school students (20%) than it is among middle school- (12%) or elementary school-aged (11%) students, indicating a multifactorial etiology. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Lois T. Flaherty Tags: Clinical Perspectives 58 Source Type: research

58.2 strategies for school avoidance in elementary school students
Early recognition of school avoidance behaviors and prompt intervention is vitally important to keeping students on track. This presentation will give practical strategies for successfully addressing school avoidance in the elementary school-aged student. Helping students who are reluctant to come to school when they are in elementary school is critical, because the longer a pattern of school avoidance continues, the more difficult it is to address. This can result in a difficult and persistent problem, sometimes resulting in a battle with the school about the requirement for a therapeutic or residential placement. (Source...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Nancy Rappaport Tags: Clinical Perspectives 58 Source Type: research

58.3 what's the emergency department supposed to do about school refusal?
Children and families increasingly present to the emergency department (ED) for mental health problems, including school refusal. Some youth who present to the ED with school refusal have not responded to appropriate outpatient treatment, whereas others have refused appointments and school or may become aggressive or suicidal when parents attempt to force attendance. Families, outpatient providers, and schools are often uncertain how to intervene and turn to the ED, seeking coordination of inpatient admission or residential care. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Ruth Gerson Tags: Clinical Perspectives 58 Source Type: research

58.4 assessment and treatment of school refusal and co-occurring substance use: the  cares model
Current conceptualization of school refusal indicates that adolescents with such behaviors tend to fall in 2 large categories that also overlap with internalizing and externalizing disorders in youth. One additional factor that has received increased recognition as a strong contributor to school refusal is substance use disorders (SUDs) in adolescence. Some have proposed that SUDs and school refusal have a relationship of mutual influence and that school refusal also independently predicts future substance use. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Iliyan Ivanov Tags: Clinical Perspectives 58 Source Type: research

Kids and cannabinoids: what is the evidence?
At an increasing rate, the use of marijuana, its extracts, and the synthetic forms of its chemical constituents is being legalized in the United States for the treatment of medical conditions (ie, medical marijuana). In this Clinical Perspectives, we review the current landscape of medical marijuana and the evidence for use in the medical and psychopharmacologic treatment of children, adolescents, and adults. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Alba Pergjika, Rachel R. Ballard, Mark DeAntonio Tags: Clinical Perspectives 59 Source Type: research

59.1 medical marijuana in kids: so, what is the evidence?
The legalization of medical and recreational marijuana in many states has led to a widening gap in its accessibility. One putative consideration of marijuana in pediatrics is for medicinal purposes. This presentation systematically reviews published reports to identify the evidence base of cannabinoids as a form of medical treatment in children and adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Timothy Wilens Tags: Clinical Perspectives 59 Source Type: research

59.2 a novel observational method for assessing potential harms and benefits of cannabis and its constituent cannabinoids
Over the last several years, there have been enormous changes concerning the public acceptance of marijuana. Thus, the scientific data that can inform marijuana public policy and consumer decisions are needed critically. Our research program seeks to study the effects of commonly used marijuana strains and products, because they are used in everyday life, as opposed to relying solely on testing the effects of US government-grown, lower-potency marijuana in controlled laboratory experiments, which may underestimate the effects of tetrahydrocannabinol (THC) and may ignore the effects of other major cannabinoids, such as cann...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: L. Cinnamon Bidwell Tags: Clinical Perspectives 59 Source Type: research

59.3 cannabidiol clinical trial challenges
The objective of this presentation is to review the challenges to  the execution of clinical trials of cannabidiol (CBD) in the United States. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Elizabeth M. Berry-Kravis Tags: Clinical Perspectives 59 Source Type: research

Lack of interest in eating or food, a subtype of avoidant/restrictive food intake disorder (arfid): diagnosis, treatment, and follow-up from infancy to late childhood
Recognizing that feeding disorders often start in infancy but can continue into childhood, adolescence, or even adulthood, DSM-5 has introduced the new diagnostic category of avoidant/restrictive food intake disorder (ARFID), which covers all age groups. Lack of interest in eating or food is one of the 3 major subtypes of ARFID. Two studies addressed the challenges of treating children with ARFID at different ages, and 2 different treatment methods are presented: one for toddlers and one for young children ranging in age from 5 to 10 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, 2019 Category: Psychiatry Authors: Irene Chatoor Tags: Clinical Perspectives 60 Source Type: research

60.1 diagnosis and treatment of avoidant/restrictive food intake disorder (arfid) in toddlers
The goal of this session is to evaluate the effectiveness of a treatment model for ARFID in toddlers ranging in age from 12 to 42 months. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Irene Chatoor Tags: Clinical Perspectives 60 Source Type: research

60.2 feelings and body investigators (fbi) avoidant/restrictive food intake disorder (arfid) division: sensory and somatic exposure for children with arfid
We describe an acceptance-based interoceptive exposure treatment for children (60 to 119 months of age) who are diagnosed with avoidant/restrictive food intake disorder (ARFID). Food avoidance behaviors in ARFID may be motivated, in part, to suppress or circumvent aversive somatic and/or sensory sensations and the negative emotional experiences that accompany these strong sensations. Although sensory/visceral sensitivity might directly motivate avoidance behaviors in some cases, this intervention is based on the idea that, for many children, sensory/visceral sensitivity leads to an emotional experience of sensations as ave...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Nancy Zucker Tags: Clinical Perspectives 60 Source Type: research

60.3 pediatric, nutritional, and limited psychosocial intervention for avoidant/restrictive food intake disorder (arfid) in an italian longitudinal study from infancy to 11 years of age
The objective of this presentation is to evaluate the evolution of malnutrition and long-term psychopathological risk factors in an Italian cohort of children diagnosed with the first subtype of ARFID. Following a transactional model, which recognizes the complex interplay between the individual characteristics of the mother and the child in the origin of developmental psychopathology, this clinical study explored longitudinally the children ’s malnutrition, maternal psychopathology, and dysfunctional eating attitudes and the emotional/behavioral development of children from infancy to prepuberty. (Source: Journal of...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Loredana Lucarelli Tags: Clinical Perspectives 60 Source Type: research

60.4 cognitive and psychosocial development in older children treated for avoidant/restrictive food intake disorder (arfid) as toddlers
The objective of this presentation is to evaluate the cognitive and psychosocial development in older children who were diagnosed with avoidant/restrictive food intake disorder (ARFID) as toddlers and treated as described by Chatoor. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Rebecca Begtrup Tags: Clinical Perspectives 60 Source Type: research

Psychosis in children and adolescents: what you need to know
Child and adolescent psychiatrists often encounter children and adolescents exhibiting symptoms of psychosis in their clinical practice. This presentation will equip them with the essential clinical aspects of working with children and adolescents showing symptoms of psychosis. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Tushita Mayanil, Elizabeth Menefee Tags: Clinical Perspectives 61 Source Type: research

61.1 overview of clinical high-risk states and first-episode psychosis
Child and adolescent psychiatrists often encounter children and adolescents endorsing symptoms of psychosis in their clinical practice. They will learn about various terminology related to symptoms of psychosis and medical workup of children and adolescents presenting with symptoms of psychosis. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Tushita Mayanil Tags: Clinical Perspectives 61 Source Type: research

61.2 psychiatric differential diagnosis of psychosis and treatment of early psychosis
Attendees will learn about differential diagnoses and comorbidities for children and adolescents with symptoms of psychosis. Attendees will also acquire knowledge about various evidence-based treatments for individuals at clinical high risk for psychosis and experiencing first episode of psychosis, and some clinical pearls 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, 2019 Category: Psychiatry Authors: Irene Hurford Tags: Clinical Perspectives 61 Source Type: research

61.3 neurobiological trajectories in early psychosis: findings from neuroimaging studies
Our understanding of the neurobiology underlying illness trajectories in early psychosis remains largely unknown. Recent efforts via neuroimaging measures have shed light on neural systems that play roles in illness phases ranging from patients at clinical high risk for psychotic disorders to patients beyond their first episode of a schizophrenia spectrum disorder. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Deepak K. Sarpal Tags: Clinical Perspectives 61 Source Type: research

61.4 systems of care in first episode psychosis
This session will enable child and adolescent psychiatrists to learn information on the national and international early psychosis efforts, provide ways for child and adolescent psychiatrists to become involved in these efforts in multiple settings, and support the coordination of interested child and adolescent psychiatrists in organizing educational support networks around early psychosis through AACAP, the APA, and other national and international organizations. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Steven Adelsheim Tags: Clinical Perspectives 61 Source Type: research

The clairvoyant clinician: can we really predict poor outcomes in youth?
The objectives of this presentation are to: 1) review childhood and adolescent risk factors and prognostic indicators associated with the development of future severe mental illness; 2) address prediction of youth violence and implementation of violence risk assessment; 3) discuss predicting suicidality, the use of a risk assessment approach, and social media ’s role in youth suicidality and the associated ethical considerations; and 4) facilitate a discussion with panelists who have expertise in child forensic psychiatry and treatment of high-risk youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Anne McBride, Paula Wadell, Christopher Thompson Tags: Clinical Perspectives 62 Source Type: research

62.1 predicting the development of serious mental illness
The goals of this session are as follows: to define serious mental illness (SMI) and “at-risk mental state”; to identify risk factors and mechanisms associated with the development of SMI; and to review the outcomes of children and adolescents identified as high-risk and to discuss their implications for treatment, planning, and anticipatory guidance. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: JoAnn Park Tags: Clinical Perspectives 62 Source Type: research

62.2 can we predict youth violence?
The goals of this session are as follows: 1) to increase the knowledge of youth violence and its distinction from violence in adulthood; 2) to review prediction models of youth violence and their accuracy; and 3) to understand how to conduct a risk assessment for youth violence using a structured 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, 2019 Category: Psychiatry Authors: Ozra E. Nobari Tags: Clinical Perspectives 62 Source Type: research

62.3 youth suicide: predictable or preventable?
The goals of this presentation are as follows: 1) to provide an overview on youth suicide; 2) to review the predictability of youth suicide; 3) to learn how to conduct a suicide risk assessment for children and adolescents by using an evidence-based approach; 4) to review the literature on evidence-based interventions available on targeting suicide prevention; and 5) to address key components involved in the documentation of adequate suicide risk assessment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Anne McBride Tags: Clinical Perspectives 62 Source Type: research

62.4 social media and suicide: a brave new world
The goals of this session are as follows: 1) to educate child and adolescent psychiatrists with a literature review on social media and its relationship with suicide risk; 2) to promote awareness about establishing media-specific history taking and its pivotal role in initial intake, risk assessment, and the overall treatment plan; and 3) to explore the ethical practices of monitoring social media posting habits for safety-related 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, 2019 Category: Psychiatry Authors: Kevin Nowrangi Tags: Clinical Perspectives 62 Source Type: research

Tip of the iceberg: clinical and administrative challenges to managing polypharmacy across the continuum of care
Psychiatric polypharmacy has been identified as a concern for youth in the child welfare system and/or who are publicly insured. Contributing factors are multifactorial. This presentation will explore these contributing factors through a lens that considers the challenges of integrating mental health care across the continuum of clinical services that serve youth and families. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Joel N. Goldstein, Christopher Bellonci Tags: Clinical Perspectives 63 Source Type: research

63.1 “swimming upstream”: judicious polypharmacy in a complex system of care
This presentation will review the experience of a prior authorization (PA) and peer consultation model of state-regulated polypharmacy oversight to consider the possible “cognitive biases” that child and adolescent mental health care providers may encounter when practicing in complex public sector 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, 2019 Category: Psychiatry Authors: Joel N. Goldstein Tags: Clinical Perspectives 63 Source Type: research

63.2 inpatient or impatient care? managing polypharmacy amid competing interests in inpatient settings
The goal of this session is to review how the competing interests within inpatient hospital settings may promote polypharmacy for children in child welfare systems. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: William David Lohr Tags: Clinical Perspectives 63 Source Type: research

63.3 taming the beast: silos of care and the pressure to prescribe
This presentation will illustrate how congregate care has changed over time, as well as the similarities and differences in mental health care delivery in different state jurisdictions and systems of care: education, child welfare, developmental disabilities, and juvenile justice. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: George Alex Fouras Tags: Clinical Perspectives 63 Source Type: research

63.4 the siloed psychiatrist: obstacles to judicious prescribing for youth in child welfare and outpatient services
This presentation will explore how injudicious psychotropic prescribing may be a result of various factors within 2, often intersecting, systems of care: 1) state child welfare agencies; and 2) outpatient psychiatric clinics. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Paul Rao Tags: Clinical Perspectives 63 Source Type: research

Adolescent cannabis use: an update on the science of harm and an intro to the art of effectively informing teens
This Clinical Perspectives reviews the neurobiology of adolescent cannabis use to investigate the harms of use while providing guidance on effectively informing adolescents of risk. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: David Louis Atkinson Tags: Clinical Perspectives 64 Source Type: research

64.1 the neurobiology of adolescent cannabis use
Adolescents are uniquely vulnerable to substance use because of region- and timing-specific differences in brain development. Ongoing brain development also increases the vulnerability of the brain to structural and functional changes because of environmental exposures such as substance use. In particular, the brain is uniquely sensitive to changes in endocannabinoid (eCB) signaling during adolescence, and repeated exposure to cannabis can contribute to disruption of excitatory and inhibitory neurotransmission. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Kara Bagot Tags: Clinical Perspectives 64 Source Type: research

64.2 a scientific update on the effects of cannabis use on educational attainment and driving impairment
The goal of this session is to describe the effects of adolescent cannabis use on academic functioning, as well as the effects of cannabis on driving, while imparting to participants a strategy for effectively informing adolescents of risks consistent with a motivational interviewing 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, 2019 Category: Psychiatry Authors: David Louis Atkinson Tags: Clinical Perspectives 64 Source Type: research

64.3 an overview of the complex relationship between adolescent cannabis use and development of psychosis in youth
Recent evidence suggests that the use of cannabis, especially during adolescence, is associated with increased risk of psychosis in adolescence and young adulthood. Cannabis use and psychosis have common and distinct preadolescent etiological risk factors that may moderate their relationship. It is imperative to understand these intricate relationships to actively intervene through cannabis use screening and prevention in this vulnerable age group to reduce the risk of future psychosis. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Pravesh Sharma Tags: Clinical Perspectives 64 Source Type: research

64.4 “a light in the darkness?” relationships between cannabis use and negative emotionality at the disorder, symptom, treatment response, and circuit level
Cannabis use and negative emotional states, including depression and anxiety, frequently co-occur in youth. The relationships between cannabis use and negative emotionality are complex. Depressive and anxiety symptoms and disorders may increase or decrease in cannabis users over time; significant variability exists between individuals and within individuals across time periods (eg, acute intoxication vs. abstinent; short term vs. long term). The questions of how depressive and anxiety symptoms change over time and what impact treatment has on these associations are poorly understood by clinicians. (Source: Journal of the A...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Christopher Joseph Hammond Tags: Clinical Perspectives 64 Source Type: research

Asd and neuropsychiatric nuances: understanding variants in phenomenology
This presentation will address aspects of ASD that are increasing in clinical significance and attention in peer-reviewed literature but are mentioned only rarely in presentations for practicing child and adolescent psychiatrists who care for affected patients. Attendees will be updated about the emerging relationships of ASD to mitochondrial disorders, new developments in epilepsy care, social behavior correlates in patients with fragile X syndrome, and disorders of impulsive control and aggression. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Mary Dell, Jay Salpekar Tags: Clinical Perspectives 65 Source Type: research

65.1 mitochondria, adenosine triphosphate (atp), cellular energy, and asd
The goals of this session are as follows: 1) to inform attendees about mitochondrial disorders, including basic pathophysiology, the numerous forms with varying degrees of symptoms expression, and severity, diagnosis, and treatment options; and 2) to inform attendees about mitochondrial encephalopathies and developmental regressions that show signs of ASD in nature. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Mary Dell Tags: Clinical Perspectives 65 Source Type: research

65.2 reading between the squiggly lines: when asd and epilepsy overlap
The goals of this session are as follows: 1) to review historical and common understandings of epilepsy and ASD; 2) to discuss controversies associated with epilepsy and ASD comorbidities; and 3) to encourage personalized treatment and management tailored to the needs of each individual with comorbid epilepsy and 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, 2019 Category: Psychiatry Authors: Jaime D. Twanow Tags: Clinical Perspectives 65 Source Type: research

65.3 social behavior correlates of asd in fragile x syndrome
Fragile X syndrome (FXS) is the most common known cause of single gene ASD found in up to 60 percent of boys with FXS. Individuals with this neurodevelopmental disorder also have lifelong intellectual disability and social anxiety (SA). This lecture presents results on social behavior determinants of ASD status in FXS. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Dejan B. Budimirovic Tags: Clinical Perspectives 65 Source Type: research

65.4 asd and impulsive aggression: treatment directed towards hyper-excitable neural networks
ASD recently has been considered as a disorder of high-neuronal excitability. There are overlaps with other illnesses that involve impulsivity or difficulty in modulating behavioral response. This lecture will highlight the overlap between ASD and the neural characteristics that may yield impulsive aggression. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jay Salpekar Tags: Clinical Perspectives 65 Source Type: research

Comprehensive care for the management of adhd: psychostimulants alone don ’t cut it
The goals of this session are: 1) to present the evidence base and current strategies for pharmacologic, nonpharmacologic, and combined treatment of ADHD; 2) to describe effective behavioral interventions for ADHD, discussing an evidence-based comprehensive summer program; 3) to elucidate best practices for school-based intervention; 4) to clarify the role of neuropsychological testing in the assessment and management of ADHD; and 5) to detail what empirically sound methods may alleviate practical executive function deficits in those with ADHD. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: James G. Waxmonsky, Timothy Wilens Tags: Clinical Perspectives 66 Source Type: research

66.1 evidence base and medication management: the multimodal treatment of adhd (mta) study and beyond
The objectives of this presentation are: 1) to review medications and present the current evidence base for the pharmacologic management of ADHD, highlighting the Multimodal Treatment of ADHD (MTA) study; 2) to describe the limitations of monotherapy with medication for ADHD treatment; and 3) to highlight the evidence for combination strategies that more comprehensively address symptoms and functional limitations that result from ADHD. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Rahil Jummani Tags: Clinical Perspectives 66 Source Type: research

66.2 psychotherapeutic interventions for adhd: lessons from the summer program for kids (spk)
The objectives of this presentation are: 1) to review the literature on behavioral interventions, including parent training, for the treatment of ADHD; 2) to describe a specific comprehensive behavioral treatment intervention strategy, a summer camp —the Summer Program for Kids (SPK)—that addresses ADHD symptoms; and 3) to extrapolate findings from the SPK to general clinical practice with children with ADHD and their families. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Karen Fleiss Tags: Clinical Perspectives 66 Source Type: research

66.3 working with families and schools in treating adhd: essential collaborations
The objective of this presentation is to review current research related to collaborative consultation models for working with parents and school staff when developing school-based intervention plans. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Yamalis Diaz Tags: Clinical Perspectives 66 Source Type: research

66.4 the role of neuropsychological and psychoeducational testing in individuals with adhd
The objective of this presentation is to clarify the role of neuropsychological and psychoeducational assessment in the evaluation and management of children with ADHD. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: David Marks Tags: Clinical Perspectives 66 Source Type: research

66.5 addressing executive functioning deficits and the transition to higher learning
Replicated findings indicate that those with ADHD frequently demonstrate deficits in executive functions (EF) (eg, problems with attention control, behavior control, working memory, and planning). Clinicians should have a clear understanding of the impact that these deficits have upon individual, family, and school functioning. This presentation will: 1) summarize investigations of EF deficits in ADHD; 2) show how EF deficits can affect daily functioning; 3) discuss limitations when broad and abstract methods for building skills in EF have been tried; and 4) review the findings of emerging treatments that address practical...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Richard Gallagher Tags: Clinical Perspectives 66 Source Type: research

Embracing discomfort and distress: conventional and innovative applications of exposure treatment
Exposure-based treatments are among the most effective psychosocial treatments. Regrettably, the use of exposure-based procedures in treatment-as-usual settings is less than optimal. Knowledge, skill, and attitudinal barriers truncate proper application. As a result, this Clinical Perspectives presentation aims to increase the implementation, scale, and sustainability of exposure-based treatments by providing attendees with state-of-the-science findings and practical applications. These goals match the conference themes, emphasizing translational research to improve clinical care, training programs, and service delivery sy...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Robert Friedberg, Eric A. Storch Tags: Clinical Perspectives 67 Source Type: research

67.1 addressing common myths and mistaken beliefs in treating pediatric ocd: what every practitioner should know
The objective of the present work is to review these beliefs, their negative effects, and the empirical literature that debunks 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, 2019 Category: Psychiatry Authors: Nicholas Farrell Tags: Clinical Perspectives 67 Source Type: research

67.2 exposure treatment for eating disorders: current status and horizons
Eating disorders comprise a group of disorders associated with significant morbidity and mortality. Anxiety has been postulated as the core underlying pathology in the various forms of eating disorders. The central role of anxiety is associated with reduced response to hedonically positive stimuli and overvaluation of stimuli perceived as negative, which points to the relatively understudied but important area of exposure and response prevention as the treatment modality for eating disorders. Our presentation will focus on the current practices and future directions regarding exposure therapy in the management of eating di...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Fauzia Mahr Tags: Clinical Perspectives 67 Source Type: research

67.3 breaking the fear avoidance cycle: exposure treatment for youth with chronic pain
Pain-related fear has been identified as an important factor that increases the likelihood of poor outcomes among individuals who experience pain. We have recently developed and implemented a graded in vivo exposure treatment program, jointly delivered by a psychologist and physical therapist focused on children and adolescents with high pain-related fear and chronic pain. The goal of the current study was to examine clinically meaningful changes in our primary outcome, fear of pain, and in our secondary outcomes, disability, pain acceptance, and pain. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Laura E. Simons Tags: Clinical Perspectives 67 Source Type: research

67.4 when do i get to touch the dirty toilet seat and other fun exposures: tips for clinicians
Clinical experience teaches that few, if any, children presenting with OCD or any anxiety disorder enter therapy eagerly wishing to confront their fears. Young patients rarely ask questions like, “When do I get to touch the dirty toilet seat?” Instead, they demonstrate expected levels of avoidance. Research on inhibitory learning indicates that the key elements in successful exposure are decreasing emotionally driven behaviors such as avoidance, as well as reinforcing new approach behavi ors that enable greater tolerance for anxiety. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Robert Friedberg Tags: Clinical Perspectives 67 Source Type: research