79.2 a multidisciplinary program approach: integrating care in conversion disorders
Conversion disorders present in inpatient pediatric settings, and although uncommon, they often are debilitating for patients and families. There currently is limited evidence-based standardization of the evaluation and management of conversion disorders on inpatient medical units, which can lead to significant angst among the medical providers and lead to requests from medical providers to have patients transferred from medical to mental health care settings. There also is concern expressed from inpatient pediatrics teams about how early psychiatry should be involved and how to discuss diagnosis and engage in disposition ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Heather M. Goodman Tags: Clinical Perspectives 79 Source Type: research

79.3 eating disorders in a general pediatric hospital: the need for a team approach
Anorexia nervosa (AN) affects an estimated 0.8 percent of adolescent girls in the United States, according to one study. Three key elements can help attain positive outcomes: early detection; early intervention; and restoration of body weight. Often a medical admission may be necessary initially. However, before 2012, our general pediatric hospital at the Children ’s Healthcare of Atlanta did not have the tools to properly diagnose and stabilize patients with eating disorders to begin the process of 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: Maryann Jacob Tags: Clinical Perspectives 79 Source Type: research

79.4 the autism task force: making our hospital more asd-friendly
Hospitalization can be scary and overwhelming for any child, and this is particularly true for children with ASD. These children often have unique sensory and communication needs, and when hospital systems are not prepared for these differences, it results in frustration for both families and hospital staff alike. This is particularly important given that individuals with ASD are more likely to require hospitalization than typically developing individuals. (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: Hannah Reed Tags: Clinical Perspectives 79 Source Type: research

Logging on to the positive role of technology in psychiatric practice
The goal of this session is to explore how mental health care of youth is enhanced through informed application of effective digital tools and prescription of protective online behaviors. (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 Weigle, Todd Peters Tags: Clinical Perspectives 80 Source Type: research

80.1 there ’s an app for that: video games and smartphone applications to enhance psychiatric treatment
The objective of this presentation is to review the efficacy and clinical utility of applications and video games designed to teach coping skills and other healthy habits, provide psychoeducation, and treat mental illness. (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 Weigle Tags: Clinical Perspectives 80 Source Type: research

80.2 technology in good hands: patient engagement and treatment monitoring in hospitalized youth
This presentation will review implications and challenges of integrating electronic screening, symptom self-reporting, and actigraphy measures into routine care for inpatient youth with mood 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, 2019 Category: Psychiatry Authors: Rasim Somer Diler Tags: Clinical Perspectives 80 Source Type: research

80.3 mental health likes: online resources for youth, parents, and providers
In this session, we will review how online resources and emerging technology can be used to facilitate engagement of youth in care and improve mental health treatment, and we will review online resources and guidelines that promote positive psychosocial development and the safe and appropriate use of media and technology. (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 Mitrani Tags: Clinical Perspectives 80 Source Type: research

80.4 friend me: development and identity formation in the digital age
This presentation will illustrate the role of social media in child and adolescent development and identity formation to better understand and engage with our patients. (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: Tracy Asamoah Tags: Clinical Perspectives 80 Source Type: research

Measurement-based care in child and adolescent psychiatry
Measurement-based care (MBC) represents the use of standardized, objective measures of pathology to establish a baseline and track treatment progress in chronic medical conditions. There is a clear body of literature demonstrating the value of MBC to supplement clinical assessment in psychiatry, and the transition to value-based care demands that child and adolescent psychiatrists adopt more objective standards of treatment progress. Specific barriers to the use of MBC (knowledge, infrastructure, and clinical acceptance) have been identified in the literature and in surveys of the community of child and adolescent psychiat...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Rajeev Krishna, Alan Axelson Tags: Clinical Perspectives 81 Source Type: research

81.1 clinical value and applicability of measurement-based care in child and adolescent psychiatry
Participants will gain an understanding of the meaning and value of measurement-based care (MBC) and how it applies to the work of child and adolescent psychiatrists. (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: Barry Sarvet, Eugene Grudnikoff Tags: Clinical Perspectives 81 Source Type: research

81.2 behavioral health rating scales for clinical practice
In recent years, there has been a shift in US health care toward requiring objective measurement and documentation of disease state improvement to increase accountability in care. This presentation will provide information on publicly available behavioral health-rating scales for pediatric patients and discuss integration of this material into clinical practice. (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: Jessica Jeffrey Tags: Clinical Perspectives 81 Source Type: research

81.3 computer adaptive testing: multidimensional item response theory and the development of the kiddie-cat
At least 50 percent of youth with mental disorders are unrecognized and untreated, resulting in functional impairment and disability. Rapid and accurate assessment of the presence and severity of a mental disorder can facilitate identification and referral and thus reduce the public health burden of mental disorders in 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: Robert Gibbons Tags: Clinical Perspectives 81 Source Type: research

81.4 infrastructures to support measurement-based care in clinical practice settings
Infrastructure and workflow support have been identified as significant barriers to implementation of measurement-based care (MBC) in clinical practice. This presentation will offer strategies and resources to address these barriers. (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: Rajeev Krishna Tags: Clinical Perspectives 81 Source Type: research

Partnering with parents: evidence-based strategies for parents of teens with substance use disorders (sud)
In this session, participants will learn to: 1) use evidence-based screening practices for adolescents with substance use disorders (SUD); 2) identify and respond to legal and ethical challenges with regard to disclosure to parents, parental involvement, and confidentiality; 3) discuss practical approaches that can be implemented in the home, such as behavioral contracts, drug testing, and contingency management to help improve treatment outcomes; and 4) apply parent guidance strategies with regard to monitoring of online communications in the context of substance use. (Source: Journal of the American Academy of Child and ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Diana Deister, David Louis Atkinson Tags: Clinical Perspectives 82 Source Type: research

82.1 confidentiality and integration of the family system in treatment
Parents and caregivers play an essential role in substance use treatment and relapse prevention. Family members often facilitate treatment by providing additional oversight of substance use, promoting adherence to medication, and supporting attendance at appointments. However, confidentiality and the logistics of disclosure can be challenging when involving family in an adolescent ’s care. This presentation will help providers to navigate confidentiality and legal considerations when engaging family participation in treating adolescent 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: Justine Welsh Tags: Clinical Perspectives 82 Source Type: research

82.2 drug testing, behavior contracts, and contingency management: the nuts and bolts
Parents and families can play an important role in supporting treatment and recovery for adolescents with substance use disorders. This session discusses the benefits and practical applications of drug testing, behavior contracts, and contingency management, which are 3 important strategies that can be implemented at home by parents or family members. (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 Chadi Tags: Clinical Perspectives 82 Source Type: research

82.3 parenting, social media, and substances: how to monitor, how to respond
Online and other screen media activities occupy a significant portion of adolescents ’ time and attention. Electronic devices are used for work and studies, entertainment, and communication. They are both the means, and in the virtual space, the location for these activities to occur. Participants will learn about the ways in which modern digital technology impacts adolescent subs tance use risk and activities. Evidence-based recommendations for providing anticipatory guidance to patients and caregivers seeking support for reducing the risk of adolescent substance use resulting from online media use are provided. (So...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Michael W. Tsappis Tags: Clinical Perspectives 82 Source Type: research

82.4 adolescent substance use disorders screening and risk stratification
Screening, brief intervention and referral to treatment (SBIRT) can delay and decrease substance use initiation among youth, yet implementation barriers limiting the use of SBIRT may contribute to the fact that fewer than 10 percent of adolescents with substance use disorders (SUDs) receive any appropriate treatment. This presentation teaches the use of an efficient tool for SBIRT. (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: Martha J. Ignaszewski Tags: Clinical Perspectives 82 Source Type: research

Raising our voices for families separated at the border: understanding and responding to the crisis
The zero-tolerance policy separated thousands of immigrant children from their parents in 2018. Although the policy ended, there are still families pending reunification, and proposed changes to the Flores agreement threaten the well-being of immigrant children. This Clinical Perspectives aims to provide child and adolescent psychiatrists with a better understanding of the needs of this vulnerable population and with useful strategies to engage in advocacy efforts. (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: M. Carolina Zerrate, Ruth Gerson Tags: Clinical Perspectives 83 Source Type: research

83.1 psychosocial determinants of mental health for undocumented immigrant youths
Undocumented immigrant youths experience a multitude of psychosocial stressors related to acculturation and legal uncertainties not shared by their age-equivalent, native cohort. Currently, there are approximately 2.2 million undocumented youths ages 24 and under in the United States. The primary objective of this presentation is to provide participants with an understanding of how such psychosocial factors may influence mental health outcomes in undocumented immigrant youths. (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: Annie Li Tags: Clinical Perspectives 83 Source Type: research

83.2 raising our voices to echo the pleas of families separated at the border: children and adolescent psychiatrists advocating to end forced separation
In April 2018, the Trump administration launched a zero-tolerance policy to deter illegal immigration at the southern border of the United States. Thousands of children were separated from their parents and placed under the care of the US Department of Health and Human Services. National and international outrage prompted President Trump to sign an executive order ending the policy, and activism from diverse groups was a key. Child and adolescent psychiatrists have a critical role in raising awareness and mobilizing efforts to protect children 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: M. Carolina Zerrate Tags: Clinical Perspectives 83 Source Type: research

83.3 providing care for families separated at the border: experiences from an immigrant child and adolescent psychiatrist in new york city working with families in crisis
This presentation will discuss the many challenges facing child and adolescent psychiatrists, who are often immigrants themselves as they navigate taking care of immigrant patients in a world with “zero-tolerance” policies and children forcefully removed from their family. At the end of this session, participants will be able to: 1) demonstrate understanding of the psychological consequences of immigration, including forced separation, detention, and deportation, on children, families, an d communities; and 2) identify how child and adolescent psychiatrists and other professionals can work together to take care...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jennifer Havens Tags: Clinical Perspectives 83 Source Type: research

Fundamentals in mentalization-based treatment for suicidal and self-injurious youth
Mentalizing-based treatment (MBT) has developed over the last 2 decades as a coherent conceptual framework, and it is increasing as an empirically supported approach to borderline personality disorder, family treatment of children and adolescents, eating disorders, and self-harming adolescents. In this Extended Workshop, participants will learn about: 1) how mentalizing capacities develop in the context of attachment relationships; and 2) the impact of neurodevelopmental changes in the mentalizing capacities of 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: Laurel L. Williams, Carl Fleisher, Chris Grimes, Efrain Bleiberg, Carlene MacMillan, Owen S. Muir, Kyle McEvoy Tags: Extended Workshop 1 Source Type: research

Motivational interviewing: introductory skills for practitioners new to mi
There is a critical need to provide evidence-based psychotherapy training to child and adolescent psychiatrists. Motivational interviewing is a humanistic, client-centered, and evidence-based psychotherapy that can be adopted for use in almost any clinical setting. This Extended Workshop will provide hands-on training in motivational interviewing theory and fundamental skills. (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: Scott R. Hunter, Catherine Friedman, Nihit Kumar, Joseph S. Lee, Christian Thurstone Tags: Extended Workshop 2 Source Type: research

Essentials of contract negotiation and renegotiation for women psychiatrists across the career span
Attendees of this Extended Workshop will gain the following: 1) knowledge of current pitfalls and obstacles that many women in child and adolescent psychiatry face as they negotiate employment contracts when first out of training, as well as renegotiating contracts; 2) an understanding of how to take a personal inventory of what is most important to one ’s self for a future job negotiation; 3) knowledge and practice of how to develop a competitive curriculum vitae; 4) practice and mastery of skills for negotiating and renegotiating for a job successfully; 5) knowledge about details of employment contracts, such as th...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Elizabeth McGuire, Marcy Forgey Borlik, Neha Sharma, Kayla Pope, Tami D. Benton, Aditi Hajirnis, Maria Pia Rogines Velo Tags: Extended Workshop 3 Source Type: research

The role of child and adolescent psychiatrists when disaster strikes: a training course
The goals of this session are: 1) to understand the characteristics of disasters, systems of disaster response, and roles for child and adolescent psychiatrists who wish to help; 2) to comprehend how to prepare for and intervene at different phases of disaster, including early evaluation, support, referral, and treatment of distressed children using evidence-informed and -based practices; 3) to learn about opportunities for child and adolescent psychiatrists to mitigate ill effects of traumatic stress and enable resilience and recovery from disaster through community engagement; and 4) to understand the guidelines for and ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Linda Chokroverty, Frederick J. Stoddard, Stephen J. Cozza, Margaret E. Tompsett, Susan Therese Garrett, Steven Berkowitz Tags: Extended Workshop 4 Source Type: research

Mindfulness-based health promotion (mbhp) in the vermont family-based approach (vfba): from origins to practice
Child and adolescent psychiatrists generally operate in a model that focuses on identification and treatment of illness once a youth is symptomatic, yet this belies the substantial and growing literature addressing effective primary and secondary prevention measures to scaffold healthy brain development. This Extended Workshop familiarizes attendees with the significant base of behavioral and neuroscientific evidence for multiple specific wellness-based interventions, in addition to demonstrating the inclusion of family-based approaches to mental health assessment and prevention models, as supported by the literature on th...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Andrew Rosenfeld, James J. Hudziak, Allison Hall, Robert Althoff Tags: Extended Workshop 5 Source Type: research

Transgender 201: advanced practice in the care of gender-diverse youth
This Extended Workshop offers providers with an interest in the care of gender-diverse/transgender or gender-nonconforming (TGNC) youth the opportunity to: 1) improve competence in working clinically with patients with diverse presentations, including different ages, complicated family structures and support systems, diverse ethnic backgrounds and belief systems, and/or co-occurring mental illnesses; 2) learn and practice different psychotherapeutic approaches to gender-diverse/TGNC patients, including trauma-informed interventions, CBT, family therapy, and strengths-focused resilience skills building; and 3) expand clinic...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Stevens Jaime, Natalie Ramos, Shervin Shadianloo, Serena M. Chang, Myo Thwin Myint, Brandon Johnson, Alexis Chavez Tags: Extended Workshop 6 Source Type: research

Motivational interviewing (mi): intermediate/advanced skills for current mi practitioners
There is a critical need to provide evidence-based psychotherapy training to child and adolescent psychiatrists. Motivational interviewing (MI) is a humanistic, client-centered, and evidence-based psychotherapy that can be adopted for use in almost any clinical setting. This Workshop will provide an intermediate/advanced training experience in MI that not only advances attendees practical psychotherapy skills but also guides them on the path to becoming trainers themselves, thus magnifying the impact on clinical practice. (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: Scott R. Hunter, Catherine Friedman, Nihit Kumar, Joseph S. Lee, Christian Thurstone Tags: Extended Workshop 7 Source Type: research

Telepsychiatry: getting going and staying in the game
Telepsychiatry (TP) has entered mainstream mental health care for youth and families. However, most providers seeking to incorporate TP into their practices have to do so alone with no assistance in determining the steps to setting up and sustaining a successful practice. Training programs have not responded to the rapid development of the field. The AACAP TP Committee has established guidelines of care and a toolkit for TP practice. We now seek to translate these efforts into an Extended Workshop to help child and adolescent psychiatrists to decide whether to incorporate TP into their practices in the public or private se...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Kathleen M. Myers, David Pruitt, Patricio Fischman, Deepika Shaligram, Shabana Khan, Daniel Alicata, Ujjwal Ramtekkar, Jennifer McWilliams, Lloyda Broomes Williamson, Deborah M. Brooks, Sarah M. Edwards, Taryn Park, Felissa Goldstein, Amanda Schroepfer O' Tags: Extended Workshop 8 Source Type: research

Advanced psychopharmacology
An increasing number of children and adolescents are presenting for psychopharmacological treatment. A number of these individuals are either comorbid or refractory to traditional treatments. (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: Adelaide Robb, Mai Uchida Tags: Institute 1 Source Type: research

1.1 emerging neuroscience-based psychopharmacology in child and adolescent psychiatry
The goal of this session is to describe neuroscience findings that may direct us toward novel approaches to treatment in child and adolescent mental health, as well as research findings that help us understand the potential impacts, both positive and negative, of our current treatments. (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: Jeremy Veenstra-VanderWeele Source Type: research

1.2 pediatric depression: how to detect, diagnose, and treat in children
This presentation provides an up-to-date review of the prevalence and characteristics of MDD in populations of youth with mental illness, strategies for screening and diagnosing MDD in children, and treatment responses for MDD. (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: Mai Uchida Source Type: research

1.3 long-term and maintenance treatment of bipolar disorder
Bipolar disorder (BD) is a chronic illness that frequently requires long-term and maintenance treatment to optimize functioning in youth with the disorder. Early cessation of treatment frequently leads to a relapse of symptoms to both depressive and manic episodes. (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: Adelaide Robb Source Type: research

1.4 psychopharmacologic treatment of pediatric anxiety disorders: an update
The goals of this session are to summarize and compare the differential efficacy and tolerability of pharmacotherapy for the treatment of pediatric anxiety disorders and to describe predictors of treatment response. (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: Jeffrey Robert Strawn Source Type: research

1.5 pharmacological strategies in adhd
Increasingly complex cases of children with ADHD are presenting to child and adolescent psychiatrists requiring practitioners to learn new strategies for sequencing treatment, management of refractory core ADHD symptoms, and treatment of comorbidity(ies). Longer-term outcomes remain unclear. (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 Source Type: research

1.6 eating disorders in children and adolescents
This presentation provides an up-to-date review of the eating disorders commonly seen in children and adolescents. Early recognition and presentation of maladaptive eating patterns are essential for critical treatment. The current evidence-based practices will be reviewed as well as emerging understanding of the neurophysiologic disturbances in reward pathways that are potential treatment targets. (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: Emily Gray Source Type: research

1.7 pharmacological treatment of sleep disorders
Although sleep is a critical aspect of development and well-being, sleep disruption among children is common, because approximately 25 percent of children experience some type of sleep disturbance during childhood. Sleep disorders are more frequent among youth with mental health disorders. This presentation will provide an update on current pharmacological options for the treatment of common DSM-5 sleep-wake disorders such as insomnia, hypersomnia disorder, narcolepsy, restless legs syndrome, and parasomnias. (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: Anna Ivanenko Source Type: research

Autoimmune brain disorders: beyond the basics
Child and adolescent psychiatrists often are the first clinicians to evaluate patients with the abrupt onset of neuropsychiatric symptoms. The diagnosis of autoimmune encephalitis (AE) must be included in the differential for patients with acute-onset multidomain impairment (cognitive decline, personality changes, psychosis, catatonia, etc.). We aim to increase provider awareness of the broader differential for autoimmune brain disorders when considering a clinical diagnosis of AE. Providers will become equipped to participate in collaborative care treatment models for patients with autoimmune brain disorders. (Source: Jou...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: GenaLynne C. Mooneyham Tags: Institute 2 Source Type: research

2.1 autoimmune brain disorders: history in the making
The connection between mental health symptoms and autoimmune dysfunction has long been suspected by medical practitioners. As early as the 1930s, autoantibodies were reported in patients with schizophrenia. This presentation will serve as an introduction to autoimmune encephalopathy (AE) and its recognition, not just within adult medicine but within pediatrics as well. We will review historical and current literature examining the link between autoimmune disorders and neuropsychiatric disease, and we will chronicle the progression of the field evolving from an antibody-based diagnosis to the recognition that, even without ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Lisa B. Namerow Source Type: research

2.2 demystifying the demyelinating disorders
Demyelinating neuroimmune disorders are a heterogeneous group of severe neurologic conditions characterized by inflammatory responses in the white matter of the central nervous system (CNS). Demyelinating disorders typically manifest in previously healthy, developmentally normal, and neurologically normal children and adolescents. Patients develop acute monophasic or relapsing neurologic and neuropsychiatric impairment, sometimes controlled with immune therapy. Research shows that this pediatric population has higher rates of anxiety, stress-related, and somatoform disorders, ADHD, and intellectual disability; in addition,...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Elizabeth Wells Source Type: research

2.3 behcet ’s to sjogren’s: the abcs of autoimmune brain disorders
The recognition of autoimmune encephalitis has highlighted the role of the immune system as a potential target for new-onset neuropsychiatric symptoms. However, many conditions other than autoimmune encephalitis can cause similar clinical presentations, imaging, and paraclinical markers. Given the overlap in these diseases, it is important to be familiar with the broader differential of autoimmune brain diseases and how to develop a more standardized approach to the workup. (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: Heather A. Van Mater Source Type: research

2.4 child psychiatry in autoimmune brain disease
The diagnosis of autoimmune encephalitis (AE) must be included in the differential diagnosis for patients with acute onset of psychosis, mental status or personality changes, delirium, catatonia, or cognitive decline. We will outline key principles that child and adolescent psychiatrists should become familiar with in the evaluation and management of AE. (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: GenaLynne C. Mooneyham Source Type: research

2.5 the role of imaging in autoimmune neuropsychiatric disorders
The diagnosis and identification of autoimmune encephalitis (AE) can be a challenge if patients lack the classic findings on cerebrospinal fluid (CSF), EEG, and MRI upon initial testing. Decision making about treatment may pose a potential clinical dilemma when a patient presents with a concerning clinical history but without abnormalities on initial objective testing. Delays in treatment can result in worse outcomes. 18F-Fluorodeoxyglucose positron emission tomography (FDG-PET) imaging has been increasingly recognized as more sensitive at detecting patterns consistent with AE than conventional imaging. (Source: Journal of...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Erin Stolte Source Type: research

2.6 catatonia and autoimmune conditions in children and adolescents: a diagnostic and therapeutic challenge
Pediatric catatonia is a rare and life-threatening syndrome. Approximately 20 percent of juvenile catatonia is associated with such organic causes as genetic, neurometabolic, and autoimmune disorders. Specific treatments are available for some of these conditions and can drastically improve catatonic symptoms if high-dose benzodiazepines or ECT are insufficient. Systemic autoimmune disorders (lupus, Hashimoto encephalopathy, anti-N-methyl-d-aspartate [anti-NMDA], and anti-gamma-aminobutyric acid [anti-GABA] autoimmune encephalitis) are likely to include catatonia associated with other severe mental illness symptoms (psycho...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: David Cohen, Vladimir Ferrafiat, Marie Raffin, Angele Consoli Source Type: research

2.7 the role of neuropsychological testing in autoimmune brain disorders
Symptoms of mental illness, such as psychosis, confusion, and mania, are common features of autoimmune encephalopathy (AE). The presence of these symptoms may wrongly be assigned to primary mental illness, which may unintentionally delay accurate diagnosis and timely delivery of immunotherapy. Although some causes of AE present with obvious neurological symptoms (seizure, movement disorder, and so on), others present with symptoms of mental illness first. We will present data on ways that neuropsychological consultation can identify acute cognitive change and assist providers in differentiating AE from other etiologies. (S...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Kevin P. Young Source Type: research

A clinical update of intellectual developmental disorder: assessment and management of core and co-occurring features
This Institute provides a practical review of the diagnosis, treatment, and management of children and adolescents with intellectual developmental disorder (IDD) and co-occurring psychopathologies. Participants will gain an understanding of evidence-based diagnosis and treatments from a panel of expert clinicians who have years of experience working within various 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: Kathleen A. Koth, James C. Harris Tags: Institute 3 Source Type: research

3.1 dsm-5: new paradigm and implications for patient care
The goal of this session is to discuss the DSM-5 revision that resulted in a new category called Neurodevelopmental Disorders and a new definition for intellectual disability (ID) (intellectual developmental disorder [IDD]), with implication for better patient 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: James C. Harris Source Type: research

3.2 current diagnosis and assessment of intellectual developmental disorder
Although around 1 percent of the population has an intellectual development disorder (IDD), estimates show that around 30 –50 percent of the population have at least 1 mental health co-occurring disorder. Therefore, it is important that the clinician assess for IDD when a new patient presents in mental health settings. This lecture is an up-to-date review of the DSM-5 diagnostic criteria of IDD and assessment recomme ndations. (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: Kathleen A. Koth Source Type: research

3.3 assessment and treatment of common psychiatric concerns in individuals with intellectual disability disorder
The objectives of this session are: 1) to review the etiology, classification, and clinical symptomatology of common mental health presentations in IDD; 2) to review multimodal treatment approaches to psychopathology in IDD, with a special emphasis within the outpatient clinical setting; and 3) to present longitudinal clinical cases of mental illness treatment in developmental disabilities to demonstrate the application of the material. (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: Ernest V. Pedapati Source Type: research