11.3 Identity and Acceptance: Building Specialized Services for LGBTQ Youth in Child Welfare
One in 3 youth in foster care in New York City (NYC) identify as LGBTQ, and these youth are more likely to be placed in residential settings and less likely to achieve permanency than their heterosexual and/or cisgender peers. Despite the number of LGBTQ youth in child welfare and their significant mental health needs, few programs in child welfare are specifically targeted to their needs. (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: Jayson J.D. Miller Source Type: research

11.4 Affirmative CBT: Longitudinal Change Processes for Community-Based Sexual and Gender-Diverse Youth
This study builds on those results to explore: the longitudinal impact of AFFIRM o n SGDY’s depression and anxiety; preintervention factors that affect treatment effects; and key intervention constructs that contribute to SGDY mental health. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Shelley L. Craig Source Type: research

The Changing Landscape of ADHD: Newer Medications, Neurostimulation, Digital Therapeutic, and International Consensus Statement
ADHD affects approximately 10% of school-aged children in the United States. Despite multiple evidence-based pharmacological and psychosocial interventions for ADHD, there are still unmet needs related to either tolerability with available pharmacological interventions and preferences for nonpharmacological interventions or lack of consensus on care of ADHD youth. This presentation highlights the changing landscape of ADHD in youth and will cover newer ADHD medications, neurostimulation and digital therapeutics, and international consensus statements by the World Federation of ADHD. (Source: Journal of the American Academy...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Raman Baweja, James G. Waxmonsky Tags: Clinical Perspectives 12 Source Type: research

12.1 What ’s New With Medication Treatment for ADHD?
The objective of this presentation is to discuss what is new with medication treatment for 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, 2023 Category: Psychiatry Authors: Ann Catherine Childress Source Type: research

12.2 The ABCs of Trigeminal Nerve Stimulation Treatment for ADHD
In 2019, trigeminal nerve stimulation (TNS) became the first FDA-cleared, nonpharmacological, device-based monotherapy for treatment of ADHD in children ages 7 to 12 years. TNS is safe and effective at reducing core symptoms of ADHD in approximately 50% of children. However, clinical acceptance and use of the treatment has been slow, partially due to lack of familiarity with how to use the device clinically. This presentation will give detailed instructions and insights to clinicians who would like to utilize TNS as a treatment for 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, 2023 Category: Psychiatry Authors: Sandra K. Loo Source Type: research

12.3 Digital Therapeutics and Solutions for ADHD
The objective of this presentation is to review the therapeutic potential, limitations, and research challenges of digital assessment and digital health intervention (DHI). (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: Margaret D. Weiss Source Type: research

12.4 The World Federation of ADHD International Consensus Statement on ADHD: Implications for Diagnosis and Treatment
Misconceptions about ADHD stigmatize affected people, reduce the credibility of healthcare providers, and prevent or delay treatment of individuals challenged by the disorder. To challenge misconceptions, a team of 80 authors from 27 countries and 6 continents curated findings with a strong evidence base. (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: Stephen V. Faraone Source Type: research

The Web of Connectivity: Challenging Silos of Care Within and Across Child and Adolescent Mental Health, Schools, and Adolescent Medicine
Providers are struggling to meet the mental health needs of teens. Increasingly severe clinical presentations, burnout, bed closures, and staff turnover are putting severe strain on an already overwhelmed system. Key stakeholders —parents, schools, collaborative care providers, and payors—are juggling competing demands without a unified goal. Treatment planning has steadily become based more on cost, availability, and defensive medicine practices than on an individual adolescent and their family. (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: Gregory P. Stiener, Molly Hedrick, Diane E. McLean Tags: Clinical Perspectives 13 Source Type: research

13.1 “It’s Not What They Said or Did, It Was How They Treated Me and Made Me Feel”: Creating Therapeutic Spaces Through Partial Program Treatment—Integrating Clinical Art and Measurable Change
The widely acknowledged mental health crisis among our youth requires creative and multidisciplinary solutions. Opportunities for intensive interventions outside of the hospital setting have been encouraged in order to address rising healthcare costs, decrease the risks associated with more restrictive and coercive interventions, and maintain an environment that highlights, rather than eliminates, predisposing and precipitating factors leading to illness and dysfunction. Partial hospitalization programs (PHPs) have been a way to help meet these needs of the community, but they continue to lack recognition, availability, an...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Molly Hedrick, Gregory P. Stiener Source Type: research

13.2 Collaborative Care in Primary Care: Reaching Teens Where They Are Through In-Person and Virtual Care
Mental health disorders among youth are on the rise and have staggering financial and societal costs. Less than half of youth with a mental health diagnosis are treated, and even fewer are diagnosed. Suicide rates are rising, especially among Black and Hispanic youth. The Impact Model of Collaborative Care in Adolescent Medicine at NYC Health + Hospitals/Lincoln provides a unique avenue for screening, assessment, and treatment of depression and anxiety among urban underserved youth. Utilizing primary care in person and through virtual visits increases access by providing care where patients are available and reduces stigma...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Monique Collier Nickles, Julie Nagpal, Diane E. McLean Source Type: research

13.3 “It’s No Water Park but at Least It’s Not School”—Wading Through School Transitions With Teens, Hospitals, and Schools
An advantage of partial hospital programs is that they keep kids in the least restrictive home environment, thus positioning them for daily work within the family system. However, a primary barrier identified by families and schools is prolonged absence from school. Given the rise in school avoidance since the pandemic, attention must be paid to how to most effectively coordinate with schools during the admissions process, during the transition back to school, and after discharge from a partial hospitalization level of 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, 2023 Category: Psychiatry Authors: Jacqueline M. Springer, Molly Hedrick Source Type: research

13.4 Check Your Connection: Virtual Partial Hospitalization as a Model for Value-Based Psychiatric Care
Partial hospitalization programs (PHPs) have played a unique role in systems of care that range from a community's primary intensive treatment modality with diagnosis-specific subgroups and programming to being effectively unavailable in any form. This range is largely and inequitably dependent on geography and access to academic centers. Lack of uniformity in programming and treatment philosophy, as well as silos between direct-care staff, social work, psychology, and psychiatry, have made data collection and dissemination, as well as replication of effective PHPs, difficult. (Source: Journal of the American Academy of Ch...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Cassandra Ann Gibson Source Type: research

An Unexpected Journey: Guiding Families of Children With ASD Postdiagnosis
Caring for a child with ASD presents a challenging and unexpected journey that permanently alters expectations of the parental role and familial relationships. Faced with unpredictable behavioral outcomes, adaptive functioning, and higher rates of dependency into adulthood, family members often report diminished caregiver self-efficacy, feelings of guilt, and higher rates of mental health disorders. Family-centered and nonpharmacologic interventions can lead to both better psychological outcomes in family members and better developmental outcomes in children with ASD. (Source: Journal of the American Academy of Child and A...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Ronald L. Franzen, Alice R. Mao Tags: Clinical Perspectives 14 Source Type: research

14.1 Helping the Parents of Children With ASD After the Diagnosis
Raising a child with ASD presents a complex task that transforms the expectations for the caregiver role and challenges the self-efficacy of their caregivers. Caregivers of children with ASD often report higher levels of stress and mental health disorders due to the increased time, finances, and emotional adjustments required for their child ’s care. According to a meta-analytic study by Schnabel (2020), parents of children with ASD have a higher prevalence of depressive disorders (31%) and anxiety disorders (33%) compared to the general population (4.4% and 3.6%, respectively). (Source: Journal of the American Academy o...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Alice R. Mao Source Type: research

14.2 Siblings of Children With ASD: Psychological Outcomes and Potential Interventions
In children with ASD, having a sibling is associated with better social communication skills, nonverbal communication skills, and adaptive behavior responses, possibly through the sibling ’s role as a play companion, teacher, and conversation partner. While some sibling relationships are characterized by empathy and protectiveness, others can be impacted by stress related to familial isolation, feelings of embarrassment at school, and tense home environments. The research is incons istent regarding the impact on the unaffected sibling, with some papers reporting higher levels of self-concept and social competence and oth...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Ronald L. Franzen Source Type: research