#Uh-Oh: How Teens Get Into Trouble Online and What We Can Do About It
Social media use is integral to the lives of young people, bringing both enrichment and exposure to social, mental health, and legal risks. We aim to familiarize attendees with the legal status and consequences of juveniles ’ social media use, risks of online behavior, including cyberbullying and sexting, effects of early exposure to online pornography, and the role of clinicians in helping their patients interact safely online. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Caitlin R. Costello, Bennett L. Leventhal Tags: Clinical Perspectives 62 Source Type: research

62.1 Legal Risks and Protection for Young People Interacting Online
The increasing investment of young people in social media brings with it many mental health and legal risks, including cyberbullying, exposure to online predators, the viewing of ill-considered posts by unintended audiences, and even criminal liability. We will provide participants with education on the legal landscape around young people interacting online, including the limitations of the laws that aim to protect them, the legal risks that youth face interacting online, and the role that clinicians can play in assessing and mitigating these risks and in providing guidance to patients and their families. (Source: Journal ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Caitlin R. Costello Source Type: research

62.2 Cyberbullying
Cyberbullying has become rampant in the lives of children and adolescents worldwide. This presentation will educate the audience on the meaning of cyberbullying and cyber aggression. The attendee will become familiar with the long-term impact of cyber victimization and ways that we can work with patients, parents, and school personnel to identify and combat cyberbullying. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Gabrielle L. Shapiro Source Type: research

62.3 Sexting
The objective of this presentation is to provide an overview of sexting, its definition, the available evidence on this topic, and its association to risky sexual behaviors, as well as the shame that it can cause and the resulting depressive symptoms and potential suicide. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Angel A. Caraballo Source Type: research

62.4 Impact of Pornography on Youth
With the World Wide Web, social media sites, and applications, children and adolescents have limitless access and exposure to pornography at an early age, with the average age of first internet porn exposure at age 11 years. More than half had seen it unwittingly, and 1 in 5 teenagers have received a sexual solicitation via the internet. Accessing pornography is easy, fast, and often anonymous. Pornography can be defined as “the depiction of erotic behavior (sexual display in pictures or writing) that is intended to cause sexual excitement” in the viewer (merriam-webster.com/dictionary/pornography). (Source: Jo...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Khadijah Booth Watkins Source Type: research

Acting Up (and Out) on the Unit: Psychotherapy Training in the Inpatient Setting Through the Concept of Enactments
Inpatient child and adolescent psychiatry is a core training venue in medical student and graduate medical education. There is a storied history of psychotherapy training in this setting, yet contemporary trends that have radically altered the inpatient landscape at times make this history seem remote and distant. Reduced patient lengths of stay, inpatient faculty lengths of tenure, and related reductions in expectations for attainable care goals can hinder the incorporation of psychotherapy skills training in the inpatient environment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Timothy Rice, Nathaniel Donson Tags: Clinical Perspectives 63 Source Type: research

63.1 Psychotherapy Training From the Inpatient Setting: Historical Context
The history of psychotherapy training on inpatient rotations reveals significant changes over the decades. This presentation describes this history and provides background for a discussion concerning the value of education on enactments in both medical and graduate medical education. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Martin J. Drell Source Type: research

63.2 Trainee Involvement and Mentorship on the Unit: Story Time/Teen Talk and Enactments
Mentorship and education in the inpatient setting have opportunities for trainee involvement. Involvement in psychosocial programming offers unique benefits to increasing medical student and resident interest in psychotherapy and inpatient psychiatry. Recognition and address of enactments has the opportunity to further strengthen opportunities from this setting. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Maya Hubert Source Type: research

63.3 Enactments on the Unit: Recognition, Training, and Benefits
This presentation intends to develop the preceding introduction of the importance of attention to enactments as a means for psychodynamic psychotherapy training in the current inpatient child and adolescent inpatient psychiatry environment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Timothy Rice Source Type: research

63.4 Enactments: Then and Now
This discussion of the 3 preceding presentations will consolidate and integrate the material. This will proceed through a detailed theoretical and conceptual presentation of the enactment concept. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Nathaniel Donson Source Type: research

Caught in the Net: How Digital Media Shapes Mental Illnesses in Youth and How Psychiatrists Should Respond
Participants will understand a method to integrate clinically relevant effects of various digital media into a biopsychosocial formulation. Participants will learn risk factors associated with digital media use and how these data can aid in the development of treatment plans in crisis settings. Participants will appreciate the reciprocal interactions between the core features of ADHD, ASD, anxiety, and depressive disorders and these youth ’s patterns of digital media 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, 2018 Category: Psychiatry Authors: Kristopher Kaliebe Tags: Clinical Perspectives 64 Source Type: research

64.1 Rebooting the Psychiatric Evaluation: How to Ask Digital Natives About Their Media Use and Make Sense of It
Media use is usually seen as a peripheral concern in mental health assessment and treatment planning, although it is an almost universal behavior among youth across age, sex, class, and culture. I describe an approach to the mental health assessment of digital media use by youth to help psychiatrists formulate its meaning in their patients ’ lives. I apply the traditional framework of the adolescent mental health assessment that is well known to mental health clinicians and innovate from within the typically covered domains. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Nicholas Carson Source Type: research

64.2 So, a Teen With a Smartphone Walks Into Your ER: Incorporating Internet and Social Media Use in Crisis Settings
Participants will understand the following: 1) how to include internet-related questions appropriately in performing a short-term pediatric safety assessment; and 2) how to incorporate knowledge of a patient ’s online habits into treatment planning within the crisis setting. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Meredith Gansner Source Type: research

64.3 From FOMO to iCBT: Perils and Prospects for Youth With Depression and Anxiety
The goal of this session is to understand how the internet habits of youth suffering internalizing disorders affect their prognosis, to identify which online behaviors exacerbate these disorders, and to determine what online resources are protective or can aid in treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Paul E. Weigle Source Type: research

64.4 Inattentive or Aloof Avatars: Digital Media Use and Neurodevelopmental Disorders
We present a comprehensive review of literature on media use habits among youth with neurodevelopmental disorders, predictive factors for problematic media use, and the effects of media use on disease manifestation. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Tolga Atilla Ceranoglu Source Type: research

Difficulty Transitioning to College for ADHD and Learning Disabled Students
The National Center for Educational Statistics indicated that in 2007 and 2008, only 55% of students who started a college program completed that program within 6 years. In contrast, students who were diagnosed with specific learning disorders (SLD) and ADHD complete college at a rate of only 41%. Only 17% receive accommodations and support, even though 94% received support in high school. Furthermore, despite the vast financial benefits of college, 92% of students with SLD have incomes of less than $50,000 within 8 years of graduating from high school. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Matthew Cruger, Natalie Weder Tags: Clinical Perspectives 65 Source Type: research

65.1 Assessment of Vulnerability to Failure or Underperformance in Learning Disabled and ADHD College Students
The vast majority of students headed to college who previously were identified with a specific learning disorder (SLD) or ADHD do not seek on-campus support or accommodation. However, many of these students have an increased risk for failure or underperformance in their first few years of college. Some students are reluctant to identify the risk factors they possess. Several students may confront failure for the first time when they enter a college environment, leading to a cascade of other adjustment problems, as well as increased difficulty resolving these clinical struggles. (Source: Journal of the American Academy of C...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Matthew Cruger Source Type: research

65.2 Preventing Failure in Learning Disabled and ADHD Students by Careful College Selection
Students with learning disabilities and ADHD are entering college in increasing numbers. However, their dropout/failure rates are much higher than those of peers with no learning issues. This happens when as follows: 1) families are unaware of what students will need to succeed academically; 2) families do not know what kinds of support are offered at colleges; 3) families do not understand that students do not always receive the same accommodations in college as they do in high school; 4) families do not acknowledge that students will need support to do well in college; and 5) families are concerned about the “stigm...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Sherri Maxman Source Type: research

65.3 On-Campus Support, Accommodations, and Mentorship for Learning Disabled and ADHD Students
Many college students with ADHD and specific learning disabilities (SLDs) leave for school with fewer supports than they had in high school and are less likely to seek out supports. Although more than 90% of those individuals use accommodations in high school, only 17% use them in college; many no longer identify as having SLD/ADHD. Nonetheless, self-awareness, self-advocacy, and connection to a supportive community are essential to successful outcomes in college. Mentoring programs of K –12 school-age children with SLD/ADHD are helping college students with SLD/ADHD access services in college and to self-advocate. (...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Marcus Soutra Source Type: research

65.4 Recovery and Rehabilitation of Learning Disabled and ADHD Students After Failure at College
As an increased number of young adults with ADHD and specific learning disabilities (SLD) enter college, there are increased requests for evaluation and treatment of people who have encountered limited success with the demands of college courses and college life. Information on the challenges presented by such cases will help develop comprehensive treatment plans for new patients and previously treated patients who have not succeeded. Knowledge of pilot programs will provide guidance on components to include in treatment 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, 2018 Category: Psychiatry Authors: Richard Gallagher Source Type: research

Medical Marijuana: A Potpourri of the Evidence Base, Clinical, Neurodevelopmental, Legal, Ethical, and Research Issues
Medical marijuana policies currently exist in 29 states and the District of Columbia. Child and adolescent psychiatrists are faced with requests for medical marijuana by youth and parents. Federal law prohibits distribution or dispensing marijuana, whereas states are permissive in allowing physicians to certify or recommend its use. Marijuana is classified as a schedule 1 drug with high potential for abuse. The state-qualified conditions cover a range of conditions, some with a strong evidence base for benefit, such as chemotherapy-associated nausea and vomiting, whereas other conditions include ASD, PTSD, and Tourette &rs...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Gail A. Edelsohn, Catherine A. Martin Tags: Clinical Perspectives 66 Source Type: research

66.1 Medical Marijuana in Kids: So, What Is the Evidence?
The legalization of medical marijuana in many states has led to a widening gap between its accessibility and the limited evidence for medical cannabinoids as a form of viable medical intervention, particularly in pediatrics. The goals of this session are as follows: 1) to systematically review published reports to identify the evidence base of cannabinoids as a medical form of treatment in children and adolescents; and 2) to highlight major areas that need to be studied. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Timothy Wilens Source Type: research

66.2 Risk Factors for Substance Use Disorder and Neurodevelopmental Effects of Marijuana
The goal of this session is to review the research on risk factors that can lead to a substance use disorder (SUD) and the effects of marijuana on development from a neurobiological perspective. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Deborah R. Simkin Source Type: research

66.3 What Should I Do When Patients and Families Ask About Medical Marijuana?
Amid numerous state-level policy changes in the last decade, the potential role of cannabinoid therapeutics (often collectively termed “medical marijuana”) has been the subject of increased interest across a range of clinical conditions. Although there is substantial evidence of harm associated with cannabis use in childhood and adolescence, there is increasing curiosity about the potential benefits of a variety of cannabinoids as therapeutic agents in this population. It is critical for clinicians to be informed of the current evidence of potential risks and benefits to guide discussions with patients and fami...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Kevin M. Gray Source Type: research

66.4 What Are the Legal and Ethical Issues Relevant to Medical Marijuana?
The goals of this presentation are as follows: 1) to learn about federal regulations and state laws regarding medical marijuana; 2) to identify legal issues for child and adolescent psychiatrists who may recommend medical marijuana; and 3) to identify the ethical issues that impact clinical decision making. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Gail A. Edelsohn Source Type: research

66.5 Medical Marijuana: Ethical and Regulatory Barriers to Pediatric Research
The goal of this session is to examine ethical and regulatory barriers to pediatric research on medical marijuana and potential ways of addressing 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, 2018 Category: Psychiatry Authors: Albert John Allen Source Type: research

Mental Health Needs of Blind and Visually Impaired Youth and Their Families
Given that nearly 3% of children younger than age 18 years are blind or visually impaired, defined as having trouble seeing even when wearing corrective lenses, it is important for child psychiatrists and mental health professionals to be aware of the distinct mental health, developmental, and educational needs of this population. Few studies have examined the mental health effects of visual impairment (VI) on youth and their families. However, some studies have shown that children with VI have higher rates of diagnoses of mental illness than their sighted peers. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Stephanie Vetere Sims, Stephanie Vetere Sims, Jana Kaye Dreyzehner, Dawn K. DeCarlo, Ted Lombardo Tags: Clinical Perspectives 67 Source Type: research

67.1 Overview of Mental Health Needs of Blind and Visually Impaired Youth
Vision impairment (VI) can affect developmental progress across a number of domains, including communication, language development, mobility, well-being, social interaction, and participation in age-typical activities. The presenter aims to increase awareness on the overlap between VI and mental health. Rates of diagnoses of mental illness and mental health concerns in youth with VI will be presented, as well as theories on why these rates may be higher compared with sighted youth. The presenter aims to increase knowledge about resilience, self-concept, and self-efficacy in youth with VI. (Source: Journal of the American A...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Stephanie Vetere Sims Source Type: research

67.2 Mental Health Issues Affecting Deaf and/or Blind Youth
The purpose of this section of the Clinical Perspectives program is to educate the child and adolescent psychiatrist on the unique mental health, developmental, and linguistic needs of the population of youth with multiple sensory impairments or deaf and/or blind 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, 2018 Category: Psychiatry Authors: Jana Kaye Dreyzehner Source Type: research

67.3 The Impact of Vision Impairment on Children Through the Eyes of an Optometrist
The objective of this presentation is to review studies evaluating quality of life, ADHD, and executive functioning among children with VI. Clinical scenarios will be used to highlight the issues faced by children living with VI. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Dawn K. DeCarlo Source Type: research

67.4 Psychotherapeutic Considerations in Working With Visually Impaired Youth and Their Families
The objective of this presentation is to educate child and adolescent psychiatrists about the psychotherapeutic issues and challenges that arise when working with visually impaired (VI) youth 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, 2018 Category: Psychiatry Authors: Ted Lombardo Source Type: research

67.5 Family Advocacy and Educational Rights of Visually Impaired Students
Parents of children with visual impairment (VI) are faced with many challenges. After parents receive the news that their child has a VI and/or other disabilities, parents go through several stages of adaptation. Searching for answers, researching information, and looking for support are just some of the ways that parents begin to adjust to these daunting tasks. The Individuals with Disabilities Education Act (IDEA) ensures that students with VI are entitled to a “free appropriate public education from birth to age 21.” IDEA lays out the framework for the components of the students’ education. (Source: Jo...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Ted Lombardo Source Type: research

Movement Disorders and Atypical Antipsychotics: Are We Missing the Biggest Issue?
This presentation is designed to present clinicians with an analysis of clinical observation and pharmacologic theory, suggesting the underappreciation of the presence of movement disorders associated with the use of antipsychotic medications. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Pamela Campbell, Adelaide S. Robb Tags: Clinical Perspectives 68 Source Type: research

68.1 Movement Disorders and Antipsychotics: The Nuts and Bolts
Psychopharmacology is a very complex process that is incompletely understood. Studying the brain and how the neurotransmitters work to affect behavior and moods is complicated by limited available access. Although our understanding is incomplete, we do have some basic ideas of how antipsychotic drugs work, as well as how they can cause side effects. This presentation will review the currently available knowledge of how antipsychotic drugs work, with a particular focus on the dopamine system, and how stopping or switching antipsychotic medications can produce movement disorders. (Source: Journal of the American Academy of C...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Sudhakar K. Shenoy Source Type: research

68.2 “How Long Does It Take for Antipsychotics to Get Out of My Child's System?” Discontinuation of Antipsychotics in Children
The goals of this presentation are as follows: 1) to discuss possible approaches for successfully discontinuing antipsychotic medications to avoid precipitation of withdrawal movement disorders; and 2) to discuss difficulties involved in switching various antipsychotic drugs based on dopamine 2 (D2) receptor-blocking potency. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Ravi Patel Source Type: research

68.3 The Eyes Do Not See What the Mind Does Not Know: Movement Disorder in Kids Taking Antipsychotics
The most current national reports of prescribing trends reveal increases in both evidence-based use (ie, US FDA-approved use based on rigorously controlled trials demonstrating safety and efficacy) and off-label use (ie, non –FDA-approved applications based on insufficient evidence of safety and efficacy). Given the significant adverse effects of antipsychotic medications and our limited knowledge of their long-term effects on children’s health, it is essential that every precaution is taken to prevent an adverse ou tcome. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Pravesh Deotale Source Type: research

68.4 Movement Disorders and Antipsychotics: An Overview
Since the turn of the century, the use of antipsychotic medications has significantly increased in children. Many side effects are known and closely monitored, but withdrawal akathisia and dyskinesia have received very little attention. This presentation will review the content of the Clinical Perspectives session, as well as a clinician's perspective of increasing awareness of the scope of the problem. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Pamela Campbell Source Type: research

One Size Does Not Fit All: Programs Supporting Best Practices in Psychotropic Prescribing
The purpose of this Clinical Perspectives is to review the emerging literature on the effectiveness of these programs at different levels of the system of care (federal, state, and private insurance systems) and to evaluate for whom and under what conditions such programs are deemed effective. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Justine Larson, Christopher Bellonci Tags: Clinical Perspectives 69 Source Type: research

69.1 Implementation of Models to Support Best Practice Prescribing of Antipsychotics in Children and Adolescents: What is the Role of the Federal Government?
The purpose of this presentation is to provide an overview of federal activities supporting best-practice prescribing of antipsychotic medications in children and adolescents and to discuss the role of the federal government. As the Senior Medical Advisor to the Center for Mental Health Services at SAMHSA, Justine Larson, MD, will describe the activities that Department of Health and Human Services (HHS) has taken historically to help state child welfare and Medicaid agencies to support the appropriate use of psychotropic medications and to identify mental health needs and treatments for children. (Source: Journal of the A...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Justine Larson, Stacey Lee Source Type: research

69.2 Psychotropic Oversight and the Mental Health Needs of Youth in Foster Care
This presentation illustrates the importance of psychotropic drug monitoring programs and the behavioral health needs of youth within 2 contextual levels. First, we examine the effect of prior authorization on antipsychotic drug use and overall prescribing. Second, we characterize mental health care services preceding initiation of an antipsychotic drug during the period of prior authorization implementation. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Susan C. DosReis Source Type: research

69.3 Antipsychotic Utilization Among Children and Adolescents With Medicaid and Commercial Insurance
This Clinical Perspectives will explore the use of antipsychotic drugs by youth with Medicaid and commercial insurance and analyze the extent of oversight as measured by metabolic screening. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Sean Lynch Source Type: research

69.4 Managed Care Organizations, Quality Improvement, and Antipsychotic Medications: Prescribing in Children and Adolescents in Foster Care
In 2008, a large southern state implemented a statewide mandatory managed care organization (MCO) exclusively serving children in foster care. The MCO implemented a multicomponent psychotropic medication quality improvement (QI) program that included timely mental health screening, a health passport, a mental health consultation, and a retrospective review of psychotropic medication practice parameters. We investigate the comparative effectiveness of this program on claims-based antipsychotic (AP) drug metrics. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Thomas Mackie Source Type: research

Overcoming Crises in Hospital and Residential Care
The goals of this session are as follows: 1) to familiarize attendees with the complex system issues that child and adolescent psychiatrists encounter today when they work in hospitals and residential treatment centers, including forensic, financial, ethical, community, logistic, and personnel concerns; 2) to be more knowledgeable about compromised care as a result of the impact of these obstacles; and 3) to understand how high-complexity “outlier” cases test the care systems of inpatient units and to learn new strategies to meet these challenges. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Basil Bernstein, Michael T. Sorter Tags: Clinical Perspectives 70 Source Type: research

70.1 Managing Pediatric Patients With Medical Comorbidities in a Freestanding Psychiatric Hospital
Participants will learn about the complexities of managing pediatric patients with medical comorbidities. Creative solutions will be provided to address medical comorbidities in pediatric inpatients in freestanding hospitals. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Sarah Klagsbrun Source Type: research

70.2 Challenges of Inpatient Child Psychiatry in a Rural State
Participants will learn about the challenges that face child and adolescent psychiatrists practicing in rural settings in terms of discharging complex patients from inpatient units. Creative solutions will be provided regarding how to leverage resources in rural communities for patients with complicated mental health issues. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Heather Zaluski Source Type: research

70.3 Gender Diversity on the Inpatient Unit
The goals of this session are to explore the unique challenges posed by the admission of youth with diverse gender presentations to the inpatient unit and to present skills to meet the unique challenges of these 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, 2018 Category: Psychiatry Authors: Jaime Stevens Source Type: research

70.4 Help! I'm Trapped on an Acute Inpatient Unit
The goal of this session is to explore the unique challenges posed by the increasing number of long-term patients, cleared for mental health issues, in acute inpatient units. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Jennifer F. Le Source Type: research

70.5 Challenges in Inpatient Treatment of the Child and Adolescent Homicide Offender
Participants will be introduced to the complexities of providing care to child and adolescent inpatients who are homicide offenders, including the following: 1) the management of the safety of staff and other patients; 2) the maintenance of the practitioner-patient relationship; 3) the role of the child and adolescent psychiatrist in leading the treatment team to maintain a therapeutic stance; and 4) the navigation of the complex relationship between the treatment program and juvenile court and law enforcement. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Michael T. Sorter Source Type: research

Pathways in Clinical Care (PaCC): Addressing Important Clinical Issues Through Multidisciplinary Workflow Development
This presentation will provide participants an overview of clinical pathways (CPs) and their utility in clinical care settings. Three examples of CPs in pediatric hospital settings were developed by the Pathways in Clinical Care (PaCC) workgroup of AACAP's Physically Ill Child Committee, namely, suicide risk screening, somatic symptom and related disorders (SSRDs), and delirium. These will be shared and discussed with a focus on implementation. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Khyati Brahmbhatt, Maryland Pao Tags: Clinical Perspectives 71 Source Type: research

71.1 A Clinical Pathway: Identification, Assessment, and Management in Suicide Risk Screening
Attempted and completed suicides in pediatric patients are a major contributor to morbidity and mortality across the globe. In the United States, youth suicide represents a significant public health problem, ranking as the second leading cause of death among individuals ages 15 –24 years and the third leading cause of death in youth ages 10–14 years. Most youth who complete suicide have received health care services in the year before the completed suicide for unrelated reasons. This might be an opportunity to detect and address suicidal ideation before it proves fatal . (Source: Journal of the American Academy...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2018 Category: Psychiatry Authors: Khyati Brahmbhatt Source Type: research