Journal of the American Academy of Child and Adolescent Psychiatry This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Clinical Care for Suicidal Youth After Crisis: Beyond Inpatient Hospitalization
Suicide rates among adolescents in the United States have increased to the highest level in more than a decade. For youth at high risk of suicide, inpatient psychiatric hospitalization has been recommended to support safety, yet access to this level of care has decreased given the decline in availability of inpatient psychiatric beds for adolescents (NAMI, 2014), even while admissions have been increasing (Plemmons et al, 2018). There is an urgent need for other options to provide short-term crisis intervention and support suicide prevention through outpatient efforts. (Source: Journal of the American Academy of Child and ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Jennifer L. Hughes, Sarah Mallard Wakefield Tags: Clinical Perspectives 21 Source Type: research

21.1 Development and Implementation of an Intensive Outpatient Program for Suicidal Youth
We report on: 1) the development of an intensive outpatient program (IOP) for the treatment of adolescent suicidal thoughts and behaviors; and 2) program outcomes. (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: Betsy D. Kennard, Jessica Heerschap, Kristin L. Wolfe, Jennifer L. Hughes Source Type: research

21.2 Crisis Services to Support Youth at High Risk for Suicide: A Brief, Intensive Treatment Alternative to Inpatient and a Crisis-Focused Outpatient Clinic
With increasing rates of suicidal behavior in youth, there is a need to develop and implement new models of care aimed at reducing acute suicide risk. There is little guidance on how to best support patients within the behavioral healthcare system, outside of the traditional emergency department to the inpatient psychiatric hospital pathway. (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: Ericka Bruns, Meredith M. Adams, Jennifer L. Hughes, Meredith R. Chapman Source Type: research

21.3 Development of a Comprehensive DBT Intensive Outpatient Program: Lessons Learned and Critical Considerations
DBT is the well-established treatment for self-harming adolescents at high risk for suicide; however, currently, there are no empirically supported higher levels of care (HLOC) for adolescents who may require more intensive intervention. Presenters will: 1) review the development of an adherent DBT program within an intensive outpatient program (IOP) setting; 2) discuss challenges in implementation; and 3) review the lessons learned and critical considerations for adaptation of comprehensive DBT to an HLOC. (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: Anaid Atasuntseva, Michele Berk Source Type: research

21.4 Enhancing Care Transitions for Youth in Acute Care Settings With Automated Caring Contacts
We aim to: 1) establish the importance of care transitions in the context of a comprehensive quality improvement approach to suicide reduction in pediatric hospital settings; 2) review initial outcomes and quality improvement (QI) metrics that have guided internal process changes; and 3) review elements necessary for the adoption of effective automated caring contacts and provide lessons learned from expansion 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, 2023 Category: Psychiatry Authors: John Ackerman, Glenn Thomas, Fatimah Masood, Elena Camacho Source Type: research

The Many Faces of Pediatric Psychiatric Emergencies: Differential and Management
A psychiatric emergency is defined as a dangerous or life-threatening situation in which a youth needs immediate attention. Common types of psychiatric emergencies include safety concerns, violent behavior, and acute mental status changes (agitation or delirium). Although less common, psychiatric emergencies such as autoimmune encephalitis, catatonia, and neuroleptic malignant syndrome can have fatal outcomes if they are unrecognized. This presentation focuses on the assessment and management of various pediatric psychiatric emergencies to include delirium, acute agitation and aggression, autoimmune encephalitis, malignant...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Raman Baweja, Maalobeeka Gangopadhyay, Catherine Fuchs Tags: Clinical Perspectives 22 Source Type: research

22.1 Pediatric Delirium
Agitation has long been a challenge confronting emergency room physicians and other personnel, thus increasing the likelihood that these patients, many of whom have hyperactive delirium, receive medical attention. Such medical attention includes the use of sedating agents that may mask the red flag for underlying medical pathology, such as febrile illness or overdose, or may exacerbate the delirium. Conversely, these children may be ignored and placed in rooms waiting for psychiatric consult due to their “behavior symptoms” putting them at risk for delayed evaluation and treatment. (Source: Journal of the American Acad...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Gabrielle H. Silver Source Type: research

22.2 Aggression/Acute Agitation: Identification and Management in Pediatric Acute Care Settings
The objective of this presentation is to describe assessment and a comprehensive strategy for the management of severe agitation/aggression in youth including considerations in the choice of medication. (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: Raman Baweja Source Type: research

22.3 Autoimmune Encephalitis: When to Worry, When to Wait, and When to Do the Workup
After attending this talk, audience members will be able to identify the Graus clinical criteria for the diagnosis of autoimmune encephalitis. Clinicians will be also able to identify clinical signs and symptoms that would warrant advocating for a full medical workup to rule out autoimmune encephalitis. (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: GenaLynne C. Mooneyham Source Type: research

22.4 Malignant Catatonia and Neuroleptic Malignant Syndrome in Children and Adolescents
Malignant catatonia and neuroleptic malignant syndrome (NMS) are both neuropsychiatric conditions associated with significant comorbidity and mortality. The diagnosis of these conditions in the pediatric population is often challenging, and features of the 2 conditions overlap, further complicating diagnosis. However, timely recognition and treatment of these conditions in the pediatric population is essential to reducing the risk of serious harm. (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: Eric Hazen Source Type: research

Why Is My Patient on 18 Different Medications? Rethinking Our Approach to the Diagnosis and Management of Ehlers-Danlos Syndrome (EDS) and Postural Orthostatic Tachycardia Syndrome (POTS)
Ehlers-Danlos syndrome (EDS) and postural orthostatic tachycardia syndrome (POTS) are conditions subject to diagnostic variability among providers, and are often comorbid with psychosomatic and psychiatric conditions. As a result of this variability, these conditions may be misdiagnosed in patients who experience multiple somatic issues, which can lead to overtreatment and polypharmacy. This presentation will provide participants with: 1) objective diagnostic criteria of EDS and POTS and when to consider alternative diagnoses; 2) an understanding of the social and systems issues that contribute to their clinical and diagno...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Joshua D. Brown Tags: Clinical Perspectives 23 Source Type: research

23.1 Case Study of Patient Diagnosed With Ehlers-Danlos Syndrome (EDS) and Postural Orthostatic Tachycardia Syndrome (POTS)
A case study will illustrate the diagnostic, clinical, social, and ethical complexity associated with patients who are given the diagnosis of Ehlers-Danlos syndrome (EDS) and postural orthostatic tachycardia syndrome (POTS). (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: Joshua D. Brown Source Type: research

23.2 Diagnosing Ehlers-Danlos Syndrome (EDS)
Ehlers-Danlos syndrome (EDS) is a group of 14 connective tissue disorders that share common features of skin fragility and joint hypermobility. The most updated EDS classification system was published in 2017 based on an adult phenotype. The most common form is hypermobile EDS (hEDS), a disorder based on clinical criteria, for which there is no confirmatory DNA test. Making a diagnosis of hEDS in a young child is difficult, because the medical issues and physical findings seen in children are different than in 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, 2023 Category: Psychiatry Authors: Ellen Roy Elias Source Type: research

23.3 Diagnosing Postural Orthostatic Tachycardia Syndrome (POTS)
Postural orthostatic tachycardia syndrome (POTS) presents with lightheadedness with or without syncope. Presenting symptoms, diagnostic criteria, differential diagnosis, etiology, and treatments will be presented. (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: Rachel Workman Source Type: research

23.4 Psychiatric Care of Patients With Postural Orthostatic Tachycardia Syndrome (POTS) and Related Disorders
The objectives of this presentation are to: 1) understand the nature of psychiatric symptoms in children with Ehlers-Danlos syndrome (EDS)/postural orthostatic tachycardia syndrome (POTS) because the overlap of symptoms can confound the diagnosis; 2) describe the relationship between orthostatic symptoms, psychiatric symptoms, and overall quality of life in these children; 3) discuss specific considerations in psychopharmacology in the presence of POTS; and 4) describe the role of child and adolescent psychiatrists in the treatment of EDS/POTS and to recognize the ethical challenges faced by practitioners while providing o...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2023 Category: Psychiatry Authors: Sneha Jadhav Source Type: research