56.2 systematically screening and responding to traumatic stress in primary care
There is increased awareness of the need to identify and choose the right next steps for children and adolescents who have had traumatic experiences, some of whom are at increased risk for suicide. However, many of these youth receive care in primary care rather than mental health settings. Novel approaches are needed where child and adolescent psychiatrists can support pediatricians in detecting and responding to trauma and 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, 2020 Category: Psychiatry Authors: Brooks Keeshin Tags: Clinical Perspectives 56 Source Type: research

56.3 trauma-informed screening and intervention for grief and core symptoms of adolescents with ptsd
Childhood maltreatment and its related PTSD are significant public health concerns in the United States, with a prevalence of 0.9%-4%. Trauma-informed screening and intervention are comprised of training on basic concepts of the traumatic stress field and application of those concepts to clinical cases. This proposal reviews a trauma-informed screening model and the Trauma and Grief Component Therapy for Adolescents (TGCTA) for adolescent PTSD. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Robert S. Pynoos Tags: Clinical Perspectives 56 Source Type: research

Ect in pediatrics: new frontiers for collaborative care
The objectives of this Clinical Perspectives are to review indications for ECT in youth, current data on the effectiveness and risks of ECT, applications of ECT in the pediatric consultation-liaison (CL) setting, barriers to ECT, and legal and ethical considerations of ECT 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, 2020 Category: Psychiatry Authors: Georgina Hartzell, Neera Ghaziuddin Tags: Clinical Perspectives 57 Source Type: research

57.1 ect in youth: historical perspectives, current practices, and future directions
The objectives of this presentation are to increase awareness of the history of ECT use in youth, review current practices and data for ECT in youth, and discuss factors contributing to this knowledge gap in child and adolescent psychiatrists, with an emphasis on opportunities to improve trainee 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, 2020 Category: Psychiatry Authors: Rebecca Rendleman Tags: Clinical Perspectives 57 Source Type: research

57.2 ect in the pediatric inpatient setting
Children and adolescents with mental illness present in many settings of the health care system. Often, the entry point for care is through a children ’s hospital emergency department. If there is a medical concern or a shortage of psychiatric beds, these patients are admitted to the medical system. Consultation-liaison (CL) child and adolescent psychiatrists must provide clinical assessment, multidisciplinary education, coordination of care wit h the mental health system, and leadership of the treatment team. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Catherine Fuchs Tags: Clinical Perspectives 57 Source Type: research

57.3 novel indications for ect in pediatrics
Traditionally, ECT was used in refractory status epilepticus and to treat symptoms of catatonia; however, in the last 2 decades, case reports from around the world have emerged, expanding its role in the treatment of other refractory medical and mental health conditions in pediatric populations. These novel uses of ECT, along with safety and tolerability data in young patients, will be reviewed. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Khalid I. Afzal Tags: Clinical Perspectives 57 Source Type: research

57.4 ethical and legal considerations of administering ect to minors
This presentation will describe some of the obstacles to providing ECT to adolescents experiencing grave mental health symptoms. The historical basis of these treatment challenges will also be discussed. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Eva C. Ihle Tags: Clinical Perspectives 57 Source Type: research

Physically ill child and depression
The goals of this presentation are to: 1) discuss the prevalence and presentation of depression in children with chronic physical illnesses; 2) understand the reciprocal relationships between physical illnesses, such as type 1 diabetes, epilepsy, cancer, and postural orthostatic tachycardia syndrome (POTS), with depression; 3) discuss the assessment and pharmacotherapy of depression in children with the abovementioned disorders; and 4) advocate for further research and specific guidelines in treatment of depression in these children. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Sneha Jadhav, Karen Dineen Wagner Tags: Clinical Perspectives 58 Source Type: research

58.1 depression and suicide in pediatric oncology
This presentation aims to review the challenge of diagnosing depression in youth being treated for cancer and to recognize that the risk of suicidal ideation may need to be identified separately from depression in youth with cancer, including cancer survivors. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Maryland Pao Tags: Clinical Perspectives 58 Source Type: research

58.2 depression in children with epilepsy
This presentation aims to demonstrate that depression in children with epilepsy (CWE) is associated with high suicide risk, worse epilepsy course, and worse long-term outcome. This presentation also aims to discuss current evidence and clinical practices for depression prevention, multidisciplinary evaluation, and treatment in CWE. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Sigita Plioplys Tags: Clinical Perspectives 58 Source Type: research

58.3 depression in children with diabetes
This presentation aims to: 1) understand the relationship between type 1 diabetes mellitus (DM) and MDD; 2) provide guidelines in treating MDD in children and adolescents with type 1 DM; and 3) illustrate specific considerations in the treatment of MDD in the context of type 1 DM. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Gisela Sandoval Tags: Clinical Perspectives 58 Source Type: research

58.4 depression in pediatric postural orthostatic tachycardia syndrome
This presentation aims to: 1) describe the presentation of depression symptoms in children with postural orthostatic tachycardia syndrome (POTS); 2) demonstrate the relationship between orthostatic symptoms, depression, and quality of life in children with POTS; 3) discuss assessment and pharmacotherapy of depression in children with POTS; and 4) discuss advocating strategies for the academic and social needs of children with POTS and depression. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Sneha Jadhav Tags: Clinical Perspectives 58 Source Type: research

All hands on deck: addressing the crisis of youth and family homelessness as mental health clinicians
Youth and family homelessness is a critical, yet often overlooked, issue in the United States. Youth homelessness disproportionately affects vulnerable populations (eg, LGBT, racial minorities, foster care- or child welfare-involved, and families of low socioeconomic status), with significant mental health implications. These Clinical Perspectives will provide knowledge and insight into effective engagement and treatment of homeless-experienced youth, young adults, and families in the community through varying innovative modalities and service systems. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Jessica A. Merritt, Roya Ijadi-Maghsoodi, Marina Tolou-Shams Tags: Clinical Perspectives 59 Source Type: research

59.1 on the stage and behind the curtain: seeing and serving families and young children in a public housing complex in washington, dc
Poverty and homelessness are a crisis nationwide. In Washington, DC's Ward 8, violence, poverty, and trauma are some of the many factors leading to an increased risk of adverse experiences and toxic stress within the public housing system. While access to housing assistance can alleviate mental health risk factors among children, environmental factors, including community violence and poor living conditions, can promote or exacerbate mental health problems among children. Stressors correlated with housing assistance can also affect caregiver-child relationships, creating an unstable foundation for young children. (Source: ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Emily Aron Tags: Clinical Perspectives 59 Source Type: research

59.2 “a failure here that topples all our success”: the crisis of family homelessness in the united states
Youth and family homelessness persists as a crisis. In Los Angeles, there are 19,000 youth experiencing homelessness within the Los Angeles Unified School District. Although families experiencing homelessness are often resilient, they can endure significant trauma navigating homelessness and are at risk of mental health problems, substance use disorders, Child Protective Services involvement, and academic challenges. Child and adolescent psychiatrists and child mental health clinicians are increasingly needed to join forces with policymakers, schools, legal agencies, and community groups to tackle youth and family homeless...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Roya Ijadi-Maghsoodi Tags: Clinical Perspectives 59 Source Type: research

59.3 digital interventions for homeless youth: problems and possibilities
Youth who are homeless experience higher rates of mental health disorders and increased barriers to accessing mental health care. Few studies have investigated the impact of technology-based interventions on the population of youth who are homeless. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Niranjan S. Karnik Tags: Clinical Perspectives 59 Source Type: research

59.4 responding to the youth homelessness crisis as a trainee: creating and implementing novel systems for young adults experiencing homelessness
Young adulthood is an often-tumultuous period of change and growth. Homelessness is a common and overlooked problem facing many young adults, with serious mental health implications, including increased rates of mood disorders, substance use disorders, addiction, and suicide. Effective interventions for this population often require novel and innovative methods of engagement. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Jessica A. Merritt Tags: Clinical Perspectives 59 Source Type: research

59.5 interfacing with mental health care: perspective from a community youth activist
Homelessness is experienced by youth and families throughout the United States. To truly address homelessness and understand the structural determinants of health that lead to homelessness, it is essential for mental health providers to partner with and listen to the perspectives of youth community activists with lived experiences. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Nicole Elmore Tags: Clinical Perspectives 59 Source Type: research

Approaches to training clinicians in perinatal, infant, and preschool mental health from academia to pakistan
There is a growing need for health care professionals who treat infant and young children across all settings and worldwide. Health care professionals, including child and adolescent psychiatry/psychology fellows, often receive minimal to no exposure to culturally sensitive, relationship-focused training in infant and early childhood mental health. An informal survey of training programs conducted nationwide by AACAP ’s Infant and Preschool Committee revealed a wide range and inconsistency in curricula for training residents in the assessment of very young children. (Source: Journal of the American Academy of Child a...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Joyce Harrison, Melissa Lynne Wagner-Schuman Tags: Clinical Perspectives 60 Source Type: research

60.1 training clinicians in perinatal, infant, and preschool mental health
Most child and adolescent psychiatry fellows, general psychiatry residents, pediatric residents, and psychology interns have very limited exposure to clinics for infants, toddlers, preschoolers, and their families that are relationship focused. In many academic settings, these clinics do not exist. This presentation will describe the process of developing an Infant Toddler Clinic, a Zero to Five Family Clinic and curriculum that focuses on relationships, families, their cultural context, and their community at the University of New Mexico. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Anilla Del Fabbro Tags: Clinical Perspectives 60 Source Type: research

60.2 teaching and training in complex consultation clinics: the role of child and adolescent psychiatry in the prevention of maltreatment recidivism
Unobtrusive assessment methods, and the use of empirical literature to train future mental health specialists, have a critical role in the reduction of maltreatment recidivism. This presentation will discuss implementation of teaching and training for child and adolescent psychiatrists in a court consultation project, which was adapted from the Tulane Model for the reduction of maltreatment recidivism for children aged 0-6 years who were maltreated. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Mini Tandon Tags: Clinical Perspectives 60 Source Type: research

60.3 lessons learned from infant mental health training for health care workers in pakistan
Health care providers can support and promote healthy infant-caregiver relationships, which can be protective from early stress. This presentation will describe strategies to train health care workers to promote culturally sensitive infant and early childhood mental health in academic institutions and community hospitals in underdeveloped countries. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Muhammad Zeshan Tags: Clinical Perspectives 60 Source Type: research

60.4 the trainee's experience in an infant mental health clinic
Creating a training experience in a variety of early childhood settings that can be applied to the Accreditation Council for Graduate Medical Education (ACGME) milestones requires a great deal of creativity. This presentation will describe an infant and preschool training that includes experiences in a therapeutic nursery, preschool, early autism spectrum disorder and primary school programs, intensive outpatient program, and an outpatient psychiatric clinic, from both the training director's and the trainee's perspectives. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Paula Marie Powe Tags: Clinical Perspectives 60 Source Type: research

Individuals with intellectual disability (intellectual developmental disorder) have sexuality too
Issues with sexuality and problem sexual behavior in individuals with intellectual development disorder (IDD) often present in clinical practice. Sexual desire in individuals with IDD does not differ from that of their neurotypical counterparts, yet most special education programs do not include a sex ed component. Individuals with IDD have concrete thinking that can lead to misunderstanding of the many colloquial terms used around sex. Parents often present to the office worried about a variety of issues as their child develops. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Kathleen A. Koth, Jessica Hellings Tags: Clinical Perspectives 62 Source Type: research

62.1 you've got to be carefully taught: the current state of sex education for individuals with intellectual developmental disorders
The objectives of this presentation are to: 1) understand the gaps in education and guidance that adolescents with intellectual or developmental delay (IDD) and their parents receive about sexuality and sexual function; and 2) identify some outpatient-based practices that can help educate and support individuals and their caregivers through pubertal changes. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Kathleen A. Koth Tags: Clinical Perspectives 62 Source Type: research

62.2 sex education groups: an effective way of teaching patients with intellectual developmental disorders
Teaching patients with intellectual or developmental disability (IDD) about sex and sexuality can be difficult for both clinicians and caregivers. Use of visual supports and simplified language that is anatomically correct helps ensure patients with IDD to have an improved understanding. Additionally, modeling and helping caregivers practice how to talk with their child about sex and sexuality will provide an ongoing ability for caregivers to help their child through adolescence and into adulthood. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Lisa Yeh Tags: Clinical Perspectives 62 Source Type: research

62.3 sexual knowledge assessment and targeted interventions in intellectual developmental disorders
Limited knowledge about sexual health in populations with intellectual or development disability (IDD) can be associated with increased incidences of sexually transmitted diseases, unplanned or undesired pregnancies, and sexual abuse. The aims of this presentation are to identify specific gaps in patients' sexual knowledge by using various screening tools, to consider the validity and limitations of those tools, and to discuss proposed ways to address identified gaps. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Shikha Verma Tags: Clinical Perspectives 62 Source Type: research

62.4 what's normal, what's not... assessing sexual behaviors in children with intellectual developmental disorders
Children and teenagers with intellectual or developmental disability (IDD) experience atypical emotional and social development; however, their physical and sexual development is typical. This dyssynchronous development can lead to sexual dysfunction. The aim of this presentation is to familiarize clinicians with biological, psychosocial, and developmental factors that may contribute to sexual dysfunction in individuals with IDD. This will assist them in assessing sexual problem behaviors in a developmental context and making developmentally informed treatment recommendations. (Source: Journal of the American Academy of Ch...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Pankhuree Vandana Tags: Clinical Perspectives 62 Source Type: research

Targets of bias and hate speech and youth recruitment into hate groups
This panel is designed to help practitioners deal effectively with patient involvement with hate speech and/or hate groups, by helping attendees: 1) understand the distinctive psychological impact of conflict that includes hate speech or motivations; and 2) recognize red flags that can indicate that a youth is possibly being recruited by a hate group. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Elizabeth K. Englander, Paul Weigle Tags: Clinical Perspectives 63 Source Type: research

63.1 recognizing red flags in practice
The objective of this presentation is to help practitioners identify youth at risk for involvement in hate groups either as a target or perpetrator of hate crimes in order to intervene therapeutically. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Amy Mayhew Tags: Clinical Perspectives 63 Source Type: research

63.2 the recruiter's tools: apps, ads, and approaches used by hate groups
Recruitment of youth into online hate groups is not always a straightforward matter. Because children and adolescents use the internet and social media in such a large variety of ways, it can be difficult for physicians to be aware of the different digital methods used to recruit children and adolescents. The goal of this presentation is to review research on how hate groups use both obvious and covert methods to reach out to 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, 2020 Category: Psychiatry Authors: Brian Kretschmar Tags: Clinical Perspectives 63 Source Type: research

63.3 google's evolving approaches to countering hate speech
Participants will understand how a major technology company approaches the problem of hate speech on its multiple platforms such as YouTube. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Ziad Reslan Tags: Clinical Perspectives 63 Source Type: research

The teachable moment: partnering with pediatricians to expand integrated youth mental health care
There is an undeniable shortage of services for youth with mental health problems. To address this access-to-care issue, leading organizations such as AACAP and AAP have called for increased collaboration between pediatricians and child and adolescent psychiatrists, including through integrated care. Pediatrician education about youth mental health is a key component of integrated care. In this Clinical Perspectives, we will discuss innovative models for partnering with pediatricians to advance their mental health competency and youth mental health 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, 2020 Category: Psychiatry Authors: Melissa A. Hopkins, Barry Sarvet Tags: Clinical Perspectives 64 Source Type: research

64.1 “lunch and learns” and beyond: pediatric behavioral health integration in the uc davis health system
This session will review the need for increased mental health care support for pediatric providers in the UC Davis Health System and the services that have been developed in response to this need. The UC Davis Integrated Behavioral Health Services (IBHS) model will be presented with an emphasis on mental health competency training for pediatric providers. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Melissa A. Hopkins Tags: Clinical Perspectives 64 Source Type: research

64.2 using integrated care to prepare pediatricians for practice (then, now, and future)
We present data on short- and long-term effects on pediatricians using an integrated care (IC) model for residency 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, 2020 Category: Psychiatry Authors: Sean Pustilnik, Elizabeth Chawla Tags: Clinical Perspectives 64 Source Type: research

64.3 use of an online mental health curriculum in collaboration and consultation with pediatric clinicians
Pediatricians recognize the need for practical mental health care training but may find it challenging to make time for it. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Rachel Ballard Tags: Clinical Perspectives 64 Source Type: research

64.4 lights, camera, actors: models of experiential training for pediatricians using standardized patients +/- outpatient consultation
Standardized patients (SPs), or actors trained to portray clinical scenarios, can improve provider communication skills and confidence, yet they are infrequently used with primary care providers (PCPs). This session describes 2 models for experiential depression training using: 1) SPs; and/or 2) outpatient consultation. Data are presented regarding the effects of each aspect of training on PCP confidence and practices. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Elise M. Fallucco Tags: Clinical Perspectives 64 Source Type: research

Understanding child trafficking and commercial sexual exploitation: from residency training to intersectoral collaboration
Child trafficking is a public health problem affecting children locally. Its illegal nature, among other factors, renders inaccurate estimates of the problem. Even though a significant percentage of child trafficking victims will be evaluated by a health care worker while being exploited, education on this subject continues to be limited, if it exists at all, in child and adolescent psychiatry. For the assessing physician, there are no specific signs and symptoms to identify child trafficking, and children ’s inability to identify victimization compounds this. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Milangel T. Concepcion-Zayas, Eraka Bath Tags: Clinical Perspectives 65 Source Type: research

65.1 child sex trafficking: an overview
Children and adolescents are pushed into trafficking on a daily basis. Adolescents are at a high risk of being trafficked compared to children. It is reported that there are 45 million people forced into modern-day slavery, and it is a $150 billion lucrative crime. This session aims to: 1) define child sex trafficking and provide an understanding of the action-means-purpose (A-M-P) model; 2) identify risk factors for sexual exploitation in children; and 3) share resources for empowering survivors in their recovery and for accessing support in the community. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Balkozar S. Adam Tags: Clinical Perspectives 65 Source Type: research

65.2 human trafficking: would you recognize it?
In 2018, more than 200 cases of suspected human trafficking were reported, with over 70% related to sex trafficking in the state of Massachusetts. Human trafficking victims often engage with health care professionals, including resident physicians, while under captivity. However, many health care professionals do not feel confident in their ability to recognize human trafficking. While working at emergency mental health departments, staff and resident physicians will encounter youth at risk of being trafficked or active victims of human trafficking. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Destiny Pegram Tags: Clinical Perspectives 65 Source Type: research

65.3 a socio-cultural formulation for vulnerable children
Social determinants of health that increase vulnerability toward childhood exploitation have been identified. During our work in assessing, understanding, and treating trafficked or commercial sexually exploited youth, it is important to appreciate the social and cultural factors involved in their development and presentation for treatment. This presentation aims to: 1) review some screening measures for risk and systematic formulations; and 2) explore practical approaches to incorporate a sociocultural approach when assessing vulnerable pediatric populations. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Cheryl S. Al-Mateen Tags: Clinical Perspectives 65 Source Type: research

65.4 the opioid epidemic and child trafficking: viewpoints from a community psychiatrist
The media has reported that the opiate crisis has been “fueling” human trafficking. Child trafficking is another public health problem affecting children locally. In the state of New Hampshire in 2019, experts agreed that the opiate crisis was “exacerbating” human trafficking. Despite the detrimental effects that both opiate use disorder and chi ld trafficking have on childhood development, and the finding that more than 80% of human trafficking victims will be evaluated by a health care worker while being exploited, the discussion about the education of mental health practitioners working with chil...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Milangel T. Concepcion-Zayas Tags: Clinical Perspectives 65 Source Type: research

Caring for the forgotten children: rebuilding puerto rico after hurricane maria, earthquakes, and covid-19
The objectives of this session are as follows: 1) to appreciate the experience and vulnerabilities of communities experiencing recurrent disaster events; 2) to understand the circumstances faced by already-disenfranchised communities when impacted by multiple natural disasters and to learn about disparities in the ability to recover among different sectors of the population; 3) to learn about actions and strategies taken by child and adolescent psychiatrists and other child mental health professionals to mitigate the ill effects of a disaster on communities in Puerto Rico (PR) and to facilitate recovery and resilience; and...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Linda Chokroverty, Melissa Brymer Tags: Clinical Perspectives 66 Source Type: research

66.1 the role of the child and adolescent psychiatrist in postdisaster responses: the puerto rico experience
The Commonwealth of Puerto Rico was hit with 2 life-threatening hurricanes in September 2017, followed by an active sequence of earthquakes since December 2019. We will present how the child and adolescent psychiatrists from the University of Puerto Rico and the Puerto Rico AACAP chapter have mobilized to meet the needs of children on the island. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Karen G. Martinez Tags: Clinical Perspectives 66 Source Type: research

66.2 creating trauma-informed schools in the wake of multiple natural disasters
Puerto Rico has undergone a series of destructive natural disasters including 2 major hurricanes and earthquakes over the past 2 years. We will present on collaborations developed with island-based universities and schools to create trauma-informed schools in the west coast of Puerto Rico. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Rosaura Orengo-Aguayo, Regan Stewart Tags: Clinical Perspectives 66 Source Type: research

66.3 establishing mental health services through telepsychiatry after a natural disaster
Over the last 2 years, Puerto Rico has suffered a series of catastrophic natural disasters, including 2 major hurricanes (Categories 4 and 5) and a 6.4-magnitude earthquake. In the wake of the most recent earthquake, there has been a significant sequela in the mental health of the people affected by these events and limited access to mental health care by these families in the community. Our objective is to establish mental health services through telepsychiatry at the refugee campsites, with the aim of reaching the families heavily affected by these devastating events. (Source: Journal of the American Academy of Child and...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Laura Gonzalez-Conty Tags: Clinical Perspectives 66 Source Type: research

66.4 the early aftermath of earthquakes in puerto rico: enlisting the community in mental health recovery
Through this presentation, audience members will: 1) learn about the effect of earthquakes on the previously traumatized community of Puerto Rico; 2) hear about systems challenges encountered in acute postdisaster recovery efforts, especially among economically and politically disenfranchised groups; and 3) learn strategies of engaging community members at the grassroots level to advocate for the needs of children after a disaster. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Linda Chokroverty Tags: Clinical Perspectives 66 Source Type: research

Electronic vaping device use in youth: predictors and risk factors, innovative prevention strategies, and how to effectively identify users
An electronic vaping device (EVD) involves the use of a battery-powered device to heat a liquid (e-liquid) that releases chemicals in an inhalable aerosol. Through this presentation, we aim to inform the audience about the evolution of the EVD, risk factors and predictors of EVD use, and how EVDs cause significant neuropsychiatric consequences when compared to traditional drug delivery devices (DDDs) such as smoking conventional cigarettes and the cannabis plant. This presentation also aims to update on how to utilize technology to systematically document vaping-related information through electronic health records (EHRs) ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Pravesh Sharma, Kevin M. Gray Tags: Clinical Perspectives 67 Source Type: research

67.1 electronic vaping device: introduction to history, evolution, and current state of practice among youth
This presentation will educate providers about the history and evolution of electronic vaping devices (EVDs) and how these devices operate to produce an aerosolized drug of choice to consumers. We will also discuss the health-related outcomes that stem from using these devices and the proposed potential role of EVDs in harm reduction. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2020 Category: Psychiatry Authors: Sivabalaji Kaliamurthy Tags: Clinical Perspectives 67 Source Type: research

67.2 predictors and risk factors of electronic vaping device use in adolescents and young adults
Experimentation, flavors, and the ability to use substances in a concealed manner are some of the common reasons why electronic vaping devices (EVDs) are shown to have gained popularity among youth. However, it seems like the tip of the iceberg. Similar to any other substance use disorder, the etiology behind the widespread EVD use is supposed to be multifactorial. This presentation aims to inform the audience about the predictors and risk factors behind the initiation and continuation of EVD use among 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, 2020 Category: Psychiatry Authors: Pravesh Sharma Tags: Clinical Perspectives 67 Source Type: research