73.1 psychopharmacology in complex medically ill youth: what is the role of antipsychotics?
Treatment of debilitating anxiety, depression, delirium, or psychosis with psychotropic medications for symptomatic and syndromic relief during complex medical treatment may be necessary to assist medically ill children through difficult or prolonged medical treatments. Antipsychotic medications often are used by pediatric psychiatric consultation-liaison (CL) psychiatrists. Drug-drug interactions, elevated liver enzymes, pancytopenia, and cardiac arrhythmias during a developmentally sensitive period are some of the factors considered by CL psychiatrists. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Sohail Nibras Tags: Clinical Perspectives 73 Source Type: research

73.2 effects of regulation on prescription of antipsychotic use in foster children
Few studies have examined the prevalence of antipsychotic use in children and adolescents in late adolescence. In this presentation, we will discuss the effects of state regulations on the prescription of antipsychotic medication, particularly, in foster 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, 2019 Category: Psychiatry Authors: Ravi Patel Tags: Clinical Perspectives 73 Source Type: research

73.3 antipsychotic side effects in children: use with caution
The objective of this presentation is to summarize the data about the side effects of antipsychotic drugs in 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, 2019 Category: Psychiatry Authors: Pravesh Deotale Tags: Clinical Perspectives 73 Source Type: research

73.4 antipsychotics: not the only tool in the box
Discussion will include current resources available for management of disorders commonly targeted by antipsychotic drugs and identification of alternative approaches to minimize dependence on antipsychotic drugs to manage problem behaviors. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Pamela Campbell Tags: Clinical Perspectives 73 Source Type: research

Challenges in eating disorder treatment: inpatient, outpatient, comorbid, and beyond
Eating disorders are potentially fatal and highly impairing disorders that can present with medical and psychiatric acuity and complexity. Additionally, comorbidity is common. This Clinical Perspectives will explore specific challenges in treating eating disorders, including discussions from both medical and psychiatric inpatient and outpatient treatment settings, and the impact of comorbid substance abuse. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Shannon Simmons, Jennifer Wildes Tags: Clinical Perspectives 74 Source Type: research

74.1 developing a clinical standard work pathway to address the challenges of acute inpatient medical stabilization for youth with eating disorders
Youth admitted for inpatient medical stabilization as a result of severe food restriction require robust behavioral support, in addition to vigilant medical monitoring through the process of refeeding. Care often is highly nuanced and requires the expertise from multiple specialty domains, posing unique challenges for hospital management. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Ian Kodish Tags: Clinical Perspectives 74 Source Type: research

74.2 acute inpatient psychiatric care of patients with eating disorders
Despite the lack of empirical support, youth with severe eating disorders such as anorexia nervosa sometimes require acute inpatient mental health hospitalization because of the severity of their illness, complexity, or severity of mental health or medical comorbidity, lack of access to intensive outpatient treatment, or other clinical features. This discussion will examine challenges that arise in the inpatient mental health setting and will present possible solutions. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Shannon Simmons Tags: Clinical Perspectives 74 Source Type: research

74.3 challenges in implementation of evidence-based treatment interventions for eating disorders in outpatient settings
The goals of this session are as follows: 1) to review evidence-based treatment interventions to address eating disorders across the lifespan in the outpatient clinical setting; and 2) to discuss challenges to the implementation of treatment in the outpatient specialty clinic and university settings. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Seeba Anam Tags: Clinical Perspectives 74 Source Type: research

74.4 substance misuse and eating disorders among adolescents
The goal of this session is to review the research and clinical literature on the intersection of substance misuse and eating disorders among adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Niranjan S. Karnik Tags: Clinical Perspectives 74 Source Type: research

Considering context: family and culturally relevant engagement in the clinic
This Clinical Perspectives will offer practical strategies to assess for and attend to family, cultural, and other systemic factors in outpatient mental health practice. Understanding the impact of systemic factors, including family dynamics, cultural norms, structural violence and oppression, racism, and other social determinants of health, is essential to optimal mental health care. There is great variability in family and system theory, assessment, and intervention training across child and adolescent psychiatry fellowships. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Margaret Cary, Rakin Hoq Tags: Clinical Perspectives 75 Source Type: research

75.1 families of the somali diaspora in ohio: barriers and bridges to psychiatric treatment
A standard approach to following the AACAP Practice Parameters for Cultural Competence is not always sufficient to establishing and maintaining trust with youth and families. Through exploration of the clinical care of youth from Somalia living in Columbus, Ohio, who eventually disengaged from treatment, we will examine strategies that are more likely to improve communication, strengthen trust, and support continued engagement in care. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Sarah F. Nayeem Tags: Clinical Perspectives 75 Source Type: research

75.2 latina suicide attempt and intergenerational tightrope
In this session, Lee Carlisle, MD, will present the clinical care of an unauthorized Mexican American girl (age 14 years) who engaged in care after her third suicide attempt. She experienced bullying by white girls after episodes of sneaking out and consuming alcohol with older male white youth. Intergenerational conflict over her level of acculturation was evident, and her family refused to allow her to take antidepressants. Participants will learn how to identify the level of acculturation and to evaluate for intergenerational acculturation family conflict. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Lee Carlisle Tags: Clinical Perspectives 75 Source Type: research

75.3 medicating the relationship: how the family context influences the psychiatric prescriber
The goal of this session is to describe the influences of familial relationships on the prescribing of psychotropic medications and to encourage trainees and early career psychiatrists to integrate thinking about families into settings where medication prescribing often is emphasized. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Paul Rao Tags: Clinical Perspectives 75 Source Type: research

Developmentally informed psychotherapeutic work with children and adolescents: application of advances in developmental research in infants
The objective of this presentation is to synthesize and apply advances in developmental infant research to the psychotherapy of older children and adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Shilpa Sachdeva, Nathaniel Donson Tags: Clinical Perspectives 76 Source Type: research

76.1 parent-child interaction therapy: emotion development
The goal of this session is to synthesize and apply advances in developmental infant research to the psychotherapy of older children and adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Alecia Vogel-Hammen Tags: Clinical Perspectives 76 Source Type: research

76.2 relationships, interpersonal neurobiology, and self-regulation: the formative and shifting responsibilities from infancy to adulthood
The goal of this session is to synthesize and apply advances in developmental infant research to the psychotherapy of older children and adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Gerard Costa Tags: Clinical Perspectives 76 Source Type: research

76.3 infant/early childhood mental health (iecmh)
The goal of this session is to synthesize and apply advances in developmental infant research to the psychotherapy of older children and adolescents. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Marcy Safyer Tags: Clinical Perspectives 76 Source Type: research

Evidence-based treatments in action: adolescent eating disorders
This Clinical Perspectives program will: 1) review the evidence base for the treatment of children and adolescents with eating disorders; 2) describe the medical assessment, treatment, and monitoring of patients with malnutrition; and 3) demonstrate the appropriate use of evidence-based treatments using clinical case vignettes to illustrate common treatment dilemmas. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jennifer Derenne Tags: Clinical Perspectives 77 Source Type: research

77.1 an overview of evidence-based treatments in child and adolescent eating disorders
The objective of this talk is to provide an overview of the current evidence base supporting the use of psychosocial and psychopharmacologic interventions for eating disorders in youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jennifer Derenne, Jennifer Couturier Tags: Clinical Perspectives 77 Source Type: research

77.2 an overview of the medical management of eating disorders
Adolescents with eating disorders may present with medical issues that affect all body systems and require coordinated and specialized medical care. Participants will learn about the following: 1) the complicating health issues that should be considered and screened for during the initial evaluation; 2) the growth and health concerns specific to adolescents with eating disorders; and 3) the medical monitoring and recommendations during the treatment process. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jennifer Carlson Tags: Clinical Perspectives 77 Source Type: research

77.3 cbt in adolescent bulimia nervosa
Participants will: 1) experience the typical clinical presentation of adolescent bulimia nervosa using a composite case highlighting important clinical pearls; 2) learn practical techniques for managing bulimia nervosa using CBT; and 3) review indications for using psychotropic medications in eating disorder patients. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jennifer Derenne Tags: Clinical Perspectives 77 Source Type: research

77.4 treating adolescent anorexia nervosa using family-based treatment
This presentation provides a practical review of the delivery of manualized family-based treatment for adolescents with anorexia nervosa. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jennifer Couturier Tags: Clinical Perspectives 77 Source Type: research

77.5 interpersonal therapy in binge eating disorders
Participants will be able to do the following: 1) learn about the typical clinical presentation of adolescent binge-eating disorder (BED) using a composite case presentation to identify important clinical characteristics; 2) watch a therapist demonstrate practical techniques for managing binge eating disorder using interpersonal psychotherapy (IPT); and 3) review indications for using psychotropic medications in patients with an eating disorder. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jennifer Derenne Tags: Clinical Perspectives 77 Source Type: research

For better and for worse: gender and sexuality online
We will review the ways in which heteronormative and LGBT youth explore gender identity, sexual orientation, sexual health, and sexual behavior information online and through social media, dating applications (apps), video games, and internet pornography. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Erin L. Belfort Tags: Clinical Perspectives 78 Source Type: research

78.1 for better: positive aspects of social media for lgbt youth
In this session, we will review how marginalized and stigmatized youth, including LGBTQ youth, use social media for education, support, and social justice aims. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Erin L. Belfort Tags: Clinical Perspectives 78 Source Type: research

78.2 for worse: negative aspects of social media for lgbt youth
This presentation will review the dangers of certain online behaviors among LGBT youth and ways in which clinicians can keep the digital experiences of youth safe. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jack L. Turban Tags: Clinical Perspectives 78 Source Type: research

78.3 exploration of sexuality and gender via sexually explicit internet materials
This presentation will review the current knowledge of adolescent use of sexually explicit internet material among both heteronormative and LGBT youth and the influence on attitudes and perceived norms. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Amy M. Mayhew Tags: Clinical Perspectives 78 Source Type: research

78.4 gaming: a final frontier for gender equality
This presentation is designed to increase the understanding of gender portrayals in video games and player experience. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Roslyn Gerwin Tags: Clinical Perspectives 78 Source Type: research

78.5 sexting in lgbt youth
In 2016, the CDC published data confirming that LGBT youth and adults remain socially marginalized, with high rates of victimization, bullying, and cyberbullying. These people suffer from overt discrimination and higher rates of depression, suicide, and high-risk activities. Social marginalization has helped fuel the LGBT community ’s use of the internet for connection and support. LGBT individuals establish meaningful sexual and romantic relationships online, and they may help form protective family relationships as adulthood progresses. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Elizabeth K. Englander Tags: Clinical Perspectives 78 Source Type: research

78.6 helping parents navigate youth sexuality in a media-saturated world
The objective of this presentation is to teach concrete tips for helping parents navigate youth sexuality in the age of online content and social media. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Natalie Ramos Tags: Clinical Perspectives 78 Source Type: research

“it's a psych issue, not medical!” bridging the gap on the medical floor for patients needing psychiatric treatment
Increasingly, it is being recognized that medical providers and child and adolescent psychiatrists should collaborate to care for patients admitted with mental health needs and that each clinician needs to adapt their traditional clinical skills. The standard of such collaborative relationships is to provide integrated care to maximize the pediatric and mental health caregiver ’s knowledge and abilities, to facilitate alliances with families and to work to overcome constraints within and beyond health care 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, 2019 Category: Psychiatry Authors: Maalobeeka Gangopadhyay, Heather M. Goodman, Roberto J. Ortiz-Aguayo Tags: Clinical Perspectives 79 Source Type: research

79.1 the soothing comfort of standardized care: a multidisciplinary, collaborative, evidence-based clinical practice guideline and protocol to evaluate and manage pediatric aggression in emergency room and inpatient medical settings
Agitation in pediatric inpatient and emergent settings is common and disruptive. There is limited evidence-based standardization of evaluation and management of youth at risk for aggression. This can result in significant angst from pediatric and mental health providers in the care of this population, leading to high rates of burnout, staff injury, poor outcomes, longer length of stay, and frequent requests from medical providers to have patients transferred from medical to mental health care settings. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Nasuh Malas Tags: Clinical Perspectives 79 Source Type: research

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

79.3 eating disorders in a general pediatric hospital: the need for a team approach
Anorexia nervosa (AN) affects an estimated 0.8 percent of adolescent girls in the United States, according to one study. Three key elements can help attain positive outcomes: early detection; early intervention; and restoration of body weight. Often a medical admission may be necessary initially. However, before 2012, our general pediatric hospital at the Children ’s Healthcare of Atlanta did not have the tools to properly diagnose and stabilize patients with eating disorders to begin the process of treatment. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Maryann Jacob Tags: Clinical Perspectives 79 Source Type: research

79.4 the autism task force: making our hospital more asd-friendly
Hospitalization can be scary and overwhelming for any child, and this is particularly true for children with ASD. These children often have unique sensory and communication needs, and when hospital systems are not prepared for these differences, it results in frustration for both families and hospital staff alike. This is particularly important given that individuals with ASD are more likely to require hospitalization than typically developing individuals. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Hannah Reed Tags: Clinical Perspectives 79 Source Type: research

Logging on to the positive role of technology in psychiatric practice
The goal of this session is to explore how mental health care of youth is enhanced through informed application of effective digital tools and prescription of protective online behaviors. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Paul Weigle, Todd Peters Tags: Clinical Perspectives 80 Source Type: research

80.1 there ’s an app for that: video games and smartphone applications to enhance psychiatric treatment
The objective of this presentation is to review the efficacy and clinical utility of applications and video games designed to teach coping skills and other healthy habits, provide psychoeducation, and treat mental illness. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Paul Weigle Tags: Clinical Perspectives 80 Source Type: research

80.2 technology in good hands: patient engagement and treatment monitoring in hospitalized youth
This presentation will review implications and challenges of integrating electronic screening, symptom self-reporting, and actigraphy measures into routine care for inpatient youth with mood disorders. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Rasim Somer Diler Tags: Clinical Perspectives 80 Source Type: research

80.3 mental health likes: online resources for youth, parents, and providers
In this session, we will review how online resources and emerging technology can be used to facilitate engagement of youth in care and improve mental health treatment, and we will review online resources and guidelines that promote positive psychosocial development and the safe and appropriate use of media and technology. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Paul Mitrani Tags: Clinical Perspectives 80 Source Type: research

80.4 friend me: development and identity formation in the digital age
This presentation will illustrate the role of social media in child and adolescent development and identity formation to better understand and engage with our patients. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Tracy Asamoah Tags: Clinical Perspectives 80 Source Type: research

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

81.1 clinical value and applicability of measurement-based care in child and adolescent psychiatry
Participants will gain an understanding of the meaning and value of measurement-based care (MBC) and how it applies to the work of child and adolescent psychiatrists. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Barry Sarvet, Eugene Grudnikoff Tags: Clinical Perspectives 81 Source Type: research

81.2 behavioral health rating scales for clinical practice
In recent years, there has been a shift in US health care toward requiring objective measurement and documentation of disease state improvement to increase accountability in care. This presentation will provide information on publicly available behavioral health-rating scales for pediatric patients and discuss integration of this material into clinical practice. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Jessica Jeffrey Tags: Clinical Perspectives 81 Source Type: research

81.3 computer adaptive testing: multidimensional item response theory and the development of the kiddie-cat
At least 50 percent of youth with mental disorders are unrecognized and untreated, resulting in functional impairment and disability. Rapid and accurate assessment of the presence and severity of a mental disorder can facilitate identification and referral and thus reduce the public health burden of mental disorders in youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Robert Gibbons Tags: Clinical Perspectives 81 Source Type: research

81.4 infrastructures to support measurement-based care in clinical practice settings
Infrastructure and workflow support have been identified as significant barriers to implementation of measurement-based care (MBC) in clinical practice. This presentation will offer strategies and resources to address these barriers. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Rajeev Krishna Tags: Clinical Perspectives 81 Source Type: research

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

82.1 confidentiality and integration of the family system in treatment
Parents and caregivers play an essential role in substance use treatment and relapse prevention. Family members often facilitate treatment by providing additional oversight of substance use, promoting adherence to medication, and supporting attendance at appointments. However, confidentiality and the logistics of disclosure can be challenging when involving family in an adolescent ’s care. This presentation will help providers to navigate confidentiality and legal considerations when engaging family participation in treating adolescent substance use. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Justine Welsh Tags: Clinical Perspectives 82 Source Type: research

82.2 drug testing, behavior contracts, and contingency management: the nuts and bolts
Parents and families can play an important role in supporting treatment and recovery for adolescents with substance use disorders. This session discusses the benefits and practical applications of drug testing, behavior contracts, and contingency management, which are 3 important strategies that can be implemented at home by parents or family members. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Nicholas Chadi Tags: Clinical Perspectives 82 Source Type: research

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

82.4 adolescent substance use disorders screening and risk stratification
Screening, brief intervention and referral to treatment (SBIRT) can delay and decrease substance use initiation among youth, yet implementation barriers limiting the use of SBIRT may contribute to the fact that fewer than 10 percent of adolescents with substance use disorders (SUDs) receive any appropriate treatment. This presentation teaches the use of an efficient tool for SBIRT. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2019 Category: Psychiatry Authors: Martha J. Ignaszewski Tags: Clinical Perspectives 82 Source Type: research