Deliberately Chipping Holes in the Wall: A Modest Goal for the Journal.
PMID: 32405307 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Authors: McLennan JD Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Understanding the Outcome of Children who Selectively Do not Speak: A Retrospective Approach.
Conclusion: Study results suggest that symptoms of SM and SAD persist in the longer-term. Further investigation into the differences between diagnostic groups and their long-term treatment outcomes is clearly warranted. PMID: 32405308 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Authors: Kamani Z, Monga S Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Preliminary Investigation of a Novel Cognitive Behavioural Therapy Curriculum on the Wellbeing of Middle Schoolers.
Conclusions: This pilot study demonstrated the feasibility of rapid and broad implementation of the intervention. Preliminary analyses showed no indication of effectiveness which may be the product of the intervention being in an interim stage during the study period and/or the retrospective design and limitations in data quality. Specifically, these results suggest that the WBRS may be a suboptimal instrument for measuring the effectiveness of this intervention. A prospective trial of the complete, revised curriculum with validated measures is required to provide an adequately assessment of its impact. PMID: 32405309...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Authors: Sinyor M, Hawes D, Rector NA, Cheung AH, Williams M, Cheung C, Goldstein BI, Fefergrad M, Levitt AJ, Schaffer A Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Identification of Preschool Children with Mental Health Problems in Primary Care: Systematic Review and Meta-analysis.
Conclusion: While the identification rate by primary/community practitioners is similar to the diagnostic rate, these may not consistently be the same children. Substantial variability in management and outcomes indicate need for more rigorous evaluation of primary care services for this population. PMID: 32405310 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Authors: Charach A, Mohammadzadeh F, Belanger SA, Easson A, Lipman EL, McLennan JD, Parkin P, Szatmari P Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Assessment of Aggressive Behaviour in a Patient with Autism Spectrum Disorder Requiring General Anesthesia.
Conclusions: Aggressive behaviour is a common issue for patients with ASD. When a patient's behaviour precludes examination and investigations, general anesthesia may be beneficial to facilitate the assessment process. This case illustrates the importance of a multidisciplinary approach in the assessment and management of a minimally verbal patient presenting with behavioural changes. To the knowledge of the authors, this represents the first published case report of a patient with ASD requiring general anesthesia for the assessment of aggressive behaviour. PMID: 32405311 [PubMed] (Source: Journal of the Canadian Acad...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Authors: Morrissette M, Boman J Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Clonidine as a Treatment of Behavioural Disturbances in Autism Spectrum Disorder: A Systematic Literature Review.
Conclusion: Clonidine has a limited evidence base for use in the management of behavioural problems in patients with ASD. Most evidence originates from case reports. Given the paucity of pharmacological options for addressing challenging behaviours in ASD patients, a clonidine trial may be an appropriate and cost-effective pharmaceutical option for this population. PMID: 32405312 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Authors: Banas K, Sawchuk B Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Switching from Clonidine Immediate-Release to Guanfacine Extended-Release.
PMID: 32405313 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Authors: Elbe D Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Internalized Homophobia in Adolescents: Is it really about Culture or Religion?
PMID: 32405314 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Authors: Kanbur N Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Adolescent Self-Harm.
Authors: PMID: 32405315 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - May 1, 2020 Category: Psychiatry Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Introduction to Special Issue: ADHD Research in a Canadian Context.
PMID: 32194646 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - March 1, 2020 Category: Psychiatry Authors: Toplak ME, LeGris J Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Examining the Impact of Motivation on Working Memory Training in Youth With ADHD.
Conclusions: Youth endorsed both extrinsic and intrinsic motivation and reported that training was useful. Larger studies should consider assessing individual differences in motivational style and incorporating qualitative methodology to identify additional intervention outcome variables to consider amongst ADHD youth. PMID: 32194647 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - March 1, 2020 Category: Psychiatry Authors: Sadeghi M, McAuley T, Sandberg S Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Neurochemical Correlates of Executive Function in Children with Attention-Deficit/Hyperactivity Disorder.
The objectives of this study were 1) to investigate spectroscopic biomarkers in the right prefrontal cortex (R-PFC) and left striatum; 2) to evaluate Executive Function (EF) performance; and, 3) to examine the clinical relevance of glutamate in EF tasks. Methods: A total of 21 children with ADHD (M = 10.41 years, SD = 1.41) and 15 controls without ADHD (M = 9.90 years, SD = 1.54 years) were enrolled. Short echo proton magnetic resonance spectroscopy (1H-MRS; TE = 30ms) was used to study the changes in the R-PFC and left striatum. Both groups completed an EF assessment battery, including working memory, inhibition, cog...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - March 1, 2020 Category: Psychiatry Authors: Hai T, Duffy H, Lemay JF, Swansburg R, Climie EA, MacMaster FP Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Predicting Use of Medications for Children with ADHD: The Contribution of Parent Social Cognitions.
Conclusions: Findings suggest that the parents' knowledge about ADHD, opinion about treatment, and ADHD-related stigma are key factors to target in order to increase the uptake and continued use of evidence-based pharmacological interventions for children with ADHD. PMID: 32194649 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - March 1, 2020 Category: Psychiatry Authors: Boudreau A, Mah JWT Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

The Effects of Extended-Release Stimulant Medication on Sleep in Children with ADHD.
This study aimed to investigate the acute impact of extended-release MPH on sleep using both actigraphy and polysomnography (PSG). Method: Participants were 26 medication-naïve newly and rigorously diagnosed children with ADHD (23 males; 3 females) with a mean age of 8 years, 8 months (SD = 24.5mos) who were enrolled in a clinically-administered crossover medication trial with 2 conditions: 2 weeks of placebo and 2 weeks of MPH treatment. The effect of condition on sleep variables as measured by actigraphy (primary outcome) and PSG (secondary outcome) was analyzed using repeated measures MANOVAs. Results: Ba...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - March 1, 2020 Category: Psychiatry Authors: Corkum P, Begum EA, Rusak B, Rajda M, Shea S, MacPherson M, Williams T, Spurr K, Davidson F Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Therapeutic Response to Methylphenidate in ADHD: Role of Child and Observer Gender.
This study aims to examine the interaction between the gender of the child and the gender of the observers (teachers, parents) on the therapeutic response (TR) noted with methylphenidate (MPH) in children with ADHD. Method: Children with ADHD participated in a two week double-blind, randomized, cross-over clinical trial with MPH and placebo, and the difference between the week of treatment with MPH and placebo was calculated for each measure to obtain the treatment response (TR) with MPH. The TR for differences based on the gender of child and the observer was examined by using a univariate analysis of covariance (ANC...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - March 1, 2020 Category: Psychiatry Authors: Bhat V, Sengupta SM, Grizenko N, Joober R Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Reviewer Acknowledgements.
Authors: PMID: 32194652 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - March 1, 2020 Category: Psychiatry Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Stepping up to stepped care.
PMID: 31798647 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2019 Category: Psychiatry Authors: Boylan K Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Lessons Learned in a Physician Referral to Pediatric Telemental Health Services Program.
Conclusion: Telemental health programs provide a valuable service to PCPs and their child and youth clients that could be significantly enhanced with a different consultation model. Such models of service delivery require protocols to educate PCPs, improve communication and information sharing and establish clear expectations between PCPs and telepsychiatry consultants. PMID: 31798648 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2019 Category: Psychiatry Authors: Pignatiello A, Stasiulis E, Solimine C, Ayad O, Boydell KM Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Evaluation of a Suicide Risk Assessment Tool in a Large Sample of Detained Youth.
Conclusion: The ISA is a moderately accurate tool for identifying risk for self-harm in detained youth. PMID: 31798649 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2019 Category: Psychiatry Authors: Casiano H, Bolton SL, Katz LY, Bolton JM, Sareen J Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Effectiveness of an Integrated Care Pathway for Adolescents with Depression: A Pilot Clinical Trial Protocol.
Conclusions: If feasibility targets are met, and preliminary results regarding clinical outcomes are promising, then a multi-center cluster RCT would be pursued. PMID: 31798650 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2019 Category: Psychiatry Authors: Courtney DB, Cheung A, Henderson J, Bennett K, Battaglia M, Strauss J, Mitchell R, Wang K, Szatmari P Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Triggers for Children and Adolescents with Anorexia Nervosa: A Retrospective Chart Review.
Conclusions: Examining adolescent perceptions of healthy messages from key players, including teachers, family, and peers, can better inform researchers and policy makers of the impact of health-focused messages on child and adolescent populations. PMID: 31798651 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2019 Category: Psychiatry Authors: Chen A, Couturier J Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Deprescribing in a Youth with an Intellectual Disability, Autism, Behavioural Problems, and Medication-Related Obesity: A Case Study.
Abstract Vlad, not his real name, a 15 year old boy with an autism spectrum disorder and intellectual disability, was referred for psychiatric consultation due to aggression and other behavioural problems. He presented for initial psychiatric consultation on five psychotropic medications with associated severe obesity. A systematic deprescribing and cross-tapering plan was implemented, removing all five psychotropic medications (which included olanzapine and quetiapine) and introducing ziprasidone. These changes were associated with a 44.8kg weight loss with no behavioral deterioration and overall lower rates of a...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2019 Category: Psychiatry Authors: McLennan JD Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Case Report of Childhood-Onset Psychosis in a Patient with a Known WNT10A Mutation.
Conclusion: WNT genes have only been previously linked to schizophrenia on a theoretical basis. To our knowledge, this is the first case report of an association between a childhood-onset psychosis and a WNT10A mutation. We conclude that there is a possibility that WNT10A may be one of the many genes contributing to the development of childhood-onset schizophrenia. PMID: 31798653 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2019 Category: Psychiatry Authors: Kobza AO, Alenezi S Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Summer can be hard on kids with mental health problems.
PMID: 31447901 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - August 1, 2019 Category: Psychiatry Authors: Boylan K Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Comparison of Perfectionism Dimensions in Adolescents with Anorexia Nervosa or Obsessive-Compulsive Disorder.
cute;zaro L Abstract Objective: The aim of the study was to compare two dimensions of perfectionism, namely self-oriented perfectionism (SOP) and socially prescribed perfectionism (SPP), in adolescents with anorexia nervosa (AN) or obsessive-compulsive disorder (OCD) and in healthy controls. A further objective was to investigate the influence of perfectionism dimensions on obsessive-compulsive, depressive, and eating symptomatology. Methods: A total of 79 adolescents with AN, 32 with OCD, and 74 healthy controls were recruited. The Child and Adolescent Perfectionism Scale (CAPS) was used to assess SOP and SP...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - August 1, 2019 Category: Psychiatry Authors: Flamarique I, Plana MT, Castro-Fornieles J, Borràs R, Moreno E, Lázaro L Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Evaluation of the Referral Process and Patterns to a Canadian Specialized Eating Disorders Treatment Program.
Conclusions: This is the first study in Canada to assess referral patterns to a specialized eating disorders program. Results from this study have elucidated the reasons for referral fall-through and highlighted areas of improvement in the referral process. Understanding referral trends is a necessary foundation to advance our knowledge of the factors that contribute to referrals materializing into assessments and ultimately optimizing patient care. PMID: 31447903 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - August 1, 2019 Category: Psychiatry Authors: Falcón BJ, Marcoux-Louie G, Pinzon J Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Attention Deficit Hyperactivity Disorder Presentations to The Child and Adolescent Mental Health Urgent Consult Clinic.
Conclusions: Individuals with ADHD account for a significant proportion of child and adolescent presentations to CAMHUCC. Provision of urgent psychiatric care to young people with ADHD represents a significant utilization of resources on health care in terms of initial assessment, higher rates of follow up care, need for risk assessment and referral to CMHA. PMID: 31447904 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - August 1, 2019 Category: Psychiatry Authors: Martins J, Roberts N, Nesdole R, Reddy PS, Groll D Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Borderline Personality Disorder and Disordered Eating Behaviour: The Mediating Role of Rejection Sensitivity.
Conclusions: This paper provides a novel association between a diagnosis of BPD in adolescents and disordered eating and the mediation effect of rejection sensitivity. These findings suggest that disordered eating should be screened in BPD samples and interventions targeting rejection sensitivity may be of clinical use. PMID: 31447905 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - August 1, 2019 Category: Psychiatry Authors: Al-Salom P, Boylan K Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Trends and Predictors of Repeat Mental Health Visits to a Pediatric Emergency Department in Hamilton, Ontario.
Abstract Objective: From 2007-2017, pediatric emergency department (ED) visits for mental health concerns increased by 66% in Canada, with repeat visits accounting for a significant proportion of all visits. Our objective was to examine patient and visit characteristics associated with repeat visits to a tertiary care pediatric ED for mental health concerns. Method: Data were obtained from the administrative records of McMaster Children's Hospital ED for mental health-related visits from February 2013-December 2017. Data on 9,018 ED visits made by 4,976 unique patients were included in this study. Logistic re...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - August 1, 2019 Category: Psychiatry Authors: Rosic T, Duncan L, Wang L, Eltorki M, Boyle M, Sassi R, Bennett K, Brotherston L, Pires P, Akintan O, Lipman E Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Early Response in Adolescents with Schizophrenia is not Associated with Remission at Six Months.
Conclusions: Early response to antipsychotic treatment can be observed in adolescent patients, however, it is not associated with remission at six months. PMID: 31447907 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - August 1, 2019 Category: Psychiatry Authors: Arceo S, Ulloa RE Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Helping the families of children with mental health disorders.
PMID: 31001344 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - April 1, 2019 Category: Psychiatry Authors: Boylan K Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Are we Overdiagnosing and Overmedicating Children & Adolescents Being Raised in Non Parental Households & Foster Care? A Community Mental Health Center Perspective.
Are we Overdiagnosing and Overmedicating Children & Adolescents Being Raised in Non Parental Households & Foster Care? A Community Mental Health Center Perspective. J Can Acad Child Adolesc Psychiatry. 2019 Apr;28(1):4-6 Authors: Miglani J, Scrivener J, Miglani S PMID: 31001345 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - April 1, 2019 Category: Psychiatry Authors: Miglani J, Scrivener J, Miglani S Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Formal Psychiatry Resident Rotations with a Clinical Pharmacy Specialist: Preliminary Experience at BC Children's Hospital.
PMID: 31001346 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - April 1, 2019 Category: Psychiatry Authors: Elbe D, Chapman A Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Family Factors and Repeat Pediatric Emergency Department Visits for Mental Health: A Retrospective Cohort Study.
Conclusions: This study examined the contribution of multiple family factors in predicting repeat MH visits to the ED. Results suggest caregiver characteristics may impact the decision to return. Healthcare providers should therefore consider caregiver and youth service utilization factors to inform patient management and discharge planning. PMID: 31001347 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - April 1, 2019 Category: Psychiatry Authors: Leon SL, Polihronis C, Cloutier P, Zemek R, Newton AS, Gray C, Cappelli M Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Implementation of Dialectical Behavior Therapy in a Day Hospital Setting for Adolescents with Eating Disorders.
Conclusions: The implementation of a DBT informed DHP with integration of FBT is associated with improved patient outcomes. Ongoing challenges with respect to the implementation of DBT include modifying DBT to address varying developmental levels, ages and diagnoses and promoting adherence to the program by patients and families. Limitations include small sample size, uncontrolled chart review and the nature of DHP, which include a variety of components that may influence outcomes. This research will help to inform future implementation of treatment programs for adolescents with eating disorders. PMID: 31001348 [PubMe...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - April 1, 2019 Category: Psychiatry Authors: Pennell A, Webb C, Agar P, Federici A, Couturier J Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Exploring the Decisional needs of Parents with Children with ADHD and Disruptive and Aggressive Behaviour.
Conclusion: The themes generated from the focus groups suggest that a patient decision aid for parents with children with ADHD and disruptive and aggressive behaviour should follow the general recommendations for best practices for the creation of patient decision aids. Specific information on the regional availability of non-medical treatments will be especially helpful for parents to navigate services and service providers. Consideration should be given as to how the concept of values clarification is introduced to families. PMID: 31001349 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - April 1, 2019 Category: Psychiatry Authors: Nosratmirshekarlou E, Andrade BF, Jette N, Lawson ML, Pringsheim T Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Innovations in Clinical Service Provision for Children and Youth.
PMID: 30487934 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Boylan K Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Letter to the Editor.
PMID: 30487935 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Chow M Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Social Determinants of Health among Youth Seeking Substance Use and Mental Health Treatment.
Conclusions: Given their prevalence and association with mental health and addiction concerns, social determinants of health problems should be routinely assessed among treatment-seeking youth and integrative services that address these concerns in addition to symptomatology should be considered. PMID: 30487936 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Settipani CA, Hawke LD, Virdo G, Yorke E, Mehra K, Henderson J Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Relationship Between Physical Activity, Tic Severity and Quality of Life in Children with Tourette Syndrome.
Abstract Objective: To examine the relationship between physical activity, tic severity and quality of life (QoL) in children and adolescents with persistent tic disorder and Tourette Syndrome. Method: Baseline data was examined from a larger randomized controlled trial (Clinicaltrials.gov NCT02153463). Physical activity was assessed via pedometers with daily step count recorded. Tic severity (assessed via Yale Global Tic Severity Scale or YGTSS) and QoL (assessed via PEDs QL 4.0) were compared between those more physically active (≥12,000 steps/day) and less physically active (
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Doja A, Bookwala A, Pohl D, Rossi-Ricci A, Barrowman N, Chan J, Longmuir PE Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Facilitating Effective Transitions from Hospital to Community for Children and Adolescent Mental Health Services: Overview of the Transition Support Worker Role and Function.
Abstract Transitions between hospital and community services and from child and adolescent to adult services have been identified as a priority for improvement in the child and adolescent mental health and addictions sector across Canada and internationally. Despite widespread recognition of the issue, there is very little in the way of evidence to guide policy and programming to improve transitions. Transition support workers have been identified as a promising intervention to facilitate successful transitions, and innovative programs involving transition workers are currently operating in the Canadian mental hea...
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Cleverley K, Gore D, Nasir S, Ashley T, Rich L, Brown C, Hanssmann B, Holmes-Haronitis J, Villafana P, Kish J, Levy M Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

A Study Protocol for the "Practitioner Training in Child and Adolescent Psychiatry" Cluster-randomized Pilot Study.
Discussion: As one of the first RCTs of its kind in Canada, this study will provide unique, preliminary evidence in regards to the feasibility and efficacy of the PTCAP intervention for enhancing rural, paediatric mental health care capacity. PMID: 30487939 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Espinet SD, Gotovac S, Knight S, Zwarenstein M, Lingard L, Steele M Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Pediatric Referrals for Urgent Psychiatric Consultation: Clinical Characteristics, Diagnoses and Outcome of 4 to 12 Year Old Children.
Conclusion: Regardless of source of referral, the most common reason for urgent psychiatric referral was aggression and the majority of individuals did not require inpatient psychiatric care. Collaborative multiagency education in child and adolescent mental health disorders, including the role of learning disabilities in externalizing behaviors, may improve the capacity of CMHA and schools to identify and provide focused interventions that may, in turn, reduce behavioral crisis and visits to Emergency Departments and urgent clinics. PMID: 30487940 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Pikard J, Roberts N, Groll D Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

The Association of Adolescent Facebook Behaviours with Symptoms of Social Anxiety, Generalized Anxiety, and Depression.
Conclusions: Increased adolescent generalized anxiety symptoms were associated with increased Facebook behaviour and repetitive Facebook behaviour. As adolescent Facebook use is quite prevalent, mental health and primary care health professionals should inquire about adolescent Facebook use and behaviours, particularly when treating those with generalized anxiety symptoms. PMID: 30487941 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - November 1, 2018 Category: Psychiatry Authors: Muzaffar N, Brito EB, Fogel J, Fagan D, Kumar K, Verma R Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Diagnosing BPD in Adolescents: More good than harm.
PMID: 30038651 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - July 25, 2018 Category: Psychiatry Authors: Boylan K Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Persisting Concerns Regarding the New Canadian FASD Guidelines.
PMID: 30038652 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - July 25, 2018 Category: Psychiatry Authors: McLennan J, Braunberger P Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Dimensional and Categorical Correlates of Substance Use Disorders among Canadian Adolescents with Bipolar Disorder.
Conclusion: SUD is highly prevalent among Canadian adolescents with BP and is associated with anxiety disorders, behavioural disorders, and trait impulsivity. Targeting these clinical characteristics may help guide preventative and treatment strategies for this population. PMID: 30038653 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - July 25, 2018 Category: Psychiatry Authors: Scavone A, Timmins V, Collins J, Swampillai B, Fonseka TM, Newton D, Naiberg M, Mitchell R, Ko A, Shapiro J, Collinger K, Boulos C, Goldstein BI Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Retaining a Sample of Homeless Youth.
Conclusions: Retaining a sample of homeless youth is difficult, however, with time, patience and effort it has proven possible. This research underscores the importance of relationships with community agencies to retain vulnerable youth samples in longitudinal research designs. PMID: 30038654 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - July 25, 2018 Category: Psychiatry Authors: Forchuk C, O'Regan T, Jeng M, Wright A Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Sleep-Related Issues in Children and Adolescents Presenting at Community Mental Health Clinics.
Conclusions: Problematic sleep is very common in youth with mental health concerns. More research is needed to understand best practices for assessment and treatment of sleep issues that are comorbid with mental health issues in children and adolescents. PMID: 30038655 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - July 25, 2018 Category: Psychiatry Authors: Quon EC, Ellis AT, Coulombe A Tags: J Can Acad Child Adolesc Psychiatry Source Type: research

Practical Crisis Management for Parents and Clinicians: Adolescent Suicidal, Aggressive, Elopement Behaviours: Intensive Treatment Settings.
Conclusions: The successful development and evolution of the strategy demonstrated feasibility of the concept. The hope is that such strategies contribute to the advancement of patient care, the discussion in the literature and provide the basis for future research. PMID: 30038656 [PubMed] (Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry)
Source: Journal of the Canadian Academy of Child and Adolescent Psychiatry - July 25, 2018 Category: Psychiatry Authors: Junek W Tags: J Can Acad Child Adolesc Psychiatry Source Type: research