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The Brown University Child and Adolescent Behavior Letter最新文献

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Mental health providers and transgender youth 心理健康提供者和跨性别青年
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-05-10 DOI: 10.1002/cbl.30875
David P. Lichtenstein Ph.D.
{"title":"Mental health providers and transgender youth","authors":"David P. Lichtenstein Ph.D.","doi":"10.1002/cbl.30875","DOIUrl":"https://doi.org/10.1002/cbl.30875","url":null,"abstract":"<p>Last month, I highlighted several questions regarding transgender youth. The issues can be complex; I believe we need to continue to ask questions and answer them with rigorous science, personal dialogue, and reflection. This month I consider how mental health care intersects with transgender youth (as before, I am using this as an umbrella term for all non-cisgender youth).</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 6","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use clinical decision-making, not automatic protocols, for perinatal urine drug testing 使用临床决策，而不是自动协议，围产期尿液药物检测
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-05-10 DOI: 10.1002/cbl.30874
Alison Knopf
{"title":"Use clinical decision-making, not automatic protocols, for perinatal urine drug testing","authors":"Alison Knopf","doi":"10.1002/cbl.30874","DOIUrl":"https://doi.org/10.1002/cbl.30874","url":null,"abstract":"<p>Urine drug screening (UDS) policies that have been updated, combined with clinical decision support, may reduce racially biased reporting to child protective services (CPS) during prenatal and postnatal care and labor and delivery. The key is to remove isolated cannabis use and limited prenatal care as an automatic order for urine drug screening, according to a recent study. The researchers found that updating the policy was associated with a significant reduction in racial disparities in both urine drug testing and reporting to CPS.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 6","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding your transgender child 了解你的跨性别孩子
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-05-10 DOI: 10.1002/cbl.30876
Alison Knopf
{"title":"Understanding your transgender child","authors":"Alison Knopf","doi":"10.1002/cbl.30876","DOIUrl":"https://doi.org/10.1002/cbl.30876","url":null,"abstract":"<p>“Transgender is an umbrella terms for persons whose gender identity, gender expression or behavior does not conform to that typically associated with the sex to which they were assigned at birth.” So begins a valuable information piece from the American Psychological Association (APA). The word “transsexual” is outdated, according to the APA Style guide, but it should be used for an individual who claims it. “Transgender” is the more common term, and the shorthand is “trans.”</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 6","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Applying the psychological mediation framework to the children's partial hospitalization setting 心理调解框架在儿童局部住院环境中的应用
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-05-10 DOI: 10.1002/cbl.30872
Lauren Penrose, Margaret Azar Psy.D.
{"title":"Applying the psychological mediation framework to the children's partial hospitalization setting","authors":"Lauren Penrose,&nbsp;Margaret Azar Psy.D.","doi":"10.1002/cbl.30872","DOIUrl":"https://doi.org/10.1002/cbl.30872","url":null,"abstract":"<p>Children's partial hospitalization programs offer an encompassing approach to treatment for patients presenting with a range of needs. In an effort to organize the treatment approach and environmental stressors impacting children, we have looked into modifying known frameworks. One such framework is the Psychological Mediation Framework (PMF). Developed by Hatzenbuehler, the framework suggests that stigma-related stressors trigger maladaptive psychological processes which exacerbate and maintain psychopathology. Hatzenbuehler organized these maladaptive psychological processes into three categories: cognitive; social and interpersonal; and coping and emotion regulation. He argues that this framework helps to explain what mediates the relationship between stigma, such as discrimination, and psychopathology (Figure 1). Despite this framework originally created for LGBTQ+ adults and only used with non-clinical contexts, “these psychological processes … are not unique to LGBT persons but may be experienced by anyone. For instance, chronic stress exposure (e.g., from stigma) may reduce one's capacity for adaptive coping and may increase maladaptive coping strategies by contributing to emotion regulation deficits. This framework does not claim that cognitive, social, and coping deficits are indicative of a psychiatric disorder. Rather, challenges in all three areas make it more likely that a full diagnosis would be present. We propose that the PMF could be a useful model for providers in partial hospitalization programs (PHPs) in designing treatment plans. Mental health providers outside of partial programs could use this visual to explain to families the integrative nature of PHPs. This could further be used as a self-evaluative tool for children's PHPs structured similarly to ours through Bradley Hospital in East Greenwich, RI.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 6","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Keep your eye on… 密切关注……
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-05-10 DOI: 10.1002/cbl.30873
Alison Knopf
{"title":"Keep your eye on…","authors":"Alison Knopf","doi":"10.1002/cbl.30873","DOIUrl":"https://doi.org/10.1002/cbl.30873","url":null,"abstract":"<p>…using hippocampal measures to investigate BD risk</p><p>…how trauma and adverse family environment may cause IED</p><p>…3 CBT techniques for managing ADHD</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 6","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing the challenges of adolescence through improved family functioning 通过改善家庭功能来管理青春期的挑战
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-05-10 DOI: 10.1002/cbl.30871
Kira Alexander Ph.D.
{"title":"Managing the challenges of adolescence through improved family functioning","authors":"Kira Alexander Ph.D.","doi":"10.1002/cbl.30871","DOIUrl":"https://doi.org/10.1002/cbl.30871","url":null,"abstract":"<p>Adolescence can be a sensitive time encompassing significant, sometimes challenging, changes in an individual's physical, emotional, and social well-being. This developmental stage can involve challenges for the collective family unit. Caregivers must adjust several aspects of parenting, as the rules and boundaries they established when their child was younger can be the same ones adolescents feel confined by as they continue to develop and mature. This period can be even more challenging for adolescents with mental health challenges. At Bradley Hospital, several programs for adolescents in distress include individual, family, and group outpatient programs, inpatient and partial levels of hospitalization, and intensive outpatient programs. Parents are encouraged to actively engage in treatment in all these modalities, often through family therapy. Family therapy is essential in ensuring sustainable long-term changes outside the therapy environment. Themes of dysregulation or dysfunction in behavior, communication, and family relationships emerge in family therapy sessions. Understanding these themes and potential solutions can benefit families in and out of the Bradley Hospital system. While families have individual challenges and strengths, caregivers and adolescents identified that open communication and adolescent-directed conversations support a high sense of family functioning (Bandura et al., 2011).</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 6","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Keep your eye on… 密切关注……
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-03-27 DOI: 10.1002/cbl.30866
Alison Knopf
{"title":"Keep your eye on…","authors":"Alison Knopf","doi":"10.1002/cbl.30866","DOIUrl":"https://doi.org/10.1002/cbl.30866","url":null,"abstract":"<p>\u0000 </p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 5","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why some teens may need long-acting injectables 为什么有些青少年可能需要长效注射剂
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-03-27 DOI: 10.1002/cbl.30867
Alison Knopf
{"title":"Why some teens may need long-acting injectables","authors":"Alison Knopf","doi":"10.1002/cbl.30867","DOIUrl":"https://doi.org/10.1002/cbl.30867","url":null,"abstract":"<p>The Food and Drug Administration (FDA) has not approved long-acting injectable (LAI) antipsychotic medications for patients under age 18, but researchers have found that for some teens, prescribing these medications off-label is helpful. This is particularly true in teens with bipolar disorder who forget or don't want to take their oral medications, according to the researchers, who found that the LAI antipsychotics were effective, and recommend more FDA trials.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 5","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
If your child needs psychiatric medications, AACAP has your back — and your child's 如果你的孩子需要精神药物治疗，AACAP会支持你和你的孩子
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-03-27 DOI: 10.1002/cbl.30870
Alison Knopf
{"title":"If your child needs psychiatric medications, AACAP has your back — and your child's","authors":"Alison Knopf","doi":"10.1002/cbl.30870","DOIUrl":"https://doi.org/10.1002/cbl.30870","url":null,"abstract":"<p>Alarm bells rang through the clinical world when the Federal Department of Health and Human Services (HHS) ordered an investigation critical of some psychiatric medications for children. The time frame for the assessment was brief, and will be completed by the time this issue comes out. However, as soon as the announcement came out from the HHS Secretary Robert F. Kennedy, Jr. in February, the American Academy of Child and Adolescent Psychiatry (AACAP) issued a statement that provided reassurance to families.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 5","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increase in awareness and diagnosis thought to drive increase in SHA use disorder 认识和诊断的提高被认为是促使SHA使用障碍增加的原因
The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-03-27 DOI: 10.1002/cbl.30868
Alison Knopf
{"title":"Increase in awareness and diagnosis thought to drive increase in SHA use disorder","authors":"Alison Knopf","doi":"10.1002/cbl.30868","DOIUrl":"https://doi.org/10.1002/cbl.30868","url":null,"abstract":"<p>Substance use disorders (SUDs) specific to sedative, hypnotic, or anxiolytics — have increased by 3- to 5-times among adolescent and young adult enrollees of Medicaid from 2001 to 2019, but prevalence remained low among adolescents, researchers have found. The study attributed the increase in use disorders of these medications, many of which are benzodiazepines, to the increase in availability of these medications, as well as to the increased awareness and detection of these disorders.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 5","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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