{"title":"Understanding school refusal behaviors and strategies to help","authors":"Judith McCullough Ph.D.","doi":"10.1002/cbl.30877","DOIUrl":"https://doi.org/10.1002/cbl.30877","url":null,"abstract":"<p>School refusal is not uncommon. Prevalence estimates range from 1%–15% of children ages 3–17 in the general population and 5–10% among clinically-referred samples. Rates are similar across gender and socioeconomic status and are comparable to rates of child anxiety disorders (7%), depression (1%–7%), and ADHD (10–11%). School refusal is not a diagnosis in and of itself, but typically a symptom of an anxiety disorder, mood disorder, somatic symptom disorder, learning disorder, or PTSD/trauma.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 7","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503241","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}
{"title":"Link between cannabis use and schizophrenia is likely causal, especially for teens","authors":"Alison Knopf","doi":"10.1002/cbl.30880","DOIUrl":"https://doi.org/10.1002/cbl.30880","url":null,"abstract":"<p>A key study looking at the association between cannabis use and acute psychosis and schizophrenia, focuses on cause. The link has been well described. But the causal link, until now, has not been shown in a meta-analysis.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 7","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503173","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}
{"title":"Taking a bite out of childhood biting in early care and education settings","authors":"Briana J. Williams PhD, Rebecca Newland Ph.D.","doi":"10.1002/cbl.30878","DOIUrl":"https://doi.org/10.1002/cbl.30878","url":null,"abstract":"<p>Biting is one of the most common and frustrating behaviors for families of young children and early childhood professionals. Biting is a relatively typical behavior in early childhood. But just because a behavior is “normal” or developmentally appropriate does not mean that it is acceptable or socially appropriate. It can be particularly alarming to staff and teachers in early care and education (ECE) settings, who are responsible for the safety of many young children.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 7","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503242","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}
{"title":"Digital therapeutics: don't be afraid — yet","authors":"David P. Lichtenstein Ph.D.","doi":"10.1002/cbl.30882","DOIUrl":"https://doi.org/10.1002/cbl.30882","url":null,"abstract":"<p><i>Morton Peppercorn (not his real name, but it was memorably unique) was a graduate student therapist whose story was told during my doctoral training. Morton worked hard with one client struggling with depression. In time, the client's symptoms improved, and Morton inquired about what had made the difference. Was it the cognitive restructuring? Behavioral activation? “No,” said the client. “I noticed one day that you had a hole in your shoe. I realized that if this guy has a hole in his shoe, then maybe my life isn't so bad in comparison.”</i></p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503243","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}
{"title":"More than 18 million children in U.S. live with parent with a SUD","authors":"Alison Knopf","doi":"10.1002/cbl.30881","DOIUrl":"https://doi.org/10.1002/cbl.30881","url":null,"abstract":"<p>More than 18 million children in the United States have a parent with a substance use disorder (SUD). The study, based on the 2023 National Survey on Drug Use and Health (NSDUH), is by Sean Esteban McCabe, Ph.D. and colleagues. The authors are with the University of Michigan Center for the Study of Drugs, Alcohol, Smoking, and Health. (The Trump Administration fired all staffers at NSDUH in March, so this kind of information will no longer be available.)</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503245","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}
{"title":"Keep your eye on…","authors":"Alison Knopf","doi":"10.1002/cbl.30879","DOIUrl":"https://doi.org/10.1002/cbl.30879","url":null,"abstract":"<p>\u0000 </p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503172","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}
{"title":"Keep seeking treatment for autism","authors":"Alison Knopf","doi":"10.1002/cbl.30883","DOIUrl":"https://doi.org/10.1002/cbl.30883","url":null,"abstract":"<p>Among several possibly distressing statements from the federal government this spring about autism, the one calling for a registry of people with the disorder probably struck the most fear among parents. What would happen to their children if there were, as the federal Department of Health and Human Services (HHS) called it, a “data platform” to focus on the “root causes of autism spectrum disorder (ASD).” HHS Secretary Robert F. Kennedy Jr., said “We're pulling back the curtain — with full transparency and accountability — to deliver the honest answers families have waited far too long to hear.”</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 7","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503244","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}
{"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}
{"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}
{"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}