The Brown University Child and Adolescent Behavior Letter最新文献_第2页

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, Margaret Azar Psy.D.","doi":"10.1002/cbl.30872","DOIUrl":"https://doi.org/10.1002/cbl.30872","url":null,"abstract":"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.","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}

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The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-05-10 DOI: 10.1002/cbl.30873

Alison Knopf

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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":"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).","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}

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The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-03-27 DOI: 10.1002/cbl.30866

Alison Knopf

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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

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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

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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

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Preschool should be for everyone 学前教育应该面向所有人

The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-03-27 DOI: 10.1002/cbl.30865

Kristin Sanchez M.D., Michelle Pievsky Ph.D., Pei-Chi Wu M.D., Stephanie Shepard Umaschi Ph.D.

{"title":"Preschool should be for everyone","authors":"Kristin Sanchez M.D., Michelle Pievsky Ph.D., Pei-Chi Wu M.D., Stephanie Shepard Umaschi Ph.D.","doi":"10.1002/cbl.30865","DOIUrl":"https://doi.org/10.1002/cbl.30865","url":null,"abstract":"“The school keeps calling me to pick up my child.” “He got asked to leave because of behavioral issues.” These are common stories that we and many other pediatric providers caring for young children with developmental differences hear from families during their visit. Stories of children missing multiple days of school a week, students not having access to necessary sensory supports, parents being unable to work because they have nowhere for their child to go, and eventually stories of children being asked to leave one and often multiple early childhood education centers. These stories are consistent with data demonstrating that preschoolers are expelled at a high and disproportionate rate when compared to school age children in the United States (Gilliam, 2005). On a study of the National Survey of Children's Health there were approximately 50,000 children suspended and 17,000 children expelled at least once from preschool in the year 2016 alone. When focusing on preschoolers with autism spectrum disorder (ASD) in particular, these children are expelled at a 10 times higher rate than non-ASD preschoolers at an average age of 3.3 years old (Novoa & Malik, 2018; Blacher & Eisenhower, 2023) In fact, the same study found that one out of every six children with ASD was expelled prior to entering kindergarten (Blacher & Eisenhower, 2023). These numbers are startling to see but mirror common stories that pediatricians and other providers caring for this patient population hear when speaking with families.","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 5","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717172","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}

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Transgender youth: Asking the question(s) 跨性别青年：问问题

The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-03-27 DOI: 10.1002/cbl.30869

David P. Lichtenstein Ph.D.

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School re-entry following a mental health crisis 精神健康危机后重返学校

The Brown University Child and Adolescent Behavior Letter Pub Date : 2025-03-27 DOI: 10.1002/cbl.30864

Emily Hill Ph.D., Jennifer Hellmuth Ph.D.

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