{"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":"<p>“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.</p>","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}
{"title":"Transgender youth: Asking the question(s)","authors":"David P. Lichtenstein Ph.D.","doi":"10.1002/cbl.30869","DOIUrl":"https://doi.org/10.1002/cbl.30869","url":null,"abstract":"<p>Recently, transgender youth and gender-affirming care have received intense media coverage and been the subject of numerous governmental policies. Messages have tended towards the hyperbolic, but I was curious to look beyond the headlines to better understand what questions these youth and their care bring up. This column concerns transgender youth; stay tuned for a piece on gender-affirming care.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 5","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717177","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":"School re-entry following a mental health crisis","authors":"Emily Hill Ph.D., Jennifer Hellmuth Ph.D.","doi":"10.1002/cbl.30864","DOIUrl":"https://doi.org/10.1002/cbl.30864","url":null,"abstract":"<p>During the school year, psychiatric hospitalization rates for children and adolescents are at their highest (Marshall et al., 2021). A hospitalization may consist of admission to an inpatient unit or a day treatment program, and the length of stay can vary from days to weeks or even months. During hospitalization, youth receive treatment to stabilize symptoms and prepare for a discharge into daily life, including school. However, navigating this transition from hospitalization back to school can be challenging for students, their caregivers, and school staff. Students returning to school often have complex needs that require careful planning by the treatment team to ensure a successful reintegration. This is especially critical given the high risk of readmission during the transition period. This raises an important question: what are the best practices for supporting students returning school after a mental health crisis? In this article, we will explore key strategies and highlight recommended resources for supporting students post-hospitalization.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 5","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717171","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":"Transitioning to adult care: ‘Navigator’ decreased ED visits","authors":"","doi":"10.1002/cbl.30861","DOIUrl":"https://doi.org/10.1002/cbl.30861","url":null,"abstract":"","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 4","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143533971","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.30858","DOIUrl":"https://doi.org/10.1002/cbl.30858","url":null,"abstract":"<p>\u0000 </p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 4","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143533970","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":"Treating teens who are a sexual minority and use substances","authors":"Stephanie Shoppell PsyD, LMHC","doi":"10.1002/cbl.30857","DOIUrl":"https://doi.org/10.1002/cbl.30857","url":null,"abstract":"<p>Avery is a patient I worked with earlier on in my clinical career (name and details have been altered for confidentiality). She identified as cisgender, bisexual, white adolescent female. Avery was referred to home-based services following an inpatient admission due to suicidal ideation, an active eating disorder, anxiety symptoms, and substance use. She was experiencing an increase in depressive and anxiety symptoms prior to admission due to family stress after disclosing sexual abuse with DCYF [Department of Children, Youth, and Families] becoming involved. Avery reported a history of experiencing negative comments made about her sexuality and feeling othered by peers at school. On top of this, she was in the refeeding stage (the process of increasing caloric intake to achieve weight goal) of her eating disorder treatment and trying to learn to navigate a new family environment. Aivery was not unique in turning to substances as a coping strategy.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 4","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143533969","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":"Cannabis prevention is suicide prevention","authors":"Alison Knopf","doi":"10.1002/cbl.30863","DOIUrl":"https://doi.org/10.1002/cbl.30863","url":null,"abstract":"<p>An article in Psychiatric News published in January summed up mounting evidence linking the use of cannabis by young people to depression and suicide. Quoting experts from the annual meeting of the American Academy of Child and Adolescent Psychiatry (AACAP), the article looks at the expanded types of products, increasing potency, and legalization are contributing to “unprecedented exposure to young people during a critical period of brain development,” said Jesse D. Hinckley, M.D., associate clinical professor of psychiatry and co-founder of the addiction biology laboratory at the University of Colorado School of Medicine, at the meeting. “Cannabis prevention and early intervention are suicide prevention,” Hinckley said. “There's an even greater need for these programs in states that have passed recreational or medical cannabis laws, where youth cannabis use is more prevalent.”</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 4","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534029","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":"Trauma: When a teen you love insists they're fine","authors":"Alexis Smith PsyD","doi":"10.1002/cbl.30856","DOIUrl":"https://doi.org/10.1002/cbl.30856","url":null,"abstract":"<p>Many people know the hallmark signs of post-traumatic stress disorder, including nightmares, flashbacks, avoidance of reminders, etc. But trauma also often brings mindset shifts: “Something is wrong with me — I deserved what happened. The world isn't safe, and evil is always lurking. I can't trust anybody but myself.” Some people also experience intense emotions like anger and sadness, while others may find it hard to feel anything at all.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143533960","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":"A portal from the AAP can help families understand how social media works","authors":"Alison Knopf","doi":"10.1002/cbl.30859","DOIUrl":"https://doi.org/10.1002/cbl.30859","url":null,"abstract":"<p>A $10-million grant from the Substance Abuse and Mental Health Services Administration to the American Academy of Pediatrics (AAP) funded a program which has a free portal that families can use to get real information about social media. A presentation on this program, the AAP's Center for Excellence on Youth Social Media and Mental Health” at the annual CADCA (Community Anti-Drug Coalitions of America) leadership conference in Washington in February, focused on empowering parents.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 4","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534030","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":"Boston prevention provider helps immigrants deal with current crisis","authors":"Alison Knopf","doi":"10.1002/cbl.30860","DOIUrl":"https://doi.org/10.1002/cbl.30860","url":null,"abstract":"<p>It wasn't what they were meant to do originally, but recently, the East Boston Neighborhood Health Center has found new work in helping people who need it. Nancy Slamet, Director of the East Boston Alliance for Support, Treatment, Intervention and Education (EASTIE) Coalition, works with the center on outreach for community members and promoting health equity, because 60–70% of the population is from Latin America.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 4","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534031","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}