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The Brown University Child and Adolescent Behavior Letter最新文献

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Integrated behavioral health as a vehicle for improved mental health care 将综合行为健康作为改善心理健康护理的手段
The Brown University Child and Adolescent Behavior Letter Pub Date : 2024-12-24 DOI: 10.1002/cbl.30842
Stephanie Wagner M.D., M.P.H., Alison Manning M.D., Judith McCullough Ph.D., Michelle Pievsky Ph.D.
{"title":"Integrated behavioral health as a vehicle for improved mental health care","authors":"Stephanie Wagner M.D., M.P.H.,&nbsp;Alison Manning M.D.,&nbsp;Judith McCullough Ph.D.,&nbsp;Michelle Pievsky Ph.D.","doi":"10.1002/cbl.30842","DOIUrl":"https://doi.org/10.1002/cbl.30842","url":null,"abstract":"<p>Integrated behavioral health care is an umbrella term that describes methods of delivering behavioral health services in a familiar medical setting to facilitate patient access to care and increase utilization by improving convenience, reducing weight times, and reducing the stigma of seeking mental health care. There are a number of models of integrated care, with the collaborative care and primary care behavioral health models being the most well-known and evidence-supported (Kallenberg &amp; Sieber, 2024; Reiter et al., 2018; Yonek et al., 2020). Currently, integrated behavioral health exists in multiple forms in Rhode Island. In this article we will describe the current landscape and future directions of integrated behavioral health (IBH) at Hasbro Children's Pediatric Primary Care Clinic, including the team makeup, goals, and common reasons for consultation. Our aim is to help community providers, both pediatric and behavioral health providers better understand the IBH team and describe the types of services provided.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118789","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
Make sure transition-age youth have access to needed mental health care 确保过渡年龄青年能够获得所需的精神卫生保健
The Brown University Child and Adolescent Behavior Letter Pub Date : 2024-12-24 DOI: 10.1002/cbl.30848
Alison Knopf
{"title":"Make sure transition-age youth have access to needed mental health care","authors":"Alison Knopf","doi":"10.1002/cbl.30848","DOIUrl":"https://doi.org/10.1002/cbl.30848","url":null,"abstract":"<p>“Transition-age youth” sounds like fancy talk for coming-of-age years. In fact, it's a time when youth are particularly vulnerable to stress, and also when serious mental health problems can derail their move into adulthood. The years of being home and protected by parents, perhaps, are over. College, jobs, and concerns about the “real world” can take over. Furthermore, the inner world — depression, anxiety, suicide, substance use, bullying, romance, even possible first-episode psychosis which takes place during these years, can emerge. Medically, the pediatrician is probably leaving the child's medical team, and new providers — adult providers — will be taking over. These providers don't know the child the way the pediatrician does.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 2","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118787","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
Viloxazine moderate dose associated with good ADHD outcomes 中等剂量的维洛嗪与良好的ADHD预后相关
The Brown University Child and Adolescent Behavior Letter Pub Date : 2024-12-24 DOI: 10.1002/cbl.30845
Alison Knopf
{"title":"Viloxazine moderate dose associated with good ADHD outcomes","authors":"Alison Knopf","doi":"10.1002/cbl.30845","DOIUrl":"https://doi.org/10.1002/cbl.30845","url":null,"abstract":"<p>Attention-deficit hyperactivity disorder (ADHD) is treated by medications, most recently, by viloxazine (Qelbree). Researchers in China looked at clinical trials to try to determine the best dose. Viloxazine was associated with better outcomes than placebo, with a bell-shaped response curve suggesting that doses greater than 400 mg or greater than 7 mg/kg might not be linked to greater efficacy. Ascent curves tapered off about weeks 4 to 6. The curve for only 100 mg/d declined more rapidly, while the curves for 200 mg/dl and 400 mg/dl declined more gradually. In terms of adverse effects, there was a higher risk of discontinuation with viloxazine compared to placebo. The discontinuation rate due to adverse effects was 4.15% in the viloxazine group.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 2","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118785","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 : 2024-12-24 DOI: 10.1002/cbl.30844
Alison Knopf
{"title":"Keep your eye on…","authors":"Alison Knopf","doi":"10.1002/cbl.30844","DOIUrl":"https://doi.org/10.1002/cbl.30844","url":null,"abstract":"<p>\u0000 </p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 2","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118786","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 : 2024-11-28 DOI: 10.1002/cbl.30838
Alison Knopf
{"title":"Keep your eye on…","authors":"Alison Knopf","doi":"10.1002/cbl.30838","DOIUrl":"https://doi.org/10.1002/cbl.30838","url":null,"abstract":"<p>\u0000 </p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748980","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
Decoding youth substance use: Insights and strategies 解读青少年药物使用：洞察与策略
The Brown University Child and Adolescent Behavior Letter Pub Date : 2024-11-28 DOI: 10.1002/cbl.30837
Nicole Gomes R.N., Margaret Paccione-Dyszlewski Ph.D.
{"title":"Decoding youth substance use: Insights and strategies","authors":"Nicole Gomes R.N.,&nbsp;Margaret Paccione-Dyszlewski Ph.D.","doi":"10.1002/cbl.30837","DOIUrl":"https://doi.org/10.1002/cbl.30837","url":null,"abstract":"<p>Substance use among youth aged 12 to 17 presents a major public health concern in the United States with statistics revealing that one in eight youths have engaged in illicit substance misuse within the past year (National Center for Drug Abuse Statistics, 2023). The long-term consequences of youth substance use include complicated medical issues, mental health disorders, impaired brain development, social and behavioral issues, addiction and dependence problems, and financial and legal consequences. By comprehending, preventing, and addressing factors of youth substance use, parents, educators, and healthcare providers can protect the well-being of young individuals, their families, and the community.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748979","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
Parents now more than ever need to help keep kids safe 父母现在比以往任何时候都更需要帮助保护孩子的安全
The Brown University Child and Adolescent Behavior Letter Pub Date : 2024-11-28 DOI: 10.1002/cbl.30841
Alison Knopf
{"title":"Parents now more than ever need to help keep kids safe","authors":"Alison Knopf","doi":"10.1002/cbl.30841","DOIUrl":"https://doi.org/10.1002/cbl.30841","url":null,"abstract":"<p>The outgoing president of the American Academy of Pediatrics listed the many ways in which the organization has protected children over the past year, but parents clearly need to be there as well. Keeping health insurance and access to mental health care, promoting vaccine confidence, keeping children safe online, challenging bans on gender-affirming care and reproductive health services are just some of the important protections for children.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 1","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748983","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
School-based mental health curriculum nationally available at no cost: Adolescent Depression Awareness Program (ADAP) 以学校为基础的心理健康课程在全国免费提供：青少年抑郁意识计划（ADAP）
The Brown University Child and Adolescent Behavior Letter Pub Date : 2024-11-28 DOI: 10.1002/cbl.30836
Candice S. Espinoza M.D., Karen L. Swartz M.D.
{"title":"School-based mental health curriculum nationally available at no cost: Adolescent Depression Awareness Program (ADAP)","authors":"Candice S. Espinoza M.D.,&nbsp;Karen L. Swartz M.D.","doi":"10.1002/cbl.30836","DOIUrl":"https://doi.org/10.1002/cbl.30836","url":null,"abstract":"<p>According to Substance Abuse and Mental Health Services Administration (SAMHSA), as of 2021, an estimated 5.0 million (20.1%) adolescents in the United States aged 12 to 17 have had at least one major depressive episode with approximately 3.7 million having significant impairment (defined as difficulty doing well at work or school, issues having a social life, problems doing chores at home, and/or struggles getting along with family). The prevalence of having a major depressive episode was nearly three times higher among adolescent females when compared to males and was highest among adolescents reporting two or more races.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748978","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
How ACEs and trauma risk development ace和创伤风险是如何发展的
The Brown University Child and Adolescent Behavior Letter Pub Date : 2024-11-28 DOI: 10.1002/cbl.30839
Alison Knopf
{"title":"How ACEs and trauma risk development","authors":"Alison Knopf","doi":"10.1002/cbl.30839","DOIUrl":"https://doi.org/10.1002/cbl.30839","url":null,"abstract":"<p>There are eight TRACEs (traumatic and adverse childhood experiences) which can lead to mental health and cognitive problems during adolescents, according to researchers. Using the Adolescent Brain Cognitive Development (ABCD) data from the National Institutes of Health, the researchers drew on reports from youth and their caregivers to look at longitudinal change and how it is moderated by the TRACEs.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748981","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
Neurodiversity in children: Accommodate or celebrate? 儿童神经多样性：适应还是庆祝？
The Brown University Child and Adolescent Behavior Letter Pub Date : 2024-11-28 DOI: 10.1002/cbl.30840
Anne S. Walters Ph.D.
{"title":"Neurodiversity in children: Accommodate or celebrate?","authors":"Anne S. Walters Ph.D.","doi":"10.1002/cbl.30840","DOIUrl":"https://doi.org/10.1002/cbl.30840","url":null,"abstract":"<p>Neurodiversity, a term increasingly used to describe a range of neurological differences, is more prevalent than we might think. Conditions such as autism, ADHD, dyslexia, and Tourette's syndrome, once loosely considered forms of “mental illness,” are now understood as part of the diverse neurological landscape. In the United States, the overall prevalence rate of neurodiversity in children is often reported at about 20%. Recent estimates from the Centers for Disease Control and Prevention (CDC, 2022) suggest that approximately one in 36 children in the United States are identified with autism spectrum disorder (ASD). Further estimates suggest that 5–10% of children experience attention-deficit hyperactivity disorder (ADHD), 2–6% experience Tourette's syndrome, and 1–3% experience other neurodevelopmental disorders. These numbers underscore the importance of understanding neurodiversity in our communities.</p>","PeriodicalId":101223,"journal":{"name":"The Brown University Child and Adolescent Behavior Letter","volume":"41 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748982","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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