Jessica Keim-Malpass PhD, RN, Leeza Constantoulakis PhD, RN, Emily K. Shaw MSN, CPNP-BC, Lisa C. Letzkus PhD, RN, CPNP-AC
{"title":"Lagging coverage for mental health services among children and adolescents through home and community-based Medicaid waivers","authors":"Jessica Keim-Malpass PhD, RN, Leeza Constantoulakis PhD, RN, Emily K. Shaw MSN, CPNP-BC, Lisa C. Letzkus PhD, RN, CPNP-AC","doi":"10.1111/jcap.12392","DOIUrl":"10.1111/jcap.12392","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Many states cover mental health home and community-based services (HCBS) for youth through 1915(c) Medicaid HCBS waivers that allow states to waive certain Medicaid eligibility criteria and define high-risk populations based on age, medical condition(s), and disability status. We sought to evaluate how States are covering children and adolescents with mental health needs through 1915(c) waivers compared to other youth waiver populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data elements were extracted from Medicaid 1915(c) approved waivers applications for all included waivers targeting any pediatric age range through October 31, 2018. Normalization criteria were developed and an aggregate overall coverage score and level of funding per person per waiver were calculated for each waiver.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>One hundred and forty-two waivers across 45 states were included in this analysis. Even though there was uniformity in the Medicaid applications, there was great heterogeneity in how waiver eligibility, transition plans, services covered, and wait lists were defined across group classifications. Those with mental health needs (termed serious emotional disturbance) represented 5% of waivers with the least annual funding per person per waiver.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We recommend greater links between public policy, infrastructure, health care providers, and a family-centered approach to extend coverage and scope of services for children and adolescents with mental health needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/99/JCAP-36-21.PMC10087945.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9286607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the Turkish adolescents' weight perception: A cross-sectional study","authors":"Figen I. Esenay PhD, RN, Tufan A. Sezer PhD, RN","doi":"10.1111/jcap.12389","DOIUrl":"10.1111/jcap.12389","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Adolescence is regarded as a period in which adolescents go through a number of physical changes in appearance and a transition from childhood to adulthood. Throughout this transitional period, adolescents become more concerned with their size and weight. The aim of this study was to determine the self-perceived weights status of adolescents 11–19 years old.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with a sample of 1459 students, aged 11–19 years, in Turkey. Anthropometric measurements of weight and height were measured with appropriate tools and adolescents' self-perception of weight status was assessed by the Figure Rating Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Nearly half of the adolescents had misperceptions about their weight status (49.6%). There was a significant association between body mass index (BMI) <i>z</i>-score categories and weight status misperception. Overall, the weight status misperception was more common among the girls than boys.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Misperception of weight status in adolescent should take into account the following: development of intervention programs aimed at screening weight and weight perception, empowering young people to have accurate weight status perception, and raising awareness of the issue in school health professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40626146","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}
Murat Pakyurek MD, Mohamed Badawy MD, Irma T. Ugalde MD, Paul Ishimine MD, Pradip P. Chaudhari MD, Kevan McCarten-Gibbs MD, Ozra Nobari MD, Nathan Kuppermann MD, MPH, James F. Holmes MD, MPH
{"title":"Does attention-deficit/hyperactivity disorder increase the risk of minor blunt head trauma in children?","authors":"Murat Pakyurek MD, Mohamed Badawy MD, Irma T. Ugalde MD, Paul Ishimine MD, Pradip P. Chaudhari MD, Kevan McCarten-Gibbs MD, Ozra Nobari MD, Nathan Kuppermann MD, MPH, James F. Holmes MD, MPH","doi":"10.1111/jcap.12390","DOIUrl":"10.1111/jcap.12390","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>It is unclear if attention-deficit hyperactivity disorder (ADHD) increases the risk of head trauma in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a multicenter prospective observational study of children with minor blunt head trauma. Guardians were queried, and medical records were reviewed as to whether the patient had previously been diagnosed with ADHD. Enrolled patients were categorized based on their mechanism of injury, with a comparison of those with motor vehicle collision (MVC) versus non-MVC mechanisms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>A total of 3410 (84%) enrolled children had ADHD status available, and 274 (8.0%; 95% confidence interval, CI: 7.1, 9.0%) had been diagnosed with ADHD. The mean age was 9.2 ± 3.5 years and 64% were males. Rates of ADHD for specific mechanisms of injury were: assaults: 23/131 (17.6%; 95% CI 11.5, 25.2%), automobile versus pedestrian 23/173 (13.3%; 95% CI: 8.6, 19.3%), bicycle crashes 26/148 (17.6%; 95% CI: 11.8, 24.7%), falls 107/1651 (6.5%; 95% 5.3, 7.8%), object struck head 31/421 (7.4%; 5.1, 10.3%), motorized vehicle crashes (e.g., motorcycle, motor scooter) 11/148 (7.4%; 3.8, 12.9%), and MVCs 46/704 (6.5%; 95% CI: 4.8, 8.6%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Children with ADHD appear to be at increased risk of head trauma from certain mechanisms of injury including assaults, auto versus pedestrian, and bicycle crashes but are not at an increased risk for falls.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40695385","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":"Which factors affect internalized stigmatization in adolescents with mental disorders?","authors":"Gül Dikeç RN, PhD, Öznur Bilaç MD, Cansın Kardelen MD, Şermin Yalın Sapmaz MD, Hasan Kandemir MD","doi":"10.1111/jcap.12391","DOIUrl":"10.1111/jcap.12391","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of this descriptive study was to determine the factors affecting internalized stigmatization of adolescents with mental disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study data were collected in a university hospital between August 1, 2020 and July 30, 2021 (<i>n</i> = 123), using a Personal information form and the Internalized Stigmatization of Mental Illness-Adolescent Form (ISMI-AF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Gender and the number of hospitalizations were determined to be independent variables with explanatory power in the ISMI-AF, and in the model created with these variables, it was determined that these variables explained 18% of the change in the total points of the ISMI-AF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It could be recommended that psychosocial programs are developed with the aim of decreasing internalized stigmatization and increasing the psychological resilience of adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40694455","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":"The use of social media among high school students and its relationship with the perception of loneliness: A pilot study","authors":"Yeter Kitiş, Büşra Dağci MSC, Neslihan Köse MSC, Çiğdem Geniş MSC","doi":"10.1111/jcap.12388","DOIUrl":"10.1111/jcap.12388","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Physical, psychological, and social impairments are becoming more common in the world due to internet use and excessive use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study was conducted to determine the relationship between social media addiction (SMA) and the perception of loneliness in the high school period when peer influence is important.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This cross-sectional study was conducted with a total of 988 students studying at four high schools in Ankara, the capital city of Turkey, in the fall semester of 2019-2020. The research data were collected using Introductory Information Form, Social Media Addiction Scale (SMAS), and UCLA Loneliness Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>According to the findings, 67.2% of the students had different degrees of SMA. It was found that 7.8% of the students had a high or very high degree of addiction. Loneliness levels of the students were found to be high (UCLA mean 62.78). A strong negative correlation (<i>p</i> < 0.01) was found between loneliness and all the subscales of the SMAS except the busyness subscale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings demonstrate the social media addiction and the perception of loneliness in high school students are related at a level that cannot be ignored. Future research should evaluate social media addiction and loneliness together with other psychological markers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40674212","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":"Fostering better outcomes for youth of parents with opioid use disorder","authors":"Brandy M. Mechling PhD, RN, PMHCNS-BC","doi":"10.1111/jcap.12387","DOIUrl":"10.1111/jcap.12387","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40562454","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}
Tânia M. M. Morgado PhD, Luís M. J. Loureiro PhD, Maria A. M. Rebelo Botelho PhD
{"title":"Psychoeducational interventions to promote adolescents' mental health literacy in schools: Identifying theory for the development of a complex intervention","authors":"Tânia M. M. Morgado PhD, Luís M. J. Loureiro PhD, Maria A. M. Rebelo Botelho PhD","doi":"10.1111/jcap.12386","DOIUrl":"10.1111/jcap.12386","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Topic</h3>\u0000 \u0000 <p>The concept of mental health literacy (MHL) was defined as the knowledge and beliefs about mental disorders that help in their recognition, management, or prevention. The complexity of interventions to promote adolescents' MHL requires that they be investigated through a process of development, feasibility/piloting, evaluation, and implementation, according to Medical Research Council (MRC) Framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This article aimed to identify the theory that supports the development of a psychoeducational intervention to promote adolescents' MHL in schools, possibly to be developed by mental health and psychiatric nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources Used</h3>\u0000 \u0000 <p>Journal articles, books, reports, and regulations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This theory allows us to design a psychoeducational intervention to promote adolescents' MHL in schools and supports the subsequent phases of the MRC Framework.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40394668","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}
Kübra Kayaoğlu PhD, BSN, Mehmet Başcıllar PhD, LL.B., MSW
{"title":"Determining the relationship between loneliness and depression in adolescents during the COVID-19 pandemic: A cross-sectional survey","authors":"Kübra Kayaoğlu PhD, BSN, Mehmet Başcıllar PhD, LL.B., MSW","doi":"10.1111/jcap.12384","DOIUrl":"10.1111/jcap.12384","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of the present study is to determine the relationship between loneliness and depression felt by adolescents during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>The study sample consisted of 423 adolescents who volunteered to participate in the study. All participants had internet access and the cognitive ability to express themselves. The participants filled out the Google Documents form that included the “Socio-demographic Data Form,” “Children's Depression Inventory,” and “Short-form UCLA Loneliness Scale” to collect data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>It was determined that the depression inventory total mean score of the adolescents participating in the study was 55.15 ± 2.88 (high) and the loneliness scale total mean score was 16.43 ± 4.93 (medium). A statistically positive high correlation was found between the depression total mean scores and the loneliness total mean scores of the adolescents (<i>p</i> < 0.05). As the loneliness levels of the adolescents increased, their depression levels increased.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>Adolescents were more likely to experience mental disorders such as loneliness and depression during and after the pandemic. Governments should focus on the mental health of adolescents in the management of COVID-19. Clinical services should plan and implement prevention activities, support programs, and services to replace early diagnosis and intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12384","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43640422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The associations of cognitive distortions with internet addiction and internet activities in adolescents: A cross-sectional study","authors":"Arif Özparlak RN, MSN, Dudu Karakaya RN, PhD","doi":"10.1111/jcap.12385","DOIUrl":"https://doi.org/10.1111/jcap.12385","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study examined difference in the levels of internet addiction across internet activities, and the associations of cognitive distortions with internet addiction and internet activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a cross-sectional study involving 638 adolescents. Data were collected using a personal information form, the Internet Addiction Scale and The Children's Negative Cognitive Error Questionnaire. Data were analyzed using SPSSv23 and descriptive methods, independent samples <i>t</i>-test, linear regression, logistic regression were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The prevalence of internet addiction in adolescents was found to be 16.9%. The internet addiction scores of adolescents who use the internet for online gaming, visiting pornographic sites, using and chatting on social media, and aimless browsing are higher. Catastrophizing, personalization, and selective abstraction cognitive distortions explain internet addiction variance at a level of 17.5%. Selective abstraction predicts online gaming and aimless browsing, personalization predicts pornographic site visiting, and catastrophization predicts doing homework on the internet.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Online gaming, visiting pornographic sites, using and chatting on social media and internet aimless browsing are distinctive of internet addiction. Internet addiction and various internet activities are associated with cognitive distortions. Mental health nurses should help adolescents to become aware of their cognitive distortions and to produce more functional thoughts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72170427","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":"The associations of cognitive distortions with internet addiction and internet activities in adolescents: A cross-sectional study.","authors":"Arif Özparlak, Dudu Karakaya","doi":"10.1111/jcap.12385","DOIUrl":"https://doi.org/10.1111/jcap.12385","url":null,"abstract":"PURPOSE\u0000This study examined difference in the levels of internet addiction across internet activities, and the associations of cognitive distortions with internet addiction and internet activities.\u0000\u0000\u0000METHODS\u0000This is a cross-sectional study involving 638 adolescents. Data were collected using a personal information form, the Internet Addiction Scale and The Children's Negative Cognitive Error Questionnaire. Data were analyzed using SPSSv23 and descriptive methods, independent samples t-test, linear regression, logistic regression were performed.\u0000\u0000\u0000FINDINGS\u0000The prevalence of internet addiction in adolescents was found to be 16.9%. The internet addiction scores of adolescents who use the internet for online gaming, visiting pornographic sites, using and chatting on social media, and aimless browsing are higher. Catastrophizing, personalization, and selective abstraction cognitive distortions explain internet addiction variance at a level of 17.5%. Selective abstraction predicts online gaming and aimless browsing, personalization predicts pornographic site visiting, and catastrophization predicts doing homework on the internet.\u0000\u0000\u0000CONCLUSION\u0000Online gaming, visiting pornographic sites, using and chatting on social media and internet aimless browsing are distinctive of internet addiction. Internet addiction and various internet activities are associated with cognitive distortions. Mental health nurses should help adolescents to become aware of their cognitive distortions and to produce more functional thoughts.","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80685322","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}