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From Clinic to Capitol: Advocacy Skills for Child and Adolescent Psychiatrists Addressing Adolescent Substance Use Disorders. 从诊所到国会大厦：儿童和青少年精神科医生解决青少年物质使用障碍的宣传技巧。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-07-03 DOI: 10.1016/j.chc.2026.05.003
Debra E Koss, Falisha Gilman
{"title":"From Clinic to Capitol: Advocacy Skills for Child and Adolescent Psychiatrists Addressing Adolescent Substance Use Disorders.","authors":"Debra E Koss, Falisha Gilman","doi":"10.1016/j.chc.2026.05.003","DOIUrl":"https://doi.org/10.1016/j.chc.2026.05.003","url":null,"abstract":"<p><p>Despite advances in scientific research, adolescents with substance use disorders continue to experience challenges accessing evidence-based treatment, including stigma, cost, and workforce shortages. As child and adolescent psychiatrists (CAPs), we use our clinical expertise to address these barriers in direct clinical encounters. Throughout this article, you will gain an understanding of how CAPs can improve access to care for the pediatric population and learn the necessary skills to advocate for policy solutions. Emphasis will be placed on the necessity of advocacy education and mentorship at every stage of professional development to support CAPs in translating clinical expertise to advocacy skills.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"693-706"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bullying and Substance Use. 欺凌和物质使用。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-07-14 DOI: 10.1016/j.chc.2026.06.002
Jorge C Srabstein
{"title":"Bullying and Substance Use.","authors":"Jorge C Srabstein","doi":"10.1016/j.chc.2026.06.002","DOIUrl":"https://doi.org/10.1016/j.chc.2026.06.002","url":null,"abstract":"<p><p>This article reviews current evidence documenting the significant relationship between participation in bullying among children and adolescents and later substance use. In this context, it examines the role of child and adolescent psychiatrists in detecting and treating bullying-related symptoms and risk behaviors, such as substance use. Furthermore, it proposes strategic directions for future research and clinical practice.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"723-738"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gambling and Gaming Disorders, Problematic Pornography Use, and Other Addictive Behaviors (Use of Social Media and Artificial Intelligence Chatbots) in Youth. 青少年的赌博和游戏障碍，有问题的色情使用和其他成瘾行为（使用社交媒体和人工智能聊天机器人）。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-07-14 DOI: 10.1016/j.chc.2026.06.001
Jennifer J Park, Marc N Potenza
{"title":"Gambling and Gaming Disorders, Problematic Pornography Use, and Other Addictive Behaviors (Use of Social Media and Artificial Intelligence Chatbots) in Youth.","authors":"Jennifer J Park, Marc N Potenza","doi":"10.1016/j.chc.2026.06.001","DOIUrl":"https://doi.org/10.1016/j.chc.2026.06.001","url":null,"abstract":"<p><p>Youth appear to be disproportionately impacted by addictive behaviors (ie, gaming/gambling disorders and problematic use of pornography, social media, and artificial intelligence chatbots) and may benefit from greater clinical attention in screening and treatment. This review synthesizes current evidence on the diagnosis, screening, and treatment of behavioral addictions, with specific recommendations for future research and clinical practice. The review suggests the need to understand addictive behaviors from a continuum-based lens rather than diagnostic thresholds alone, offer flexible treatment models that are responsive to different levels of need, and build a stronger evidence base for existing and emerging (eg, neuromodulation) interventions.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"797-811"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating Consent and Confidentiality in Adolescent Substance Use Treatment. 青少年药物使用治疗中的同意和保密。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-07-03 DOI: 10.1016/j.chc.2026.05.009
Sabihul Alam, Sivabalaji Kaliamurthy
{"title":"Navigating Consent and Confidentiality in Adolescent Substance Use Treatment.","authors":"Sabihul Alam, Sivabalaji Kaliamurthy","doi":"10.1016/j.chc.2026.05.009","DOIUrl":"https://doi.org/10.1016/j.chc.2026.05.009","url":null,"abstract":"<p><p>Consent and confidentiality are central to adolescent substance use care, functioning not only as legal and ethical frameworks but as early preventive interventions during a critical developmental window. This urgency is highlighted by rising rates of substance use disorders and overdose deaths driven by illicit fentanyl and polysubstance exposure. Expanded harm reduction efforts have intensified tensions between adolescent autonomy, parental involvement, legal requirements, and the clinician's duty to protect safety. This article provides a clinically grounded framework for navigating consent and confidentiality across outpatient, emergency, and inpatient settings, emphasizing harm reduction, documentation, family engagement, and high-risk clinical contexts.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"707-721"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updated Review for the Treatment of Adolescent Nicotine Use Disorders. 青少年尼古丁使用障碍治疗的最新综述。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-06-29 DOI: 10.1016/j.chc.2026.05.006
Jordan Davis, Leila M Vaezazizi, Pantea Farahmand
{"title":"Updated Review for the Treatment of Adolescent Nicotine Use Disorders.","authors":"Jordan Davis, Leila M Vaezazizi, Pantea Farahmand","doi":"10.1016/j.chc.2026.05.006","DOIUrl":"10.1016/j.chc.2026.05.006","url":null,"abstract":"<p><p>Tobacco products, consisting of the highly addictive chemical, nicotine, are commonly used in the United States. Chronic nicotine use remains the leading cause of preventable disease and death in the United States. The vast majority of adults with nicotine addiction began using the substance during adolescence. Existing research suggests that adolescents experience increased susceptibility to nicotine addiction. Nicotine addiction or tobacco use disorder is characterized by clinically significant impairment and distress related to nicotine consumption (DSM-5). Individuals must have at least 2 of 11 symptoms during a 12 month period in order to meet diagnostic criteria.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"655-675"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adolescent Opioid Use Disorder: Assessment, Treatment, and Overdose Prevention. 青少年阿片类药物使用障碍：评估、治疗和过量预防。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-07-15 DOI: 10.1016/j.chc.2026.05.008
Sivabalaji Kaliamurthy, Prianka Kumar
{"title":"Adolescent Opioid Use Disorder: Assessment, Treatment, and Overdose Prevention.","authors":"Sivabalaji Kaliamurthy, Prianka Kumar","doi":"10.1016/j.chc.2026.05.008","DOIUrl":"https://doi.org/10.1016/j.chc.2026.05.008","url":null,"abstract":"<p><p>Adolescent opioid use has evolved amid a fentanyl-dominated drug supply, leading to sharp increases in overdose mortality, often among youth without a prior opioid use history, and those using counterfeit pills containing fentanyl. This article reviews epidemiology, clinical presentation, and assessment of adolescents with suspected opioid use and opioid use disorder (OUD), emphasizing diagnostic challenges, withdrawal recognition, and level-of-care determination. Evidence-based pharmacologic management is outlined alongside psychosocial and family-based interventions. Key barriers to care, stigma, and regulatory challenges are examined. The article concludes with a strong case for universal overdose education and naloxone distribution as components of adolescent OUD care.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"677-691"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Substance Use Disorders in Adolescents with Bipolar Disorder: A Developmental Approach to Assessment and Treatment. 青少年双相情感障碍的物质使用障碍：一种评估和治疗的发展方法。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-07-06 DOI: 10.1016/j.chc.2026.05.007
Lisa R Fortuna, Suren Najaryan, Edder Duarte, Omar Abbas
{"title":"Substance Use Disorders in Adolescents with Bipolar Disorder: A Developmental Approach to Assessment and Treatment.","authors":"Lisa R Fortuna, Suren Najaryan, Edder Duarte, Omar Abbas","doi":"10.1016/j.chc.2026.05.007","DOIUrl":"https://doi.org/10.1016/j.chc.2026.05.007","url":null,"abstract":"<p><p>Substance use disorders (SUDs) are highly prevalent and clinically consequential among adolescents with bipolar disorder, yet they remain insufficiently addressed in both research and clinical practice. Youth with bipolar spectrum disorders are substantially vulnerable tor early substance initiation, rapid escalation to problematic use, and progression to SUDs compared with peers without mood disorders. Comorbid substance use complicates diagnostic assessment, exacerbates mood instability, increases suicide risk, and contributes to significant family, academic, and social impairment. Adolescence represents a critical developmental window in which neurobiological maturation, heightened reward sensitivity, and increasing autonomy intersect with the onset of bipolar illness and substance exposure.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"781-796"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why Context Matters: Rethinking Minoritized Youth Substance Use Care and Outcomes. 为什么环境很重要：重新思考少数族裔青少年药物使用护理和结果。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-06-29 DOI: 10.1016/j.chc.2026.05.004
Lisa R Fortuna, Michelle V Porche, Mikaela Pulse
{"title":"Why Context Matters: Rethinking Minoritized Youth Substance Use Care and Outcomes.","authors":"Lisa R Fortuna, Michelle V Porche, Mikaela Pulse","doi":"10.1016/j.chc.2026.05.004","DOIUrl":"https://doi.org/10.1016/j.chc.2026.05.004","url":null,"abstract":"<p><p>Substance use disorders (SUDs) among adolescents remain a major public health concern, with racially and ethnically minoritized, and sexual minority youth disproportionately affected by structural inequities, trauma exposure, and barriers to care. Despite equal or lower prevalence of most SUDs compared with White peers, minoritized adolescents often experience disproportionate involvement in the legal system, lower access to treatment, and lower rates of engagement with evidence-based services. This narrative review synthesizes current knowledge on determinants of SUD among minority youth, emphasizing structural racism, trauma, measurement and identification challenges, and cultural protective factors.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"739-757"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing Substance Use in Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning Youth. 解决女同性恋、男同性恋、双性恋、变性人和酷儿/质疑青年的物质使用问题。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-07-08 DOI: 10.1016/j.chc.2026.05.005
Jenny Shen, Skylar A Jones, Natalia Ramos
{"title":"Addressing Substance Use in Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning Youth.","authors":"Jenny Shen, Skylar A Jones, Natalia Ramos","doi":"10.1016/j.chc.2026.05.005","DOIUrl":"https://doi.org/10.1016/j.chc.2026.05.005","url":null,"abstract":"<p><p>Due to myriad stressors and social determinants of health, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth are at heightened risk for substance use disorders (SUDs) compared to their cisgender, heterosexual peers. We review current literature on SUDs among LGBTQ+ youth, as well as comprehensive treatment strategies for this marginalized community. We discuss evidence-based interventions across the care continuum, including culturally responsive relapse prevention and harm reduction frameworks that prioritize engagement and safety. Our discussion highlights the critical role of prevention; trauma-informed care to address minority stress; and family-based interventions in fostering resilience alongside community supports and individual skills-building.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"759-779"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital Interventions to Facilitate Screening, Brief Interventions, and Referral to Treatment for Substance Use Among Adolescents. 促进青少年药物使用筛查、简短干预和转诊治疗的数字干预措施。
IF 1.5 4区 医学
Child and Adolescent Psychiatric Clinics of North America Pub Date : 2026-10-01 Epub Date: 2026-07-08 DOI: 10.1016/j.chc.2026.05.001
Kammarauche Aneni, Elizabeth Ngarachu, Margaret R Kuklinski, Ross Shegog, Deepa Camenga
{"title":"Digital Interventions to Facilitate Screening, Brief Interventions, and Referral to Treatment for Substance Use Among Adolescents.","authors":"Kammarauche Aneni, Elizabeth Ngarachu, Margaret R Kuklinski, Ross Shegog, Deepa Camenga","doi":"10.1016/j.chc.2026.05.001","DOIUrl":"10.1016/j.chc.2026.05.001","url":null,"abstract":"<p><p>Substance use in adolescence is linked to short-term and long-term morbidity and mortality, including risk of developing a substance use disorder, violence, poor academic and career achievement, impaired social functioning and relationships, homicides and suicides, and drug overdose deaths and poisonings. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a public health framework for addressing adolescent substance use, but challenges to implementation exist. Digital approaches can mitigate existing barriers to SBIRT. We provide an overview of the digital interventions used for SBIRT, discuss challenges with current digital approaches, and provide recommendations to enhance the digital SBIRT in routine practice.</p>","PeriodicalId":47884,"journal":{"name":"Child and Adolescent Psychiatric Clinics of North America","volume":"35 4","pages":"617-636"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13557742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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