journal
Journals Child and Adolescent Psychiatr...

Child and Adolescent Psychiatric Clinics of North America

https://read.qxmd.com/read/38395512/addressing-health-inequity-and-mental-health-of-migrant-children-at-the-border-dr-joshua-d-feder-interviewing-dr-karina-anaya-at-refugee-health-alliance
#1
EDITORIAL
V Karina Anaya, Joshua D Feder
No abstract text is available yet for this article.
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395511/supporting-the-mental-health-of-migrant-children-youth-and-families
#2
EDITORIAL
Margaret Cary, Joshua D Feder, Alison Monds Ward
No abstract text is available yet for this article.
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395510/worcester-refugee-assistance-project-an-example-of-strengths-based-community-based-culturally-sensitive-care
#3
REVIEW
Emily Hochstetler, Omar Taweh, Anushay J Mistry, Peter Metz
Refugee populations are diverse and can present with a variety of unique and complex circumstances. The purpose of this article is to examine an organization that provides care to refugee youth, the ways in which this is accomplished, and a few of the challenges that have been faced. Specifically, the work of this organization will be examined using a Systems of Care philosophy to demonstrate how using these concepts can assist in providing sensitive, high-quality care.
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395509/acculturating-systems-of-care-to-ensure-healthy-futures-for-latine-migrant-youth
#4
REVIEW
Leeallie Pearl Carter
Migration across the Americas is an ever-changing process with current trends including increased migration into the United States of Latine youth. Experiences before, during, and after migration can increase the risk of psychiatric illness, including discriminatory and exclusionary experiences when accessing care. Acculturation typically focuses on the process that the immigrant group experiences when coming into contact with a host culture. Members of the host culture and systems of care can take intentional steps to acculturate themselves in an integrative manner in an effort to reduce host-immigrant friction and better coordinate care across systems...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395508/moving-forward-in-mental-health-care-for-refugee-asylum-seeking-and-undocumented-children-social-determinants-phased-approach-to-care-and-advocacy
#5
REVIEW
Keven Lee, Rachel Kronick, Diana Miconi, C├ęcile Rousseau
Given the current political and climate crisis, the number of forcedly displaced individuals continues to rise, posing new challenges to host societies aiming to support and respond to the needs of those fleeing war or persecution. In this article, we turn our attention to current and historical sociopolitical contexts influencing the mental health of forcedly displaced children (ie, refugee, asylum-seeking, and undocumented) during their resettlement in high-income countries, proposing timely ways to respond to evolving needs and recommendations to redress ubiquitous structural inequities that act as barriers to education and care for the children, youth, and families seeking sanctuary...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395507/management-of-psychiatric-emergencies-among-migrant-youth-in-institutional-and-community-settings
#6
REVIEW
Linda Chokroverty
Migrant youth commonly access mental health care for the first time during emergencies, rather than through ambulatory means. Suicidal behaviors may occur more often among migrants than nonmigrant youth, and they may suffer from post-traumatic stress, depression, anxiety, and display disruptive behaviors more frequently than their nonmigrant counterparts. Brief emergency interventions include safety planning, psychoeducation, parent training on communication and establishing routines, and behavioral therapies like activity scheduling and sleep hygiene...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395506/posttraumatic-stress-disorder-in-our-migrant-youth
#7
REVIEW
Vanessa C D'Souza
There is an ongoing diagnostic and treatment challenge for migrant youth with posttraumatic stress disorder (PTSD) that many clinicians face. Current studies have helped clinicians to develop a better understanding of the migrant youth's journey including potentially traumatic and adverse events they encounter. This includes determining if premigration, migration, and postmigration stressors have had an impact on the individual. This has also helped clinicians, educators, and legal advocates to use a collaborative approach to address the migrant youth's needs for managing the severity of PTSD symptoms...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395505/trauma-exposure-in-migrant-children-impact-on-sleep-and-acute-treatment-interventions
#8
REVIEW
Beverly J Bryant
Trauma exposure significantly impacts sleep in children. Nightmares are common. Evidence-based therapies are superior to medications but may not always be available in acute settings. No FDA-approved medications exist for the treatment of trauma-related sleep disturbances in youth. The evidence-base for the use of medications is largely based on case reports, retrospective chart reviews, clinical opinion, and adult studies. This evidence is reviewed for a number of medications, including prazosin, trazodone, alpha-2 agonists, quetiapine, and others...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395504/trauma-informed-best-practices-and-resiliency
#9
REVIEW
Jeanette M Scheid
Children who experience fleeing from their home countries, whether with family members or unaccompanied, almost certainly experience trauma. The response of caring systems should remain grounded in the known principles of trauma-informed care, an understanding of best practices based on evidence-based and informed interventions and the developmental process. In addition, care providers should be working to maximize the safety of the environment in which they are interacting with children and youth and considering the style, approach, and content of interaction to balance the purpose of any interaction with the safety and security needs of each child or youth...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395503/advocacy-and-policy-a-focus-on-migrant-youth
#10
REVIEW
Abishek Bala, Jessica Pierce, Karen Pierce, Suzan Song
Mental health challenges experienced by migrant children are shaped by multiple factors within the health care system and society at large. It is essential for health care providers to recognize the profound impact of these influences on child well-being. By actively engaging in advocacy and policy initiatives, health care providers can address structural barriers, social inequalities, and stigma that perpetuate mental health disparities. Through their advocacy efforts, providers can contribute to creating an inclusive society that upholds children's rights and ensures equitable access to mental health support and services...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395502/understanding-the-legal-rights-and-mental-health-needs-of-unaccompanied-immigrant-children-in-us-government-custody-and-beyond
#11
REVIEW
Leecia Welch
This article addresses the mental health rights of unaccompanied children, the ways in which the US immigration system does not sufficiently support children's mental health, and how clinicians can play a role in meeting immigrant children's mental health needs.
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395501/unaccompanied-children-in-the-office-of-refugee-resettlement-care
#12
REVIEW
Mawuena Agbonyitor
Unaccompanied children entering the United States are cared for in a variety of care provider settings across the country while they are in the custody of the Office of Refugee Resettlement (ORR). While in an ORR care provider program, children receive physical and mental health-care services, classroom education, social skills/recreation services, vocational training as appropriate, family unification services, access to legal support, and case management. The Mental and Behavioral Health Services Team was created in 2019 to provide oversight of the mental health of unaccompanied children in ORR care...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395500/cultural-considerations-and-response-to-trauma-for-displaced-children-at-the-border
#13
REVIEW
Georgina Sanchez-Garcia, Beverly J Bryant, Sarah L Martin
The United States has long been the leading destination for Latin Americans seeking refuge. However, in the last 7 years, many children from Mexico and northern Central America, composed of El Salvador, Honduras, and Guatemala, have joined this migratory flow. The experience of forced migration is intense, chronic, and complex for children in their home countries, during their journey, and on arrival in the United States. Their stories can inform clinical practices, such as Psychological First Aid and Trauma-Focused Cognitive Behavioral Therapy, to promote resilience in children in vulnerable conditions...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38395499/upholding-the-human-rights-and-well-being-of-refugee-children-through-effective-clinical-care
#14
REVIEW
Lisa R Fortuna, Michelle V Porche
Refugee children are often exposed to adversities and traumatic experiences that can harm the mental health and well-being of refugee children. These include human trafficking and exploitation and dangers in detention centers and refugee camps. All these adverse events can be traumatic and contribute to poor mental health, including posttraumatic stress, anxiety, depression, and substance use disorders. Therefore, the assessment of refugee children and adolescents should include screening and identification for these experiences, provision of evidence-based trauma treatment, and social supports to promote their well-being and thriving...
April 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38342556/recruitment-retention-and-wellbeing-of-lgbtq-serving-child-psychiatrists-and-mental-health-providers
#15
REVIEW
Natalia Ramos, Skylar A Jones, Moshe Bitterman, Aron Janssen
The workforce of mental health providers serving lesbian, gay, bisexual, transgender, queer, and/or questioning (LGBTQ+) youth lags far behind the demand for LGBTQ-focused mental health care. Unsatisfactory training and a lack of standardized training metrics for accredited programs perpetuate the lack of preparedness among providers. The presence of LGBTQ+ faculty and mentors in medical education increases the amount of LGBTQ+ content taught to trainees and improves professional development for LGBTQ+ trainees...
January 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/38342555/sports-psychiatry-assuring-a-diverse-workforce-in-an-area-of-increasing-professional-interest
#16
REVIEW
Altha J Stewart, Wilsa M S Charles Malveaux, Ulrick Vieux
Athletes at all levels of participation, including athletes of color, have no natural immunity to mental health challenges. There is considerable evidence to support that no matter the level of participation, athletic identity including race, may be linked to psychological distress. This article provides the clinical context needed to offer therapeutic interventions to athletes and recommendations for how training programs can prepare psychiatrists for this work and opportunities for future development and inclusion of psychiatrists as members of the "medical" team, especially when working to address the needs of the increasingly diverse population of athletes today...
January 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/37981342/fostering-mental-health-workforce-diversity-with-courage-and-creativity
#17
EDITORIAL
Howard Y Liu, Altha J Stewart
No abstract text is available yet for this article.
January 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/37981341/aacap-s-strategic-plans-to-enhance-the-diversity-of-the-child-psychiatry-and-child-mental-health-workforce-across-all-mission-areas
#18
REVIEW
Tashalee R Brown, Tami D Benton, Warren Yiu Kee Ng
The American Academy of Child and Adolescent Psychiatry (AACAP) promotes the healthy development of children, adolescents, and families through advocacy, education, and research. This requires effectively meeting the mental health needs of historically minoritized communities. A diverse clinician workforce is an essential component of meeting those needs. This article will discuss AACAP's strategic plan for diversifying the workforce, this will be done with 3 main points: promoting diversity, equity, and inclusion (DEI) across all mission area, creating a pipeline of child and adolescent psychiatrists, and monitoring DEI activities and progress on an organizational level...
January 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/37981340/telebehavioral-health-workforce-access-and-future-implications
#19
REVIEW
Jennifer B Reese, Ujjwal Ramtekkar
Even before the COVID-19 pandemic, telebehavioral health (TBH) was proving itself to be a valuable, effective tool for service delivery. The widespread adoption of its use over the past 2 years for continuity of care should be considered one of the silver linings of the pandemic. It has the potential to be a particularly powerful tool for providing more equitable access to care for those in rural communities if barriers to broadband access can be addressed. In addition to providing an attractive, flexible method of service delivery for patients and families, TBH holds appeal to the workforce as well...
January 2024: Child and Adolescent Psychiatric Clinics of North America
https://read.qxmd.com/read/37981339/the-role-of-the-national-institute-of-mental-health-in-promoting-diversity-in-the-psychiatric-research-workforce
#20
REVIEW
Lauren D Hill, Shelli Avenevoli, Joshua A Gordon
The mission of the National Institute of Mental Health (NIMH) is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure. This mission can only be realized if full participation in the research enterprise is open to all. Nevertheless, systemic racism and other barriers remain significant obstacles to achieving a diverse workforce. To address these barriers, NIMH must ensure a just and equitable funding process, support diversity-focused training opportunities, and encourage research into mental health disparities and other areas of interest to a diverse array of scientists...
January 2024: Child and Adolescent Psychiatric Clinics of North America
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