Community Child And Adolescent Psychiatry

Child psychiatrists and psychologists, clinical nurses, social workers, and other mental health practitioners working in the public sector -- where limited funds, poverty, social environments, and bureaucracy add to the daily challenges -- can now turn to Community Child and Adolescent Psychiatry for approaches and insights to make their work easier and more productive.Twenty chapters are divided into four main sections, where 31 seasoned clinicians and administrators detail the most useful tasks, strategies, and tactics for child and family-focused community mental health professionals: Multiple facets of public sector agency work with or consultation to community agencies from the major mental health disciplines employed in community settings, differentiating roles and responsibilities and detailing consultation phases, including pitfalls Basic community practice principles and issues commonly faced by public sector professionals, including particular types of agencies and differences between rural and urban practice Contemporary concerns about the impact of a managed care or cost-cutting environment on service delivery, including reimbursement, differentiating consultation from direct service, and the location of a system of care Descriptions of the setting or activity of each community agency, including the qualifications that allow the professional or trainee to enter and work in that system Practicalities of clinical practice or consultation or both in community settings in the current service environment Questions -- from differing perspectives -- that mental health care practitioners must consider before consulting to or assuming a staff or administrative position in a community agency, different types of demands -- and discussion of/for each role Managed care has forever altered the service system landscape of mental health care in both the private and public sectors. Community Child and Adolescent Psychiatry provides insight into the public system of care and the requisite tools to manage the rapidly changing clinical, political, and administrative landscape. As a resource guide to the profession, Community Child and Adolescent Psychiatry emphasizes the practical necessities of child psychiatrists and other professionals working with mentally ill youngsters and their families in the practice of community psychiatry and public mental health. Trainees, practitioners, and administrators alike will welcome this indispensable road-map to a higher level of practice in community settings.

The Handbook of Child and Adolescent Systems of Care is a groundbreaking volume that presents the latest thinking in the field of child and adolescent psychiatry written by a stellar panel of child and adolescent psychiatrists. The Handbook shows that the best way to help at-risk children is not in isolated doctor and patient treatment rooms but with community-based systems of care (SOC) that incorporate an interagency integration of services based on a client-centered and family empowering orientation. This important resource offers psychiatrists, psychologists, social workers, counselors, pediatricians, nurses, educators, lawyers and judges, politicians, child advocates, parents, and families a guide to this dynamic new theory and practice. Comprehensive in scope, The Handbook of Child and Adolescent Systems of Care includes vital information on a wide variety of topics including Developmental and cognitive psychology in systems of care (SOCs) Social sciences, neurobiology, and prevention in SOC The best way to use psychopharmacology Family- and community-based interventions Culturally diverse populations Youth in juvenile justice and child welfare, school-based services Partnerships among parents, consumers, and clinicians

Child and Adolescent Psychiatry has been widely acclaimed since the publication of its first edition in 1997(originally titled Child Psychiatry). Each chapter has been designed to present the key facts, concepts and emerging facets of the area, drawing on clinical experience as well as the latest research findings. These guiding principles are followed in the third edition, which has been updated to reflect the varied advances in research and clinical practice that inform the subject. Child and Adolescent Psychiatry is structured into four main parts: first, an introductory section on assessment, classification and epidemiology; second, a section covering each of the main specific disorders and presentations; third, a section on the major risk factors predisposing to child psychiatric disorders; and fourth, a section on the main methods of treatment, covering also prevention, service organization and interpersonal and family therapies as well as fostering and adoption. Spans child and adolescent psychiatry Includes many practical tips on successful assessment and treatment techniques Comprehensive coverage of topics, written in an accessible style by international experts in the field Up to date information on prevention issues Written in an accessible style, the book will be of benefit to all those working with children and adolescents with mental health problems: as an invaluable resource for trainee psychiatrists, paediatricians and general practitioners; as a textbook for undergraduate students in medicine, nursing and related fields; and as a refresher for active clinicians. Supported by a companion website featuring over 200 multiple choice questions and answers to assist those preparing for examinations, including MRCPsych.

Research in children's mental health lags behind research for adults in part because it is intrinsically context-bound. Children are embedded in families, in schools, and in communities who have responsibility for their care. Making research findings useful and ensuring that they are applied to improve the lives of children and families requires attention to these contexts. This entails a process of collaboration with many partners--teachers, nurses, healthcare providers, church leaders, neighborhood group directors, and other community leaders. The process of collaboration in children's mental health is complicated but the products that it yields have the potential to benefit both children and families.This volume, with the toolkit and casebook that it contains, distills the process of collaboration into manageable steps, and provides concrete examples of how researchers have addressed specific challenges.The premise of the book is that collaborative research, in contrast to traditional research paradigms, will yield findings that are more ethical, valid, and useful.Highlighting the transformation of science from ivory-tower theories to action-oriented practices, the editors offer practical advice for researchers and practitioners interested in using data to inform and transform children's mental health. Concrete examples of projects that have involved community leaders and researchers provide an insider's guide to conducting successful collaborations that can yield better results than traditional top-down research paradigms.

Rutter’s Child and Adolescent Psychiatry has become an established and accepted textbook of child psychiatry. Now completely revised and updated, the fifth edition provides a coherent appraisal of the current state of the field to help trainee and practising clinicians in their daily work. It is distinctive in being both interdisciplinary and international, in its integration of science and clinical practice, and in its practical discussion of how researchers and practitioners need to think about conflicting or uncertain findings. This new edition now offers an entirely new section on conceptual approaches, and several new chapters, including: neurochemistry and basic pharmacology brain imaging health economics psychopathology in refugees and asylum seekers bipolar disorder attachment disorders statistical methods for clinicians This leading textbook provides an accurate and comprehensive account of current knowledge, through the integration of empirical findings with clinical experience and practice, and is essential reading for professionals working in the field of child and adolescent mental health, and clinicians working in general practice and community pediatric settings.

In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Tami D. Benton, Barbara Robles–Ramamurthy, and Wanjiku F.M. Njoroge bring their considerable expertise to the topic of Bringing the Village to The Children: Addressing the Crisis of Children’s Mental Health. In this biannual AACAP presidential issue, top experts in the field discuss how child and adolescent psychiatrists can leverage strategic partnerships to shape the future of children’s mental health by advancing policy, practice, and research in health care innovation; promoting school and community-based interventions and community partnerships; and reimagining their role from clinicians and researchers to public health experts. Contains 18 relevant, practice-oriented topics including the declaring of the children’s mental health crisis and the role of health care partnerships to address children’s mental health; strengthening support for community mental health programs through partnerships and collective impact; collaborative approaches to universalize suicide prevention; workforce initiatives to advance health equity and diverse representation; media and innovation; and more. Provides in-depth clinical reviews on the crisis of children’s mental health, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In the past few years, there has been a major shift in the mental health care of child and adolescents from inpatient care to non-hospital community ambulatory settings. Economic pressures have primarily driven this change in service delivery. Insurance companies and managed care organizations have not only restricted access to hospitalization and limited length of stays but additionally have sharply reduced reimbursements for treatments. State and federal policies for inpatient treatment and reimbursement have followed similar trends. As a result, mental health planners have attempted to develop programs to deal with this trend of restricted inpatient care shifting treatment of children and adolescents to home and community settings. Some of these new programs are well planned and others are hastily planned and implemented. The pitfall to this community approach is that there is a population of chronically disturbed children and adolescents, and highly stressed parents often lacking adequate personal and family resource who may not respond to these new less restrictive, less costly community approaches which potentially may lead to an unsafe and dangerous situation for the child, adolescent, family and the community. With this in mind, the purpose of this book is to provide comprehensive and up-to-date information regarding child and adolescent outpatient, day treatment and community psychiatry. The emphasis of this book is to provide practical knowledge through clinical case illustrations and to explain various strategies in a detailed fashion.

Written by the training director of Yale Child Study Center's world-renowned psychiatry program, this practical handbook is a quick, concise guide for professionals on the front lines of child and adolescent mental health care. Using the conversational style and clinical vignettes found in all Practical Guides in Psychiatry titles, Dr. Stubbe takes clinicians through each step of the psychiatric care process, delivering essential fast facts and effective patient care strategies. Sections cover psychiatric evaluation; disorders seen in infants, children, and adolescents; treatment modalities and treatment planning; and special circumstances including psychiatric emergencies, child neglect and abuse, and family issues. Easy-to-use appendices include rating scales and resource information. The Practical Guides in Psychiatry series provides quick, concise information for professionals on the front lines of mental health care. Written in an easy-to-read, conversational style, these invaluable resources take you through each step of the psychiatric care process, delivering fast facts and helpful strategies that help you provide effective and compassionate care to your patients.

Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides expert guidance to practitioners responding to high-stakes situations, such as children considering or attempting suicide, cutting or injuring themselves purposely, and becoming aggressive or violently destructive. Children experiencing behavioral crises frequently reach critical states in venues that were not designed to respond to or support them -- in school, for example, or at home among their highly stressed and confused families. Professionals who provide services to these children must be able to quickly determine threats to safety and initiate interventions to deescalate behaviors, often with limited resources. The editors and authors have extensive experience at one of the busiest and best regional referral centers for children with psychiatric emergencies, and have deftly translated their expertise into this symptom-based guide to help non-psychiatric clinicians more effectively and compassionately care for this challenging population. The book is designed for ease of use and its structure and features are helpful and supportive: The book is written for practitioners in hospital or community-based settings, including physicians in training, pediatricians who work in office-based or emergency settings, psychologists, social workers, school psychologists, guidance counselors, and school nurses -- professionals for whom child psychiatric resources are few. Clear risk and diagnostic assessment tools allow clinicians working in settings without access to child mental health professionals to think like trained emergency room child psychiatrists--from evaluation to treatment. The content is symptom-focused, enabling readers to swiftly identify the appropriate chapter, with decision trees and easy-to-read tables to use for quick de-escalation and risk assessment. A guide to navigating the educational system, child welfare system, and other systems of care helps clinicians to identify and overcome systems-level barriers to obtain necessary treatment for their patients. Finally, the book provides an extensive review of successful models of emergency psychiatric care from across the country to assist clinicians and hospital administrators in program design. An abundance of case examples of common emergency symptoms or behaviors provides professionals with critical, concrete tools for diagnostic evaluation, risk assessment, decision making, de-escalation, and safety planning. Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a vital resource for clinicians facing high-risk challenges on the front lines to help them intervene effectively, relieve suffering, and keep their young patients safe.

This Text Discusses How To Provide Mental Health Care To Children With Varying Emotional Problems. Child And Adolescent Mental Health Covers Themes Such As Creating Genuine Partnerships Among Family Members, Professionals, And Among Disciplines, Developing Culturally Sensitive Community Resources, Building On The Strengths Of The Community, The Consumer, The Student, And The Professional To Best Meet The Complex Needs Of Families.