Clinicians who treat children with attention-deficit/hyperactivity disorder (ADHD) face a challenging conundrum. Although our understanding of ADHD and its evidence-based treatments has increased… Read More
disorder, anxiety disorders, substance abuse, and suicidal behavior (For adolescents and young adults, the effects of physical and sexual assault are associated with poor self-esteem, alcohol and drug abuse, eating ... disorders, obesity, risky sexual
The aim of this paper was to delineate the impact of gender on premorbid history, onset, and 18 month outcomes of first episode psychotic mania (FEPM) patients.|The aim of this paper was to delineate the impact of gender on premorbid history, onset, and 18 month outcomes of first episode psychotic mania (FEPM) patients.
Methods ? A total of 524 children ( aged four to 12 years) who were patients at three psychiatric hospitals with child units were studied between October 1, 2009, and October 1, ... 2010. The Acuity of Psychiatric Illness, Child and Adolescent Version (
The most effective way to provide support to caregivers with infants in order to promote good health, social, emotional and developmental outcomes is the subject of numerous debates in the literature. In Canada, each province adopts a different approach which range from universal to targeted programs. Nonetheless, each year a group of vulnerable infants is identified to the child welfare system with concerns about their well-being and safety. This study examines maltreatment-related investigations in Cana
Recent guidelines concerning the treatment of personality disorders (PDs) recommend diagnosing PDs in adolescents. However, it remains unclear whether these guidelines influence the current opinions and practices of mental health care professionals.|Recent guidelines concerning the treatment of personality disorders (PDs) recommend diagnosing PDs in adolescents. However, it remains unclear whether these guidelines influence the current opinions and practices of mental health care professionals.
This study explores the consequences of child maltreatment in East Asia and the Pacific region based on the results of a systematic review of 16 English and non-English databases for journal articles and "gray" literature published between January 2001 and November 2010. This review shows that children in the region experiencing maltreatment are at increased risk of experiencing mental health consequences, physical health sequelae, high-risk sexual behaviors, and increased exposure to future violence including intimate partner violence (IPV) as an adult. Children who suffer from childsexualabuse have a median twofold increased risk of experiencing mental health disorders than those who have never experienced child maltreatment. Similar findings were found for those who experience physical abuse. Children who have been maltreated in the region are also at an increased risk of suicide ideation and attempts than those that have experienced childsexual or physical abuse being at a
Lesbian, gay, and bisexual (LGB) populations exhibit elevated rates of psychiatric disorders compared to heterosexuals, and these disparities emerge early in the life course. We examined the role of exposure to early-life victimization and adversity-including physical and sexualabuse, homelessness, and intimate partner violence-in explaining sexual orientation disparities in mental health among adolescents and young adults.|Data were drawn from the National Longitudinal Study of Adolescent Health, Wave 3 (2001-2002), a nationally representative survey of adolescents. Participants included gay/lesbian (n=227), bisexual (n=245), and heterosexual (n=13,490) youths, ages 18-27. We examined differences in the prevalence of exposure to child physical or sexualabuse, homelessness or expulsion from one's home by caregivers, and physical and sexual intimate partner violence according to sexual orientation. Next we examined the associations of these exposures with symptoms of psychopathology
Attempts to understand the effects of maltreatment subtypes on childhood functioning are complicated by the fact that children often experience multiple subtypes. This study assessed the effects of maltreatment subtypes on the cognitive, academic, and mental health functioning of preadolescent youth in out-of-home care using both "variable-centered" and "person-centered" statistical analytic approaches to modeling multiple subtypes of maltreatment.|Participants included 334 preadolescent youth (ages 9-11) placed in out-of-home care due to maltreatment. The occurrence and severity of maltreatment subtypes (physical abuse, sexualabuse, physical neglect, and supervisory neglect) were coded from child welfare records. The relationships between maltreatment subtypes and children's cognitive, academic, and mental health functioning were evaluated with the following approaches: (1) "Variable-centered" analytic methods: a. Regression approach: Multiple regression was used to estimate the
The purpose of this research was to examine the factors associated with various levels of engagement with mental health services in a large sample of mothers at high risk of maltreating their children.|Data were collected by LONGSCAN (the Consortium for Longitudinal Studies of ChildAbuse and Neglect) for 909 mothers of six-year-old children. These women reported on recent use of mental health services, with four levels of engagement: no use of services (76%), consideration of services (8%), use of and dissatisfaction with services (4%), and use of and satisfaction with services (11%). Logistic regression analyses were conducted to predict level of engagement in services.|Predictors of considering services included being formerly married, previous receipt of services, physical victimization, psychological intimate partner victimization, and depressive symptoms. Predictors of satisfaction with services were social support and lack of sexual victimization.|It is important to take a
Participants in the ESPACE sexualabuse prevention workshop were in grades 1 through 4 and attended three Montreal, Canada, public schools in low socioeconomic areas. The sample was culturally diverse, with half born outside of Canada. An evaluation was conducted to explore the effects associated with participating in the workshop and the effects of booster sessions conducted two years later. Outcomes included knowledge gained, the ability to offer behavioral responses to abusive situations, peer victimization, sense of safety, empathy, self-efficacy, and support. Results revealed that participants in this sample obtained low scores on measures of sexualabuse knowledge and that short booster sessions that elicit children's recall of the learned material might produce greater improvements.
Physical abuse is not the only kind of childabuse. Many children are also victims of neglect, or sexualabuse, or emotional abuse. ... See Facts for Families: 9 ChildSexualAbuse 28 Responding to ChildSexualAbuse 43 Discipline 81 Fighting and Biting
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.