Evidence Based School Psychiatry An Issue Of Child And Adolescent Psychiatric Clinics Of North America

Schools can play an important role in addressing the unmet mental health needs of youth by potentially increasing access to care in a cost-effective manner. This venue provides unparalleled access to youth and exemplifies a single setting through which the majority of children can be reached. This very timely issue provides a much-needed analysis of the types of situations in which schools can and must address the mental health needs of their students, and the methodology for doing so. With an eye towards current technologies (articles cover telepsychiatry and web-based interventions), authors review school-based interventions for students suffering from post-traumatic stress-syndrome, generalized anxiety, social anxiety, depression, ADHD, psychoses, substance abuse, and other disorders. Of special interest are the articles covering bullying (including internet bullying) and mobilizing a crisis team after student death.

Schools can play an important role in addressing the unmet mental health needs of youth by potentially increasing access to care in a cost-effective manner. This venue provides unparalleled access to youth and exemplifies a single setting through which the majority of children can be reached. This very timely issue provides a much-needed analysis of the types of situations in which schools can and must address the mental health needs of their students, and the methodology for doing so. With an eye towards current technologies (articles cover telepsychiatry and web-based interventions), authors review school-based interventions for students suffering from post-traumatic stress-syndrome, generalized anxiety, social anxiety, depression, ADHD, psychoses, substance abuse, and other disorders. Of special interest are the articles covering bullying (including internet bullying) and mobilizing a crisis team after student death.

This publication promotes school based mental health services as a means for increasing access to care and for early intervention. There are 3 levels of intervention in school-based mental health: 1. Universal promotion/prevention: Implementing whole-school approaches (including training teachers and administrators) to ensure and foster wellness. 2. Targeted prevention: Providing prevention services for youth at-risk of developing mental health problems. 3. Indicated services: Providing assessment and direct care for youth with identified mental health needs. The approach of this Issue presents current evidence-based practice in schools and review of schools as a vital part of systems of care for youth. In addition to psychiatrists, this issue addresses collaboration with families, educators, administrators, social workers, counselors and psychologists. The Editors leading this issue are from Vanderbilt University and University of Maryland. Both Vanderbilt and Maryland have well-established clinical programs that provide a full continuum of mental health services, including "indicated services" to serve youth with mental health diagnoses (i.e., severe psychiatric disorders). Psychiatrists are part of the treatment team, and work directly in the school or provide consultation (often via telehealth technologies). Given that family engagement is a major part of making therapies work effectively, partnering with families is a critical part of the treatment process.

Anxiety disorders are common in children and adolescents and can be debilitating if not recognized and treated. This issue covers the landscape of anxiety disorders in youth, from development and neurobiology; to treatments, advances, and novel approaches; to informing other systems of care: primary physicians, schools, and parents. Specific anxiety disorders discussed include: Obsessive-compulsive and tic-related disorders, PTSD, and school refusal and panic disorder. Pharmacotherapy, CBT, and Parent-Child interaction therapies are reviewed.

This issue of Child and Adolescent Psychiatric Clinics, guest edited by Drs. Suzie Nelson, Jessica Jeffrey, Mark Borer, and Barry Sarvet, will focus on Collaborative Partnerships to Advance Practice within Child and Adolescent Psychiatry. This issue is one of four selected each year by our series Consulting Editor, Dr. Todd Peters. Topics discussed in this issue include but are not limited to: Formation of Partnerships; Ethical Imperative for Participation in Integrated Care Engaging our Primary Care Partners; The Role of Child Psychiatrist in Systems of Care; Interprofessional Education; Incorporating Pharmacists into Your Clinical Team; Collaboration with Schools and School Wellness Centers; Training Community Partners in Trauma-Informed Care; Rating Scales for Mental Health Screening System within Primary Care; Collaborating with Psychologists; Models of Practice for Advanced Practice Nurses. Provides in-depth, clinical reviews on collaborative partnerships, providing 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 these timely topic-based reviews.

This issue provides a unique and valuable perspective on forensic matters in child and adolescent psychiatry, with an approach that adds new thinking to the discussion, rather than rehashing known facts. The issue is divided into several sections: juvenile offenders, family law/custody and visitation, child maltreatment, personal injury law suits, forensic issues in clinical child and adolescent psychiatry, and training in child and adolescent psychiatry. A wide range of topics are explored within each section. All articles are geared toward child psychiatrists in clinical practice, providing practical information in this very important area of study.

Prevention and the concept of collective impact on population health is the focus of this issue led by Aradhana Bela Sood. Primary, secondary, and tertiary themes run throughout each article with evidence base explicitly stated. An Appendix presenting select programs for prevention concludes this issue. Topics include: Early childhood mental health: Neurobiological underpinnings of early brain development and Health promotion and prevention in non-psychiatric settings; Prevention in childhood; Mindfulness and alternative and complementary therapies; Prevention of violence; Bullying; Depression and suicide; HIV and AIDS; Substance use disorders; Obesity in children and youth; Delinquency and prevention; Public policy and system building. Some programs presented in the Appendix are Blueprint for violence prevention; Nurse-family partnership; Harlem Children's Project, and others.

This issue of Child and Adolescent Psychiatric Clinics, guest edited by Drs. Ellen House and John Tyson, will cover key topics of importance surrounding Psychosis in Children and Adolescents. This issue is one of four selected each year by our series Consulting Editor, Dr. Harsh Trivedi. Topics discussed in this issue include but are not limited to: Prodrome, Autism, Trauma, Medical Etiologies, Mood/Anxiety, Childhood onset schizophrenia, Substance Induced, Genetics of childhood onset schizophrenia, Neurocognition in youth with psychosis, Psychopharmacologic approaches, Community Based interventions, Evidence-Based Therapies for psychosis, School based approach to yout