Legal Issues In Pediatrics And Adolescent Medicine

This book is one of four publications intended to engage a broad range of persons in informed decision-making regarding key health and human value questions. Each publication has a usefulness of its own, while all four comprise a convenient series.

This book is one of four publications intended to engage a broad range of persons in informed decision-making regarding key health and human value questions. Each publication has a usefulness of its own, while all four comprise a convenient series.

In recent decades, advances in biomedical research have helped save or lengthen the lives of children around the world. With improved therapies, child and adolescent mortality rates have decreased significantly in the last half century. Despite these advances, pediatricians and others argue that children have not shared equally with adults in biomedical advances. Even though we want children to benefit from the dramatic and accelerating rate of progress in medical care that has been fueled by scientific research, we do not want to place children at risk of being harmed by participating in clinical studies. Ethical Conduct of Clinical Research Involving Children considers the necessities and challenges of this type of research and reviews the ethical and legal standards for conducting it. It also considers problems with the interpretation and application of these standards and conduct, concluding that while children should not be excluded from potentially beneficial clinical studies, some research that is ethically permissible for adults is not acceptable for children, who usually do not have the legal capacity or maturity to make informed decisions about research participation. The book looks at the need for appropriate pediatric expertise at all stages of the design, review, and conduct of a research project to effectively implement policies to protect children. It argues persuasively that a robust system for protecting human research participants in general is a necessary foundation for protecting child research participants in particular.

Research has shown that a range of adult psychiatric disorders and mental health problems originate at an early age, yet the psychiatric symptoms of an increasing number of children and adolescents are going unrecognized and untreated—there are simply not enough child psychiatric providers to meet this steadily rising demand. It is vital that advanced practice registered nurses (APRNs) and primary care practitioners take active roles in assessing behavioral health presentations and work collaboratively with families and other healthcare professionals to ensure that all children and adolescents receive appropriate treatment. Child and Adolescent Behavioral Health helps APRNs address the mental health needs of this vulnerable population, providing practical guidance on assessment guidelines, intervention and treatment strategies, indications for consultation, collaboration, referral, and more. Now in its second edition, this comprehensive and timely resource has been fully updated to include DSM-5 criteria and the latest guidance on assessing, diagnosing, and treating the most common behavioral health issues facing young people. New and expanded chapters cover topics including eating disorders, bullying and victimization, LGBTQ identity issues, and conducting research with high-risk children and adolescents. Edited and written by a team of accomplished child psychiatric and primary care practitioners, this authoritative volume: Provides state-of-the-art knowledge about specific psychiatric and behavioral health issues in multiple care settings Reviews the clinical manifestation and etiology of behavioral disorders, risk and management issues, and implications for practice, research, and education Offers approaches for interviewing children and adolescents, and strategies for integrating physical and psychiatric screening Discusses special topics such as legal and ethical issues, cultural influences, the needs of immigrant children, and child and adolescent mental health policy Features a new companion website containing clinical case studies to apply concepts from the chapters Designed to specifically address the issues faced by APRNs, Child and Adolescent Behavioral Health is essential reading for nurse practitioners and clinical nurse specialists, particularly those working in family, pediatric, community health, psychiatric, and mental health settings.

Ethical and Legal Issues in Counseling Children and Adolescents provides counselors and other professionals with clinical cases and accurate, up-to-date information on both ethical standards and case law. Chapters take a comprehensive, developmental approach to legal and ethical decision making when counseling children and adolescents, one that presents each chapter topic from the perspective of an adult and then explores accommodations important to children and adolescents. The book is a vital resource for faculty who recognize the limited scope with which other texts cover the topic and for practitioners looking to better understand the legal and ethical concerns around working with young people.

Published by the American Academy of Pediatrics, Adolescent Medicine: State of the Art Reviews helps you stay up-to-date in key areas of current clinical practice with adolescent-specific topics. This issue of "Adolescent Medicine State of the Art Reviews (AM: STARs)" focuses on a variety of ethical and legal issues that practitioners may encounter during the delivery of adolescent health care. A panel of authors has been assembled that not only explores these issues, but also provides the reader with sound reasoning and proposed solutions. Topics in "Ethical and Legal Issues in Adolescent Medicine" include: Conscience, Clinical Ethics, and Emergency ContraceptionAchieving a Decision-Making Triad in Adolescent Sexual Health CareMaking Sense of Adolescent Decision-Making: Challenge and RealityAdolescent Brain Development and the Mature Minor DoctrineAdolescent Refusal of LifesavingTreatment: Are We Asking the Right Questions?The Aftermath of Adolescent Suicide: Clinical, Ethical and Spiritual IssuesAdolescent Mothers of Critically Ill Newborns: Addressing the Rights of Parent and ChildEthical and Policy Issues Raised by Heterozygote Carrier Identification and Predictive Genetic Testing of AdolescentsCancer Therapy and the Preservation of Adolescent FertilityNondisclosure of HIV Status in AdolescenceTreatment of Anorexia Nervosa against the PatientOCOs Will: Ethical ConsiderationsaSexual Exploitation and Trafficking of the Young and Vulnerable: Reflections on a Legal, Ethical, and Human Rights DisgraceLaw, Ethics, and Clinical Discretion: Recurring and Emerging Issues in Adolescent Health Carea"

The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.