Treatment Strategies In Child And Adolescent Psychiatry

It is clear that child and adolescent psychiatric disorders impose a heavy burden of suffering. Recent large-scale community epidemiological studies suggest that as many as 20% of children and adolescents in the general population may have clinically important mental disorders. These disorders are accompanied by associated impairments in various domains of the child's life, resulting in lowered life quality for the child and his or her family. In addition, for some conditions, the onset of the disorder in childhood heralds a lifetime of serious psychosocial disturbance for a significant subgroup of affected children. For instance, about 40% of children seen in clinic settings with conduct disorder in late childhood and early adolescence will have serious psychiatric disorders in adult life. Finally, the heavy burden of suffering of these conditions is indicated by the large amounts of both human and financial resources devoted to their assessment and treatment. There is a pressing need in the field for effective treatments (that is, those that have been shown to do more good than harm) that will result in a significant reduction in the burden of suffering resulting from these disorders. Further, these effective interventions must be readily available and acceptable to clini cians in the settings in which children with mental disorders (and their families) seek care. This book addresses an important need in the treatment field.

It is clear that child and adolescent psychiatric disorders impose a heavy burden of suffering. Recent large-scale community epidemiological studies suggest that as many as 20% of children and adolescents in the general population may have clinically important mental disorders. These disorders are accompanied by associated impairments in various domains of the child's life, resulting in lowered life quality for the child and his or her family. In addition, for some conditions, the onset of the disorder in childhood heralds a lifetime of serious psychosocial disturbance for a significant subgroup of affected children. For instance, about 40% of children seen in clinic settings with conduct disorder in late childhood and early adolescence will have serious psychiatric disorders in adult life. Finally, the heavy burden of suffering of these conditions is indicated by the large amounts of both human and financial resources devoted to their assessment and treatment. There is a pressing need in the field for effective treatments (that is, those that have been shown to do more good than harm) that will result in a significant reduction in the burden of suffering resulting from these disorders. Further, these effective interventions must be readily available and acceptable to clini cians in the settings in which children with mental disorders (and their families) seek care. This book addresses an important need in the treatment field.

Multidisciplinary and trans-cultural ... This book provides an up-to-date review of the current state of care, treatment and prevention in child and adolescent mental health from multidisciplinary and trans-cultural perspectives. Systems of care, services and interventions in selected parts of the world are described by leading experts with a focus on the current status of services in the respective parts of the world the major needs and deficits in identifying mental health problems in children and adolescents (awareness and diagnosis) the major needs in treatment, care and prevention realistic proposals on how to improve the situation of children and adolescents who suffer from, or are at risk for, mental health problems. In addition, the major principles and strategies of treatment and intervention are described, on an empirical basis, using a selected number of treatment approaches and treatment settings as examples. Finally, the possibilities, strategies and limitations of early detection and prevention are reviewed with the aim of improving the living conditions of children and families in need of mental health support. ... a valuable resource for mental health workers all over the world!

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.

Identifying 13 core techniques and strategies that cut across all available evidence-based treatments for child and adolescent mood and anxiety disorders, this book provides theoretical rationales, step-by-step implementation guidelines, and rich clinical examples. Therapists can flexibly draw from these elements to tailor interventions to specific clients, or can use the book as an instructive companion to any treatment manual. Coverage includes exposure tasks, cognitive strategies, problem solving, modeling, relaxation, psychoeducation, social skills training, praise and rewards, activity scheduling, self-monitoring, goal setting, homework, and maintenance and relapse prevention.

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.

A guide to treating mental health issues in children and adolescents Diagnosis and Treatment of Children and Adolescents: A Guide for Mental Health Professionals is a resource tailored to the particular needs of current and future counselors, behavioral healthcare clinicians, and other helping professionals working with this vulnerable population. With in-depth content broken into two sections, this book first provides a foundation in the diagnostic process by covering the underlying principles of diagnosis and treatment planning, and then applies this framework to the DSM-5 categories related to children and adolescents. With research continually reshaping our understanding of mental health, it is critical mental health professionals make decisions based on evidence-based pathways that include the specialized research around children and adolescents. The leading experts who contributed to this book share contemporary perspectives on developmental considerations, assessment information, presenting symptoms, comorbidity, levels of severity, prevalence data, and other relevant factors. Structured content of chapters provides a crosswalk between the DSM-5 and this book Updated content based upon the changes, additions, and revisions to the DSM-5 that affect diagnosis, assessment, and treatment Pedagogical features, such as learning objectives, case studies, guided practice exercises, and additional resources, to support effective learning Diagnosis and Treatment of Children and Adolescents: A Guide for Clinical and School Settings is a critical resource for mental health practitioners and graduate students working toward a career in a mental health profession.

Mental, neurological, and substance use disorders are common, highly disabling, and associated with significant premature mortality. The impact of these disorders on the social and economic well-being of individuals, families, and societies is large, growing, and underestimated. Despite this burden, these disorders have been systematically neglected, particularly in low- and middle-income countries, with pitifully small contributions to scaling up cost-effective prevention and treatment strategies. Systematically compiling the substantial existing knowledge to address this inequity is the central goal of this volume. This evidence-base can help policy makers in resource-constrained settings as they prioritize programs and interventions to address these disorders.