Home and Community Based Services for Youth and Families in Crisis, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America

1st Edition, Volume 33-4 - September 18, 2024
Editors: Kimberly Gordon Achebe, Rupinder K. Legha, Michelle P. Durham
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 6 7 - 4
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 6 8 - 1

In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Kimberly Gordon-Achebe, Rupinder K. Legha, and Michelle P. Durham bring their considerable expert… Read more

Home and Community Based Services for Youth and Families in Crisis, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America

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In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Kimberly Gordon-Achebe, Rupinder K. Legha, and Michelle P. Durham bring their considerable expertise to the topic of Home and Community Based Services for Youth and Families in Crisis. Top experts in the field discuss strategies to empower pediatric communities and their families in times of crisis, by optimizing community partnership with preventative and crisis response interventions for de-escalation and stabilization, expanding financial supports for community and home based mental health services; promoting community oriented emergency psychiatry and mobile crisis service delivery; and promoting local, state, and federal policy intervention for systems of care that focus on the collective health and well-being in environments of children and their families.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Erratum
Preface
Reimagining the CARE in Systems to Combat the Pediatric Mental Health Crisis in America: A Healing-Centered Approach
Key points
A call to action for equity with the changing face of America’s children and adolescent populations
Make child psychiatry a profession of the people
The promise and pitfalls of the system of care approach
Barriers to transformative change
Structural racism: an upstream factor
Uncovering the past: the evolution of care systems and the sociopolitical climate
Reimagining child psychiatry training: cultivating critical consciousness for health equity
We must reimagine our current system
Transforming systems of care through healing-centered engagement and community partnerships
Summary
Clinics care points
Federal, State, and Local Mental Health Policy Interventions in Response to the Pediatric Mental Health Crisis following the COVID-19 Pandemic
Key points
Introduction
Discussion
Summary
Clinics care points
Using a Culturally Responsive, Antiracist, and Equitable Approach to School Mental Health
Key points
A culturally responsive, antiracist, and equitable (CARE) approach to school mental health
Defining Culturally Responsive, Antiracist and Equity
Cultural responsiveness, antiracism, and equity applied to an MTSS
Summary
Justice-Involved Youth: Support for Community and Family Interventions
Key points
Introduction
Policies and psychosocial services for justice-involved youth
School-to-prison identification and addressing of learning issues
Evidence-based treatment and limitations
Discussion
Summary
Clinics care points
The Child Welfare System’s Response to the National Mental Health Crisis
Key points
Clinical case: Ana
Impact of coronavirus disease 2019 pandemic on the child welfare system
Clinical case: Ana
Boarding of youth with mental health problems in emergency department
Strategic solutions for boarding in the ER
Youth in foster care boarding in nontraditional placements
Exceptional vulnerable populations: American Indian and Alaska Native children
Future forward
Promising practices
Summary
Clinics care points
Addressing the Multidimensional Aspects of Trauma in Emergency Department Boarding for Neurodiverse Youth
Key points
Introduction
The sociopolitical landscape of pediatric mental health boarding
The intersection of neurodiversity, pediatric medical traumatic stress, and racial trauma
Boarding in emergency departments
Case illustration
Best practices for trauma-informed care of neurodiverse youth in the emergency department
Possible solutions to convert boarding time to treatment
Alternatives to boarding
Transforming emergency department boarding into healing
Policy and practice implications
Summary
Clinics care points
Coordinated System of Care Approaches for Pediatric Emergency and Crisis Stabilization, Mobile Treatment, and Wraparound Services
Key points
Case history
Introduction
System of care approach
Evolution of the system of care approach
Types of community-based crisis services
Discussion
Limitations and next steps
Summary
Clinics care points
Integrating the Attachment, Regulation, and Competency Trauma-Informed Framework in Inpatient, Day Treatment, Partial Hospitalization,and Residential Treatment Settings
Key points
Introduction
Discussion
Summary
Clinics care points
Early Intervention in the Treatment of Psychosis
Key points
Background
Evidence for early psychosis intervention
Expansion of early intervention services
Components of early psychosis intervention teams
Clinical high-risk for psychosis
A developmental lens to understanding psychosis and clinical high-risk states
Impact of adverse childhood experiences on psychosis onset
Those with trauma history and psychosis as a trauma
Unique issues faced by Black, Indigenous and people of color communities
Current limitations to early psychosis intervention
Strategies to improve early detection of psychosis
Summary
Clinics care points
Understanding the Social Drivers for LGBTQIA+ Youth Suicide
Key points
Introduction
Demographics of youth suicide
Intersectionality and the minority stress model
Systems of care and supporting LGBTQIA+ youth
Mental health
Discussion
Summary
Considerations for Clinical Care
Home, School, and Community-based Services for Forcibly Displaced Youth and Their Families
Key points
Introduction
Displacement stages
Salience of social and environmental stressors during adolescents
Relevance of home-based and community-based services
Discussion of recommendations
Limitations
Summary
Clinics care points
The Role of the Medical Director and Psychiatric Medical Director in Child Welfare Serving Agencies
Key points
History
Discussion
Summary
Clinics care points
An Assertive Community Intervention to Engage Youth with Opioid Use Disorder and Their Families
Key points
Introduction
The Youth Opioid Recovery Support (YORS) intervention
Summary of the evidence supporting the youth opioid recovery support intervention
Transferability and implementation considerations for usual care settings
Future development and research directions
Summary
Clinics care points
Rural and Frontier Communities
Key points
The rural population of the United States
Mental illness in rural communities
Substance use among rural youth
Mental health care stigma in rural communities
Severe psychiatrist shortages and community liaison work
Acknowledging the value of cultural psychiatry
Boundaries
Encouraging rural practice
Telepsychiatry
Case report: navigating mental health system difficulties in rural Maryland
Discussion
Future directions
Summary
Clinics care points for rural mental health care
Youth Engagement Synergy in Mental Health Legislation and Programming
Key points
Introduction
Participatory approaches to youth engagement
Types of engagement
Federal and local approaches to youth engagement
One size does not fit all: measurement and processes
Synergy: strength in numbers
Clinics care points
Skills Needed in Psychiatrist Leadership for Building and Sustaining Child Mental Health Systems of Care
Key points
Introduction
Transformational Leadership Approaches
Summary
Clinics care points

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Home and Community Based Services for Youth and Families in Crisis, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America

Purchase options

Autumn sale

Institutional subscription on ScienceDirect

Kimberly Gordon Achebe

Rupinder K. Legha

Michelle P. Durham