The Brown University Child and Adolescent Behavior Letter最新文献

The iFriend outpatient group therapy program at Bradley Hospital promotes social competence in a school-age population. The 10-week-program helps children ages 8–11 develop and practice social skills in a small group setting. The skills developed include understanding body language, finding shared interests, conversation initiation and closing, perspective taking, equitable communication, and problem solving. iFriend also aims to teach parents/guardians strategies to help their children integrate the targeted skills into daily life.

An academic medical center (AMC) is a hospital system that is organizationally and administratively integrated with an academic institution to achieve a tripartite mission: train the healthcare workforce, conduct clinical research, and deliver high-quality patient care. The mission and value of AMCs has made them a core element of the healthcare system in the United States, and has afforded AMCs relative stability against industry turbulence over the years. However, a new era of care transformation characterized by increased demand for accessibility, convenience, and affordability is challenging that stability. Evolving patient needs and preferences are creating a new value equation in the U.S. healthcare system, which may shrink the viable market for AMCs that fail to modernize all aspects of their tripartite mission. New market entrants and existing competitors that embrace innovation will soon out-pace AMCs that lack the innovation infrastructure to create new clinical capabilities, enhance patient experiences, optimize cost structures, and seize on emerging revenue opportunities.

Recently, the “Gentle Parenting” approach has garnered increased interest among parents. The term was first introduced by Sarah Ockwell-Smith, a parenting expert and author of a series of books about the perspective (Ockwell-Smith, 2023). Gentle Parenting is based on principles of attachment theory and positive discipline, advocating for understanding and meeting the child's needs rather than managing their behavior. Techniques such as active listening, validation, and problem-solving are central to this approach. Priorities are empathy, connection, and respect for the child's autonomy. Those who advocate Gentle Parenting contrast the approach with more traditional authoritarian parenting models, which are characterized by rules, punishment, and control and are viewed as outdated and ineffective by proponents of this type of parenting practice. Parents are drawn to Gentle Parenting as an alternative that promotes cooperation and understanding rather than one based on fear or obedience.

Parents are rightly concerned about the increased use of high potency cannabis, which has been linked in several research reports to first episode psychosis. Consider the word “first” — psychosis can be a lifelong chronic condition.

An elementary student was eating an orange in class. Noting that it was not lunch time, her teacher asked her to put the orange away — multiple times. The student was concerned about getting in trouble but was more worried about the hunger she felt. She persisted in eating her orange. The teacher found this to be “deliberate disobedience” and threatened disciplinary action due to non-compliance. The student, feeling nervous, and frightened, eloped from her classroom. Immediately, the teacher now in a state of alert herself, panicked and called for the support team reporting that she eloped with “something she should not have in her hand.”

Sometimes it seems there's little hope for pregnant women who are addicted to drugs, or for their families. But in fact, there is a robust literature proving that family-based care helps keep mother and child together, and federal grants are supporting such programs.

During my years as the director of mental health services for the Delaware Department of Corrections, I had the privilege of talking with many individuals as they reflected on their road to incarceration. School suspension was frequently an early stop on the journey.

The subject of autism spectrum disorder (ASD) diagnosis in girls has become an important area of clinical and research focus. For years, the male:female ratio of ASD has been estimated as approximately 4:1, with affected girls historically presenting with a higher likelihood of significant intellectual impairments. Clinicians and researchers have increasingly questioned this ratio, with findings indicating that girls with average or higher intellectual and/or verbal functioning have a different phenotype than males affected with ASD.