The Brown University Child and Adolescent Behavior Letter最新文献

Recently, my niece, a graduate student in clinical psychology, sent me an article she published with her undergraduate faculty mentor. The article is cited below (Walters & Dallaire, 2024) and summarizes the outcomes of a specialized group intervention for children with an incarcerated parent called Milk and Cookies (MAC). Her mentor provides evaluative support for MAC via her research lab at William and Mary. MAC is offered through a nonprofit organization in Virginia called Assisting Families of Inmates, Inc. (AFOI). AFOI works with families with an incarcerated member to facilitate reunification both prior to and after release from incarceration. The group leaders for MAC are recruited from Virginia Commonwealth University's School of Social Work.

Over the past 7 decades, there have been persistent but marginalized voices within our field calling for clinicians to be trained and competent in culturally responsive approaches to treatment and supervision. The voices are myriad. Yet these voices have consistently been diminished. Despite scholarly work to support the call for practitioners to incorporate training and practices that recognize race, ethnic heritage, racism, socio-economic status, power, and privilege as key elements that contribute to the unique challenges and strengths of the patients we serve, the predominant assessments, interventions, and supervisory curricula remain devoid of such inclusion.

Stories of overdose deaths greatly outnumber stories of withdrawal precipitated by the use of rescue medications such as naloxone. In fact, the illicit fentanyl supply is so strong that the standard dose of intranasal naloxone — 4 milligrams — is no longer enough in most cases, unless there is oxygen supplementation.

The American Academy of Pediatrics (AAP) recommends pediatricians and health professionals screen for suicidal ideation and risk factors of suicide, and focused on this in a clinical report published in January: Suicide and Suicide Risk in Adolescents.

Residential addiction treatment for teens is limited and expensive, according to a study published in Health Affairs last month. For the study, “Treatment In The US: Uneven Access, Waitlists, And High Costs” — which was funded by the National Institute on Drug Abuse (NIDA) — Caroline King, M.D., and colleagues used the FindTreatment.gov database maintained by the Substance Abuse and Mental Health Services Administration (SAMHSA) and a search analytics company to find 354 centers that claim to provide residential addiction treatment services to people under age 18. The researchers then contacted them.

Adolescents who want to experiment with drugs are not seeking illicit fentanyl, and in fact many believe what they are taking is a benzodiazepine or another prescription medication, but in fact, it's a counterfeit masking as a seemingly safer medication and containing illicit fentanyl, which can be lethal even for those who are tolerant to opioids. For naïve users, they are fatal.

Amid the ongoing Israel–Hamas conflict, images and videos circulating on social media show graphic violence. Exposure to images of injured, maimed, and deceased children also includes photos of the destruction of places like homes, hospitals, and entire neighborhoods that are typically considered safe spaces for children. Children will inevitably become consumers of some of this material, some unmonitored by adults, and with an immediacy specific to internet access. Do we know how this impacts them, and what do we do about it?

At the beginning of this year, many of us made New Year resolutions. But promises to ourselves — and our children — can be made anytime. Beginning with the strengths your family already has, you can build a safer, stronger, and more harmonious time regardless of the month with what pediatricians recommend.