Pub Date : 2024-12-11DOI: 10.1016/j.pedhc.2024.10.002
Mustafa Tolga Tunagur MD, Hatice Oksal PhD, Ömer Büber, Elif Merve Kurt Tunagur MD, Enes Sarıgedik MD
Introduction
Online child sexual abuse (CSA) involves sharing abusive images, sexual communications, and forming pedophilic networks, leading to both short- and long-term psychiatric issues for victims. The present study aimed to identify risk factors for penetrative online CSA.
Method
Analysis of medical records from 1,501 cases at a child advocacy center in Turkey identified 221 cases of online CSA, categorized into penetrative and nonpenetrative groups.
Results
Among 1,501 cases, 19.2% involved online CSA. Victims’ mean age was 14.50 ± 1.65 years; perpetrators averaged 23.00 ± 9.60 years. Most victims were girls (92.3%) and had dropped out of school (79.2%). Instagram was the most common platform (71.5%). Higher rates of sexting, risky behaviors, and threats of exposure were seen in the penetrative group. Predictors included the victim's age, sexting, running away, and threats of exposure.
Discussion
Key differences between penetrative and nonpenetrative online CSA underscore the need for targeted prevention and intervention.
{"title":"Risk Factors and Predictors of Penetrative Online Child Sexual Abuse","authors":"Mustafa Tolga Tunagur MD, Hatice Oksal PhD, Ömer Büber, Elif Merve Kurt Tunagur MD, Enes Sarıgedik MD","doi":"10.1016/j.pedhc.2024.10.002","DOIUrl":"10.1016/j.pedhc.2024.10.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Online child sexual abuse (CSA) involves sharing abusive images, sexual communications, and forming pedophilic networks, leading to both short- and long-term psychiatric issues for victims. The present study aimed to identify risk factors for penetrative online CSA.</div></div><div><h3>Method</h3><div>Analysis of medical records from 1,501 cases at a child advocacy center in Turkey identified 221 cases of online CSA, categorized into penetrative and nonpenetrative groups.</div></div><div><h3>Results</h3><div>Among 1,501 cases, 19.2% involved online CSA. Victims’ mean age was 14.50 ± 1.65 years; perpetrators averaged 23.00 ± 9.60 years. Most victims were girls (92.3%) and had dropped out of school (79.2%). Instagram was the most common platform (71.5%). Higher rates of sexting, risky behaviors, and threats of exposure were seen in the penetrative group. Predictors included the victim's age, sexting, running away, and threats of exposure.</div></div><div><h3>Discussion</h3><div>Key differences between penetrative and nonpenetrative online CSA underscore the need for targeted prevention and intervention.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 198-205"},"PeriodicalIF":2.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09DOI: 10.1016/j.pedhc.2024.11.006
Patricia Driscoll, Beatriz E Marciano, Alison Han, Steven M Holland, Maryland Pao, Christa S Zerbe
Background: The transition to adult health care is challenging for adolescents and young adults (AYA) with Chronic Granulomatous Disease (CGD). This pilot study aimed to facilitate the learning of AYA with CGD about their health care and to aid in the development of life skills to enhance self-care.
Methods: AYA and caregivers (for participants <18 years of age) completed an adapted Transition Readiness Assessment. Educational sessions were held both in person and via telehealth and included virtual meetings with subject matter experts or a designated program mentor. Twenty-five participants were invited, 13 entered the pilot and 8 completed the transition readiness assessment.
Results: The pilot study was well-received by CGD participants and caregivers. In the future, a larger cohort may provide more data to comment on efficacy and outcome in the AYA population.
Conclusion: Expansion of an educational transition program for AYA with primary immunodeficiencies (PIDs) might be useful.
{"title":"Implementation of a Pilot Study in Adolescent Health Care Transition Program for Chronic Granulomatous Disease: A Single Institution Experience.","authors":"Patricia Driscoll, Beatriz E Marciano, Alison Han, Steven M Holland, Maryland Pao, Christa S Zerbe","doi":"10.1016/j.pedhc.2024.11.006","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.006","url":null,"abstract":"<p><strong>Background: </strong>The transition to adult health care is challenging for adolescents and young adults (AYA) with Chronic Granulomatous Disease (CGD). This pilot study aimed to facilitate the learning of AYA with CGD about their health care and to aid in the development of life skills to enhance self-care.</p><p><strong>Methods: </strong>AYA and caregivers (for participants <18 years of age) completed an adapted Transition Readiness Assessment. Educational sessions were held both in person and via telehealth and included virtual meetings with subject matter experts or a designated program mentor. Twenty-five participants were invited, 13 entered the pilot and 8 completed the transition readiness assessment.</p><p><strong>Results: </strong>The pilot study was well-received by CGD participants and caregivers. In the future, a larger cohort may provide more data to comment on efficacy and outcome in the AYA population.</p><p><strong>Conclusion: </strong>Expansion of an educational transition program for AYA with primary immunodeficiencies (PIDs) might be useful.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-06DOI: 10.1016/j.pedhc.2024.10.017
Joan P. Totka PhD, RN, Maria Peña MSN, RN, Joshua A. Steinberg MD, Peter M. Wolfgram MD
Introduction
Using patient-reported outcome measures (PROM) in a shared-space mental health-integrated specialty clinic, we explored the feasibility, acceptance, and experience of youth with asthma and diabetes, their families, and the healthcare team.
Method
Using mixed methods, we examined feasibility, acceptability, and experience of PROM inclusion in caring for youth with asthma (n = 7) and diabetes (n = 11), their families (n = 18), and healthcare providers (n = 13). Completion and receipt of PROM (feasibility), postvisit surveys (acceptance), and structured interviews (experience) between June 2019 and February 2020.
Results
Targeted PROM met feasibility goals (80%) and exceeded youth and family acceptance (70%). Time and low confidence using PROM affected healthcare team acceptance (64%). Families’ experiences included increased learning, trust, and partnership with the clinic team. Providers appreciated partnerships, resources, and mental health support for families.
Discussion
Integrating PROM into clinical services promoted engagement, partnership, and individualized, strength-based care among youth, their parent/guardian (family), and their healthcare team.
{"title":"Integrated Mental Health Care in Specialty Clinics for Children with a Diagnosis of Asthma or Diabetes: A Mixed Methods Study","authors":"Joan P. Totka PhD, RN, Maria Peña MSN, RN, Joshua A. Steinberg MD, Peter M. Wolfgram MD","doi":"10.1016/j.pedhc.2024.10.017","DOIUrl":"10.1016/j.pedhc.2024.10.017","url":null,"abstract":"<div><h3>Introduction</h3><div>Using patient-reported outcome measures (PROM) in a shared-space mental health-integrated specialty clinic, we explored the feasibility, acceptance, and experience of youth with asthma and diabetes, their families, and the healthcare team.</div></div><div><h3>Method</h3><div>Using mixed methods, we examined feasibility, acceptability, and experience of PROM inclusion in caring for youth with asthma (<em>n</em> = 7) and diabetes (<em>n</em> = 11), their families (<em>n</em> = 18), and healthcare providers (<em>n</em> = 13). Completion and receipt of PROM (feasibility), postvisit surveys (acceptance), and structured interviews (experience) between June 2019 and February 2020.</div></div><div><h3>Results</h3><div>Targeted PROM met feasibility goals (80%) and exceeded youth and family acceptance (70%). Time and low confidence using PROM affected healthcare team acceptance (64%). Families’ experiences included increased learning, trust, and partnership with the clinic team. Providers appreciated partnerships, resources, and mental health support for families.</div></div><div><h3>Discussion</h3><div>Integrating PROM into clinical services promoted engagement, partnership, and individualized, strength-based care among youth, their parent/guardian (family), and their healthcare team.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 164-174"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-05DOI: 10.1016/j.pedhc.2024.11.004
Hyeongyeong Yoon PhD, RN
Introduction
This study investigated the factors influencing suicidal ideation in female adolescents with smartphone overdependence in South Korea.
Method
Based on the secondary analysis of national survey data collected in 2023, 8,314 female adolescents identified as being in the smartphone overdependence group participated in the study. Complex sample logistic regression analysis was used to assess the influencing factors.
Results
Depressive symptoms, Generalized Anxiety Disorder (GAD), loneliness, stress, smoking, alcohol consumption, and smartphone usage time were found to be significant factors influencing suicidal ideation in female adolescents.
Discussion
This study is the only one to examine the factors influencing suicidal ideation specifically in female adolescents with smartphone overdependence. The findings can contribute to research aimed at preventing suicide among female adolescents.
{"title":"Factors Influencing Suicidal Ideation in Female Adolescents With Smartphone Overdependence","authors":"Hyeongyeong Yoon PhD, RN","doi":"10.1016/j.pedhc.2024.11.004","DOIUrl":"10.1016/j.pedhc.2024.11.004","url":null,"abstract":"<div><h3>Introduction</h3><div>This study investigated the factors influencing suicidal ideation in female adolescents with smartphone overdependence in South Korea.</div></div><div><h3>Method</h3><div>Based on the secondary analysis of national survey data collected in 2023, 8,314 female adolescents identified as being in the smartphone overdependence group participated in the study. Complex sample logistic regression analysis was used to assess the influencing factors.</div></div><div><h3>Results</h3><div>Depressive symptoms, Generalized Anxiety Disorder (GAD), loneliness, stress, smoking, alcohol consumption, and smartphone usage time were found to be significant factors influencing suicidal ideation in female adolescents.</div></div><div><h3>Discussion</h3><div>This study is the only one to examine the factors influencing suicidal ideation specifically in female adolescents with smartphone overdependence. The findings can contribute to research aimed at preventing suicide among female adolescents.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 225-233"},"PeriodicalIF":2.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-27DOI: 10.1016/j.pedhc.2024.11.002
Meryem Hamam, Atilla Adnan Eyuboglu, Mustafa Tonguc Isken
Vascular anomalies usually present at the beginning of life and vary in their course of progression and treatment. The pinpoint diagnosis of each lesion is often misdirected, owing to the complexity surrounding the classification. At the broadest level, differentiation between tumoral structures such as hemangiomas and other vascular malformations is required to not only select the correct procedure, but more importantly determining whether treatment is necessary. A 3-year-old patient presented to our institution with a vascular lesion in the scrotum, which had been labeled as a hemangioma. The unusual prognosis and continuous growth of the lesion suggested otherwise. Comprehensive clinical assessment was conducted, and the physical examination allowed for the accurate diagnosis of an arteriovenous malformation. The lesion was successfully excised without harm to the underlying structures. The authors uphold that misdiagnosis across vascular lesions is preventable through the correct clinical approach.
{"title":"Misdiagnosed Scrotal Arteriovenous Malformation and the Role of Clinical Assessment: A Case Report.","authors":"Meryem Hamam, Atilla Adnan Eyuboglu, Mustafa Tonguc Isken","doi":"10.1016/j.pedhc.2024.11.002","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.002","url":null,"abstract":"<p><p>Vascular anomalies usually present at the beginning of life and vary in their course of progression and treatment. The pinpoint diagnosis of each lesion is often misdirected, owing to the complexity surrounding the classification. At the broadest level, differentiation between tumoral structures such as hemangiomas and other vascular malformations is required to not only select the correct procedure, but more importantly determining whether treatment is necessary. A 3-year-old patient presented to our institution with a vascular lesion in the scrotum, which had been labeled as a hemangioma. The unusual prognosis and continuous growth of the lesion suggested otherwise. Comprehensive clinical assessment was conducted, and the physical examination allowed for the accurate diagnosis of an arteriovenous malformation. The lesion was successfully excised without harm to the underlying structures. The authors uphold that misdiagnosis across vascular lesions is preventable through the correct clinical approach.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-24DOI: 10.1016/j.pedhc.2024.11.001
Victoria F. Keeton PhD, RN, CPNP, CNS
Stimulant medications are a central component of management for youth with attention deficit hyperactivity disorder (ADHD) and their access has been impacted by supply shortages since 2022. Disruptions to treatment can lead to increased morbidity and mortality for youth with ADHD. Factors that contribute to pharmaceutical supply chain shortages include surges in demand, reduced capacity for production or distribution, and failures in coordination. This paper provides an overview of the recent stimulant medication shortage and leverages a framework for building resilience in the supply chain to help pediatric health providers take action and improve health outcomes for for youth with ADHD and their families.
{"title":"Pharmaceutical Supply Chains: A Structural Determinant of Health for Children With ADHD","authors":"Victoria F. Keeton PhD, RN, CPNP, CNS","doi":"10.1016/j.pedhc.2024.11.001","DOIUrl":"10.1016/j.pedhc.2024.11.001","url":null,"abstract":"<div><div>Stimulant medications are a central component of management for youth with attention deficit hyperactivity disorder (ADHD) and their access has been impacted by supply shortages since 2022. Disruptions to treatment can lead to increased morbidity and mortality for youth with ADHD. Factors that contribute to pharmaceutical supply chain shortages include surges in demand, reduced capacity for production or distribution, and failures in coordination. This paper provides an overview of the recent stimulant medication shortage and leverages a framework for building resilience in the supply chain to help pediatric health providers take action and improve health outcomes for for youth with ADHD and their families.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 297-302"},"PeriodicalIF":2.5,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-23DOI: 10.1016/j.pedhc.2024.10.005
David Thibault DNP, APRN, FNP-BC, PMHS
Introduction
The pediatric mental health crisis has intensified, especially during the COVID-19 pandemic. Social media and electronic use have been significant contributors to this issue.
Methods
This paper explores existing literature and clinical guidelines to assess the impact of electronic overuse on pediatric mental health, focusing on practical interventions for healthcare providers.
Results
Studies show that increased screen time correlates with heightened levels of anxiety, depression, and suicidal ideation, particularly among vulnerable populations such as racial minorities and LGBTQ+ youth.
Discussion
Healthcare providers, especially nurse practitioners, are in prime position to address these issues through evidence-based screening tools, setting boundaries for electronic use, and supporting caregivers. Proactive, holistic interventions are key to mitigating the long-term effects of social media on adolescent mental health.
{"title":"Disconnect to Reconnect: Practical Approaches to Managing Social Media's Impact on Pediatric Mental Health","authors":"David Thibault DNP, APRN, FNP-BC, PMHS","doi":"10.1016/j.pedhc.2024.10.005","DOIUrl":"10.1016/j.pedhc.2024.10.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The pediatric mental health crisis has intensified, especially during the COVID-19 pandemic. Social media and electronic use have been significant contributors to this issue.</div></div><div><h3>Methods</h3><div>This paper explores existing literature and clinical guidelines to assess the impact of electronic overuse on pediatric mental health, focusing on practical interventions for healthcare providers.</div></div><div><h3>Results</h3><div>Studies show that increased screen time correlates with heightened levels of anxiety, depression, and suicidal ideation, particularly among vulnerable populations such as racial minorities and LGBTQ+ youth.</div></div><div><h3>Discussion</h3><div>Healthcare providers, especially nurse practitioners, are in prime position to address these issues through evidence-based screening tools, setting boundaries for electronic use, and supporting caregivers. Proactive, holistic interventions are key to mitigating the long-term effects of social media on adolescent mental health.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 292-296"},"PeriodicalIF":2.5,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-22DOI: 10.1016/j.pedhc.2024.10.016
Rachel Y. Lee PhD, RN, Aviv Y. Landau PhD, MSW, Paul M. Heider PhD, Rochelle F. Hanson PhD, Hannah C. Espeleta PhD, Kenrick D. Cato PhD, RN, CPHIMS, FAAN, FACMI, Maxim Topaz PhD, RN, MA, FAAN, FIAHSI, FACMI
Introduction
Adolescents’ child abuse and neglect experiences are often under-documented in primary care, leading to missed opportunities for interventions. This study compares the prevalence of child abuse and neglect cases identified by diagnostic codes versus a natural language processing approach of clinical notes.
Method
We retrospectively analyzed data from 8,157 adolescents, using ICD-10 codes and a natural language processing algorithm to identify child abuse and neglect cases and applied topic modeling on clinical notes to extract prevalent topics.
Results
The natural language processing approach identified more cases of child abuse and neglect cases (n = 294) compared to ICD-10 codes (n = 111). Additionally, topic modeling of clinical notes showed the multifaceted nature of child abuse and neglect as captured in clinical narratives.
Discussion
Integrating natural language processing with ICD codes has the potential to enhance the identification and documentation of child abuse and neglect, which could lead to earlier and more targeted interventions and coordinated care.
{"title":"Estimating the Prevalence of Child Abuse and Neglect Among Adolescents in Primary Care Through Diagnoses Codes and Free-Text EHR Clinical Notes","authors":"Rachel Y. Lee PhD, RN, Aviv Y. Landau PhD, MSW, Paul M. Heider PhD, Rochelle F. Hanson PhD, Hannah C. Espeleta PhD, Kenrick D. Cato PhD, RN, CPHIMS, FAAN, FACMI, Maxim Topaz PhD, RN, MA, FAAN, FIAHSI, FACMI","doi":"10.1016/j.pedhc.2024.10.016","DOIUrl":"10.1016/j.pedhc.2024.10.016","url":null,"abstract":"<div><h3>Introduction</h3><div>Adolescents’ child abuse and neglect experiences are often under-documented in primary care, leading to missed opportunities for interventions. This study compares the prevalence of child abuse and neglect cases identified by diagnostic codes versus a natural language processing approach of clinical notes.</div></div><div><h3>Method</h3><div>We retrospectively analyzed data from 8,157 adolescents, using ICD-10 codes and a natural language processing algorithm to identify child abuse and neglect cases and applied topic modeling on clinical notes to extract prevalent topics.</div></div><div><h3>Results</h3><div>The natural language processing approach identified more cases of child abuse and neglect cases (<em>n</em> = 294) compared to ICD-10 codes (<em>n</em> = 111). Additionally, topic modeling of clinical notes showed the multifaceted nature of child abuse and neglect as captured in clinical narratives.</div></div><div><h3>Discussion</h3><div>Integrating natural language processing with ICD codes has the potential to enhance the identification and documentation of child abuse and neglect, which could lead to earlier and more targeted interventions and coordinated care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 189-197"},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-22DOI: 10.1016/j.pedhc.2024.10.015
Javier I. Rosado PhD, Sean Gabany BS, Matthew Fortino PsyD, Alicia Fernandez-Garcia MD, FAAP
Introduction
Adverse Childhood Experiences (ACEs) increase the risk of chronic diseases in adulthood and contribute to neurobehavioral challenges during childhood and adolescence.
Method
This retrospective study reviewed the medical records of 102 pediatric patients to describe interventions for children screening positive for ACEs in a pediatric primary care setting with integrated behavioral health services. It further assessed whether these interventions led to improvements in psychosocial functioning and mood.
Results
Immediate responses to positive ACE screenings included psychoeducation, crisis interventions, mental health referrals, and case management. Follow-up interventions involved skills training, cognitive-behavioral therapy, behavior management, motivation-based interventions, and symptom surveillance. Significant decreases in psychosocial problems and adolescent depression were observed.
Discussion
Integrated behavioral health interventions in pediatric primary care improved psychosocial functioning and mood in children with positive ACE screenings. These findings offer valuable insights for nurse practitioners implementing effective ACE screening and intervention programs in primary care.
{"title":"Examining Interventions for Pediatric Adverse Childhood Experiences in an Integrated Primary Care Setting","authors":"Javier I. Rosado PhD, Sean Gabany BS, Matthew Fortino PsyD, Alicia Fernandez-Garcia MD, FAAP","doi":"10.1016/j.pedhc.2024.10.015","DOIUrl":"10.1016/j.pedhc.2024.10.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Adverse Childhood Experiences (ACEs) increase the risk of chronic diseases in adulthood and contribute to neurobehavioral challenges during childhood and adolescence.</div></div><div><h3>Method</h3><div>This retrospective study reviewed the medical records of 102 pediatric patients to describe interventions for children screening positive for ACEs in a pediatric primary care setting with integrated behavioral health services. It further assessed whether these interventions led to improvements in psychosocial functioning and mood.</div></div><div><h3>Results</h3><div>Immediate responses to positive ACE screenings included psychoeducation, crisis interventions, mental health referrals, and case management. Follow-up interventions involved skills training, cognitive-behavioral therapy, behavior management, motivation-based interventions, and symptom surveillance. Significant decreases in psychosocial problems and adolescent depression were observed.</div></div><div><h3>Discussion</h3><div>Integrated behavioral health interventions in pediatric primary care improved psychosocial functioning and mood in children with positive ACE screenings. These findings offer valuable insights for nurse practitioners implementing effective ACE screening and intervention programs in primary care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 155-163"},"PeriodicalIF":2.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-21DOI: 10.1016/j.pedhc.2024.10.019
Jennifer Sonney PhD, APRN, PPCNP-BC, FAANP, FAAN, Anne Derouin DNP, APRN, CPNP-PC, PMHS, FAANP
{"title":"Answering the Call: Leading NAPNAP's Response to the Pediatric Mental Health Crisis","authors":"Jennifer Sonney PhD, APRN, PPCNP-BC, FAANP, FAAN, Anne Derouin DNP, APRN, CPNP-PC, PMHS, FAANP","doi":"10.1016/j.pedhc.2024.10.019","DOIUrl":"10.1016/j.pedhc.2024.10.019","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 150-153"},"PeriodicalIF":2.5,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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