scholarly journals COVID-19 and its impact on child and adolescent psychiatry – a German and personal perspective

2020 ◽  
Vol 37 (3) ◽  
pp. 243-245 ◽  
Author(s):  
Jörg M. Fegert ◽  
Ulrike M. E. Schulze
Keyword(s):  
Child Protection ◽  
Psychiatric Care ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
University Teaching ◽  
Personal Perspective ◽  
Outpatient Services ◽  
Day Care Centers ◽  
Federal States ◽  
Voluntary Basis

As in other European countries, the current COVID-19 pandemic has not only massively restricted normal life in Germany but it is also having a significant effect on medical treatment, particularly in the areas of child and adolescent psychiatric care, as well as on university teaching. The federal structure of Germany and epidemiological differences between individual federal states have had a crucial impact on the regulations issued and their success. During the last number of weeks, tele-child-psychiatry and psychotherapy have increased, and outpatient services have been used cautiously and sparingly. Medical staff numbers will be augmented by doctors and nurses returning from retirement and also by medical students on a voluntary basis. The federal government has warned that discrepancies in education will increase due to the closure of schools. Questions of child protection are currently of particular importance in the context of such closures and the non-availability of day-care centers.

Child and Adolescent Psychiatry

2018 ◽  
Author(s):  
Carol L. Kessler ◽  
Mary Lynn Dell
Keyword(s):  
Mental Health ◽  
Cultural Diversity ◽  
Adolescent Psychiatry ◽  
Child Mental Health ◽  
Psychiatric Care ◽  
Ethical Issues ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Mental Health Clinicians ◽  
Children And Families

The clinical issues at the interface of ethics, religion/spirituality, and child and adolescent psychiatry are limitless. This chapter seeks to help fill the void in the literature concerning ethics, religion/spirituality, and child mental health in a way that is most helpful to practicing clinicians struggling with these issues in their daily clinical contacts. Three specific areas are addressed that commonly present challenges: (1) religious/spiritual objections to psychiatric care; (2) ethical issues surrounding the clinician’s relationship with children and families; and (3) ethical issues that may arise when mental health clinicians work with religious/spiritual professionals and institutions. Implications of religious and cultural diversity for both patients and clinicians are also discussed throughout the chapter.

scholarly journals Psychiatric polygenic risk scores: Child and adolescent psychiatrists' knowledge, attitudes, and experiences

2021 ◽  
Author(s):  
Stacey Pereira ◽  
Katrina Arcelia Munoz ◽  
Brent Small ◽  
Takahiro Soda ◽  
Laura Nicole Torgerson ◽  
...  
Keyword(s):  
Adolescent Psychiatry ◽  
Psychiatric Care ◽  
Well Being ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Risk Scores ◽  
Polygenic Risk ◽  
The Us ◽  
Prospective Monitoring

Objective: Psychiatric polygenic risk scores (PRS) have the potential to transform aspects of psychiatric care and prevention, but there are concerns about their implementation. We sought to assess child and adolescent psychiatrists' (CAP) experiences, perspectives, and potential uses of psychiatric PRS. Methods: A survey of 960 US-based practicing CAP. Results: Most respondents (54%) believed psychiatric PRS are currently at least slightly useful and 87% believed they will be so in five years. Yet, 77% rated their knowledge of PRS as poor or very poor. Ten percent have had a patient/family bring PRS to them, and 25% would request PRS if a patient/caregiver asked. Respondents endorsed different actions in response to a hypothetical child with a top 5th percentile psychiatric PRS but no diagnosis: 48% would increase prospective monitoring of symptoms, 42% would evaluate for current symptoms, and 4% would prescribe medications. Most respondents were concerned that high PRS results could lead to overtreatment and negatively impact patients' emotional well-being. Conclusion: Findings indicate emerging use of psychiatric PRS within child and adolescent psychiatry in the US. Thus, it is critical to examine the ethical and clinical challenges that PRS may generate and begin efforts to promote their informed and responsible use.

Handbook for Trainees in Child and Adolescent Psychiatry and Psychology

PsycCRITIQUES ◽  
2007 ◽  
Vol 52 (43) ◽  
Author(s):  
Marios Constantinou ◽  
Margarita Kapsou ◽  
Maria Karekla
Keyword(s):  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry

scholarly journals Informative value of referral letters from general practice for child and adolescent mental healthcare

2021 ◽  
Author(s):  
S. Aydin ◽  
M. R. Crone ◽  
B. M. Siebelink ◽  
M. E. Numans ◽  
R. R. J. M. Vermeiren ◽  
...  
Keyword(s):  
General Practice ◽  
Nodal Point ◽  
Mental Healthcare ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Discriminative Ability ◽  
Replication Studies ◽  
Attention Deficit Hyperactivity Disorders ◽  
Referral Letters ◽  
Made In

AbstractAlthough referral letters (RLs) form a nodal point in a patient’s care journey, little is known about their informative value in child and adolescent mental healthcare. To determine the informative value of RLs to child and adolescent psychiatry, we conducted a chart review in medical records of minors registered at specialized mental healthcare between January 2015 and December 2017 (The Netherlands). Symptoms indicated in RLs originating from general practice (N = 723) were coded and cross-tabulated with the best estimate clinical classifications made in psychiatry. Results revealed that over half of the minors in the sample were classified in concordance with at least one reason for referral. We found fair to excellent discriminative ability for indications made in RLs concerning the most common psychiatric classifications (95% CI AUC: 60.9–70.6 for anxiety disorders to 90.5–100.0 for eating disorders). Logistic regression analyses suggested no statistically significant effects of gender, age, severity or mental healthcare history, with the exception of age and attention deficit hyperactivity disorders (ADHD), as RLs better predicted ADHD with increasing age (OR = 1.14, 95% CI 1.03–1.27). Contextual problems, such as difficulties studying, problems with parents or being bullied were indicated frequently and associated with classifications in various disorder groups. To conclude, general practitioners’ RLs showed informative value, contrary to common beliefs. Replication studies are needed to reliably incorporate RLs into the diagnostic work-up.

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