Culturally responsive
Culturally Responsive Parent Empowerment and Children’s Mental Health
“Parents want to feel like they’re part of the solution for their child’s mental health needs. As pediatric primary care providers, we can help make that possible by being thoughtful in how we navigate cultural differences,” explains Noor Jihan Abdul-Haqq, MD, a REACH faculty member and pediatrician with her own practice in Oklahoma City, OK.…
Read MoreADHD and Racial Disparities: What Clinicians Can Do
“When a parent of color raises concerns about their child’s behavior, clinicians should always stop to assess for underlying disorders,” explains child and adolescent psychiatrist Brittainy Erby, MD. “I see many children and adolescents of color who have been diagnosed with a behavior disorder, but they actually have untreated ADHD.” The research reinforces what Dr.…
Read MoreRacism as trauma: A pediatric mental health perspective
After learning about the alarming rise in suicide rates among Black children and adolescents, Brittainy Erby, MD, set out to understand the impact of racial trauma and how to improve pediatric patient care.
Read MoreHelping African-American children with mental health issues
Last week I saw two children, both African American, who were having suicidal thoughts. In neither case did the child or the parents come in asking for mental health support.
One, a 13-year-old girl I’ll call Simone, wrote on her PHQ-9 depression screener that she had attempted suicide. In our interview, she revealed that she had had sex with a man she met online and that she had been cutting herself. Yet the reason she and her parents came in was an ADHD medication check!
Pediatric primary care providers (PCPs) need to realize that African-American families may not seek help for mental health issues. The reasons for the lack of disclosure are rooted in the stigma around mental health in the African-American community. The stigma, in turn, is rooted in the trauma associated with being Black in America.
Read MoreHelping AAPI patients cope with racism
Discrimination and hate crimes against people of Asian American and Pacific Islander (AAPI) descent have risen during the COVID-19 pandemic. You may be wondering how you can help your AAPI patients cope with feelings that arise from experiences of racism.
Read MoreBack to school for special populations
Although some schools have been open in person for months, some larger districts are just beginning to welcome students back on campus. Children, families, educators, and medical professionals have mixed feelings. To help you support different patient populations as they return to school, we talked to Jennifer Walton, MD, MPH, a co-author of a call for an “URGENT Coordinated Effort to Re-Open Schools” by the National Medical Association (NMA). Dr. Walton is chair of the NMA’s Pediatric Section, an assistant professor of clinical pediatrics at The Ohio State University, and a developmental behavioral pediatrician at Nationwide Children’s Hospital.
Read MoreHow to talk with patients about racism
Once pediatric primary care providers (PCPs) recognize the importance of having conversations about race with their patients and families, the next question is how to begin.
Read MoreYour patients need you to talk about race
“The first thing clinicians need to know about racism and discrimination is how important it is to talk about it.” Open, honest, and effective conversations about race and racism are crucial to young people’s mental health.
Read MoreSuicide crisis among Black youth
As suicidality among adolescents generally has declined in the past three decades, suicide attempts among Black adolescents have risen, according to a November 2019 article in Pediatrics. A report to the Congressional Black Caucus (CBC) says that rates of suicide death have risen more for Black youth than for any other racial or ethnic group. A growing concern is that Black youth are less likely to report suicidal thoughts but more likely to attempt suicide; Black males are more likely to suffer injury or death as a result. Suicidality is also increasing among younger children. The reasons for these changes are not clear. However, the risk factors for suicidality and underlying mental health conditions among Black children and youth are myriad.
Read MoreCulturally Responsive Mental Health Screening Tools
As you’ve dealt with back-to-school (and back-to-sports) visits, you probably have been challenged by the gap between what’s needed and what’s practical. This visit may be the only time you see this child this year. You know that emotional and mental health is as important as physical health. But you have only so much time for each check-up. Screening tools are a big help…
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