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Category: Pediatric primary care

When parents’ mental health affects children
When parents’ mental health affects children

January 23, 2024

“When we’re thinking about children’s mental health, we’re also thinking about the health of the family unit,” explains Alyx Holden, MD. “In order for children’s neurobiology to develop, they need the support and context of healthy caregivers.”

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Sleep Smart: Back-to-School Edition
Sleep Smart: Back-to-School Edition

August 25, 2023

REACH faculty, Dr Kowatch, emphasizes that it’s essential for caregivers to recognize the challenges that can arise when transitioning from summer to a more structured school routine. “Parents have got to anticipate there may be an adjustment period for the first week or two.”

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Supporting mental health needs in rural areas
Supporting mental health needs in rural areas

April 20, 2023

Rural healthcare providers can be overwhelmed—and understaffed with specialists. Discover how REACH inspired Elizabeth Wallis, M.D., to build a community to support her patients.

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8 Tips for Working with Mental Health Therapists
8 Tips for Working with Mental Health Therapists

October 20, 2021

Many patients who have mental health conditions need talk therapy in addition to the treatment you provide as the pediatric primary care provider (PCP). If you practice in an area where therapists are available, we hope you have developed referral relationships, as you learned in your REACH training. You may also see patients who are already working with a therapist. In either case, the communication between you and the therapist makes a huge difference in the quality of care the two of you provide. To learn how PCPs and therapists can collaborate to improve the mental health of children and adolescents, we talked with clinical psychologist Kevin Stark, PhD, a founder of The REACH Institute’s CATIE program, and pediatrician Hilary Bowers, MD, director of behavioral and mental health services at Children’s Primary Care Medical Group, a large pediatric practice in San Diego and Riverside counties in California.

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Cross-titrating psychiatric medications
Cross-titrating psychiatric medications

July 26, 2021

If you struggle with titrating psychiatric medications for your pediatric patients, you are not alone. Even for some alumni of the REACH program Patient-Centered Mental Health in Pediatric Primary Care, lack of comfort with psychiatric medications can hamper effective treatment. What does it take to dose and cross-titrate effectively? We asked two REACH faculty members: Peter S. Jensen, MD, REACH founder, and Amy Kryder, MD, education lead of the statewide REACH program in Virginia.

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Helping AAPI patients cope with racism
Helping AAPI patients cope with racism

April 29, 2021

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.

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Working with challenging families
Working with challenging families

October 13, 2020

You’re in the consultation room with Anita, who first brought her 15-year-old son Vic to you two weeks ago. Vic has been suspended from school several times for increasingly dangerous behavior. Anita uses a wheelchair because she has multiple sclerosis. Today she is distraught. Last night, she forbade Vic to leave the house, but he went anyway. He didn’t come home last night or go to school this morning. Anita has called everyone she can think of, but no one knows where he is. The police won’t help until he has been missing at least 24 hours. Anita has come to you as a last resort. When you saw Vic, you were troubled by his history of uncontrolled behavior and his uncooperative stance. You were hoping to get him to open up in a follow-up visit. But now Anita is here alone, frantic because she doesn’t know where Vic is. What do you do?

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Building family resilience
Building family resilience

July 23, 2020

“Families provide a kind of protective membrane for children when crazy things are happening around them,” said William Saltzman, PhD. Dr. Saltzman is a faculty member of the REACH program Child/Adolescent Training in Evidence-Based Psychotherapies. “Families really have been on the front line throughout the pandemic,” Dr. Saltzman said. “It’s been a rollercoaster ride from the beginning, with abrupt school shutdowns; the exhaustion of becoming the 24/7 caregiver, teacher, playmate, and breadwinner; and now having to figure out largely on their own how to navigate the upcoming school year.”

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Alleviating coronavirus anxiety
Alleviating coronavirus anxiety

March 14, 2020

We don’t have to tell you that virtually everyone feels anxious about the spread of COVID-19. An appropriate level of anxiety can be helpful if it inspires people to follow CDC recommendations on hygiene and social distancing. An unnecessary level of anxiety, however, can impair both mental and physical health. Many of your patients and families are suffering from unhealthy anxiety–whether they present with possible COVID-19 symptoms or come in for an unrelated complaint.

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August 27, 2026

Nearly half of pediatric outpatient visits involve a behavioral health concern, yet many pediatricians report feeling unprepared to diagnose and treat mental health conditions. While new residency requirements represent an important step forward, there remains a…

August 25, 2026

Time is running out for primary care clinicians to join a CBT training in 2026 ⏰ The REACH Institute is offering two trainings for clinicians to learn practical, evidence-based cognitive behavioral therapy (CBT) techniques they can…

August 20, 2026

REACH has never been about sitting through a lecture and calling it professional development. At our inaugural Alumni Conference on September 26, you’ll go beyond the basics with practical, evidence-based strategies designed for immediate and sustainable…

August 19, 2026

Your patients spend most of their time at school. Learn to work with the systems and people they encounter there. REACH’s Collaborating with Schools in Pediatric Care program is for pediatric primary care clinicians, clinical psychologists,…

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