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The latest evidence, clinical insights, and practical perspectives on pediatric mental health — written specifically for primary care clinicians.
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New treatments for ADHD
January 21, 2022
Newer treatments approved by the Food and Drug Administration (FDA) for pediatric patients with attention-deficit/hyperactivity disorder (ADHD) include two medications that address some of the common issues families have with standard stimulant treatments. Another development is use of devices to manage ADHD symptoms.
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Helping families deal with holiday stress
November 17, 2021
“In some ways the holidays this year will be harder than last year for many people,” said Deborah Buccino, MD, pediatrician and REACH board member. “Earlier, we had pretty clear-cut rules about what you could and could not do safely. This year, we have a lot more gray areas.”
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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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Getting through to difficult patients and families
September 8, 2021
It’s 10:30 Monday morning, and you’re 45 minutes behind. Earlier, you had to confront a receptionist about coming in late again. You have to get out today by 4:30 so you can get to your daughter’s softball game. Beating under all this stress is worry about your mom, who has been diagnosed with stage 2B breast cancer.
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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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7 ways to support LGBTQIA+ youth
June 23, 2021
In a recent national survey, 46% of young LGBTQIA+ respondents said that they wanted counseling for psychological or emotional health issues and couldn’t get it. As a pediatric primary care provider (PCP), you may be well aware of the challenges your LBGTQIA+ patients face. To help you help them, we gathered suggestions from two experts, both of whom were panelists in our May webinar on supporting LGBTQIA+ youth: • Andersen Guske, nonbinary 22-year-old LGBTQIA+ advocate • Amy Dryer, MD, pediatrician and REACH faculty member Together, they offered 7 suggestions.
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Helping children who have lost a parent
May 27, 2021
More than 40,000 children have lost a parent due to COVID-19. Black children, who constitute 14% of children in the US, are 20% of those who have lost a parent. Chances are good, then, that some of your patients have been through one of the most significant losses they will experience in their whole lives. The support they receive now to grieve in a healthy way can make the difference between their ability to thrive and their descent into adverse outcomes ranging from school failure to death by suicide.
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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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Back to school for special populations
March 22, 2021
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.
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Ready to join the 9,500+ clinicians who've completed REACH training? The Patient-Centered Mental Health in Pediatric Primary Care (PPP) program equips pediatric primary care clinicians with practical, evidence-based skills to assess, diagnose, manage, and treat common…
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