Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent
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J Can Acad Child Adolesc Psychiatry · Aug 2011
Clinical acuity of repeat pediatric mental health presentations to the emergency department.
We examined whether clinical acuity changed in children and youth with repeated emergency department (ED) visits for mental illness. A secondary, exploratory objective was to examine characteristics associated with clinical acuity. ⋯ Repeat ED visits for several pediatric mental illnesses were not a result of destabilized conditions. Further investigation of the relationship between patient characteristics, available community services, and patterned mental health care use is needed to clarify ED utilization patterns.
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J Can Acad Child Adolesc Psychiatry · Nov 2010
A Description of Emergency Care Received by Children and Youth with Mental Health Presentations for Alcohol and Other Drug use in two Alberta Emergency Departments.
This paper describes patient and treatment characteristics of pediatric mental health Emergency Department (ED) visits associated with alcohol and other drug (AOD) use. ⋯ When youth present to the ED for mental health concerns related to AOD use, mental health assessments and follow-up care are not occurring in all cases and reasons for this oversight need to be explored.
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J Can Acad Child Adolesc Psychiatry · Nov 2007
A review of medication use for children and adolescents with eating disorders.
This paper aims to review the research literature on the use of medication for eating disorders in children and adolescents. ⋯ Evidence-based pharmacological treatment for children and adolescents with eating disorders is not yet possible due to the limited number of studies available. It appears that olanzapine and other atypical antipsychotics may prove to be promising for AN at low body weights. It remains uncertain whether SSRIs are helpful in preventing relapse in AN. For children and adolescents with BN, the first line pharmacological option is fluoxetine given the large evidence base of this drug with the adult population and a small open trial of adolescents with BN.
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J Can Acad Child Adolesc Psychiatry · Jan 2007
CME for child psychiatrists: recommendations for learners, planners and presenters.
Medical school and residency are only the beginning of a child psychiatrist's education. For the rest of her/his career, a child psychiatrist will need to learn on an ongoing basis. There will always be new understandings, new treatments, new issues to master. Child psychiatrists will always need to further their knowledge, develop new skills, and improve existing skills. For these reasons at very least, all child psychiatrists will need to participate in Continuing Medical Education (CME) activities. Many child psychiatrists will also be involved in the design and delivery of these CME activities. In both cases, understanding more about the effectiveness of CME will be important to the decisions they make. ⋯ Thus, the purpose of this article is to provide an overview of the key findings in the CME literature, focusing on the effectiveness of CME.