Biomedical subjects

Andres J Pumariega

Publications and source records attributed to Andres J Pumariega.

6 recordsLinked to original sources

PubMed2006

Conditions associated with identification of mentally ill youths in juvenile detention.

The current study examines the prevalence and severity of psychiatric symptoms in incarcerated youth. A random sample of youth ages 13-17 who were referred for mental health services (n=120) and not referred for services (n=120) at a juvenile detention facility were studied. Psychopathology was evaluated using the Diagnostic Interview Schedule for Children and the Child Behavior Checklist. Ninety-six percent of referred youth and 69% of non-referred youth had one or more psychiatric diagnoses. Co-morbidity was common in both groups. The findings suggest that youths in the juvenile justice system have noteworthy psychopathology that often remains unidentified.

Adolescent↗

PubMed2006

Residential treatment for youth: introduction and a cautionary tale.

This special issue addresses an area in child and adolescent mental health which has suffered from significant neglect, that of residential treatment. Though the American Orthopsychiatric Association contributed to the development of the principles of residential treatment fifty years ago, we find ourselves in the midst of a national crisis on how this level of care is implemented in the field. This article summarizes the major themes of the special issue, as well as reports on the editor's cautionary experience with major problems in one residential facility.

Adolescent↗

PubMed2003

Trends and shifting ecologies: Part II.

Community-based systems of care offer some promising ecologically based approaches to child psychiatric emergencies. More community-based effectiveness research is needed on child and adolescent mental health crisis services. To meet the needs of real-world children with serious emotional disorders and their families, however, research should include integration of multiple evidence-based modalities (such as psychopharmacology, behavioral, and cognitive approaches) and the effectiveness of single modalities. Funding priorities in mental health systems also should shift significantly to support community-based crisis services over more restrictive approaches that have a less solid evidence base.

Adolescent↗

PubMed2003

Cultural considerations in child and adolescent psychiatric emergencies and crises.

The United States is a country of immigrants. With the exception of Native Americans, every other American is, or descends from, an immigrant. First- and second-generation immigrant children are the most rapidly growing segment of the American population. The future of American society is ultimately related to the adaptation of these children. Addressing psychiatric emergencies in these populations requires attention to their cultural differences and needs.

Adolescent↗

PubMed2003

The evolution of systems of care for children's mental health: forty years of community child and adolescent psychiatry.

Over the past 20 years, child and adolescent community mental health has evolved conceptually, clinically, and scientifically towards the community-based systems of care model. This model asserts important values and principles, including the centrality of the child and family in the care process, the integration of the efforts of disparate agencies and interveners into a contextual approach, and the importance of serving children with serious disturbances in their homes and communities. The article reviews the evolution of the community-based systems of care model, its evidence-base, its application in practice, and the challenges it faces in today's human services environment.

Adolescent↗

PubMedDate not supplied

Level systems: inpatient programming whose time has passed.

TOPIC: Structuring of inpatient behavioral programming in child-adolescent psychiatric, residential treatment, and juvenile justice settings. PURPOSE: To review the underlying theory underpinning current practices and recommend remedies to the uncovered problems. SOURCES: A review of the literature from 1965 to 2001 from selected nursing and medical psychiatric and mental health publications. CONCLUSIONS: Intensive professional and staff education and greater precision in communication about patients' behaviors are needed in many settings. There is also a need to move away from generic treatment approaches and return to individual treatment planning based on individual assessments and the unique needs of an increasingly volatile and complex in-patient population.

Adolescent↗