scholarly journals Psychiatric polygenic risk scores: Child and adolescent psychiatrists' knowledge, attitudes, and experiences

2021 ◽  
Author(s):  
Stacey Pereira ◽  
Katrina Arcelia Munoz ◽  
Brent Small ◽  
Takahiro Soda ◽  
Laura Nicole Torgerson ◽  
...  
Keyword(s):  
Adolescent Psychiatry ◽  
Psychiatric Care ◽  
Well Being ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Risk Scores ◽  
Polygenic Risk ◽  
The Us ◽  
Prospective Monitoring

Objective: Psychiatric polygenic risk scores (PRS) have the potential to transform aspects of psychiatric care and prevention, but there are concerns about their implementation. We sought to assess child and adolescent psychiatrists' (CAP) experiences, perspectives, and potential uses of psychiatric PRS. Methods: A survey of 960 US-based practicing CAP. Results: Most respondents (54%) believed psychiatric PRS are currently at least slightly useful and 87% believed they will be so in five years. Yet, 77% rated their knowledge of PRS as poor or very poor. Ten percent have had a patient/family bring PRS to them, and 25% would request PRS if a patient/caregiver asked. Respondents endorsed different actions in response to a hypothetical child with a top 5th percentile psychiatric PRS but no diagnosis: 48% would increase prospective monitoring of symptoms, 42% would evaluate for current symptoms, and 4% would prescribe medications. Most respondents were concerned that high PRS results could lead to overtreatment and negatively impact patients' emotional well-being. Conclusion: Findings indicate emerging use of psychiatric PRS within child and adolescent psychiatry in the US. Thus, it is critical to examine the ethical and clinical challenges that PRS may generate and begin efforts to promote their informed and responsible use.

scholarly journals POLYGENIC RISK SCORES IN CHILD AND ADOLESCENT PSYCHIATRY: U.S. CLINICIANS’ PRACTICES, KNOWLEDGE, AND ATTITUDES

2021 ◽  
Vol 51 ◽  
pp. e21
Author(s):  
Gabriel Lazaro-Munoz ◽  
Katrina Munoz ◽  
Takahiro Soda ◽  
Jehannine Austin ◽  
Clarissa Sanchez ◽  
...  
Keyword(s):  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Risk Scores ◽  
Polygenic Risk ◽  
Knowledge And Attitudes

Child and Adolescent Psychiatry

2018 ◽  
Author(s):  
Carol L. Kessler ◽  
Mary Lynn Dell
Keyword(s):  
Mental Health ◽  
Cultural Diversity ◽  
Adolescent Psychiatry ◽  
Child Mental Health ◽  
Psychiatric Care ◽  
Ethical Issues ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Mental Health Clinicians ◽  
Children And Families

The clinical issues at the interface of ethics, religion/spirituality, and child and adolescent psychiatry are limitless. This chapter seeks to help fill the void in the literature concerning ethics, religion/spirituality, and child mental health in a way that is most helpful to practicing clinicians struggling with these issues in their daily clinical contacts. Three specific areas are addressed that commonly present challenges: (1) religious/spiritual objections to psychiatric care; (2) ethical issues surrounding the clinician’s relationship with children and families; and (3) ethical issues that may arise when mental health clinicians work with religious/spiritual professionals and institutions. Implications of religious and cultural diversity for both patients and clinicians are also discussed throughout the chapter.

scholarly journals Addressing Well-being, Burnout, and Professional Fulfillment in Child and Adolescent Psychiatry Trainees during the COVID-19 Pandemic through Implementation of a Virtual Balint-like Group: A Pilot Study

2020 ◽  
Author(s):  
Megan D. Chochol ◽  
Eric Pease ◽  
Cosima Swintak ◽  
Uma Anand
Keyword(s):  
Adolescent Psychiatry ◽  
Low Cost ◽  
Well Being ◽  
Emotional Awareness ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Professional Support ◽  
Case Review ◽  
Post Intervention ◽  
Professional Fulfillment

Abstract Objective: Physicians, including psychiatrists and psychiatry trainees, are at higher risk of burnout compared to the average working population. The COVID-19 pandemic heightens this risk. The purpose of this pilot was to enhance professional fulfillment and sense of professional support while decreasing risk of burnout in Child and Adolescent Psychiatry (CAP) trainees’ through virtual delivery of a novel Balint-based well-being curriculum.Methods: The pilot included six CAP trainees. The 8 fortnightly 60 minute sessions were co-facilitated by a psychologist and psychiatrist. Sessions combined emotional awareness skills with a Balint-based approach to case review. The authors assessed trainee well-being, professional fulfillment, and sense of professional support pre- and post-intervention with the Well-being Index (WBI), Stanford Professional Fulfillment Index (PFI), and the authors’ own supplemental survey questions assessing sense of professional support.Results: Trainees found the curriculum feasible and useful. Pre- and post-intervention surveys showed a 23.3% reduction in burnout (p=0.027) as well as significant improvements in happiness at work, enthusiasm toward work, sensitivity to others, and connectedness with colleagues. The authors found positive trends in additional aspects of professional fulfillment and sense of professional support.Discussion: A novel well-being curriculum focused on combining emotional awareness skills with a Balint-like approach enhances professional fulfillment and a sense of professional support and decreases the risk of burnout, even when delivered virtually. Virtual delivery is especially important as such platforms play prominent roles during COVID-19. This pilot demonstrates feasibility and utility, and supports the planned expansion of this low-cost, high-value intervention for trainee well-being.

Handbook for Trainees in Child and Adolescent Psychiatry and Psychology

PsycCRITIQUES ◽  
2007 ◽  
Vol 52 (43) ◽  
Author(s):  
Marios Constantinou ◽  
Margarita Kapsou ◽  
Maria Karekla
Keyword(s):  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry
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