Communicating a diagnosis of Autism Spectrum Disorder - a qualitative study of parents' experiences
Not enough is known about parents’ experiences of receiving the news that their child warrants a diagnosis of Autism Spectrum Disorder (ASD). Sharing this information with parents is an important and difficult part of Child and Adolescent Mental Health (CAMH) practice. Qualitative methodology was used to explore the experiences of the ‘feedback session’ with nine sets of parents in a community Child and Adolescent Mental Health Service (CAMHS) in North East England. Parents gave vivid accounts of their experiences and described issues relating to the structure, style and content of the session. The experi...
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Abbott, M., Bernard, P., Forge, J. Tags: Articles Source Type: research

Adolescent suicide in Australia: Rates, risk and resilience
Adolescent suicide rates in Australia have fallen significantly during recent years. The incidence, however, clearly remains a serious concern for young people, parents, professionals and policy makers. Some groups of Australian youth appear to be at heightened risk. Adolescents within the welfare system, indigenous, rural and refugee youth, along with same sex attracted young people often need very careful monitoring and support. Young men continue to take their lives more frequently than young women. Prevention programmes in Australia aim to develop resilience in young people, families and communities that can serve as p...
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: McNamara, P. M. Tags: Articles Source Type: research

Feasibility of Attachment Based Family Therapy for depressed clinic-referred Norwegian adolescents
This study evaluated the feasibility of importing ABFT into a hospital-based outpatient clinic in Norway. This article documents the challenges of initiating and conducting research in a real world clinical setting and training staff therapists. It also reports on outcomes of a pilot randomized clinical trial. Implementation barriers rapidly emerged in relation to hospital administration, infrastructure development, and therapists. Despite these barriers, 20 clinic-referred adolescents were randomly assigned to ABFT (n= 11) or to Treatment as Usual (TAU) (n= 9). Adolescents in ABFT showed significantly better symptom reduc...
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Israel, P., Diamond, G. S. Tags: Articles Source Type: research

Cognitive bias modification training in adolescents reduces anxiety to a psychological challenge
Many anxiety disorders begin in adolescence. Early interventions that target adolescent anxiety may prevent later disabling consequences. Previous studies show that cognitive bias modification training can generate positive interpretative styles of ambiguous information in adolescents but effects on anxious mood reduction are less clear. Adult studies suggest more consistent training effects on mood when assessed in response to a psychological challenge. Here, we assess whether positive training reduces adolescent anxious responses to a laboratory stressor. A total of 40 adolescents were randomly assigned to positive or ne...
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Lau, J. Y., Belli, S. R., Chopra, R. B. Tags: Articles Source Type: research

Orchids and dandelions: How some children are more susceptible to environmental influences for better or worse and the implications for child development
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Kennedy, E. Tags: Editorial Source Type: research

Book review: Everly, G. S. & Brown, S., The Resilient Child: Seven Essential Lessons for Your Child's Happiness and Success
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Cameron, R. Tags: Book reviews Source Type: research

Book review: Miklowitz, D. & George, E., The Bipolar Teen: What You Can Do to Help Your Child and Your Family
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Cahill, C. Tags: Book reviews Source Type: research

Taming the Adolescent Mind: Preliminary report of a mindfulness-based psychological intervention for adolescents with clinical heterogeneous mental health diagnoses
Conclusions: These promising preliminary results suggest that the intervention was feasible, acceptable and offered positive impact on mental health problems, and the intervention warrants further research in a randomized controlled study. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Tan, L., Martin, G. Tags: Articles Source Type: research

Executive deficits in early onset bipolar disorder versus ADHD: Impact of processing speed and lifetime psychosis
Conclusion: executive deficits in BD may be determined by a history of psychotic symptoms rather than by comorbid ADHD. Some aspects of executive problems appear speed-related. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Udal, A. H., Oygarden, B., Egeland, J., Malt, U. F., Lovdahl, H., Pripp, A. H., Groholt, B. Tags: Articles Source Type: research

Still radical after all these years: George Kelly's The psychology of personal constructs
George Kelly’s The psychology of personal constructs put forward a new psychology that viewed people as actively constructing and anticipating their worlds. This paper considers personal construct theory and its philosophy; personal construct assessment techniques; the personal construct view of psychological disorder and its treatment; and the wide range of other applications of personal construct theory. It is concluded that personal construct psychology remains a radical approach over half a century after Kelly published his magnum opus. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Winter, D. A. Tags: Articles Source Type: research

Selective eating in a 9-year-old boy: Family therapy as a first-line treatment
We present the case of a pre-adolescent male who met criteria for selective eating who was treated into full remission with eating-disorder-focused family therapy. This family-based intervention deviated significantly from recently manualised family-based therapy interventions, and we suggest continued exploration of family therapy techniques in the treatment of pre-adolescent eating disorders. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Murray, S. B., Thornton, C., Wallis, A. Tags: Articles Source Type: research

'Benign invigilation': Using appreciative inquiry to reposition clinical risk in multi-disciplinary CAMH teams
In response to a spate of serious untoward incident enquiries, CAMHS team leaders in East London, UK, embarked on a series of clinical risk workshops with staff teams. Complementary to what might be called retrospective organisational responses to high risk events, these prospective workshops were predicated on the idea that risk reduction is increased when individuals in teams are responsive to one another, when teams are positively risk-aware and when risk awareness is seen as having the capacity to predict what may go wrong in the future. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Aggett, P., Messent, P., Staines, J. Tags: Articles Source Type: research

A crisis recovery model for adolescents with severe mental health problems
A model of intervention at the interface and for the in-patient phase for adolescents with severe mental health crises was developed to reduce length of stay while maintaining quality of service consonant with the ‘recovery model’. The model is described, and discussed in the context of the limited literature on both crisis intervention with adolescents and families, and ‘recovery’ in this age-group. The model may be suitable also for use by community teams dealing with adolescents in crisis. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Kaplan, T., Racussen, L. Tags: Articles Source Type: research

Connecting body and mind: The first interview with somatising patients and their families
In this article we outline the framework our consultation-liaison team has developed for interviewing families whose children present with medically unexplained symptoms. The framework was developed over many years in the context of our work with a large number of families, who collectively taught us to be more sensitive with regard to the experience of such families in the medical system, and who reacted strongly when we moved prematurely to the use of psychological language or to questions about family relationships or emotional functioning. Throughout the interview we maintain a focus on the body: the family history of ...
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Kozlowska, K., English, M., Savage, B. Tags: Articles Source Type: research

The use of effective treatments: The case of an adolescent girl with anorexia nervosa in the context of a conversion disorder
This report describes the case of an adolescent girl who underwent Maudsley family-based treatment for anorexia nervosa (AN) for a period of 12 months. Atypical response lead to an understanding of her presentation as representing a primary conversion disorder, within which AN symptoms were conceptualised as another somatic conversion of emotional distress. The report details her clinical presentation and management over the course of her illness. The case offers an important opportunity to explore the central role of the use of ESTs in guiding effective treatment delivery. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Goldstein, M., Madden, S., Peters, L. Tags: Articles Source Type: research