A5029471174- Psychosomatic Disorders and Their Treatments
- Child and Adolescent Psychosocial and Emotional Development
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Emergency and Acute Care Studies
- Mental Health and Psychiatry
- COVID-19 and Mental Health
- Pediatric Pain Management Techniques
- Family and Patient Care in Intensive Care Units
- Eating Disorders and Behaviors
- Congenital Heart Disease Studies
- Complementary and Alternative Medicine Studies
- Youth Substance Use and School Attendance
- Pain Management and Placebo Effect
- COVID-19 and healthcare impacts
- Body Image and Dysmorphia Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Cardiovascular Issues in Pregnancy
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Mental Health Treatment and Access
- Infant Development and Preterm Care
- Music Therapy and Health
- Cardiac pacing and defibrillation studies
- Child Abuse and Trauma
Boston Children's Hospital
2016-2025
Harvard University
2016-2025
MSPCA-Angell
2025
Boston Children's Museum
2014-2024
Lemuel Shattuck Hospital
2017
Boston University
2012
Psychiatric boarding occurs when patients remain in emergency departments or are admitted to inpatient medical/surgical units await placement at psychiatric treatment programs. Boarding was already increasing the United States over past decade, and coronavirus disease 2019 pandemic has only further profoundly affected mental health of youth. The current study aims describe diagnoses among pediatric presenting hospital after onset.We performed a retrospective chart review from March February...
To compare psychiatric emergencies and self-harm at emergency departments (EDs) 1 year into the pandemic, to early pandemic pre-pandemic, examine changes in characteristics of presentations.This retrospective cohort study expanded on Pandemic-Related Emergency Psychiatric Presentations (PREP-kids) study. Routine record data March April 2019, 2020, 2021 from 62 EDs 25 countries were included. ED presentations made by children adolescents for any mental health reasons analyzed.Altogether,...
Somatic symptom and related disorders (SSRDs) are commonly encountered in pediatric hospital settings. There is, however, a lack of standardization care across institutions for youth with these disorders. These patients diagnostically psychosocially complex, posing significant challenges medical behavioral health providers. SSRDs associated use, cost to families hospitals, risk iatrogenic interventions missed diagnoses. With sponsorship from the American Academy Child Adolescent Psychiatry...
The purpose of this study was to evaluate the impact timing a psychiatry consultation during pediatric hospitalization on length hospital stay and total charges.The charts 279 patients (totaling 308 consultations) referred liaison service at freestanding tertiary between January 1, 2010, June 30, 2010 were retrospectively analyzed. variables analyzed included following: patient demographic characteristics; dates admission, psychiatric consultation, discharge; diagnoses based diagnostic...
Objectives: To describe demographic, diagnostic, and psychosocial characteristics of medically admitted patients diagnosed with somatoform disorders. Methods: Retrospective chart reviews were performed for pediatric (ages 3–18 years) seen by the Psychiatry Consultation Service in 2010 2011 on inpatient medical/surgical units Data included demographic information; patient medical history, physical symptom characteristics, service utilization; psychiatric diagnoses, comorbidities, temperament,...
Psychiatric concerns are a common presenting problem for pediatric providers across many settings, particularly on inpatient medical services. The volume of youth requiring intensive psychiatric treatment outnumbers the availability placements, and as result must board units while awaiting placement. As phenomenon boarding in setting increases, it is important to understand trends characteristics boarders (PBs) supports they receive boarding.A retrospective chart review patients admitted PBs...
There have been notable increases pediatric mental health boarding in the United States recent years, with youth remaining emergency departments or admitted to inpatient medical/surgical units, awaiting placement at psychiatric treatment programs. We aimed evaluate outcomes of interventions reduce and improve access acute services a large tertiary hospital during national crisis. Boarding included expanding beds hiring additional staff for enhanced crisis stabilization initiation department...
OBJECTIVES:. The purpose of this study is to describe the prevalence bullying victimization among medically admitted patients with somatic symptom and related disorders (SSDs) compare demographic, diagnostic, psychosocial characteristics bullied versus nonbullied patients.METHODS:. Medically at a tertiary pediatric facility referred Psychiatry Consultation Service concerns were assessed via quality improvement (QI) initiative, SSD Standardized Clinical Assessment Management Plan (SSD-SCAMP)....
OBJECTIVES: Nearly one-quarter of individuals diagnosed with avoidant/restrictive food intake disorder (ARFID) require medical admission. There have been efforts to characterize ARFID in outpatient and intensive day treatment settings; however, authors few studies examined this presentation the inpatient pediatric hospital setting. In study, we aim further patients presenting concerns for ARFID. METHODS: This study involved a retrospective chart review medically admitted seen by psychiatry...
This article examines the feasibility of implementing patient-reported outcome (PRO) measures with adolescents on an inpatient psychiatry service. During study period (March 8, 2021, to June 7, 2022), a total 154 patient encounters were recorded for between 12 and 17 years age. PROs piloted during first 3 months period, focus technical implementation. In from through 2022, PRO project moved full implementation across all encounters. Fisher's exact test independent t tests conducted examine...
This study describes psychotropic medication use in a pediatric and young adult solid organ transplant population.We conducted retrospective review of the lifetime incidence associated characteristics patients seen over 6-year period at large center utilizing univariate multivariate statistical analyses.The was 36.5% 393 patients. Transplant psychiatry provided psychopharmacological consultation to 21.9% Controlling for age sex, there were significant associations between thoracic disease...
The majority of children in Nigeria are unable to access mental health services. In this resource-poor setting, a school-based service can be used reach who would otherwise not have access. An essential first step the development programme is needs assessment. Key informants (KIs) from southwest were interviewed identify their perspectives on child illness and for school programme. Data analysed using interpretative phenomenological analysis. Although KIs sometimes derogatory terms describe...
Abstract This study examined the demographic, medical, and psychiatric characteristics of transplant patients across organ groups seen by psychology/psychiatry clinicians at a pediatric institution between 2008 2014. Chart reviews were conducted to better understand behavioral health care provided SOT role transplant‐dedicated psychology psychiatry clinicians. Transplant was consulted total 1060 times on 399 unique over 6‐year period. There no significant differences in distribution age,...
OBJECTIVES: The purpose of the current study is to describe demographic and clinical characteristics health care use medically hospitalized patients with eating disorders (ED) somatoform (SFD) in a pediatric setting findings explore opportunities for improved care. METHODS: Retrospective chart reviews 125 SFD ED (N = 250) seen at tertiary facility over 12- 19-month period, respectively. RESULTS: Patients both groups were predominantly girls, white, came from households above average incomes,...
Objective: This study assessed teachers' perspectives on children's mental health needs and the development of school-based programmes in South-West Nigeria. Method: Focus group discussions were held with teachers from randomly selected urban rural primary schools Ibadan, Data analysed using interpretative phenomenological analysis. Results: Teachers identified significant problems school-age children described a variety bio-psychosocial contributing factors. These ranged support systems to...