- Child and Adolescent Psychosocial and Emotional Development
- Suicide and Self-Harm Studies
- Gun Ownership and Violence Research
- Mental Health Treatment and Access
- Homicide, Infanticide, and Child Abuse
- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Health
- Attachment and Relationship Dynamics
- Psychosocial Factors Impacting Youth
- Adolescent and Pediatric Healthcare
- Attention Deficit Hyperactivity Disorder
- Substance Abuse Treatment and Outcomes
- Emergency and Acute Care Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Homelessness and Social Issues
- Counseling Practices and Supervision
- Mental Health and Patient Involvement
- Digital Mental Health Interventions
- Childhood Cancer Survivors' Quality of Life
- Health, Environment, Cognitive Aging
- Child Abuse and Trauma
- Workplace Health and Well-being
- Stress Responses and Cortisol
- Health Promotion and Cardiovascular Prevention
- Diverse Approaches in Healthcare and Education Studies
Thomas Jefferson University
2010-2024
Jefferson College
2024
Deakin University
2024
Children's Hospital of Philadelphia
2005-2009
University of Pennsylvania
2006
IX ResumenEstilo Personal del Terapeuta y Alianza Terapéutica en un grupo de terapeutas bogotanos El objetivo este estudio fue determinar la relación entre el Estilo evaluada por los consultantes.En investigación participaron 40 diadas consultantes voluntarios, vinculados al Servicio Atención Psicológica Universidad Nacional Colombia, a quienes se les aplicó Cuestionario (EPT-C) Inventario versión Corta para Clientes (WAI-S-P).Para análisis resultados tuvieron cuenta algunas variables como...
OBJECTIVE: To determine if brief standardized screening for suicide risk in pediatric primary care practices will increase detection rates of suicidal youth, maintain increased and referral rates, be replicated other practices. PATIENTS AND METHODS: Physicians 3 received training risk, 2 questions were inserted into their existing electronic medical chart psychosocial interview. The automatically populated all adolescents aged 12.0 to 17.9 years. Deidentified data extracted during both...
Objectives: To determine the adoption rate of Webbased Behavioral Health Screening-Emergency Department (BHS-ED) system during routine clinical practice in a pediatric ED, and to assess this system's effect on identification assessment psychiatric problems.Design: Descriptive design evaluate feasibility innovation. Setting:The ED an urban tertiary care children's hospital.Participants: Adolescents from 14 18 years age, without acute or critical injuries illness, presenting with...
The goals were to develop and validate the Internet-based, Behavioral Health Screen (BHS) for adolescents young adults in primary care.Items assessing risk behaviors psychiatric symptoms built into a Internet-based platform with broad functionality. Practicality acceptability examined 24 patients. For psychometric validation, 415 completed BHS well-established rating scales. Participants recruited from care waiting rooms 12 21 years of age (mean: 15.8 years); 66.5% female 77.5% black.The...
To determine primary care providers' rates of screening for suicide and mental health problems in adolescents the factors that promote or discourage this practice.Overall, 671 medical professionals (ie, pediatricians, family physicians, nurse practitioners, physician assistants) completed an electronic survey. The 53 items focused on (1) attitudes, knowledge, comfort with general psychosocial (2) current practices barriers regarding referrals to behavioral services.Forty percent had a...
The association of early alliance to treatment attendance and longitudinal outcomes were examined in 356 adolescents participating a randomized clinical trial targeting cannabis use. Both patient therapist views examined, evaluated over 12 months after numerous other sources variance controlled. Patient‐rated predicted reduction use at three six substance‐related problem behaviors months. Therapist‐rated did not predict outcomes. Neither nor ratings associated with attendance. findings...
Studies of the therapeutic alliance typically use a one-with-many (OWM) design in which each therapist (the one) treats multiple clients many). This study used Kenny, Kashy, and Cook's (2006) OWM method to examine composition analyze association between outcome sample 398 adolescents treated for substance abuse by 14 therapists. Both client ratings yielded large relationship variances, with limited consensus among same about quality alliance. If reported an especially strong his or her...
Objectives: To explore patients' and parents'/caregivers' beliefs about the acceptability of universal depression screening in emergency department (ED) their perceptions barriers facilitators to a mental health referral following positive screen. Methods: We conducted semistructured interviews with 60 patients seeking care 59 caregivers ED an urban children's hospital. Interviews were audiotaped, transcribed, coded, entered into N6 (version 6.0; QSR, Thousand Oaks, Calif) for coding content...
Attrition is one of the most vexing problems for effective delivery behavioral health services. Most prior studies focus on patient demographics and psychopathology factors predicting dropout. We examined therapist post-treatment reports barriers to attending treatment. Six hundred adolescents their therapists completed Perceived Barriers Treatment scale (PBT) at discharge from a brief substance abuse intervention. After adjusting covariates, results suggest that perceived barriers, in...
This paper considers whether victimization moderates adolescents’ outcomes in substance abuse treatment. Adolescents (N—975) outpatient and residential settings were assessed at intake, three, six, nine, 12 months. Differential by gender degree of analyzed. Dependent variables marijuana use substance‐related problems. The sample reported higher baseline victimization. Both samples significantly reduced associated problems during Victimization was related to more intake follow‐up. More severe...
Abstract Limited research has examined factors distinguishing between patterns of adolescent suicidal thoughts and behaviors. The current study demographic, school, family, mental health differences across identified by Romanelli colleagues (2022): history only, plans with thoughts, attempt and/or plans, without thoughts. includes 4,233 students ( M age = 14.65 years, SD 2.06) a suicide risk referred to school Student Assistance Program teams. sample was approximately 60.7% female, 59.8%...
Background Asthma is a chronic inflammatory disease of the airways affecting more than 250 million people worldwide. In past, possible relationship between asthma and suicidality has been hypothesized. However, further research required as this link not clearly established. Our objective was to use propensity score matching answer following question: does having increase one’s odds developing throughout their lifetime and, if so, how large increase? Methodology We utilized data from 2018...
Purpose Autistic youth face higher risks for experiencing mental health crises. To develop and test a county-level social network measure of care coordination between police departments other systems that support autistic suicidal crisis. Design/methodology/approach the structure crisis, authors created roster all servicing organizations in two East Coast counties United States. They met or exceeded whole recruitment threshold 70% completion both counties. From data, directed matrix each...