Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents

228 Pages·2014·0.55 MB·English

by  Fadi Haddad

Helping Kids in Crisis
Managing Psychiatric Emergencies
in Children and Adolescents
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Helping Kids in Crisis
Managing Psychiatric Emergencies
in Children and Adolescents
Edited by
Fadi Haddad, M.D.
Ruth Gerson, M.D.
Washington, DC
London, England
Note: The authors have worked to ensure that all information in this book is accu-
rate at the time of publication and consistent with general psychiatric and medical
standards, and that information concerning drug dosages, schedules, and routes of
administration is accurate at the time of publication and consistent with standards set
by the U.S. Food and Drug Administration and the general medical community. As
medical research and practice continue to advance, however, therapeutic standards
may change. Moreover, specific situations may require a specific therapeutic re-
sponse not included in this book. For these reasons and because human and mechan-
ical errors sometimes occur, we recommend that readers follow the advice of
physicians directly involved in their care or the care of a member of their family.
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Copyright © 2015 American Psychiatric Association
ALL RIGHTS RESERVED
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Library of Congress Cataloging-in-Publication Data
Helping kids in crisis (Haddad)
Helping kids in crisis : managing psychiatric emergencies in children and ado-
lescents / edited by Fadi Haddad, Ruth S. Gerson. — First edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-58562-482-9 (pbk. : alk. paper)
I. Haddad, Fadi, editor. II. Gerson, Ruth, editor.
III. American Psychiatric Association, issuing body. IV. Title.
[DNLM: 1. Emergency Services, Psychiatric. 2. Mental Disorders—therapy.
3. Adolescent. 4. Child. 5. Crisis Intervention. WS 350.2]
RC480.6
616.89025—dc23 2014030047
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
To the children and families who have taught us
so much along the way
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Contents
Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi
Susan B. Torrey, M.D.
Acknowledgments. . . . . . . . . . . . . . . . . . . . . . .xiii
1
Kids in Crisis. . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Fadi Haddad, M.D.
2
Aggression . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Ruth Gerson, M.D., and Fadi Haddad, M.D.
3
Suicide and Self-Injurious Behaviors. . . . . . . .35
Gabrielle S. Carson, Ph.D.
4
Tantrums and Behavioral Outbursts . . . . . . . .53
M. Cevdet Tosyali, M.D.
5
The “Odd” Child. . . . . . . . . . . . . . . . . . . . . . . . .73
Rachel Mandel, M.D.
6
Child Abuse and Trauma . . . . . . . . . . . . . . . . . 91
Ruth Gerson, M.D.
7
Risky Behaviors . . . . . . . . . . . . . . . . . . . . . . . .109
Charles J. Glawe, M.D.
8
Clinical and Forensic Psychological Issues
With At-Risk Youths and
Juvenile Delinquents. . . . . . . . . . . . . . . . . . . .127
Alessandra D.E. Herbosch, Psy.D.
9
Substance Use: HELPING TEENAGERS AND
FAMILIES WORK THROUGH A SUBSTANCE USE CRISIS . . 147
J. Rebecca Weis, M.D., and Stephen Ross, M.D.
10
Finding Help: HELPING FAMILIES FIND EFFECTIVE
TREATMENT FOR CHILDREN WITH PSYCHIATRIC ILLNESS . . 171
Jasmine Marrero, LCSW, Melissa Negron, LCSW, and
Maggie Bielsky, LMSW
11
Models of Emergency Psychiatric Care for
Children and Adolescents:
MOVING FROM TRIAGE TO MEANINGFUL ENGAGEMENT
IN MENTAL HEALTH TREATMENT . . . . . . . . . . . . . . . . 191
Jennifer F. Havens, M.D., and Mollie C. Marr, B.F.A.
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201
Contributors
Maggie Bielsky, LMSW
Inpatient Psychiatric Social Worker, Department of Child and Adolescent
Psychiatry, Bellevue Hospital Center, New York, New York
Gabrielle S. Carson, Ph.D.
Clinical Psychologist and Clinical Instructor, NYU School of Medicine, De-
partment of Child and Adolescent Psychiatry, Bellevue Hospital Children’s
Comprehensive Psychiatric Emergency Program, New York, New York
Ruth Gerson, M.D.
Director, Bellevue Hospital Children’s Comprehensive Psychiatric Emer-
gency Program; Clinical Assistant Professor, Department of Child and Ad-
olescent Psychiatry, NYU School of Medicine, New York, New York
Charles J. Glawe, M.D.
Clinical Assistant Professor of Child and Adolescent Psychiatry, NYU
School of Medicine; Unit Chief, Bellevue Hospital Adolescent Inpatient
Service, New York, New York
Fadi Haddad, M.D.
Director Emeritus, Bellevue Hospital Children’s Comprehensive Psychiat-
ric Emergency Program; Clinical Assistant Professor, Department of Child
and Adolescent Psychiatry, NYU School of Medicine, New York, New York
Jennifer F. Havens, M.D.
Vice Chair for Public Psychiatry, Department of Child and Adolescent
Psychiatry, NYU School of Medicine; Director and Chief of Service, De-
partment of Child and Adolescent Psychiatry, Bellevue Hospital Center,
New York, New York
Alessandra D.E. Herbosch, Psy.D.
Clinical and Forensic Psychologist, Bellevue Hospital, New York, New
York
ix