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Specialty knowledge and competency standards for pharmacotherapy for pediatric obsessive-compulsive disorder.

Publication ,  Journal Article
Weidle, B; Ivarsson, T; Asbahr, FR; Calvo, R; Mataix-Cols, D; Rynn, MA; Storch, EA
Published in: Psychiatry Res
May 2021

Evidence based treatments for pediatric Obsessive-Compulsive Disorder (OCD) are delivered with varying levels of expertise. This paper is part of the phase two series by the International OCD Accreditation Task Force (ATF) to advance a standardized high level of care globally. This paper presents specific knowledge and competencies recommended for specialized practice for pediatric psychopharmacologists working with OCD, developed by an international group of clinicians with extensive expertise in assessment and treatment of OCD. Tabulated knowledge and competency standards are operationalized as clinician abilities with specification of evidence for each standard. The distinction between current practice guidelines and ATF standards is discussed. Drug treatment has a solid evidence base. However, it should not be applied isolated, but informed by broad competence in general child and adolescent psychiatry and pediatrics. Other treatment relevant areas such as specialty CBT, family functioning, developmental issues, and neurobiology require consideration. Drug treatment includes several phases with varying degrees of evidence: Starting up medication, titration to maximum tolerated dose, maintenance, termination, and relapse prevention. In complex cases, pharmacotherapy with weak evidence may be needed to target symptoms and/or co-morbidity. The ATF knowledge and competency standards presented will be reviewed and updated commensurate with research.

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Published In

Psychiatry Res

DOI

EISSN

1872-7123

Publication Date

May 2021

Volume

299

Start / End Page

113858

Location

Ireland

Related Subject Headings

  • Psychiatry
  • Pharmaceutical Preparations
  • Pediatrics
  • Obsessive-Compulsive Disorder
  • Humans
  • Family
  • Cognitive Behavioral Therapy
  • Child
  • Adolescent
  • 5203 Clinical and health psychology
 

Citation

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ICMJE
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Weidle, B., Ivarsson, T., Asbahr, F. R., Calvo, R., Mataix-Cols, D., Rynn, M. A., & Storch, E. A. (2021). Specialty knowledge and competency standards for pharmacotherapy for pediatric obsessive-compulsive disorder. Psychiatry Res, 299, 113858. https://doi.org/10.1016/j.psychres.2021.113858
Weidle, Bernhard, Tord Ivarsson, Fernando R. Asbahr, Rosa Calvo, David Mataix-Cols, Moira A. Rynn, and Eric A. Storch. “Specialty knowledge and competency standards for pharmacotherapy for pediatric obsessive-compulsive disorder.Psychiatry Res 299 (May 2021): 113858. https://doi.org/10.1016/j.psychres.2021.113858.
Weidle B, Ivarsson T, Asbahr FR, Calvo R, Mataix-Cols D, Rynn MA, et al. Specialty knowledge and competency standards for pharmacotherapy for pediatric obsessive-compulsive disorder. Psychiatry Res. 2021 May;299:113858.
Weidle, Bernhard, et al. “Specialty knowledge and competency standards for pharmacotherapy for pediatric obsessive-compulsive disorder.Psychiatry Res, vol. 299, May 2021, p. 113858. Pubmed, doi:10.1016/j.psychres.2021.113858.
Weidle B, Ivarsson T, Asbahr FR, Calvo R, Mataix-Cols D, Rynn MA, Storch EA. Specialty knowledge and competency standards for pharmacotherapy for pediatric obsessive-compulsive disorder. Psychiatry Res. 2021 May;299:113858.
Journal cover image

Published In

Psychiatry Res

DOI

EISSN

1872-7123

Publication Date

May 2021

Volume

299

Start / End Page

113858

Location

Ireland

Related Subject Headings

  • Psychiatry
  • Pharmaceutical Preparations
  • Pediatrics
  • Obsessive-Compulsive Disorder
  • Humans
  • Family
  • Cognitive Behavioral Therapy
  • Child
  • Adolescent
  • 5203 Clinical and health psychology