Journal ArticlePediatr Clin North Am · December 2024
Digital technologies can be used at multiple levels to support the mental health care of children including (1) health system/health care provider level; (2) patient-provider interface; (3) patient-facing consumer applications; and (4) new technology, incl ...
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Journal ArticleJ Racial Ethn Health Disparities · October 2024
OBJECTIVE: We examined factors associated with telehealth utilization during COVID-19 among adult Medicaid beneficiaries with behavioral health conditions. DATA SOURCES AND STUDY SETTING: NC Medicaid 2019-2021 beneficiary and claims data. STUDY DESIGN: Thi ...
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Journal ArticleJ Biomed Inform · September 2024
OBJECTIVE: This study aimed to develop a novel approach using routinely collected electronic health records (EHRs) data to improve the prediction of a rare event. We illustrated this using an example of improving early prediction of an autism diagnosis, gi ...
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Journal ArticleTelemed J E Health · August 2024
Background: Increased availability of telehealth can improve access to health care. However, there is evidence of persistent disparities in telehealth usage, as well as among people from minoritized racial and ethnic groups and rural residents. The objecti ...
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Journal ArticleN C Med J · August 2024
Untreated behavioral health conditions among the perinatal population are associated with high mortality and morbidity. We examined trends of behavioral health conditions and treatment received by perinatal Medicaid beneficiaries and described the characte ...
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Journal ArticleFront Public Health · 2024
INTRODUCTION: We examined the influence of special healthcare needs, onset of the COVID-19 pandemic, and their interaction on receiving transition services to prepare for future adult care among US adolescents, and whether social determinants of health mod ...
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Journal ArticlePediatr Emerg Care · December 1, 2022
OBJECTIVES: The aim of this study was to explore how the academic calendar, and by extension school-year stressors, contributes to the seasonality of pediatric mental health emergency department (ED) visits. METHODS: The authors reviewed all pediatric ment ...
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Journal ArticlePsychiatr Serv · December 1, 2022
Effective October 2018, North Carolina Medicaid approved reimbursement for collaborative care model (CoCM) billing codes. From October 2018 through December 2019, only 915 of the estimated two million eligible Medicaid beneficiaries had at least one CoCM c ...
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Journal ArticlePsychiatr Serv · December 1, 2022
OBJECTIVE: The authors aimed to examine racial-ethnic differences in filled psychotropic prescriptions among a pediatric Medicaid population. METHODS: This retrospective cohort study included patients ages 0-21 with at least one North Carolina Medicaid cla ...
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Journal ArticleClin Pract Pediatr Psychol · December 2022
OBJECTIVE: The purpose of this article is to characterize the current evidence base related to peer support interventions for adolescents and young adults (AYAs) with inflammatory bowel disease (IBD) and to describe a peer support program to enhance self-m ...
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Journal ArticleBMJ Open Diabetes Res Care · November 2022
INTRODUCTION: Adolescents and young adults (AYAs) with type 1 diabetes (T1D) are at risk of suboptimal glycemic control and high acute care utilization. Little is known about the optimal age to transfer people with T1D to adult care, or time gap between co ...
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Journal ArticleJ Dev Behav Pediatr · September 1, 2022
OBJECTIVE: We examined characteristics associated with receiving the North Carolina Home and Community-Based Services Waiver for intellectual and developmental disabilities (I/DDs) and its association with emergency department (ED) utilization. METHOD: Thr ...
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Journal ArticleJ Pediatr Nurs · 2022
PURPOSE: Children and youth with special health care needs (CYSHCN) have complex care and coordination needs that are often managed by parents or primary caregivers. This study describes a parent-to-parent peer support pilot program for parents of CYSHCN i ...
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Journal ArticleAutism Res · May 2021
Disparities exist in the recognition of autism spectrum disorder (ASD) and intellectual disability (ID) in racial/ethnic minorities in the United States. This study examined whether rurality, race/ethnicity, and low resource availability are associated wit ...
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Chapter · January 28, 2021
Positive Youth Development (PYD) is a theoretically founded, developmental framework that is strengths-based, incorporates ecological assets, and has been effective in supporting at-risk youth. A growing number of adolescents and young adults (AYA) with ch ...
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Journal ArticleJ Autism Dev Disord · January 2021
We examined special education classifications among students aged 3-21 in North Carolina public schools, highlighting autism spectrum disorder (ASD) and intellectual disability (ID). Results revealed variability by county in ASD and ID prevalence, and in c ...
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Journal ArticlePediatr Neurol · October 2020
BACKGROUND: Alternating hemiplegia of childhood often manifests severe or extreme behavioral problems, the nature of which remains to be fully characterized. METHODS: We analyzed 39 consecutive patients with alternating hemiplegia of childhood for occurren ...
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Journal ArticleNurs Res · 2020
BACKGROUND: Much remains unknown about the longitudinal health and well-being of individuals with intellectual disability (ID); thus, new methods to identify those with ID within nationally representative population studies are critical for harnessing thes ...
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Journal ArticleMed Educ Online · December 2019
BACKGROUND: The transition from pediatric to adult healthcare is a vulnerable time for adolescents and young adults (AYA), especially those with chronic conditions. Successful transition requires communication and coordination amongst providers, patients, ...
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Journal ArticleClin Pediatr (Phila) · October 2019
Continuity of care during health care transition is critical. We sought to evaluate electronic medical record clinic attendance data to examine this outcome. We identified 1623 patients (ages 18-27 years) with 1 of 6 childhood-onset chronic conditions and ...
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Journal ArticleInt J Eat Disord · April 2019
OBJECTIVE: Individuals with Avoidant Restrictive Food Intake Disorder (ARFID) experience impairing health consequences from insufficient nutritional variety and/or quantity. Early medical conditions and/or somatic symptoms such as abdominal pain may lead s ...
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Journal ArticlePediatr Blood Cancer · January 2019
BACKGROUND: Sickle cell disease (SCD) is a chronic blood disorder in which mortality has increased for adolescents and young adults (AYA). PROCEDURE: A longitudinal analysis of medical records was conducted to describe the clinical course among AYAs (ages ...
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Journal ArticleJ Pediatr Nurs · 2019
PURPOSE: This study explored the health care transition (HCT) experiences of parents of adolescents and young adults (AYAs) with intellectual disability (ID), 18-33 years of age, including barriers and facilitators to the AYA's transition to adulthood with ...
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Journal ArticlePediatrics · June 2018
CONTEXT: Nonpharmacologic treatments for attention-deficit/hyperactivity disorder (ADHD) encompass a range of care approaches from structured behavioral interventions to complementary medicines. OBJECTIVES: To assess the comparative effectiveness of nonpha ...
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Journal ArticleChild Adolesc Psychiatr Clin N Am · January 2018
More adolescents and young adults are surviving previously fatal childhood illness and need support to transition from pediatric care to adult-oriented care. There are many barriers, but guidelines and tools assist providers with emphasis on gradually addr ...
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Journal ArticleJ Pediatr Health Care · 2018
INTRODUCTION: Various programs have been proposed to facilitate more successful transitions from pediatric to adult care for children with special health care needs. Few have been evaluated for their effectiveness. The purpose of this project was to system ...
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Journal ArticleBehav Res Ther · October 2017
UNLABELLED: Functional abdominal pain (FAP) is a common childhood somatic complaint that contributes to impairment in daily functioning (e.g., school absences) and increases risk for chronic pain and psychiatric illness. Cognitive behavioral treatments for ...
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Journal ArticleChild Adolesc Psychiatr Clin N Am · October 2017
An estimated 1 in 5 children in the United States meet criteria for a diagnosable mental disorder, yet fewer than 20% receive mental health services. Unmet need for psychiatric treatment may contribute to patterns of increasing use of the emergency departm ...
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Journal ArticleClin Pediatr (Phila) · May 2017
We examined vaccination coverage among youth with special health care needs (YSHCN) using data from parents of adolescents (11-17 years) who responded to a statewide survey in 2010-2012 (n = 2156). Using a validated screening tool, we identified 29% of ado ...
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Journal ArticleJ Grad Med Educ · April 2017
BACKGROUND: Youth with special health care needs often experience difficulty transitioning from pediatric to adult care. These difficulties may derive in part from lack of physician training in transition care and the challenges health care providers exper ...
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Journal ArticleAcad Pediatr · 2017
BACKGROUND: Little is known about how transition readiness relates to other developmental skills of adolescence in youth with chronic illness. Better understanding of how transition readiness relates to these other developmental skills could lead to a broa ...
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Journal ArticleClin Diabetes Endocrinol · 2017
OBJECTIVES: Examine Peer Support (PS) for complex, sustained health behaviors in prevention or disease management with emphasis on diabetes prevention and management. DATA SOURCES AND ELIGIBILITY: PS was defined as emotional, motivational and practical ass ...
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Journal ArticleJ Adolesc Health · December 2016
PURPOSE: Adolescents with childhood-onset chronic condition (COCC) are at increased risk for physical and psychological problems. Despite being at greater risk and having to deal with traumatic experiences and uncertainty, most adolescents with COCC do wel ...
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Journal ArticleWorld J Clin Pediatr · May 8, 2016
AIM: To review empirical evidence on character development among youth with chronic illnesses. METHODS: A systematic literature review was conducted using PubMed and PSYCHINFO from inception until November 2013 to find quantitative studies that measured ch ...
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Journal ArticleJAMA Pediatr · March 2016
IMPORTANCE: There is a lack of agreement on what constitutes successful outcomes for the process of health care transition (HCT) among adolescent and young adults with special health care needs. OBJECTIVE: To present HCT outcomes identified by a Delphi pro ...
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Journal ArticleSemin Oncol Nurs · August 2015
OBJECTIVES: Using a Life Course Health Development framework, this article summarizes what is known about the impact of cancer and its treatment on the biopsychosocial world of the adolescent and young adult. DATA SOURCES: Published peer reviewed literatur ...
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Journal ArticleJ Pediatr Nurs · 2015
Transfer from pediatric to adult care is a critical component of a high-quality transition experience for adolescents and young adults (AYA) with chronic illness. To examine the current evidence regarding the effect of transition interventions on care tran ...
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Journal ArticleAcad Pediatr · 2014
OBJECTIVE: Changes in weight status from adolescence to adulthood may be associated with varying social, vocational, economic, and educational outcomes, which may differ by sex. We studied whether there are differences in adult outcomes by sex for differen ...
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Journal ArticlePediatrics · May 2013
BACKGROUND AND OBJECTIVE: The Positive Youth Development (PYD) framework has been successfully used to support at-risk youth. However, its effectiveness in fostering positive outcomes for adolescents with chronic illness has not been established. We perfor ...
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Journal ArticleJ Adolesc Health · February 2013
PURPOSE: Youth with chronic illness often struggle transitioning to adulthood and adult medical care. This article examines the outcomes of a group mentoring program called The Adolescent Leadership Council (TALC) that brings together high school participa ...
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Journal ArticleJ Sch Health · August 2012
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BACKGROUND: Youth with childhood-onset chronic illness (COCI) are at risk of poor educational attainment. Specific protective factors that promote college graduation in this population have not been studied previously. In this study, we examine the role pr ...
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Journal ArticleJ Adolesc Health · August 2011
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OBJECTIVES: We compared adult educational, vocational, and social outcomes among young adults with and without childhood-onset chronic illness in a nationally representative U.S. sample. METHODS: We used data from Wave IV (2008) of the National Longitudina ...
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Journal ArticleArch Pediatr Adolesc Med · March 2011
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OBJECTIVE: To examine young adult outcomes in a nationally representative US cohort of young adults growing up with a chronic illness. DESIGN: Secondary analysis of nationally representative data from wave III (in 2001) of the National Longitudinal Study o ...
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Journal ArticleJ Burn Care Res · 2010
The first summer camps for children with burn injuries started over 25 years ago, and as of 2008, there were 60 camps worldwide. This review examines the literature on summer pediatric burn camps. The authors describe common characteristics of burn camp st ...
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