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  1. Article: Case conceptualization in child welfare: an underused resource to improve child, family, and provider outcomes.

    McTavish, Jill R / McHolm, Angela / Niec, Anne / Pietrantonio, Anna Marie / McKee, Christine / MacMillan, Harriet L

    Frontiers in psychiatry

    2024  Volume 14, Page(s) 1292690

    Abstract: Case conceptualization, formally known as case formulation, is one tool that assists in determining the best course of action for children and families experiencing family violence that has been under-utilized in child welfare. In this article we present ...

    Abstract Case conceptualization, formally known as case formulation, is one tool that assists in determining the best course of action for children and families experiencing family violence that has been under-utilized in child welfare. In this article we present a step-by-step case conceptualization process that considers the child welfare context. We then present a hypothetical case example of a 10-year-old child referred by a child welfare worker to evidence-based treatment for mental health and behavioural concerns. Mental health services are not helpful for the child and further consultation is enlisted. To more effectively guide intervention and treatment planning and ultimately improve outcomes for the child, we present case conceptualization as a process that incorporates relevant aspects of the child and family's history and circumstance. We conclude with a succinct case conceptualization and treatment plan to show how the prognosis of the child can be improved when case conceptualization is employed.
    Language English
    Publishing date 2024-01-11
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2023.1292690
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Mandatory reporting of child abuse and neglect: crafting a positive process for health professionals and caregivers.

    Pietrantonio, Anna Marie / Wright, Elise / Gibson, Kathleen N / Alldred, Tracy / Jacobson, Dustin / Niec, Anne

    Child abuse & neglect

    2013  Volume 37, Issue 2-3, Page(s) 102–109

    Abstract: Health professionals working with children and their families are often required by law to report to governmental authorities any reasonable suspicion of child abuse and/or neglect. Extant research has pointed toward various barriers to reporting, with ... ...

    Abstract Health professionals working with children and their families are often required by law to report to governmental authorities any reasonable suspicion of child abuse and/or neglect. Extant research has pointed toward various barriers to reporting, with scant attention to positive processes to support the reporting process. This paper focuses on the context for mandatory reporting and evidence-informed practice for supporting a more structured and purposeful process of mandatory reporting. These practical strategies discusses: (1) the factors that positively influence the relationship between a child's caregivers and the mandated health professional reporter; (2) a framework and specific skills for discussing concerns about maltreatment and reporting to child protective services with the caregiver(s); and (3) the need for further training and education of health professionals.
    MeSH term(s) Caregivers/psychology ; Child ; Child Abuse/legislation & jurisprudence ; Child Abuse/prevention & control ; Child, Preschool ; Cooperative Behavior ; Health Personnel/education ; Health Personnel/psychology ; Humans ; Infant ; Mandatory Reporting ; United Nations/legislation & jurisprudence
    Language English
    Publishing date 2013-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 799143-5
    ISSN 1873-7757 ; 0145-2134
    ISSN (online) 1873-7757
    ISSN 0145-2134
    DOI 10.1016/j.chiabu.2012.12.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Does mental illness stigma contribute to adolescent standardized patients' discomfort with simulations of mental illness and adverse psychosocial experiences?

    Hanson, Mark D / Johnson, Samantha / Niec, Anne / Pietrantonio, Anna Marie / High, Bradley / MacMillan, Harriet / Eva, Kevin W

    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

    2008  Volume 32, Issue 2, Page(s) 98–103

    Abstract: Objective: Adolescent mental illness stigma-related factors may contribute to adolescent standardized patients' (ASP) discomfort with simulations of psychiatric conditions/adverse psychosocial experiences. Paradoxically, however, ASP involvement may ... ...

    Abstract Objective: Adolescent mental illness stigma-related factors may contribute to adolescent standardized patients' (ASP) discomfort with simulations of psychiatric conditions/adverse psychosocial experiences. Paradoxically, however, ASP involvement may provide a stigma-reduction strategy. This article reports an investigation of this hypothetical association between simulation discomfort and mental illness stigma.
    Methods: ASPs were randomly assigned to one of two simulation conditions: one was associated with mental illness stigma and one was not. ASP training methods included carefully written case simulations, educational materials, and active teaching methods. After training, ASPs completed the adapted Project Role Questionnaire to rate anticipated role discomfort with hypothetical adolescent psychiatric conditions/adverse psychosocial experiences and to respond to open-ended questions regarding this discomfort. A mixed design ANOVA was used to compare comfort levels across simulation conditions. Narrative responses to an open-ended question were reviewed for relevant themes.
    Results: Twenty-four ASPs participated. A significant effect of simulation was observed, indicating that ASPs participating in the simulation associated with mental illness stigma anticipated greater comfort with portraying subsequent stigma-associated roles than did ASPs in the simulation not associated with stigma. ASPs' narrative responses regarding their reasons for anticipating discomfort focused upon the role of knowledge-related factors.
    Conclusion: ASPs' work with a psychiatric case simulation was associated with greater anticipated comfort with hypothetical simulations of psychiatric/adverse psychosocial conditions in comparison to ASPs lacking a similar work experience. The ASPs provided explanations for this anticipated discomfort that were suggestive of stigma-related knowledge factors. This preliminary research suggests an association between ASP anticipated role discomfort and mental illness stigma, and that ASP work may contribute to stigma reduction.
    MeSH term(s) Adaptation, Psychological ; Adolescent ; Adolescent Psychiatry/education ; Child ; Cough/psychology ; Depressive Disorder/psychology ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Patient Simulation ; Prejudice ; Psychology, Adolescent ; Suicide/psychology
    Language English
    Publishing date 2008-03
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1045331-3
    ISSN 1545-7230 ; 1042-9670
    ISSN (online) 1545-7230
    ISSN 1042-9670
    DOI 10.1176/appi.ap.32.2.98
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Effects associated with adolescent standardized patient simulation of depression and suicidal ideation.

    Hanson, Mark D / Niec, Anne / Pietrantonio, Anna Marie / Johnson, Samantha / Young, Meredith / High, Bradley / MacMillan, Harriet / Eva, Kevin W

    Academic medicine : journal of the Association of American Medical Colleges

    2007  Volume 82, Issue 10 Suppl, Page(s) S61–4

    Abstract: Background: Because of common use of adolescent simulated patients (ASPs), clarification of the risk of negative effects associated with high-stress simulations is essential. This study evaluates the safety of suicidality simulations.: Method: ASPs ... ...

    Abstract Background: Because of common use of adolescent simulated patients (ASPs), clarification of the risk of negative effects associated with high-stress simulations is essential. This study evaluates the safety of suicidality simulations.
    Method: ASPs participated in a suicidality role or pediatric role. Explicit measures of their impact included the Suicidal Ideation Questionnaire (SIQ) and Reynolds Adolescent Depression Scale-2 (RADS-2), both of which were completed pre-/poststudy. Implicit behavioral measures of impact were also collected during training, including the Implicit Association Test.
    Results: Three of the 24 participants had clinical RADS-2 and/or SIQ scores. None of these adolescents' mental status deteriorated with SP participation. ASPs in the suicidality role showed behavioral effects consistent with a negative reaction, and two reported brief depression.
    Conclusions: ASPs participated in a suicidality simulation without evidence of suicide contagion. However, ASPs' behavioral reactions and self-reported depression suggested a transient depressive reaction.
    MeSH term(s) Adolescent ; Depression/psychology ; Female ; Humans ; Male ; Patient Simulation ; Physician-Patient Relations ; Risk Factors ; Suicide/psychology ; Surveys and Questionnaires
    Language English
    Publishing date 2007-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0b013e31813ffedd
    Database MEDical Literature Analysis and Retrieval System OnLINE

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