Mental Health Care of Children and Adolescents

Jane Meschan Foy, MD, FAAP, has spent more than 35 years in pediatric primary care, public health, administration, and medical teaching. Her special interests include mental health services in pediatric primary care and school settings, access to health care for underserved populations, primary care of children with special health care needs, and residency training in mental health, community pediatrics, and advocacy.Dr Foy received her bachelor of arts from Wellesley College and her doctorate of medicine from University of North Carolina at Chapel Hill School of Medicine. She completed her residency training in pediatrics at University of North Carolina hospitals. She has held several academic positions and is currently professor of pediatrics at Wake Forest University School of Medicine and medical director of the Northwest Community Care Network (a regional network of North Carolina Medicaid providers). She is active in the American Academy of Pediatrics (AAP), having served as chair of the AAP Task Force on Mental Health from 2004 to 2010 and currently serving as past chair of the AAP National Committee on Psychosocial Aspects of Child and Family Health; member of the AAP Mental Health Leadership Work Group, and member of the AAP Board of Directors. Roles in other organizations have included the presidency of the North Carolina Pediatric Society (North Carolina Chapter of the AAP) from 1998 to 2000 and cofounder and director of the School Health Alliance for Forsyth County from 1999 to 2011.

“The book will certainly serve as a wonderful resource for primary care pediatricians. Congratulations to the AAP and Dr. Foy on this very helpful effort.” — Marshall L. Land, Jr., MD FAAP

• IntroductionPart I: Framework for enhancing children’s mental healthCommunity strategies1. Promoting the Social-Emotional Health of Young Children2. Promoting Adolescents' Mental Health3. Promoting Mental Health in Schools4. Partnering to Improve Community Mental Health SystemsPractice strategies5. Office and Network Systems to Support Mental Health Care6. Assessing and Monitoring Children’s Mental Health in Primary Care7. Family-Centered Care: Applying Behavior Change Science8. Culturally Effective CarePart II: Anticipatory guidance, surveillance, and screeningThe primary care advantage9. Promoting mental health in pediatric practicePreventive themes 10. Healthy Child Development11. Family Support12. Healthy Sleep13. Healthy Weight14. Healthy Use of Media15. Healthy Active Living16. Violence Prevention17. Healthy Sexual Development and SexualityCare of special populations18. Children Exposed to Adverse Childhood Experiences19. Families New to the United States20. Children in Foster or Kinship Care21. Adopted Children22. Children in Poverty23. Children of Divorce24. Children in Military Families25. Lesbian, Gay, and Bisexual Youth26. Children with Gender Expression and Identity Issues27. Children in Gay- and Lesbian-parented Families28. Children in Self-care29. Homeless Children30. Children Affected by Racism31. Children with Chronic Medical Conditions32. Adolescents who are Pregnant or Parenting33. Children in the Juvenile Justice SystemPart III: Addressing mental health concerns in childrenGeneral principles and process34. Pediatric Care of Children with Mental Health ProblemsElements of care35. Effective Communication Strategies: Common Factors Skills36. Interviewing Adolescents37. Counseling Parents of Adolescents38. Psychosocial Therapies39. Adapting Psychosocial Interventions to Primary Care40. Psychotropic Medications in Primary Care41. Self-Regulation Therapies and Biofeedback42. Complementary and Integrative Medical Therapies43. Transitioning Youth with Mental Health Conditions to Adult CareCommon signs and symptoms44. Agitation, Suicidality, and Other Psychiatric Emergencies45. Anxiety and Trauma-related Distress46. Disruptive Behavior and Aggression47. Eating Abnormalities48. Emotional or Behavioral Disturbance in Children Younger than Five Years of Age49. Family Dysfunction50. Inattention and Impulsivity51. Learning Difficulty52. Low Mood53. Maternal Depression54. Medically Unexplained Symptoms55. Non-adherence to Medical Treatment56. School Absenteeism and School Refusal57. Self-injury58. Sleep Disturbances59. Speech and Language Concerns60. Substance Use I: Use of Tobacco and Nicotine61. Substance Use II: Use of Other Substances62. Substance Use III:Specialty Referral and Co-managementAppendix