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Kinds of Topic Terms modified by Topic Selected AbstractsMAKING ALTERNATIVE DISPUTE RESOLUTION (ADR) LESS ALTERNATIVE: THE NEED FOR ADR AS BOTH A MANDATORY CONTINUING LEGAL EDUCATION REQUIREMENT AND A BAR EXAM TOPICFAMILY COURT REVIEW, Issue 4 2006Dori CohenArticle first published online: 11 SEP 200 Divorce proceedings have had a negative reputation due to their adversarial nature. Litigation in the family law field has exacerbated an already emotionally charged atmosphere. Alternative dispute resolution (ADR) has grown in importance over the past three decades and has helped to alleviate some of the animosity which accompanies divorce and child custody matters. Parents in particular are aided by the benefits of options such as mediation and collaborative divorce, obtaining increased control over their agreements in situations where the relationships will be continuous due to shared parenting responsibilities. However, much more could be done to increase the use of ADR in family law proceedings. Current family law practitioners could fill many roles, including mediator, advocate during mediation, collaborative negotiator, arbitrator, and counselor regarding which process to implement. Knowledge about these different roles, with their attendant skills and ethical issues, has become imperative. This Note will advocate for a mandatory continuing legal education requirement in ADR for matrimonial attorneys, as well as for the inclusion of ADR as a topic on state bar examinations. An increased knowledge of ADR will benefit divorcing parents and their children, ease an overcrowded court system, and lead to greater personal and professional satisfaction for the family law practitioner. [source] GLB Adolescent's "Coming out"JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2010Bettina H. Riley BSN TOPIC:, A greater number of gay males, lesbians, and bisexual females or males (GLB) are "coming out" during adolescence. Discussion includes nursing implications. PURPOSE:, The purpose of this paper is to review the process of GLB disclosure, highlight the trend toward earlier outing, and discuss its implications for nursing practice. SOURCES:, Sources include scholarly published literature, professional organization documents, and GLB advocacy publications. CONCLUSIONS:, Nurses need to update their knowledge of coming-out issues, as well as nondisclosing sexual behavior, to assess youth and family needs and direct care appropriately. [source] Biopsychosocial Approach to Treating Self-Injurious Behaviors: An Adolescent Case StudyJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 3 2009Mary Askew DNP TOPIC:, Self-injurious behaviors (SIBs) are a common coping mechanism in the adolescent population. A marked increase in SIB has been seen in recent years, yet effective treatment remains elusive. PURPOSE:, This study aims to review current theoretical perspectives and treatment options that reflect a biopsychosocial framework. SOURCES:, Selected multidisciplinary literature related to SIB. CONCLUSIONS:, A 6-month multidisciplinary approach targeting the unique physical, emotional, and social needs of a 14-year-old girl in residential treatment led to the complete cessation of SIB. [source] New Hope and Help for Forgotten YouthJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 2 2009APRN/PMH, Rita Gill MS TOPIC: Juvenile sex offender treatment programs have been at the forefront of discussion among some policy-makers and certainly those who provide treatment for these youth. While the research in this area supports the use of community-based treatment strategies, clinicians with strong training background are rare. PURPOSE: There is a need for a certificate training program to develop clinicians who are specifically trained to treat juvenile sex offenders. Through a unique academic/community initiative providing a multimodal approach to treatment, a collaborative 2-day national conference related to treatment of juvenile sex offenders was established. The program core was a 9-month clinical treatment certificate training program. This article describes the community program, and outlines in detail its purpose, goals, trainee requirements, conceptual areas for competency development, and the content areas. CONCLUSIONS: The Mental Health Policy Institute for Leadership and Training of Baltimore and the School of Nursing of the University Maryland jointly recognized a need to address the quality and efficacy of community-based treatment and expand the number of trained clinicians to work with sex offending youth. As a result of positive program evaluations, this community program will be provided annually. [source] Treatment of Trauma- and Abuse-Related Dissociative Symptom Disorders in Children and AdolescentsJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2009Scott Weber EdD TOPIC:,Dissociation is believed to be one of the most common underlying psychological processes among children and adolescents receiving mental health treatment, but most of the dissemination of information about dissociation has occurred among psychiatrists and psychologists. PURPOSE:,Modes of treatment for dissociation as it affects children and adolescents are described. SOURCES USED:,Current research and practice scholarly articles on treatment of children and adolescents for dissociation and dissociative symptom disorders were accessed and critically reviewed. CONCLUSIONS:,Prognosis in children and adolescents can vary widely among patients and between the specific types of dissociation disorder; however, expert clinicians and researchers agree that early, intense treatment offers the greatest possibility of full recovery. [source] Games, Gambling, and Children: Applying the Precautionary Principle for Child HealthJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 4 2008Adnan A. Hyder MD TOPIC:,We were compelled by the trends of Internet gambling, state-initiated gambling outlets, and of having gambling social events in middle schools and high schools in the United States to examine gambling and its health effects on children and adolescents. PURPOSE AND SOURCES:,We researched trends in adolescent gambling as well as its association with negative health and sociological outcomes through the literature for child and adolescent gambling studies. CONCLUSION:,The literature shows gambling to be associated with many negative health and socioeconomic effects. The increasing participation of children and adolescents is of particular concern, for the earlier a person starts gambling, the more likely that person is to develop serious gambling problems. We propose the application of the precautionary principle in this situation. Until it is proven that adolescents will not be negatively affected by exposure to gambling, the exposure of adolescents to gambling must be carefully restricted. [source] Narrative Methods and Children: Theoretical Explanations and Practice IssuesJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2008Lorna Bennett RN TOPIC:,The Narrative approach is an innovative way of working with children and adolescents experiencing mental health problems. This approach can be effectively integrated with the expressive arts and other nonverbal ways of accessing the life world of children. In addition, the approach promotes respect for and collaboration with the child in working towards healing and growth. PURPOSE:,In this paper core features of the narrative approach are described; the theoretical and philosophical and evidence base for this approach as well as its congruence with the special nature and needs of children will be explored. Finally, the benefits and challenges of this approach in relation to a specific clinical situation will be highlighted. SOURCES USED:,Published literature and the author's clinical experiences. CONCLUSION:,Narrative methods are ideally suited for addressing needs of children experiencing mental health problems and can enhance therapeutic effectiveness. Some of the challenges associated with its use include: finding creative ways to apply specific narrative concepts and methods with diverse clinical issues/problems; learning to collaborate with children and respect them as experts in their own lives; and shifting the nursing focus from a problem-focused orientation to a strength-oriented and child-centered approach. [source] A Support Group Intervention for Children Bereaved by Parental SuicideJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2007Ann M. Mitchell PhD TOPIC:,Bereavement is considered by many to be among the most stressful of life events, and it becomes particularly distressing when it concerns the suicide death of a parent. Such an event is especially traumatic for children. PURPOSE AND SOURCES:,The purpose of this paper is to present a case for support group interventions designed specifically for child survivors of parental suicide. The authors provide a theoretical framework for supportive group interventions with these children and describe the structure of an 8-week bereavement support group for this special population of suicide survivors. CONCLUSIONS:,A case is made for designing and implementing group interventions to meet the mental health needs of this important group of individuals. [source] Group Psychotherapy with Children on an Inpatient Unit: The MEGA Group ModelJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2006Jay Reeve PhD TOPIC:,Psychotherapy group intervention with children based on the use of community meeting. PURPOSE:,To describe a model group intervention that is based on developmental level and applicable across a broad spectrum of behavioral and psychiatric disorders. The purpose of this paper is to discuss the development of this model on one inpatient unit, the benefits of the model and implication for future research, including a simple model of the stages of group development. SOURCES:,A review of the literature and the author's experience in the development of a model group intervention. CONCLUSION:,The model is a flexible and broadly applicable one, which may be utilized by a variety of staff, including relatively inexperienced line workers. [source] Development of the Nursing Outcome (NOC) Label: Hyperactivity LevelJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 3 2005Carol L. Caldwell MS TOPIC:,Hyperactivity, a persistent, severe pattern of inattention or impulsivity, places children at risk for impaired functioning in many developmental areas. This behavior is characterized by short attention span, low frustration tolerance, impulsivity, distractibility, and increased physical activity. Responses from multiple sources in the child's environment must be monitored to manage childhood hyperactivity. PURPOSE:,Success at school, in peer relationships, and parent-child interactions is frequently affected by hyperactivity. Using a focus group approach, a Nursing Outcomes Classification (NOC) label, definition, and indicators were developed for Hyperactivity Level. SOURCES:,Review of the literature allowed for a content analysis approach and conceptualization of hyperactivity at several levels. CONCLUSION:,Twenty three (23) measurable indicators were formulated and refined into conceptually and clinically coherent outcomes. Clinical relevance and utility were presented through a case study approach. [source] Accessing Self-development through Narrative Approaches in Child and Adolescent PsychotherapyJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 2 2005Janiece E. DeSocio PhD, PMHNP TOPIC:,Narrative psychotherapy with children and adolescents. PURPOSE:,To demonstrate the integration of developmental theory with narrative approaches to psychotherapy as a means of accessing self-development during childhood and adolescence. SOURCES:,Published literature and the author's experience in using narrative therapy with an 8-year-old and his foster mother. CONCLUSIONS:,When informed by developmental theory, narrative approaches can be used effectively with children and adolescents to assist them in constructing positive life stories that can influence their identity formation. [source] Dating Violence Prevention in Middle School and High School YouthJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2005Sharron M. Close MS TOPIC:, Dating violence and interpersonal abuse among middle school and high school students. PURPOSE:, To review the current literature and evaluate the need of conducting further study in order to create early interventions for the prevention of relationship abuse. SOURCES USED:, Case report and review of the literature. CONCLUSIONS:, Dating violence among middle school and high school youth must be addressed by screening risk and offering anticipatory guidance during each health maintenance visit in order to prevent victimization of youth in dating and attraction relationships. [source] Sexual Abuse of BoysJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2005Sharon M. Valente RN TOPIC:, Sexual abuse in childhood can disable self-esteem, self-concept, relationships, and ability to trust. It can also leave psychological trauma that compromises a boy's confidence in adults. While some boys who willingly participate may adjust to sexual abuse, many others face complications, such as reduced quality of life, impaired social relationships, less than optimal daily functioning, and self-destructive behavior. These problems can respond to treatment if detected. PURPOSE:, In this paper, we examine the prevalence, characteristics, psychological consequences, treatment, and coping patterns of boys who have been sexually abused and their failure to disclose abuse unless asked during a therapeutic encounter. Nurses have a responsibility to detect the clues to sexual abuse, diagnose the psychological consequences, and advocate for protection and treatment. SOURCES USED:, Computerized literature search of the Medline and PsychInfo literature and books on sexual abuse of boys. CONCLUSIONS:, Psychological responses to abuse such as anxiety, denial, self-hypnosis, dissociation, and self-mutilation are common. Coping strategies may include being the angry avenger, the passive victim, rescuer, daredevil, or conformist. Sexual abuse may precipitate runaway behavior, chronic use of sick days, poor school or job performance, costly medical, emergency and or mental health visits. In worst cases, the boy may decide that life is not worth living and plan suicide. The nurse has a key role to play in screening, assessing, and treating sexual abuse children. [source] Childhood Externalizing Behavior: Theory and ImplicationsJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 3 2004Jianghong Liu PhD TOPIC. Childhood externalizing behavior PURPOSE. To analyze the construct of externalizing behavior (aggression, delinquency, and hyperactivity), illustrate the biosocial model of childhood externalizing, and draw clinical implications for nursing research and practice. SOURCES. A review of the literature based on psychological, psychiatric, and nursing journals. CONCLUSIONS. A better understanding of childhood externalizing behavior problems and the risk factors underlying them are essential to prevent them. The employment of an integrative biosocial perspective is argued to be important in understanding this behavior. [source] Adopted Children: Core Issues and Unique ChallengesJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 4 2002Eileen M. Smit MSN TOPIC Psychological impact of adoption and resulting core issues for adopted children. PURPOSE To raise awareness of the psychological impact of adoption. SOURCES Published literature and personal observations. CONCLUSIONS Adoption raises unique issues and challenges for the child and adoptive parents. Resolving the issues of adoption is a lifelong process. Through an awareness of the issues inherent in adoption, nurses and parents can use strategies that will enhance childrens self-esteem and decrease their emotional vulnerability. [source] Post-Traumatic Stress Disorder in Children: Controversies and Unresolved IssuesJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 4 2000June A. Tierney MSN TOPIC. Questions regarding hozu severely traumatized children may meet diagnostic criteria for an accurate diagnosis of posttraumatic stress disorder (PTSD), the comorbidity of PTSD zuith many other psychiatric illnesses, and the possibility that PTSD is not a valid diagnostic formulation as it has been applied to children and adolescents demonstrate that the currently held concept of PTSD may not be operationally sound. PURPOSE. To explore recent empirical studies to demonstrate the current state of controversy and postulate future direction of the conceptual framework. SOURCES. Selected published literature. CONCLUSIONS. PTSD in children and adolescents, as it is popularly understood as a conceptual framework, is found to be undergoing a conceptual metamorphosis. [source] Seclusion and Restraint of Children: A Literature ReviewJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 4 2000John Julian Allen BSN TOPIC. Nurses' attitudes toward the use of seclusion and restraint with children. PURPOSE. To review recent literature concerning these controversial interventions, and to examine possible alternative therapeutic interventions. SOURCES. Selected published nursing and psychiatric literature 1987 to 1998. CONCLUSIONS. Staff have a positive attitude toward the use of seclusion and restraint. A theory of pozoer and control may explain their use when many alternative, less restrictive interventions are available. [source] An Organizational Framework for Conceptualizing Resilience in ChildrenJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 3 2000Barbara L. Mandleco PhD, J. Craig Peery TOPIC. An organizational framework for conceptualizing resilience in children. PURPOSE. To propose a framework based on relevant literature that clarifies, differentiates, organizes, and elaborates on pertinent factors associated with resilience in children. SOURCES. Relevant literature from developmental psychology, child psychiatry, and nursing CONCLUSIONS. Salient factors affecting resilience in children originate internally or externally to the individual. Internal factors include biological and psychological factors; external factors are reflected in the nature and quality of relationships established within or outside the family group. The influence and importance of each factor, however, may vary in individual situations. The framework can guide research efforts and facilitate interventions for practice. [source] Attention Deficit Hyperactivity Disorder: Current Concepts and Underlying MechanismsJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 3 2000Brenda J. Wagner PhD TOPIC. Neuropsychological concentration of attention deficit hyperactivity disorder (ADHD). PURPOSE. Survey of current understanding of underlying neural systems and pathways involved in ADHD and the relationship to specific behavioral patterns. SOURCES. Literature review, author's experience in neuropsychological assessment and clinical treatment. CONCLUSIONS. Clinicians will be able to specify treat men t interventions designed to compensate for specific behavioral patterns and functional deficits. [source] An Analysis of the Concept of Organizational CommitmentNURSING FORUM, Issue 3 2008Shwu-Ru Liou MHA TOPIC. Building organizational commitment. PURPOSE. This paper aims to analyze the concept of organizational commitment, including its attributes, antecedents, outcomes, and measurements. SOURCES OF INFORMATION. CINAHL, MEDLINE, Psychology and Behavioral Sciences Collection, Sociological Collection, and PubMed. CONCLUSION. By understanding the concept of organizational commitment, administrators and nurses can become more aware of their levels of commitment, bridge gaps in communication, and eventually provide higher-quality care to clients. [source] The Diversity Imperative: Strategies to Address a Diverse Nursing WorkforceNURSING FORUM, Issue 3 2008Joanne Noone PhD TOPIC. There has been a call to action for the need to create a more diverse nursing workforce. PURPOSE. The purpose of this article is to outline and review strategies that schools of nursing education can use to increase the recruitment, retention, and success of a diverse nursing student body. SOURCES OF INFORMATION. A review of the nursing literature was performed using CINAHL and hand-searching references. Abstracts were reviewed and articles included if the topic of the article referred to strategies to increase the diversity of nursing students. CONCLUSIONS. A variety of strategies are being used to address this issue. A multifaceted approach is recommended. [source] The Benefits of Peer Support With DiabetesNURSING FORUM, Issue 4 2004Sandra L. MacPherson MSN TOPIC. Peer coaching for diabetes support. purpose. To see if peer coaching assists a person with diabetes make the correct diet and activity choices. SOURCES OF INFORMATION. Journal articles, Internet. CONCLUSIONS. Peer support is helpful for people who are struggling to cope with diabetes. If peer support is offered, a structured follow-up program needs to be in place. [source] The Suffering of the HealerNURSING FORUM, Issue 4 2003John Rowe RN TOPIC The severe distress sometimes experienced by nurses in their role as healer. PURPOSE To identify the sources that give rise to the suffering of the healer, describe the responses of healers to their suffering, and make recommendations on how to prepare nurses to cope with suffering. SOURCES The concept of the suffering of the healer is derived from the work of Erik Cassell; the framework for understanding responses to suffering from the work of Dorothy Solle. CONCLUSIONS Nurses need to be aware that practice in health care can give rise to the suffering of the healer. Nursing education and administration need to help nurses learn to cope. [source] Preparing for Prescriptive Privileges: A Standard for the Psychiatric-Mental Health PreceptorshipPERSPECTIVES IN PSYCHIATRIC CARE, Issue 3 2004Ann Hales PhD TOPIC. Establishing a standard for preparation for prescriptive authority for advanced practice psychiatric nurses. PURPOSE. To outline a best practice standard for the clinical and prescriptive authority preceptorship. SOURCES. NACNS and NONPF competencies and practice guidelines. CONCLUSIONS. The authors recommend a clinical preceptorship with planned faculty monitoring, clinical logs, case studies, and group supervision to prepare the psychiatric-mental health advanced practice nurse to serve within the expanded prescribing role. [source] EMDR: Implications of the Use of Reprocessing Therapy in Nursing PracticePERSPECTIVES IN PSYCHIATRIC CARE, Issue 3 2004Susan McCabe EdD TOPIC. Eye movement desensitization and reprocessing (EMDR). PURPOSE. To examine the available evidence base for EMDR treatment in psychiatric nursing practice. SOURCES. Evidenced-based research findings, published case and anecdotal reports, and primary source documents on the development of the treatment method. CONCLUSIONS. EMDR use remains controversial. Although it is safe, little is known regarding the mechanism of action of any therapeutic effect; more rigorous empirical establishment of efficacy is needed. [source] Support for Bereaved Owners of PetsPERSPECTIVES IN PSYCHIATRIC CARE, Issue 2 2003Paul T. Clements PhD TOPIC. The bond that exists between people and their pets and its impact on physical and mental health. PURPOSE. To review the current literature and explore the clinical implications of bereavement related to pets. SOURCES. A comprehensive review of the bereavement, veterinarian, and agricultural literature related to attitudes and response patterns to pet and animal death. CONCLUSIONS. The death or loss of a beloved pet can be a life-changing event. [source] Exploring Boundaries in the Nurse-Client Relationship: Professional Roles and ResponsibilitiesPERSPECTIVES IN PSYCHIATRIC CARE, Issue 2 2003Cindy A. Peternelj-Taylor MSc TOPIC. The creation and maintenance of boundaries as they pertain to the nurse-client relationship. PURPOSE. To challenge readers to reflect on their fiduciary responsibilities by identifying boundary crossings and violations. SOURCES. Review of the literature and the authors' clinical and teaching experiences. CONCLUSIONS. Although self-awareness and monitoring, debriefing, and availing oneself of supervision and education are important tools in creating and maintaining boundaries, in the final analysis, the nursing profession needs nurses who have the ability to make decisions about boundaries based on the best interests of the clients in their care. [source] Aftermath of a Patient's Suicide: A Case StudyPERSPECTIVES IN PSYCHIATRIC CARE, Issue 1 2003Sharon M. Valente PhD TOPIC. Nurse psychotherapists often feel poorly prepared to cope with a patient's death by suicide. The psychotherapist may identify with the family, feel sad at the death, and be plagued by feelings of guilt and responsibility. PURPOSE. A case study illustrates the meaning of the loss to the therapist and the influence on professional identity, self-confidence, and self-esteem. SOURCES. Case study and review of the literature from Medline, psychinfo, and CINAHL. CONCLUSIONS. Therapists experience their own grief as a lack of omnipotence over suicide, and the fear of their colleagues' responses. Understanding bereavement and factors influencing bereavement may help therapists facilitate and reduce negative consequences of their own grief. [source] Selective Serotonin Reuptake Inhibitors and Treatment of Premenstrual Dysphoric DisorderPERSPECTIVES IN PSYCHIATRIC CARE, Issue 2 2002AP/MHCNS, Deborah L. Finfgeld RN TOPIC. Premenstrual dysphoric disorder (PMDD) has reentered the spotlight following the FDA's recent approval of fluoxetine hydrochloride to treat its symptoms. Although the diagnosis and treatment of PMDD has long been a source of contention, the FDA move has heightened the debate over this diagnostic category and the most appropriate treatment. PURPOSE. To explore several diagnoses related to PMDD and review recent research findings pertaining to the effectiveness of SSRIs to treat PMDD. SOURCES OF INFORMATION. Published literature. CONCLUSIONS. Advanced practice nurses need to remain well informed about premenstrual conditions and emerging evidence-based treatment alternatives. In particular, they need to remember that the FDA has approved fluoxetine for the treatment of a very small subset of women with premenstrual complaints, among whom treatment efficacy is limited. [source] Nurses' Grief Reactions to a Patient's SuicidePERSPECTIVES IN PSYCHIATRIC CARE, Issue 1 2002FAAN, Sharon M. Valente PhD TOPIC. A patient's suicide may threaten the nurse's health and work performance until grief and mourning are transformed. PURPOSE. To examine the literature, bereavement theories, and recommendations for supporting nurses' bereavement. SOURCES. Bereavement literature on Medline, CINAHL, and PsychInfo from 1965,2001, and clinicians' and nurses'responses to a patient's death by suicide. CONCLUSIONS. Nurses need a support system to help them cope with grief after a patient's suicide. Having knowledge of bereavement and using therapeutic support can help prevent burnout or stress and can encourage constructive coping strategies that transform grief. Grieving is facilitated when nurses recognize their own mortality and take time to process their grief. [source] | ||||||||||||||||||||||||||||||||||||||||