CLINICAL PERSPECTIVES 47.4 – 49.0
disability among EA. Evidence-based treatments (EBT) for anxiety disorders are well established, and core principles for cultural competent treatments have been developed, yet there is a paucity of information on the treatment of minority young adults with anxiety disorders. This presentation will illustrate the development of the Washington Heights Youth Anxiety Center (WHYAC), a clinical program within the NewYork-Presbyterian Hospital Youth Anxiety Center, created with the goal of providing minority EA with state-ofthe-art treatment by integrating EBT and cultural competence in a community setting. Methods: Key points from relevant studies highlighting the need to treat common mental health disorders such as anxiety disorders among underserved EA in the United States will be presented. An overview of the development, challenges, and future directions of the WH-YAC will be provided by the program’s medical director. Results: This talk will showcase the effort at the WH-YAC to better prepare practitioners and create programs specifically equipped to address the needs of Latino EA by adapting treatment strategies and implementing and disseminating a new standard of care for minority young adults with anxiety disorders. Conclusions: There is a clear gap in mental health treatment of minority populations. Development and dissemination of programs focused on providing evidence-based and culturally competent mental health services for Latino EA are a necessity and of particular relevance in this era of healthcare reform. This presentation will illustrate a response to this need and an effort to help close the disparity gap.
ADOL ANX EBP Supported by the Youth Anxiety Center (YAC) http://dx.doi.org/10.1016/j.jaac.2016.07.722
47.4 FLEXIBLE IMPLEMENTATION OF LAUNCHING EMERGING ADULTS PROGRAM IN A PARTIAL HOSPITALIZATION PROGRAM FOR YOUNG ADULTS Angela Chiu, PhD, Weill Cornell Medical Center, 525 East 68th Street, 11th floor, New York, NY 10065; Michelle Pelcovitz, PhD; Avital Falk, PhD; Elaina Zendegui, PsyD; Shannon M. Bennett, PhD Objectives: Anxiety disorders are more frequent in adolescence and early adulthood than any other time in life and are associated with concerning functional impairments during this transitional period into adulthood. Among the young adult patients who present for short-term psychiatric services in New York-Presbyterian’s Partial Hospitalization Programs (PHP), anxiety disorders represent the second most common principal diagnosis. In light of high prevalence rates, it is important to make EBP for anxiety available at this level of care. However, little is known about the best methods for disseminating EBP for anxiety into short-term psychiatric partial settings. The Youth Anxiety Center (YAC) aimed to augment partial hospital programming with cognitive behavioral interventions from the Launching Emerging Adulthood Program (LEAP), a developmentally informed treatment for reducing anxiety symptoms and improving independent functioning among emerging adults. Methods: YAC took a multicomponent implementation strategy that involved direct services, consultation, and training. YAC staff worked collaboratively as part of multidisciplinary teams and adopted a division of labor approach as a tactic to manage patients presenting with multiple problems. In addition to consulting on comprehensive treatment plans, YAC completed assessments to provide diagnostic clarity, conducted co-therapy services with hospital staff, and led anxiety-specific groups as well as groups targeting young adult issues using the LEAP model. YAC also offered trainings on exposure and introduced a weekly didactic to support psychiatry fellows in the implementation of EBP. Results: This presentation will highlight the multicomponent strategy taken to infuse the partial programming with EBP for emerging adults with anxiety. The collaborative approach contributed to positive attitudes about EBP implementation. Challenges and strengths of the implementation process will be discussed. Conclusions: Identifying effective methods of augmenting existing services in short-term psychiatric programs with EBP for anxiety may have important
J OURNAL OF THE AMERICAN ACADEMY OF CHILD & ADOLESCENT P SYCHIATRY VOLUME 55 NUMBER 10S OCTOBER 2016
implications for young adult patients for whom anxiety may have been overlooked or unsuccessfully treated.
ADOL ANX EBP Supported by the Youth Anxiety Center (YAC) http://dx.doi.org/10.1016/j.jaac.2016.07.723
CLINICAL PERSPECTIVES 48 CULTURAL AND LINGUISTIC CONSIDERATIONS IN PSYCHIATRIC TREATMENT OF YOUTH WITH HEALTH CARE DISPARITIES: INTERPLAY OF MULTIPLE MINORITY IDENTITIES, INCLUDING ETHNICALLY DIVERSE DEAF AND HARD OF HEARING YOUTH Karen A. Goldberg, MD, University of South Florida, 3515 E Fletcher Ave, USF Department of Psychiatry, Tampa, FL 336134702; Dorrie L. DeGutis, MD; Jana K. Dreyzehner, MD; Lisa M. Cullins, MD; Barbara Robles-Ramamurthy, MD Objectives: The purpose of this Clinical Perspectives program is to educate the child and adolescent psychiatrist about culturally and linguistically based healthcare disparities in psychiatric assessment and treatment of youth and the special considerations affecting a minority within a minority, such as minority deaf and hard-of-hearing (HH) youth. Methods: This program will consist of three designated segments over the course of the 3-hour allotted time period. In the first segment, the speakers will explore healthcare disparities common in various minority populations based on cultural and linguistic differences and introduce the National Culturally and Linguistically Appropriate Services (CLAS) standards and blueprint for ensuring availability of services that are respectful of and responsive to the cultural and linguistic needs of all individuals. In the second segment, the speaker will present the cultural aspects of deafness, including the difference between “deaf” versus “Deaf,” special considerations in the assessment and treatment of deaf/HH youth, and the challenges in accessing culturally competent comprehensive care. In the third segment, the interplay of multiple minority identities that may exist in deaf and HH youth will be explored. Various perspectives, special considerations, and best practices and approaches to improving mental health services for minority Deaf and HH youth will be illustrated and discussed through clinical cases. Results: By attending this program, the participants will have a better understanding of the healthcare disparities common in various minority populations and of the National CLAS standards and their application in the mental health treatment of children and adolescents. Participants will also develop awareness of the clinical issues affecting psychiatric treatment of deaf/HH youth and the challenges in accessing culturally competent comprehensive care. Conclusions: Child and adolescent psychiatrists attending this program will be in a better position to provide optimal psychiatric services to culturally and linguistically diverse youth and “minorities within minorities,” including ethnically diverse Deaf and HH youth as a result of increased awareness of the various cultural perspectives and linguistic considerations.
COMD ETHN SP Sponsored by AACAP's Diversity and Culture Committee and Deaf and Hard of Hearing Committee http://dx.doi.org/10.1016/j.jaac.2016.07.725
CLINICAL PERSPECTIVES 49 EVALUATING AND IMPLEMENTING COMPLEX PSYCHOSOCIAL INTERVENTIONS FOR CHILDREN AND YOUTH Amy Cheung, MD, MS, Psychiatry, University of Toronto, 2075 Bayview Ave, Toronto, ON, Canada; Gregory K. Fritz, MD
www.jaacap.org
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