Childhood psychopathology is a large and concerning problem within the school setting. High prevalence rates of childhood psychopathology and resulting poor student outcomes reiterates the need for school service personnel to possess a basic understanding of the major therapeutic approaches to mollifying the difficulties presented by students.…

This article describes how a Tulane early childhood mental health clinic provided trauma-informed care for a young, severely maltreated child victim of human trafficking. Effective treatment included two evidence-based therapies and psychiatric care over a span of 2 years. Therapists made decisions about intervention in response to fluctuations in…

This paper highlights clinical challenges faced when diagnosing and then treating an individual presenting to a child and adolescent psychiatry clinic because of unwelcome comments he made to female peers about their feet. Novel use of exposure therapy helped him effectively decrease his comments from 1 to 2 times per month to once every 6 months.…

In 1999, the United States General Accountability Office (USGAO) investigated restraints and seclusion use in mental health settings and found patterns of misuse and abuse. A decade later, it found the same misuse and abuse in schools. Restraints and seclusion are traumatizing and dangerous procedures that have caused injury and death. In the past…

Psychopathologisation, broadly understood as processes that lead to the effects of being psychopathologised, can have considerable consequences for isolating students from education. This can be especially the case for children and young people affected by the racialisation of behaviour and/or socio-economic disadvantage. Drawing on Foucault's…

There is a very substantial literature over the past 50 years on the advantages of early detection and intervention on the cognitive, communicative, and social-emotional development of infants and toddlers at risk for developmental delay due to premature birth or social disadvantage. Most of these studies excluded children with severe delays or…

Exciting news is emerging that could change the lives of many parents of children and adolescents with autism. Extreme tantrums often "run their lives," according to Dr. Lawrence Scahill, Professor of Nursing and Child Psychiatry at the Yale Child Study Center in New Haven, Connecticut. As the Director of Yale's Research Unit on Pediatric…

This paper presents a novel school-based intervention programme for children with chronic and severe emotional and behavioural difficulties. The main aim of the programme is to reduce conduct problems and to increase prosocial behaviours. The ultimate aim of such a programme is to help pupils with severe and chronic conduct problems back on track…

Gerald Caplan (1917-2008), world-renowned child and community psychiatrist, was the originator of the modern practice of mental health consultation. In addition to consultation, Caplan developed and refined many conceptual models and methods for practice for use in community mental health, psychology, and education. This tribute article focuses on…

The degree to which early adverse experiences exert long term effects on development and how much early adversity may be overcome through subsequent experiences are important mental health questions. The clinical, research and policy perspectives on these questions lead to different answers. From a clinical perspective, change is always possible,…

This case report describes two children who developed hyperammonemia together with frank manic behavior during treatment with a combination of valproic acid and risperidone. One child had been maintained on valproic acid for years and risperidone was added. In the second case, valproic acid was introduced to a child who had been treated with…

This is a paper by an educator for other educators. This article is informed by psychoanalytic theory, although it is not about psychoanalysis. The hope for this paper is that it will inform teachers about shaming in the context of child and adolescent development--the child's as well as the teacher's own development. Shaming is not a solo. It's a…

An interdisciplinary training program for the instruction of residents in child psychiatry and graduate students in special education is described with focus on the needs of children with academic and behavioral problems. (DB)

When parents bring their child or adolescent for consultation with a mental health professional, they are usually frustrated, worried, and confused. They may have a litany of complaints about symptoms and problematic behaviors exhibited by their son or daughter, and the entire family is likely to feel bewildered, caught up in intense, conflicting…

As researchers have examined the so-called "behavioral phenotypes" of different genetic mental retardation conditions, the measurement of behavior becomes increasingly important. From earlier, more global examinations of noteworthy behaviors or profiles, recent researchers have moved from reliance on a single, all-encompassing questionnaire to…