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The COVID-19 Pandemic: Implications for Maternal Mental Health and Early Childhood Development [Editorial]

Kerker, Bonnie D; Willheim, Erica; Weis, J Rebecca
Women are particularly susceptible to mental health challenges during the perinatal period. With the onset of the COVID-19 pandemic in 2020, much concern was raised about the impact that the associated isolation, uncertainty, grief, loss and economic upheaval would have on mental health. Women experienced a disproportionate amount of environmental strain during this time, including economic stress and challenges associated with being essential workers; stressors were perhaps most prevalent in communities of color and immigrant groups. For women who were pregnant during the height of the pandemic, it is clear that stress, anxiety, and depression were increased due to changes in medical care and decreases in social support. Increased mental health challenges in the perinatal period have been shown to impact social-emotional, cognitive and behavioral health in infants and children, so the potential consequences of the COVID-19 era are great. This paper discusses these potential impacts and describes important pathways for future research.
PMID: 36646659
ISSN: 2168-6602
CID: 5410622

Child and Adolescent Psychiatric Services

Chapter by: Weis, J Rebecca; Henderson, Schuyler
in: Textbook of Community Psychiatry by Sowers, Wesley E; McQuistion, Hunter L; Ranz, Jules M; Feldman, Jacqueline Maus; Runnels, Patrick S [Eds]
[S.l.] : Springer, 2022
pp. 631-642
ISBN: 978-3-031-10239-4
CID: 5368742

Steps towards a comprehensive approach to maternal and child mental health

Weis, Jenny R; Renshon, David
PMID: 31155214
ISSN: 2468-2667
CID: 3922242

The implications of trauma for sexual and reproductive health in adolescents

Chapter by: Weis, Rebecca; Janssen, Aron; Wernick, Jeremy
in: Beyond PTSD : helping and healing teens exposed to trauma by Gerson, Ruth; Heppell, Patrick (Eds)
Washington, DC : American Psychiatric Association Publishing, [2019]
pp. ?-?
ISBN: 1615371109
CID: 3305732

Mental Health in Pregnant Adolescents: Focus on Psychopharmacology

Weis, J Rebecca; Greene, Judy A
PMID: 26616248
ISSN: 1097-6833
CID: 1863212

Substance use: Helping teenagers and families work through a substance use crisis

Chapter by: Weis, J. Rebecca; Ross, Stephen
in: Helping kids in crisis: Managing psychiatric emergencies in children and adolescents by Haddad, Fadi; Gerson, Ruth [Eds]
Arlington, VA : American Psychiatric Publishing, Inc.; US, 2015
pp. 147-169
ISBN: 978-1-58562-482-9
CID: 1522362

Group Trauma-Informed Treatment for Adolescent Psychiatric Inpatients: A Preliminary Uncontrolled Trial

Gudino, Omar G; Weis, J Rebecca; Havens, Jennifer F; Biggs, Emily A; Diamond, Ursula N; Marr, Mollie; Jackson, Christie; Cloitre, Marylene
Despite high rates of trauma exposure (46%-96%) and significant posttraumatic stress disorder (PTSD; 21%-29%) symptoms in adolescent psychiatric inpatients, there is a dearth of research on effective interventions delivered in inpatient settings. The current report describes the development of Brief STAIR-A, a repeatable 3-module version of skills training in affective and interpersonal regulation (STAIR) developed for adolescents in inpatient care. An uncontrolled design was used to conduct a preliminary examination of the group intervention's effectiveness. Adolescent psychiatric inpatients (N = 38; ages 12 years-17 years) admitted to a public hospital participated in Brief STAIR-A and attended a median of 6 sessions (range 3-36). They completed measures of PTSD and depressive symptom severity, coping skill use, and coping efficacy upon admission and again prior to discharge. Participants reported significant reductions in symptom severity (d = 0.65-0.67), no change in the absolute level of coping skills used (d = 0.16), but greater coping efficacy when discharged from care (d = 0.75). Results from this pilot study suggest that this brief group treatment shows promise for treating adolescents' trauma-related difficulties in inpatient psychiatry settings, but additional research examining its effectiveness is essential.
PMID: 25070927
ISSN: 0894-9867
CID: 1089962

Stimulant medication addition to antidepressant in an adolescent with difficult to treat depression

Gibbs, Presenters Tresha; Tan, Ainah; Weis, Rebecca J; Coffey, Discussant Barbara J
PMID: 23234591
ISSN: 1044-5463
CID: 209602

Identification of trauma exposure and PTSD in adolescent psychiatric inpatients: An exploratory study

Havens, Jennifer F; Gudino, Omar G; Biggs, Emily A; Diamond, Ursula N; Weis, J Rebecca; Cloitre, Marylene
Trauma exposure and posttraumatic stress disorder (PTSD), though prevalent among adolescent psychiatric inpatients, are underidentified in standard clinical practice. In a retrospective chart review of 140 adolescents admitted to a psychiatric inpatient unit, we examined associations between probable PTSD identified through the Child PTSD Symptom Scale and adolescents' service use and clinical characteristics. Results suggest a large discrepancy between rates of probable PTSD identified through standardized assessment and during the emergency room psychiatric evaluation (28.6% vs. 2.2%). Adolescents with probable PTSD had greater clinical severity and service utilization, an increased likelihood of being diagnosed with bipolar disorder (27.5% vs. 9.2%) and being prescribed antipsychotic medications (47.5% vs. 27.6%), and were prescribed more psychotropic medications. Upon discharge, those with probable PTSD were more than those without to be assigned a diagnosis of PTSD (45% vs. 7.1%), a comorbid diagnosis of major depressive disorder (30% vs. 14.3%), to be prescribed an antidepressant medication (52.5% vs. 33.7%), and to be prescribed more medications. The underidentification of trauma exposure and PTSD has important implications for the care of adolescents given that accurate diagnosis is a prerequisite for providing effective care. Improved methods for identifying trauma-related problems in standard clinical practice are needed.
PMCID:3742006
PMID: 22522731
ISSN: 0894-9867
CID: 165623

First-episode psychosis in an adolescent with seizure disorder and Tetralogy of Fallot [Case Report]

Hulvershorn, Leslie A; Madou, Maura R Z; Weis, J Rebecca; Coffey, Barbara
PMID: 19519268
ISSN: 1557-8992
CID: 100189