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Department/Unit:Child and Adolescent Psychiatry

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Impact of a learning collaborative to improve child mental health service use among low-income urban youth and families

Cavaleri, Mary A; Gopalan, Geetha; McKay, Mary M; Appel, Anita; Bannon, William M Jr.; Bigley, Michael F; Fazio, Marcia; Harrison, Myla; Nayowith, Gail; Salerno, Anthony; Sher, Tara; Thalor, Susan
This study examined the impact of a nine-month learning collaborative that was adapted from the Breakthrough Series Collaborative Model to improve mental health service use among urban youth and families who sought care at twelve participating mental health agencies between October 2004 and June 2005. A secondary analysis was conducted of data pertaining to: (a) initial show rates for first intake appointments for all new evaluations of children and adolescents and (b) attendance at any scheduled clinic appointment subsequent to the first kept intake appointment. During the course of the collaborative, an average increase of 14 percent in the rate of attendance at child mental health intake appointments (the equivalent of 448 more children attending) was evidenced. More modest gains in rates of ongoing involvement were noted. Collaborative learning environments can be useful for enhancing initial and continued attendance in mental health care for youth and their families, as well as being an effective method for disseminating engagement practices across agencies
PSYCH:2007-13942-007
ISSN: 1553-555x
CID: 1911602

Efficacy of three treatment protocols for adolescents with social anxiety disorder: a 5-year follow-up assessment

Garcia-Lopez, Luis-Joaquin; Olivares, Jose; Beidel, Deborah; Albano, Anne-Marie; Turner, Samuel; Rosa, Ana I
Few studies have reported long-term follow-up data in adults and even fewer in adolescents. The purpose of this work is to report on the longest follow-up assessment in the literature on treatments for adolescents with social phobia. A 5-year follow-up assessment was conducted with subjects who originally received either Cognitive Behavioral Group Therapy for Adolescents (CBGT-A), Social Effectiveness Therapy for Adolescents--Spanish version (SET-Asv), or Intervencion en Adolescentes con Fobia Social--Treatment for Adolescents with Social Phobia (IAFS) in a controlled clinical trial. Twenty-three subjects completing the treatment conditions were available for the 5-year follow-up. Results demonstrate that subjects treated either with CBGT-A, SET-Asv and IAFS continued to maintain their gains after treatments were terminated. Either the CBGT-A, SET-Asv and IAFS can provide lasting effects to the majority of adolescents with social anxiety. Issues that may contribute to future research and clinical implications are discussed
PMID: 16464703
ISSN: 0887-6185
CID: 76772

First observations of separated atmospheric nu(mu) and (nu)over-bar(mu) events in the MINOS detector

Adamson, P; Alexopoulos, T; Allison, WWM; Alner, GJ; Anderson, K; Andreopoulos, C; Andrews, M; Andrews, R; Arroyo, C; Avvakumov, S; Ayres, DS; Baller, B; Barish, B; Barker, MA; Barnes, PD; Barr, G; Barrett, WL; Beall, E; Becker, BR; Belias, A; Bergfeld, T; Bernstein, RH; Bhattacharya, D; Bishai, M; Blake, A; Bocean, V; Bock, B; Bock, GJ; Boehm, J; Boehnlein, DJ; Bogert, D; Border, PM; Bower, C; Boyd, S; Buckley-Geer, E; Byon-Wagner, A; Cabrera, A; Chapman, JD; Chase, TR; Chernichenko, SK; Childress, S; Choudhary, BC; Cobb, JH; Cossairt, JD; Courant, H; Crane, DA; Culling, AJ; Dawson, JW; DeMuth, DM; De Santo, A; Dierckxsens, M; Diwan, MV; Dorman, M; Drake, G; Ducar, R; Durkin, T; Erwin, AR; Escobar, CO; Evans, J; Fackler, OD; Harris, EF; Feldman, GJ; Felt, N; Fields, TH; Ford, R; Frohne, MV; Gallagher, HR; Gebhard, M; Godley, A; Gogos, J; Goodman, MC; Gornushkin, Y; Gouffon, P; Grashorn, E; Grossman, N; Grudzinski, JJ; Grzelak, K; Guarino, V; Habig, A; Halsall, R; Hanson, J; Harris, D; Harris, PG; Hartnell, J; Hartouni, EP; Hatcher, R; Heller, K; Hill, N; Ho, Y; Howcroft, C; Hylen, J; Ignatenko, M; Indurthy, D; Irwin, GM; James, C; Jenner, L; Jensen, D; Joffe-Minor, T; Kafka, T; Kang, HJ; Kasahara, SMS; Kilmer, J; Kim, H; Koizumi, G; Kopp, S; Kordosky, M; Koskinen, DJ; Kostin, M; Krakauer, DA; Kumaratunga, S; Ladran, AS; Lang, K; Laughton, C; Lebedev, A; Lee, R; Lee, WY; Libkind, MA; Liu, J; Litchfield, PJ; Litchfield, RP; Longley, NP; Lucas, P; Luebke, W; Madani, S; Maher, E; Makeev, V; Mann, WA; Marchionni, A; Marino, AD; Marshak, ML; Marshall, JS; McDonald, J; McGowan, A; Meier, JR; Merzon, GI; Messier, MD; Michael, DG; Milburn, RH; Miller, JL; Miller, WH; Mishra, SR; Miyagawa, PS; Moore, C; Morfin, J; Morse, R; Mualem, L; Mufson, S; Murgia, S; Murtagh, MJ; Musser, J; Naples, D; Nelson, C; Nelson, JK; Newman, HB; Nezrick, F; Nichol, RJ; Nicholls, TC; Ochoa-Ricoux, JP; Oliver, J; Oliver, WP; Onuchin, VA; Osiecki, T; Ospanov, R; Paley, J; Paolone, V; Para, A; Patzak, T; Pavlovich, Z; Pearce, GF; Pearson, N; Peck, CW; Perry, C; Peterson, EA; Petyt, DA; Ping, H; Piteira, R; Pla-Dalmau, A; Plunkett, RK; Price, LE; Proga, M; Pushka, DR; Rahman, D; Rameika, RA; Raufer, TM; Read, AL; Rebel, B; Reyna, DE; Rosenfeld, C; Rubin, HA; Ruddick, K; Ryabov, VA; Saakyan, R; Sanchez, MC; Saoulidou, N; Schneps, J; Schoessow, PV; Schreiner, P; Schwienhorst, R; Semenov, VK; Seun, SM; Shanahan, P; Shield, PD; Smart, W; Smirnitsky, V; Smith, C; Smith, PN; Sousa, A; Speakman, B; Stamoulis, P; Stefanik, A; Sullivan, P; Swan, JM; Symes, PA; Tagg, N; Talaga, RL; Tetteh-Lartey, E; Thomas, J; Thompson, J; Thomson, MA; Thron, JL; Trendler, R; Trevor, J; Trostin, I; Tsarev, VA; Tzanakos, G; Urheim, J; Vahle, P; Vakili, M; Vaziri, K; Velissaris, C; Verebryusov, V; Viren, B; Wai, L; Ward, CP; Ward, DR; Watabe, M; Weber, A; Webb, RC; Wehmann, A; West, N; White, C; White, RF; Wojcicki, SG; Wright, DM; Wu, QK; Yan, WG; Yang, T; Yumiceva, FX; Yun, JC; Zheng, H; Zois, M; Zwaska, R; MMINOS Collaboration
The complete 5.4 kton MINOS far detector has been taking data since the beginning of August 2003 at a depth of 2070 meters water-equivalent in the Soudan mine, Minnesota. This paper presents the first MINOS observations of nu(mu) and (nu) over bar (mu) charged-current atmospheric neutrino interactions based on an exposure of 418 days. The ratio of upward- to downward-going events in the data is compared to the Monte Carlo expectation in the absence of neutrino oscillations, giving R(up/down)(data)/R(up/down)(MC)=0.62(-0.14)(+0.19)(stat.)+/- 0.02(sys.). An extended maximum likelihood analysis of the observed L/E distributions excludes the null hypothesis of no neutrino oscillations at the 98% confidence level. Using the curvature of the observed muons in the 1.3 T MINOS magnetic field nu(mu) and (nu) over bar (mu) interactions are separated. The ratio of (nu) over bar (mu) to nu(mu) events in the data is compared to the Monte Carlo expectation assuming neutrinos and antineutrinos oscillate in the same manner, giving R((nu) over bar mu)/nu(data)(mu)/R((nu) over bar mu)/nu(MC)(mu)=0.96(-0.27)(+0.38)(stat.)+/- 0.15(sys.), where the errors are the statistical and systematic uncertainties. Although the statistics are limited, this is the first direct observation of atmospheric neutrino interactions separately for nu(mu) and (nu) over bar (mu).
ISI:000237158500008
ISSN: 1550-7998
CID: 1971462

Building Capacity in School Mental Health

Weist, Mark D; Lindsey, Michael; Moore, Elizabeth; Slade, Eric
The article reviews the dimensions of capacity-building as applied to the development and growth of effective school mental health (SMH) programs and initiatives. There has been considerable growth of SMH in the US and internationally, and this growth is being fueled by conferences and partnerships at local, regional, national and international levels. However, more comprehensive SMH, involving provision of a full continuum of mental health promotion, prevention, early intervention and intervention services for young people in general and special education is a relatively new and emerging field, and numerous challenges are being confronted as communities attempt to build capacity for it. Ideas for building capacity in SMH, along with opportunities to advance global dialogue and collaboration on the field's advancement, are presented
ORIGINAL:0010213
ISSN: 1462-3730
CID: 1870132

Social anxiety and emotion regulation: A model for developmental psychopathology perspectives on anxiety disorders

Chapter by: McClure, Erin B; Pine, Daniel S
in: Developmental psychopathology, Vol 3: Risk, disorder, and adaptation by Cicchetti, Dante; Cohen, Donald J [Eds]
Hoboken, NJ : John Wiley & Sons Inc, 2006
pp. 470-502
ISBN: 0-471-23738-8
CID: 162078

Aggression and quantitative MRI measures of caudate in patients with chronic schizophrenia or schizoaffective disorder

Hoptman, Matthew J; Volavka, Jan; Czobor, Pal; Gerig, Guido; Chakos, Miranda; Blocher, Joseph; Citrome, Leslie L; Sheitman, Brain; Lindenmayer, Jean-Pierre; Lieberman, Jeffrey A; Bilder, Robert M
Caudate dysfunction is implicated in schizophrenia. However, little is known about the relationship between aggression and caudate volumes. Forty-nine patients received magnetic resonance imaging scanning in a double-blind treatment study in which aggression was measured. Caudate volumes were computed using a semiautomated method. The authors measured aggression with the Overt Aggression Scale and the Positive and Negative Syndrome Scale. Larger caudate volumes were associated with greater levels of aggression. The relationship between aggression and caudate volumes may be related to the iatrogenic effects of long-term treatment with typical antipsychotic agents or to a direct effect of schizophrenic processes on the caudate.
PMCID:1933590
PMID: 17135376
ISSN: 0895-0172
CID: 72842

Closed and open source neuroimage analysis tools and libraries at UNC [Meeting Abstract]

Styner, Martin; Jomier, Matthieu; Gerig, Guido; IEEE
The emergence of open-source libraries and development tools in the last decade has changed the process of academic software development in many ways. In medical image processing and visualization this change is especially evident, also because open source projects are actively furthered by grant funding institutions. This manuscript presents the use of such development tools and libraries at the UNC Neuro-Image Analysis Laboratory for open source applications and tools. We have also experienced in our research that the development of open source in academics raises the issue of access to unpublished methodology. The strategy at our laboratory is to combine all in-house libraries and applications into a single repository that consists of two parts: a fully open source part that is distributed under a Berkley-style license and a private, closed source part with unpublished tools and methods. Access to the open source part is unrestricted, whereas the private parts can only be downloaded via cvs user login. This setup solved our issues regarding unpublished methodology, as migration from the private to the open source part is very simple. Overall our experience with this development environment within the academic setting is very positive.
ISI:000244446000177
ISSN: 1945-7928
CID: 1782392

Statistics of populations of images and its embedded objects: Driving applications in neuroimaging [Meeting Abstract]

Gerig, G; Joshi, S; Fletcher, T; Gorczowski, K; Xu, S; Pizer, SM; Styner, M; IEEE
Work in progress towards modeling shape statistics of multi-object complexes is presented. Constraints defined by the set of objects such as a compact representation of object shape relationships and correlation of shape changes might have advantages for automatic segmentation and group discrimination. We present a concept for statistical multi-object modeling and discuss the major challenges which are a reduction to a small set of descriptive features, calculation of mean and variability via curved statistics, the choice of aligning sets of multiple objects, and the problem of describing the statistics of object pose and object shape and their interrelationship. Shape modeling and analysis is demonstrated with an application to a longitudinal autism study, with shape modeling of sets of 10 subcortical structures in a population of 20 subjects.
ISI:000244446000283
ISSN: 1945-7928
CID: 1782402

Suicide terror [Letter]

Haddad, Fadi; Lewerenz, Heather
PMID: 17091827
ISSN: 0227-5910
CID: 96583

Motor development

Chapter by: Adolph, Karen E; Berger, Sarah E
in: Handbook of child psychology by Damon, William; Lerner, Richard M
Hoboken, N.J. : John Wiley & Sons, 2006
pp. 161-213
ISBN: 9780471272878
CID: 5459182