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1.
Journal of the American Academy of Child and Adolescent Psychiatry ; 61(10 Supplement):S124, 2022.
Article in English | EMBASE | ID: covidwho-2076262

ABSTRACT

Objectives: Participants will become familiar with the Mental and Behavioral Health Services Team in the Unaccompanied Minors Program in the Office of Refugee and Resettlement (ORR). Participants will be able to identify the challenges in delivering mental health care to a large, transient, population of children exposed to significant trauma, who arrive in the United States without a parent or legal guardian. Participants will learn ways to become involved in the care of migrant children. Method(s): This presentation will describe the mission of the Mental and Behavioral Health Services Team in the Division of Health for Unaccompanied Children (UC) in the ORR. The presenters will share information about the perils of the journey to the United States, the care of migrant children after referral from border control until re-unification with sponsors, and the logistical hurdles in identifying sponsors and establishing ongoing care after reunification or long-term foster care placement. We will discuss the challenges of delivering preventative and clinical mental health services during COVID-19, during large influxes of children, and in unique populations such as during the Afghanistan evacuation. Finally, we will discuss ways in which we are continuously improving our program with partners in academic and governmental agencies. Result(s): Between January 2021 and February 2022, over 150,000 UCs were referred to ORR care. While awaiting reunification with an identified sponsor, the majority of the children are cared for in over 200 state-licensed shelters scattered throughout the continental United States. The medical teams are charged with providing for their physical and mental health. The mental health team guides the care of these children through various methods, including the monitoring of documentation and consultation with care programs, ORR colleagues, and community mental health providers. Conclusion(s): Children who arrive in the United States without parents/guardians present with unique mental health needs. Cultural sensitivity and trauma-informed approaches to care are essential in meeting these needs. ORR continues to evolve to meet these challenges and invites child and adolescent psychiatrists in the community to engage with this population. IMM, SP, TRA Copyright © 2022

2.
Journal of the American Academy of Child and Adolescent Psychiatry ; 61(10 Supplement):S72, 2022.
Article in English | EMBASE | ID: covidwho-2076239

ABSTRACT

Objectives: The current pandemic has disproportionately affected the mental health of already-vulnerable young people: youth of color, immigrant, LGBTQ+, and refugee populations, and others who traditionally experience healthcare inequities. Financial hardships, systemic discrimination, cultural stigma, and lack of skilled practitioners are among the numerous global barriers to youth mental health and culturally competent care. Importantly, vulnerable populations have particularly limited access to mental health care, yet most continue to attend some form of school in person or virtually. Child and adolescent psychiatrists are uniquely positioned to transform these barriers by partnering with schools to provide culturally sensitive mental health services. Method(s): After the panel introduction, a brief review of the impact of COVID-19 and systemic discrimination on the mental health of youth will be presented by Kristie Ladegard, MD, and Anna Ordonez, MD, MAS (8 minutes). Presenters (18 minutes each) will discuss their specific school-based mental health service (SBMHS) initiatives and outcomes, including unique vulnerabilities, stigmas, and barriers that their patient populations face: Kristie Ladegard, MD, "Culturally Informed Training: Lessons from Denver School-Based Clinics";Brandon Johnson, MD, "Addressing LGBTQ+-Related Mental Health in Schools";Mina Fazel, MD, "Lessons in Belonging: Tools to Help Refugee Children in Schools";and Jane Ripperger-Suhler, MD, and Puja Patel, PhD, "Reaching At-Risk Youth by Telehealth in Texas: Experience From the Texas Child Health Access Through Telemedicine Program." Shashank Joshi, MD, and Dr. Ordonez, as our discussants, will review each program's cultural dimensions and identify persistent challenges and their solutions (20 minutes), followed by panel questions and answers (20 minutes). Result(s): Models of SBMHS varied in their approach to cultural engagement, health promotion, school partnership, and treatment modalities. All demonstrated successful outcomes with youth who traditionally experience healthcare inequities. Conclusion(s): Providing culturally competent mental health care in school settings is essential to improving health equity to vulnerable and underserved communities. Child and adolescent psychiatrists must lead the way in advocating for culturally competent and evidence-based methods that increase global access to mental health treatment for all youth across the world. DEI, SC, CUL Copyright © 2022

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