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PsychEd4Peds: child mental health podcast for pediatric clinicians
What causes autism? Why are there so many more boys than girls with autism? And why is it so important to make sure that children with autism have genetic testing? We discuss this with our guest, Dr. John N. Constantino, child and adolescent psychiatrist and international expert in Autism Spectrum Disorder.* Boys tend to be more sensitive than girls to genetic risk for autism.*GENES CAUSE AUTISM ** 3/4 of the genetic risk is inherited ---- mainly polygenic risk, which means it requires multiple different gene hits to be involved----- also rarely some chromosomal rearrangements**1/4 of genetic risk is NOT inherited---- due to de novo or germline mutations: DNA changes in the sperm or the egg that makes the baby, that are NOT present in the parents, but are just in the child. ** It's so important to follow the American College of Medical Genetics recommendations and get genetic testing for our kids with known diagnosis of autism so that we can better understand what caused their form of autism. About Dr. John Constantino: His research focuses on understanding genetic and environmental influences on autism spectrum disorder and their implications for treatment and prevention. He developed a well-validated, normed instrument to assess impairments in social-communication skills called the Social Responsiveness Scale (SRS-2). He currently serves as Chief of Behavioral and Mental Health at Children's Hospital of Atlanta. He has been recognized for his work by numerous awards including the prestigious George Tarjan Award from the American Academy of Child and Adolescent Psychiatry for significant contributions to the understanding and care of those with developmental disabilities.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds
PsychEd4Peds: child mental health podcast for pediatric clinicians
*What if you could identify and diagnose autism in primary care, without having to wait years for children to be seen by a specialty autism center? We discuss this with our guest, Dr. John N. Constantino, a world-renowned child and adolescent psychiatrist who specializes in Autism Spectrum Disorder who has done pioneering work in helping pediatric primary care clinicians distinguish between autism and other conditions.How/can pediatric clinicians distinguish between autism and other conditions?? Clinical tips to help pediatric clinicians confirm/make a diagnosis of Autism! 3 anchors for Diagnostic Assessment of Autismo 1 – Is the Developmental history c/w autism?o 2 – Do the child's symptoms exceed threshold (based on rating scales)?· Modified Checklist for Autism (M-CHAT; 16-30 months) or more comprehensive scales like..· Social Responsiveness Scale (SRS; 30 months – through adulthood) · Social Communication Questionnaire (SCQ; for kids 4 years and older)o 3 – Clinical observation by pediatric clinicians· Use the Childhood Autism Rating Scale (CARS and CARS-2)· quick (15 min), easy to learn, can differentiate autism from other illnesses ADHD, anxiety, psychosis, etc.Differential diagnosis for 24 month old who is not talking (autism, Specific language impairment, Hearing impairment, Intellectual disability) About Dr. John Constantino: His research focuses on understanding genetic and environmental influences on autism spectrum disorder and their implications for treatment and prevention. He developed a well-validated, normed instrument to assess impairments in social-communication skills called the Social Responsiveness Scale (SRS-2). He currently serves as Chief of Behavioral and Mental Health at Children's Hospital of Atlanta. He has been recognized for his work by numerous awards including the prestigious George Tarjan Award from the American Academy of Child and Adolescent Psychiatry for significant contributions to the understanding and care of those with developmental disabilities.Check out our website PsychEd4Peds.com for more resources.Follow us on Instagram @psyched4peds
Welcome to the MCG Pediatric Podcast! Dr. April Hartman, an associate professor of Pediatrics and the Division Chief of General Pediatric and Adolescent Medicine at the Children's Hospital of Georgia, is joined by Medical Student, Kayla Cooper to discuss pertinent topics surrounding individuals living with Autism with a pediatric lens. Specifically, they will: Define, Explain the prevalence of, and discuss clinical symptoms of autism spectrum disorder Explain the diagnostic evaluation of autism spectrum disorder Discuss the screening and surveillance of autism spectrum disorder Evaluate the management of co-occurring conditions with autism spectrum disorder Define Current Interventions for patients within this community Explain advocacy and partnership with families of patients FREE CME Credit (requires sign-in): https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=9857 Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios. Thank you for your support! References: Evans B. How autism became autism: The radical transformation of a central concept of child development in Britain. Hist Human Sci. 2013;26(3):3-31. doi:10.1177/0952695113484320 Identification, Evaluation, and Management of Children with Autism Spectrum Disorder. Susan L. Hyman, Susan E. Levy, Scott M. Myers, COUNCIL ON CHILDREN WITH DISABILITIES, SECTION ON DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS. Pediatrics Jan 2020, 145 (1) e20193447; DOI: 10.1542/peds.2019-3447 https://www.cdc.gov/ncbddd/autism/data.html. Accessed on 12/23/20 The American Academy of Pediatrics (AAP). Identifying and Caring for Children with Autism Spectrum Disorder A course for Pediatric Clinicians. [Online Course]. Pedialink. http://asd.pedialink.courses.aap.org/course/ https://www.cdc.gov/ncbddd/autism/addm-community-report/documents/addm-community-report-2020-h.pdf Timing of the Diagnosis of Autism in African American Children. John N. Constantino, Anna M. Abbacchi, Celine Saulnier, Cheryl Klaiman, David S. Mandell, Yi Zhang, Zoe Hawks, Julianna Bates, Ami Klin, Paul Shattuck, Sophie Molholm, Robert Fitzgerald, Anne Roux, Jennifer K. Lowe, Daniel H. Geschwind. Pediatrics Sep 2020, 146 (3) e20193629; DOI: 10.1542/peds.2019-3629
Infections with the virus that causes COVID-19 are not the only cause of pandemic-related hospitalizations. Although children tend to be at lower risk of COVID-19, the number of kids with mental health and behavioral problems has exploded during the pandemic, driving an increase in pediatric hospital admissions nationwide. Stressors associated with remote schooling, fear of infection, and concern about older relatives have contributed to a tidal wave of hospital admissions for psychiatric issues, according to John N. Constantino, MD, the Blanche F. Ittelson Professor of Psychiatry and Pediatrics, and director of the William Greenleaf Eliot Division of Child & Adolescent Psychiatry. Constantino, also psychiatrist-in-chief at St. Louis Children’s Hospital and co-director of Washington University’s Intellectual and Developmental Disabilities Research Center (IDDRC), says virtual schooling has contributed significantly to the problem. He says it’s important to get back to normal learning routines, particularly for kids with special needs. In the St. Louis area, the return to in-person schooling for such students has been made possible partly due to a COVID-19 testing program in St. Louis County’s Special School District. That testing effort is being coordinated by the other IDDRC co-director, Christina Gurnett, MD, PhD, who is also director of the Division of Pediatric and Developmental Neurology and neurologist-in-chief at Children’s Hospital. She says that ensuring schools are safe and getting kids back into more normal routines can help reduce the need to hospitalize kids for psychiatric and behavioral issues. The podcast, “Show Me the Science,” is produced by the Office of Medical Public Affairs at Washington University School of Medicine in St. Louis.
The pandemic is affecting everyone, but the stresses it causes are particularly rough for those with intellectual and developmental disabilities and their families. Providing effective education to such children and getting services to those who need help in their homes is typically complex, but those issues are even more difficult in the face of COVID-19. Child psychiatrist John N. Constantino, MD, is the Blanche F. Ittleson Professor of Psychiatry and Pediatrics, director of the William Greenleaf Eliot Division of Child & Adolescent Psychiatry, and co-director of the Intellectual and Developmental Disabilities Research Center at Washington University School of Medicine in St. Louis. As debates continue over whether children should be in classrooms or involved in online learning from home, Constantino says little has been said about kids with intellectual and developmental disabilities, many of whom have a great deal of trouble trying to learn online. Meanwhile, information available online and over social media may be adding to the stress and anxiety many people are experiencing during the pandemic. Another team of psychiatry researchers is studying that issue. Led by Patricia A. Cavazos-Rehg, PhD, a professor of psychiatry, the team is analyzing the effects of social media on anxiety and depression, and working to use messages delivered over social media to lower stress and anxiety levels. The podcast “Show Me the Science” is produced by the Office of Medical Public Affairs at Washington University School of Medicine in St. Louis.
Journal of the American Academy of Child and Adolescent Psychiatry
JAACAP November 2012: In this podcast, Contributing Editor Dr. Jeremy Veenstra-VanderWeele interviews Dr. Peter Szatmari on his editorial, co-authored with Drs. Tony Charman and John N. Constantino, discussing recent studies and developments in autism spectrum disorder.
Journal of the American Academy of Child and Adolescent Psychiatry
JAACAP November 2012: In this podcast, Contributing Editor Dr. Jeremy Veenstra-VanderWeele interviews Dr. Peter Szatmari on his editorial, co-authored with Drs. Tony Charman and John N. Constantino, discussing recent studies and developments in autism spectrum disorder.
DLS from April 14, 2010