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Treatment of maladaptive aggression in youth: CERT guidelines II. Treatments and ongoing management
To develop guidelines for management and treatment of maladaptive aggression in youth in the areas of psychosocial interventions, medication treatments, and side-effect management. Evidence was assembled and evaluated in a multistep process, including systematic reviews of published literature; an e...
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| Published in: | Pediatrics (Evanston) 2012-06, Vol.129 (6), p.e1577-e1586 |
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| Main Authors: | , , , , , |
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| container_end_page | e1586 |
| container_issue | 6 |
| container_start_page | e1577 |
| container_title | Pediatrics (Evanston) |
| container_volume | 129 |
| creator | Scotto Rosato, Nancy Correll, Christoph U Pappadopulos, Elizabeth Chait, Alanna Crystal, Stephen Jensen, Peter S |
| description | To develop guidelines for management and treatment of maladaptive aggression in youth in the areas of psychosocial interventions, medication treatments, and side-effect management.
Evidence was assembled and evaluated in a multistep process, including systematic reviews of published literature; an expert survey of recommended practices; a consensus conference of researchers, policymakers, clinicians, and family advocates; and review by the steering committee of successive drafts of the recommendations. The Center for Education and Research on Mental Health Therapeutics Treatment of Maladaptive Aggression in Youth guidelines reflect a synthesis of the available evidence, based on this multistep process.
This article describes the content, rationale, and evidence for 11 recommendations. Key treatment principles include considering psychosocial interventions, such as evidence-based parent and child skills training as the first line of treatment; targeting the underlying disorder first following evidence-based guidelines; considering individual psychosocial and medical factors, including cardiovascular risk in the selection of agents if medication treatment (ideally with the best evidence base) is initiated; avoiding the use of multiple psychotropic medications simultaneously; and careful monitoring of treatment response, by using structured rating scales, as well as close medical monitoring for side effects, including metabolic changes.
Treatment of children with maladaptive aggression is a "moving target" requiring ongoing assimilation of new evidence as it emerges. Based on the existing evidence, the Treatment of Maladaptive Aggression in Youth guidelines provide a framework for management of maladaptive aggression in youth, appropriate for use by primary care clinicians and mental health providers. |
| doi_str_mv | 10.1542/peds.2010-1361 |
| format | article |
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Evidence was assembled and evaluated in a multistep process, including systematic reviews of published literature; an expert survey of recommended practices; a consensus conference of researchers, policymakers, clinicians, and family advocates; and review by the steering committee of successive drafts of the recommendations. The Center for Education and Research on Mental Health Therapeutics Treatment of Maladaptive Aggression in Youth guidelines reflect a synthesis of the available evidence, based on this multistep process.
This article describes the content, rationale, and evidence for 11 recommendations. Key treatment principles include considering psychosocial interventions, such as evidence-based parent and child skills training as the first line of treatment; targeting the underlying disorder first following evidence-based guidelines; considering individual psychosocial and medical factors, including cardiovascular risk in the selection of agents if medication treatment (ideally with the best evidence base) is initiated; avoiding the use of multiple psychotropic medications simultaneously; and careful monitoring of treatment response, by using structured rating scales, as well as close medical monitoring for side effects, including metabolic changes.
Treatment of children with maladaptive aggression is a "moving target" requiring ongoing assimilation of new evidence as it emerges. Based on the existing evidence, the Treatment of Maladaptive Aggression in Youth guidelines provide a framework for management of maladaptive aggression in youth, appropriate for use by primary care clinicians and mental health providers.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2010-1361</identifier><identifier>PMID: 22641763</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Adolescent ; Adolescent aggressiveness ; Aggression - drug effects ; Aggression - psychology ; Aggressiveness ; Aggressiveness (Psychology) in adolescence ; Care and treatment ; Children & youth ; Consensus Development Conferences as Topic ; Disease Management ; Dosage and administration ; Drug therapy ; Evidence-Based Medicine - standards ; Humans ; Medical case management ; Mental Disorders - diagnosis ; Mental Disorders - drug therapy ; Mental Disorders - psychology ; Mental health ; Methods ; Pediatrics ; Practice guidelines (Medicine) ; Practice Guidelines as Topic - standards ; Primary care ; Psychotherapy ; Psychotherapy - methods ; Psychotherapy - standards ; Psychotropic drugs ; Psychotropic Drugs - pharmacology ; Psychotropic Drugs - therapeutic use ; Social Support ; Treatment Outcome</subject><ispartof>Pediatrics (Evanston), 2012-06, Vol.129 (6), p.e1577-e1586</ispartof><rights>Copyright American Academy of Pediatrics Jun 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-c6e36914f0acb12f4ed39a40fcaab090292b5e22665d7d46fa7481d7b0322ce13</citedby><cites>FETCH-LOGICAL-c361t-c6e36914f0acb12f4ed39a40fcaab090292b5e22665d7d46fa7481d7b0322ce13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22641763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scotto Rosato, Nancy</creatorcontrib><creatorcontrib>Correll, Christoph U</creatorcontrib><creatorcontrib>Pappadopulos, Elizabeth</creatorcontrib><creatorcontrib>Chait, Alanna</creatorcontrib><creatorcontrib>Crystal, Stephen</creatorcontrib><creatorcontrib>Jensen, Peter S</creatorcontrib><creatorcontrib>Treatment of Maladaptive Aggressive in Youth Steering Committee</creatorcontrib><creatorcontrib>on behalf of the Treatment of Maladaptive Aggressive in Youth Steering Committee</creatorcontrib><title>Treatment of maladaptive aggression in youth: CERT guidelines II. Treatments and ongoing management</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To develop guidelines for management and treatment of maladaptive aggression in youth in the areas of psychosocial interventions, medication treatments, and side-effect management.
Evidence was assembled and evaluated in a multistep process, including systematic reviews of published literature; an expert survey of recommended practices; a consensus conference of researchers, policymakers, clinicians, and family advocates; and review by the steering committee of successive drafts of the recommendations. The Center for Education and Research on Mental Health Therapeutics Treatment of Maladaptive Aggression in Youth guidelines reflect a synthesis of the available evidence, based on this multistep process.
This article describes the content, rationale, and evidence for 11 recommendations. Key treatment principles include considering psychosocial interventions, such as evidence-based parent and child skills training as the first line of treatment; targeting the underlying disorder first following evidence-based guidelines; considering individual psychosocial and medical factors, including cardiovascular risk in the selection of agents if medication treatment (ideally with the best evidence base) is initiated; avoiding the use of multiple psychotropic medications simultaneously; and careful monitoring of treatment response, by using structured rating scales, as well as close medical monitoring for side effects, including metabolic changes.
Treatment of children with maladaptive aggression is a "moving target" requiring ongoing assimilation of new evidence as it emerges. Based on the existing evidence, the Treatment of Maladaptive Aggression in Youth guidelines provide a framework for management of maladaptive aggression in youth, appropriate for use by primary care clinicians and mental health providers.</description><subject>Adolescent</subject><subject>Adolescent aggressiveness</subject><subject>Aggression - drug effects</subject><subject>Aggression - psychology</subject><subject>Aggressiveness</subject><subject>Aggressiveness (Psychology) in adolescence</subject><subject>Care and treatment</subject><subject>Children & youth</subject><subject>Consensus Development Conferences as Topic</subject><subject>Disease Management</subject><subject>Dosage and administration</subject><subject>Drug therapy</subject><subject>Evidence-Based Medicine - standards</subject><subject>Humans</subject><subject>Medical case management</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - drug therapy</subject><subject>Mental Disorders - psychology</subject><subject>Mental health</subject><subject>Methods</subject><subject>Pediatrics</subject><subject>Practice guidelines (Medicine)</subject><subject>Practice Guidelines as Topic - standards</subject><subject>Primary care</subject><subject>Psychotherapy</subject><subject>Psychotherapy - methods</subject><subject>Psychotherapy - standards</subject><subject>Psychotropic drugs</subject><subject>Psychotropic Drugs - pharmacology</subject><subject>Psychotropic Drugs - therapeutic use</subject><subject>Social Support</subject><subject>Treatment Outcome</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNpdkUtr3DAURkVpaaZpt10WQTfdeHr1sBR3F4a0HQgEwmQtZOnaVbClqWWH5N9HZtIsuhKIcz8OHEI-M9iyWvLvR_R5y4FBxYRib8iGQXNRSa7rt2QDIFglAeoz8iHnewCQtebvyRnnSjKtxIa4w4R2HjHONHV0tIP19jiHB6S27yfMOaRIQ6RPaZn__KC7q9sD7ZfgcQgRM93vt_R1IVMbPU2xTyH2ZSvaHtf_j-RdZ4eMn17ec3L38-qw-11d3_za7y6vK1fU58opFKphsgPrWsY7iV40VkLnrG2hAd7wtsairmqvvVSd1fKCed2C4NwhE-fk22n3OKW_C-bZjCE7HAYbMS3ZMBAAumZMFvTrf-h9WqZY7ArFGi2bRulCVSeqtwOaEF2KMz7OLg0D9miK_O7GXPIVV0yu_PbEuynlPGFnjlMY7fRURs2ay6y5zJrLrLnKwZcXjaUd0b_i__qIZ00pj0M</recordid><startdate>201206</startdate><enddate>201206</enddate><creator>Scotto Rosato, Nancy</creator><creator>Correll, Christoph U</creator><creator>Pappadopulos, Elizabeth</creator><creator>Chait, Alanna</creator><creator>Crystal, Stephen</creator><creator>Jensen, Peter S</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201206</creationdate><title>Treatment of maladaptive aggression in youth: CERT guidelines II. 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Treatments and ongoing management</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2012-06</date><risdate>2012</risdate><volume>129</volume><issue>6</issue><spage>e1577</spage><epage>e1586</epage><pages>e1577-e1586</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Review-1</notes><abstract>To develop guidelines for management and treatment of maladaptive aggression in youth in the areas of psychosocial interventions, medication treatments, and side-effect management.
Evidence was assembled and evaluated in a multistep process, including systematic reviews of published literature; an expert survey of recommended practices; a consensus conference of researchers, policymakers, clinicians, and family advocates; and review by the steering committee of successive drafts of the recommendations. The Center for Education and Research on Mental Health Therapeutics Treatment of Maladaptive Aggression in Youth guidelines reflect a synthesis of the available evidence, based on this multistep process.
This article describes the content, rationale, and evidence for 11 recommendations. Key treatment principles include considering psychosocial interventions, such as evidence-based parent and child skills training as the first line of treatment; targeting the underlying disorder first following evidence-based guidelines; considering individual psychosocial and medical factors, including cardiovascular risk in the selection of agents if medication treatment (ideally with the best evidence base) is initiated; avoiding the use of multiple psychotropic medications simultaneously; and careful monitoring of treatment response, by using structured rating scales, as well as close medical monitoring for side effects, including metabolic changes.
Treatment of children with maladaptive aggression is a "moving target" requiring ongoing assimilation of new evidence as it emerges. Based on the existing evidence, the Treatment of Maladaptive Aggression in Youth guidelines provide a framework for management of maladaptive aggression in youth, appropriate for use by primary care clinicians and mental health providers.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>22641763</pmid><doi>10.1542/peds.2010-1361</doi></addata></record> |
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| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 2012-06, Vol.129 (6), p.e1577-e1586 |
| issn | 0031-4005 1098-4275 |
| language | eng |
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| source | EZB Electronic Journals Library |
| subjects | Adolescent Adolescent aggressiveness Aggression - drug effects Aggression - psychology Aggressiveness Aggressiveness (Psychology) in adolescence Care and treatment Children & youth Consensus Development Conferences as Topic Disease Management Dosage and administration Drug therapy Evidence-Based Medicine - standards Humans Medical case management Mental Disorders - diagnosis Mental Disorders - drug therapy Mental Disorders - psychology Mental health Methods Pediatrics Practice guidelines (Medicine) Practice Guidelines as Topic - standards Primary care Psychotherapy Psychotherapy - methods Psychotherapy - standards Psychotropic drugs Psychotropic Drugs - pharmacology Psychotropic Drugs - therapeutic use Social Support Treatment Outcome |
| title | Treatment of maladaptive aggression in youth: CERT guidelines II. Treatments and ongoing management |
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