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The Efficacy of Being Outnumbered: Harnessing Family-Based Assessment and Treatment

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Presenting Author(s): Dr. David Rubin, MD

Date and time: 21 Mar 2025 from 13:00 to 14:00

Location: Wildrose Salon A/B/C  Floor Map

Abstract

Parent and child mental health are inextricably linked, with each having profound influence on the clinical course and outcome of the other. Family therapy is recognized as a powerful intervention for numerous disorders, including depression, anxiety, anorexia, substance abuse and disruptive behavior, with benefits typically exceeding those conveyed to the identified patient. As psychiatrists, and child and adolescent psychiatrists, are increasingly called upon to be leaders in systemic thinking, serving the demands of large populations for whom individual psychiatrists are short in supply, family-based assessment and treatment is critical both as a means of delivering efficient and comprehensive care while honing the required skills
needed for systems-based practice.

This session will briefly summarize the state of youth mental health leading up to and following the pandemic. It will present methods of teaching empirically validated, family-based assessment, as well as review family therapeutic interventions and techniques.

Learning Objectives

1. Identify trends that existed for child and adolescent psychiatry prior to 2020 and how the pandemic affected those trends;
2. Describe impact of chronic stress on the bodies of children and their parents;
3. Discuss empirically based assessment of whole families; and
4. Describe a number of family-based techniques and interventions.

Literature References

1. Schroeder, Steven A. We Can Do Better – Improving the Health of the American People. N Engl J Med 2007;357:1221-8

2. Weissman MM, Pilowsky DJ, Wickramaratne PJ, Talati A, Wisniewski SR, Fava M, Hughes CW, Garber J, Malloy E, King CA, Cerda G, Sood AB, Alpert JE, Trivedi MH, Rush AJ; STAR*D-Child Team. Remissions in maternal depression and child psychopathology: a STAR*D-child report. JAMA. 2006 Mar 22;295(12):1389-98. doi: 10.1001/jama.295.12.1389. Erratum in: JAMA. 2006 Sep 13;296(10):1234.

3. Hudziak, J.J., Genetic and environmental influences on wellness, resilience, and psychopathology: a familybased approach for promotion, prevention, and intervention, in Developmental Psychopathology and Wellness: Genetic and Environmental Influences, J.J. Hudziak, Editor. 2008, American Psychiatric Publishing, Inc.: Washington, DC. p. 267-286.

4. Story, M., Neumark-Sztainer, D., & French, S. (2002). Individual and environmental influ- ences on adolescent eating behaviors. Journal of the Academy of Nutrition and Dietetics, 102 (3), S40–S51.

5. Fishel A, Rubin D. Family Therapy. In: Stern TA, Fava M, Wilens TE, Rosenbaum JF (eds). Massachusetts General Hospital Comprehensive Clinical Psychiatry. 2nd edition. Elsevier Publications: London; 2016. p.128-137.



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