A disclosure during a routine checkup prompts an alternative approach to mandated reporting.

“Sixteen-year-old Black female with oppositional defiant disorder (ODD),* ward of the state, brought in by ambulance to the emergency room (ER) in restraints after the group home called 911, reporting danger to others. Fighting with staff, threatening harm. Frequent flier—the group home is refusing to take her back.” The emergency medical technician’s voice is mechanical,...

Oppositional defiant disorder (ODD) is a childhood disruptive, impulse control, and conduct disorder characterized by anger or irritability, argumentativeness or defiance, and vindictiveness (Table 1). 1 Black, Hispanic, and American Indian/Alaska Native children—hereafter referred to as racially minoritized children—are more likely to be diagnosed with ODD than white children. 2–4 One recent large-scale analysis found...

Justice-involved youth have high rates of mental health symptoms and diagnoses. Unaddressed mental health needs are associated with exposure to adversity and trauma, as well as unidentified or mislabeled symptoms that may be present early in life. Justice-involved youth disproportionately come from low-income families and minoritized populations. Communitybased interventions that address family and community factors...

Child and Adolescent Psychiatrists as Agents of Change: Reimagining Systems of Care to Address the Pediatric Mental Health Crisis

The face of America is changing, by 2045 people of color will be the majority. 1 There are alarming health inequities for children and adolescent populations, especially for racialized and ethnic minorities. 2 It is imperative that we examine the state of our current infrastructures, especially our systems of care in order to address these...

In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Kimberly Gordon-Achebe, Rupinder K. Legha, and Michelle P. Durham bring their considerable expertise to the topic of Home and Community Based Services for Youth and Families in Crisis. Top experts in the field discuss strategies to empower pediatric communities and their families in...

Reconsidering calling 911: Is it time to set a new standard for mental health crisis response? | PLOS Mental Health Skip to main content Advertisement PLOS Mental Health Publish Submissions Submission Guidelines Figures Tables Supporting Information LaTeX What We Publish Preprints Revising Your Manuscript Submit Now Calls for Papers Policies Best Practices in Research Reporting...

Health care is the new battlefront for anti-diversity, equity, and inclusion (DEI) attacks. It reflects a broadening of the wave of state-level anti-DEI in higher education legislation that has surged through the country with 65 anti-DEI bills introduced since 2023, eight of which have become law [1]. These anti-DEI efforts are also tightly linked to...