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News & Articles

LATEST NEWS

School Healthcare

Over three decades of keeping kids healthy and in school

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Need for Access

South Carolina schools see need for more mental health professionals

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Task Force Recommends School-Based Health Centers

Data shows school-based health centers promote positive educational and health outcomes

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Landscape of school-based mental health services

Over three decades of keeping kids healthy and in school

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Access to Mental Health Resources

South Carolina schools increase resources for physical and mental health services in schools

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SBHC Core Competencies

Overview of the 7 core competencies of school based health centers

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Upcoming Events

April

Southeastern School Behavioral Health Conference

Dates: April 25-26 2024 Location Sheraton Myrtle Beach Convention Center Hotel Website: 2024 Conference Schedule Overview  The YAP-P Team will be presenting this year at the Southeastern School of Behavioral Health conference, discussing Multi-level Collaboration to Support Youth Psychiatric Care through School-Based Health Centers. The SE School Behavioral Health promotes academic and personal success by reducing barriers to learning and supporting the social, emotional, and behavioral needs of all youth and families in the southeast. Their goals include promoting adoption and sustained implementation of effective school behavioral practices.

July

Lowcountry Mental Health Conference

Dates: July 24-26, 2024
Location: Gaillard Performance Hall, Charleston, SC 29401
Website: www.lowcountrymhconfreence.com

The 2024 Lowcountry Mental Health Conference will be held from July 24-26, 2024!! This is a great opportunity to network with more than 1,500 mental health professionals in person and an additional 500+ individuals via their live video feed. LMHC have established themselves as one of the highest quality behavioral healthcare events on the east coast. The conference’s impact has reached well beyond South Carolina’s borders with participants coming from all across the Southeast region and as far as Germany, England, Canada, Hawaii, California, and Arizona.

August

SC AAP Annual Conference

Dates: August 8-11 2024
Location: Sonesta Resort, Hilton Head Island SC
Website: https://scaap.org/event/2024-annual-meeting

The South Carolina Chapter of the American Academy of Pediatrics (SCAAP) is an organization that works toward establishing a safe environment for children, promotes the availability of universal vaccine, promotes health care access and financial reform of the health care system, promotes family support and a nurturing environment, and is an advocate for children’s needs.

October

SC NAPNAP Conference

Dates: October 5th 2024
Location: Greenville, SC
Website: https://community.napnap.org/southcarolinachapter

More Information forthcoming

The purpose of NAPNAP, an Association of pediatric focused nurses in advanced practice, is to promote health for infants, children, adolescents and young adults through role advancement, professional development and advocacy.

SC Primary Health Care Association Conference

Dates: October 17-20, 2024
Location: Sonesta Resort, Hilton Head Island
Website: https://www.scphca.org

Community health centers are in the forefront of providing quality health care services to help their patients and those in the community address and manage health disparities. Because of this unique opportunity, it is imperative that they continuously receive education and training dedicated to enhancing the delivery of service. The Retreat focuses on the programmatic, operational, and health policy and regulatory issues affecting community health centers and their patients. Designed to share both the “how to” and “future challenges” for the industry, this event attracts approximately 200 attendees and 30 exhibitors.

November

SC Dept of Rural Health Conference

Dates: November 19-21, 2024
Location: Greenville, SC
Website: https://scorh.net/2024-conference

The Annual Rural Health Conference is an opportunity for rural healthcare professionals, hospital administrators, educators and community leaders to learn from experts in rural topics, and to network with each other. This year’s conference will be held in Greenville, SC on November 19-21. Registration and further details will be available soon!

September

September 12, 2023
Developmental-Behavioral Pediatrics Making the CASE (Collaborative and Supportive Education) for Behavioral and Mental Health

Topic: Youth Access to Psychiatry Program
Speaker: Eve Fields, MD Director of Integrated Care, SCDMH
Moderators: Silvia Pereira-Smith, MD and Ashley Early LISW-CP
Time: 12:00pm on Tuesday, September 12, 2023
Location: Zoom Livestream only

Continuing Medical Education:
The Medical University of South Carolina is accredited by the Accreditation Council for Continuing
Education (ACCME) to provide continuing medical education for physicians. The Medical University of
South Carolina designates this live activity for a maximum of one (1) AMA PRA Category 1 Credits(s)™.
Physicians should claim only the credits commensurate with the extent of their participation in the
activity.

In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing
Education anyone involved in planning or presenting this educational activity will be required to disclose
any financial relationships with any ineligible companies. This information is listed below. Any financial
relationships with these ineligible companies have been mitigated by the MUSC Office of CME.

Speakers who incorporate information about off-label or investigational use of drugs or devices will be
asked to disclose that information at the beginning of their presentation.

We are using the tracker system for registering CASE attendance and for CME credit. A code specific to
the event will be given out at the event. You will have 7 days to claim credit for attending each activity.
Please see attached instructions.

Continuing Education Units:
Applied for 1 contact hour. To receive CEU for this session, you must complete the post-session survey
and score at least 75%.

View PDF Flier

FOR PROVIDERS

ADHD

ADHD, anxiety, depression, and behavioral problems are the most commonly diagnosed mental disorders in children!

Around 10% of youth are diagnosed with ADHD. 

  • Symptoms of ADHD include: 
    • making frequent careless errors or overlooking details, 
    • difficulty sustaining attention in tasks/activities,
    • failing to complete tasks/work,
    • difficulty organizing tasks,
    • becoming easily distracted,

ANXIETY

ADHD, anxiety, depression, and behavioral problems are the most commonly diagnosed mental disorders in children!

Around 9.5% of youth are diagnosed with anxiety. 

  • Symptoms of anxiety include: 
    • Avoidance of activities or settings that are anxiety provoking
    • Frequent or excessive seeking of reassurance
    • Difficulty falling asleep or staying asleep
    • Decline in grades or academic performance, which may include inattention or trouble concentrating
    • Physical symptoms, including headaches, stomach aches, pain, or changes in appetite

AUTISM

Around 1% of youth are diagnosed with autism spectrum disorders. 

  • Symptoms of autism spectrum disorders include: 
    • Avoids or does not keep eye contact
    • Does not respond to name by 9 months of age
    • Does not show facial expressions like happy, sad, angry, and surprised by 9 months of age
    • Does not play simple interactive games like pat-a-cake by 12 months of age
    • Uses few or no gestures by 12 months of age (for example, does not wave goodbye)

BIPOLAR

Around 2.5% of youth are affected by Bipolar I or II. 

  • Symptoms of hypomania include: 
    • Elevated, expansive, or irritable mood
    • Decreased need for sleep
    • Racing speech and pressure to keep talking
    • Racing thoughts
    • Increased distractibility
  • Followed by: 
    • Pervasive sadness and crying spells
    • Agitation and irritability
    • Withdrawal from activities formerly enjoyed
    • Drop in grades and inability to concentrate
    • Sleeping too much or inability to sleep

DEPRESSION

ADHD, anxiety, depression, and behavioral problems are the most commonly diagnosed mental disorders in children!

  • Around 4% of youth are diagnosed with depression.
Among adolescents (aged 12-17 years), depression, suicide, and substance use are common concerns. 
  • Around 16% of adolescents have made a suicide plan, while around 19% seriously considered suicide.
  • Symptoms of depression include: 
    • Frequent sadness, tearfulness, or crying
    • Feelings of hopelessness
    • Withdrawal from friends and activities
    • Lack of enthusiasm or motivation
    • Decreased energy level

EATING

There are a number of eating disorders including anorexia nervosa, bulimia nervosa, and binge eating disorder. 

Anorexia and bulimia nervosa are diagnosed among youth at a rate of less than 1%. 

Binge eating disorder is more common, affecting about 1% of youth. 

  • Symptoms of anorexia nervosa include: 
    • Restricting food
    • Fasting
    • Avoiding “risk” foods
    • Taking diet pills, laxatives, or diuretics
    • Compulsive exercise
  • Symptoms of bulimia nervosa include: 
    • Eating large amounts of food in a short amount of time in a way that feels out of control at least twice a week
  • Followed by: 
    • Restricting eating (when not binging)
    • Vomiting
    • Using laxatives or diuretics
    • Taking diet pills or stimulants
    • Exercise

OCD

Obsessive compulsive disorder affects around 1-2% of youth. 

  • Symptoms of OCD include: 
    • Excessive hand washing due to a fear of germs
    • Counting
    • Repeating words silently
    • Rechecking completed tasks

ODD

Oppositional defiant disorder affects around 2% of youth. 

  • Symptoms of ODD include: 
    • Often loses temper
    • Often argues with adults/li>
    • Often actively defies or refuses to comply with adults’requests or rules
    • Often deliberately annoys people
    • Often blames others for his or her mistakes or misbehavior

PTSD

Anywhere between 14% and 43% of youth and adolescents are affected by PTSD.

  • Symptoms of PTSD include: 
    • Reliving the event over and over in thought or in play
    • Nightmares and sleep problems
    • Becoming very upset when something causes memories of the event
    • Lack of positive emotions
    • Intense ongoing fear or sadness
PSYCHO-SOCIAL FUNCTION

SCHIZOPHRENIA

Less than 1% of youth are diagnosed with schizophrenia. 

  • Symptoms of schizophrenia include: 
    • Bizarre ideas or speech
    • Confusing dreams or television for reality
    • Withdrawal from friends and family
    • Trouble sleeping
    • Lack of motivation — for example, showing up as a drop in performance at school
    • Strange anxieties or fears

SUBSTANCE USE

Among adolescents (aged 12-17 years), depression, suicide, and substance use are common concerns. 

Around 4% of adolescents are diagnosed with a substance use disorder. 

Around 2% of adolescents are diagnosed with alcohol use disorder. 

Around 3% of adolescents are diagnosed with illicit drug use disorder. 

  • Substance use disorders are not always easily identifiable.
  • Teens with early substance use disorders may have minimal symptoms and may not be identified until they are “caught” using substances, found to be in possession of drugs or paraphernalia, or have gotten into trouble at school or with the police.
  • Other times, substance use disorders present with non-specific symptoms, such as dramatic change in school performance or family functioning, loss of interest in sports or other hobbies, moodiness, irritability or difficulty with anxiety.

References

See below for all sources to check out!

  1. Bitsko RH, Claussen AH, Lichtstein J, Black LJ, Everett Jones S, Danielson MD, Hoenig JM, Davis Jack SP, Brody DJ, Gyawali S, Maenner MM, Warner M, Holland KM, Perou R, Crosby AE, Blumberg SJ, Avenevoli S, Kaminski JW, Ghandour RM. Surveillance of Children’s Mental Health – United States, 2013 – 2019 MMWR, , 2022 / 71(Suppl-2);1–42.
  2. Carlson, G.A., Caroly, P. (2016). Bipolar disorder among children and adolescents. FOCUS Psychiatric Treatment of Children and Adolescents, 14(1), p. 15-19. https://focus.psychiatryonline.org/doi/epdf/10.1176/appi.focus.20150038
  3. Committee to Evaluate the Supplemental Security Income Disability Program for Children with Mental Disorders; Board on the Health of Select Populations; Board on Children, Youth, and Families; Institute of Medicine; Division of Behavioral and Social Sciences and Education; The National Academies of Sciences, Engineering, and Medicine; Boat TF, Wu JT, editors. Mental Disorders and Disabilities Among Low-Income Children. Washington (DC): National Academies Press (US); 2015 Oct 28. 13, Prevalence of Oppositional Defiant Disorder and Conduct Disorder. Available from: https://www.ncbi.nlm.nih.gov/books/NBK332874
  4. Kendhari, J., Shankar, R., & Young-Walker, L. (2016). A Review of Childhood-Onset Schizophrenia. Focus (American Psychiatric Publishing), 14(3), 328–332. https://doi.org/10.1176/appi.focus.20160007
  5. Massachusetts Child Psychiatry Access Program. https://www.mcpap.com/Default.aspx
  6. Mayo Clinic (N.D.). Childhood schizophrenia. https://www.mayoclinic.org/diseases-conditions/childhood-schizophrenia/symptoms-causes/syc-20354483
  7. Murray, S. B., Ganson, K. T., Chu, J., Jann, K., & Nagata, J. M. (2022). The Prevalence of Preadolescent Eating Disorders in the United States. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 70(5), 825–828. https://doi.org/10.1016/j.jadohealth.2021.11.031
  8. National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention. (N.D.). Post-traumatic stress disorder in children. https://www.cdc.gov/childrensmentalhealth/ptsd.html
  9. Perou R, Bitsko RH, Blumberg SJ, Pastor P, Ghandour RM, Gfroerer JC, Hedden SL, Crosby AE, Visser SN, Schieve LA, Parks SE, Hall JE, Brody D, Simile CM, Thompson WW, Baio J, Avenevoli S, Kogan MD, Huang LN. Mental health surveillance among children – United States, 2005—2011. MMWR 2013;62(Suppl; May 16, 2013):1-35.
  10. US Department of Veterans Affairs. (N.D.) How common is PTSD in children and teens?https://www.ptsd.va.gov/understand/common/common_children_teens.asp

FOR FAMILIES

South Carolina Resources: 

SC Thrive: https://scthrive.org 

SC Thrive is an organization that provides access to a number of resources: mental health resources, long-term care benefits, supplemental nutrition assistance program, temporary assistance, and health insurance connections! 

Federation of Families of South Carolina: https://fedfamsc.org 

This federation provides education, awareness, support, and advocacy for families of children with behavioral and mental health concerns. They offer peer youth networks, community parent networks, and parent peer support to assist and empower families and youth.

South Carolina State Mental Health Technology Transfer Center Network: https://mhttcnetwork.org/centers/southeast-mhttc/south-carolina-state-mental-health-resources

This site provides access to a number of mental health services, initiatives (e.g., suicide prevention, assisting those transitioning from homelessness), and lists mental health associations to become involved.

Directory of Services for Women and Families in South Carolina: https://scdhec.gov/sites/default/files/Library/ML-017048.pdf

This directory provided by the SC Department of Health and Environmental Control provides a large list of mental health services and programs, in addition to other services (e.g., adoption, disability assistance, child support, etc.) offered throughout the state by district.

South Carolina Infant Mental Health Association: https://www.scimha.org/resourceslist

This association provides programs and resources for infant early childhood concerns. This is a great resource for prevention!

National Resources: 

National Alliance on Mental Illness: https://namisc.org/resources/ 

NAMI is the nation’s largest grassroots mental health organization that provides resources on warning signs, symptoms, and treatment for mental health concerns. It provides educational tools, ways to get involved, and engages in advocacy work to improve public policy related to mental health.

Our Sleeves. The Movement for Children’s Mental Health: https://www.onoursleeves.org/mental-health-resources/national-state-resources/south-carolina 

This site provides national and state mental health resources for children. It provides suicide/crisis hotlines, mental health hotlines, and help lines for eating disorders and domestic violence.

Substance Abuse and Mental Health Services Administration: https://www.samhsa.gov/find-help

SAMHSA is a part of the US Department of Health and Human Services and offers resources to find help, treatment, help lines, and crisis lines for all.

Centers for Disease Control and Prevention: https://www.cdc.gov/mentalhealth/children/index.htm

National Academies of Science, Engineering, and Medicine:

https://nap.nationalacademies.org/resource/other/dbasse/wellbeing-tools/interactive

These sites link to information about child mental health, treatment, prevention, and research. They offer interactive, easy to use web tools for children and teens to express their feelings and thoughts in healthy ways! This is also a great resource for prevention!

Assessment & Screening Tools

Title Type Topic Publisher Web Link
MCPAP ADHD Guidelines for PCPs clinical guideline ADHD MCPAP https://www.mcpap.com/pdf/ADHDGuide.12.05.18.pdf
ADHD “Clinical Pearls” for Primary Care Providers clinical resource ADHD MCPAP https://www.mcpap.com/pdf/ADHDPearls.12.05.18.pdf
NICHQ Vanderbilt Assessment Scales scale ADHD https://www.nichq.org/sites/default/files/resource-file/NICHQ_Vanderbilt_Assessment_Scales.pdf
Pediatric Symptom Checklist scale psychosocial function https://www.massgeneral.org/assets/mgh/pdf/psychiatry/psc/psc-english.pdf
MCPAP Anxiety Guidelines for PCPs clinical guideline Anxiety MCPAP https://www.mcpap.com/pdf/AnxGuide12.05.18.pdf
Anxiety “Clinical Pearls” for Primary Care Providers clinical resource Anxiety MCPAP https://www.mcpap.com/pdf/AnxPearls.12.05.18.pdf
Management of Psychiatric Symptoms in Children & Adolescents with Autism Spectrum Disorder (ASD): Guidelines for PCPs clinical guideline Autism MCPAP https://www.mcpap.com/pdf/ASDGuidelines.pdf
Management of Psychiatric Symptoms in Children with Autism Spectrum Disorder (ASD) Clinical Pearls for Primary Care Providers clinical resource Autism MCPAP https://www.mcpap.com/pdf/ASDPearls.pdf
MCPAP Depression Guidelines for PCPs clinical guideline depression MCPAP https://www.mcpap.com/pdf/DepGuide.12.05.18.pdf
Depression “Clinical Pearls” for Primary Care Providers clinical resource depression MCPAP https://www.mcpap.com/pdf/DepPearls.12.05.18.pdf
MCPAP Obsessive Compulsive Disorder (OCD) Guidelines for PCPs clinical guideline OCD MCPAP https://www.mcpap.com/pdf/OCDGuidelinesFinal.pdf
Obsessive-Compulsive Disorder (OCD) Clinical Pearls for Primary Care Providers clinical resource OCD MCPAP https://www.mcpap.com/pdf/OCDClinicalPearlsFinal.pdf
CHILDREN’S  YALE-BROWN OBSESSIVE COMPULSIVE SCALE (CY-BOCS) scale OCD https://www.mcpap.com/pdf/CYBOCS.pdf
YALE-BROWN OBSESSIVE COMPULSIVE SCALE (CY-BOCS) scale OCD www.cnsforum.com https://www.mcpap.com/pdf/YBOCS.pdf
MCPAP Guideline for Primary Care: Evaluating and Managing Traumatic Stress Disorders clinical guideline PTSD MCPAP https://www.mcpap.com/pdf/PTSDGuidelinesFinal.pdf
Post-Traumatic Stress Disorder (PTSD) Clinical Pearls for Primary Care Providers clinical resource PTSD MCPAP https://www.mcpap.com/pdf/ClinicalPearlsPTSDFinal.pdf
Cigarettes & Vaping treatment tips clinical resource Substance Abuse Boston Children’s Hospital https://www.mcpap.com/pdf/vaping_external.pdf
Managing Alcohol Use for primary care pediatrics clinical guideline Substance Abuse MCPAP https://www.mcpap.com/Provider/docs/Managing-Alcohol-Use-in-Pediatric-Primary-Care.pdf
Drug Testing in Primary Care to monitor adolescents attempting behavior change clinical guideline Substance Abuse MCPAP https://www.mcpap.com/Provider/docs/Drug_Testing_in_Primary_Care.pdf

Websites

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