* The first section focuses on combining intervention approaches with diagnoses most often encountered in clinical practice (Developmental Coordination Disorder, Cerebral Palsy, Autism Spectrum Disorder, Developmental Disabilities, Regulatory Disorders and Mental Health Concerns). The second section covers the research evidence supporting the delivery of services using blended intervention approaches in different settings, the school, the hospital and the community * Unique in that it acknowledges the complexity of pediatric practice but then provides the reader with clearly articulated models to organize the information about the most encountered diagnoses in practice * The editors of this book have reviewed many pediatric occupational therapy books and presented the material nationally and internationally. They have received excellent reviews in terms of what is considered a unique approach to assessment and intervention

Key Features * Special attention is given to include widely applicable techniques that can be employed across a variety of domestic and international practice settings, complete with a wealth of accompanying videos and illustrations from real-world experiences that are easy to replicate and reference in practice . * Promotes a multidisciplinary approach to evaluation of the upper and lower airways in children with respiratory and aerodigestive pathology as the lines between pediatric pulmonology, otolaryngology, anesthesiology, surgery, critical care, and emergency medicine are blurring, thus providing well-equipped clinicians a thorough perspective of all disciplines. * Features bullet-pointed lists for pre-procedure evaluation with procedural checklists and photographs, and serves as a portable, compact and more amenable quick reference guide

With a heavily revised format in consideration of the recent DCH clinical examination changes, this new edition of the comprehensive revision guide provides the candidate with a definitive, one-stop revision resource. Familiarise yourself with the revised format of the examination, including revised timings Learn your revision needs through plentiful scenarios and worked examples Study using the wealth of detailed revision guidance, exam tips, diagrams, and practice cases Written by an experienced author team with extensive knowledge of the exam through its role teaching DCH courses, this title is currently the only revision guide that is focused on the clinical part of the DCH examination. Get Through DCH Clinical is essential reading and revision material for postgraduate candidates preparing for the clinical part of the DCH examination.

This textbook provides a comprehensive review of all the common and less often encountered pediatric and adolescent gynecology problems in daily practice, both in the ambulatory as well as in the surgical setting. This new edition has been updated to keep it closely aligned to what general gynecologists or family physicians will want to know when dealing with a paediatric or adolescent patient, with accompanying videos.

Key Features * Covers allergic diseases in general and asthma in detail, providing a comprehensive coverage of clinical features, diagnosis and management, using a case-based approach * Creates awareness of the fundamentals of clinical allergy, helping physicians make wise choices of medical and surgical management, especially in resource limited settings * Features insight from international authors with clinical experience in diagnosis and treatment of asthma in the specific age group of adolescents and young adults.

Human Placental Trophoblasts: Impact of Maternal Nutrition explores the vital roles of trophoblasts play in fetal growth and pregnancy, giving you new insight into the modulation of placental trophoblast functions by nutrients. It also reviews the role of fatty acids, folic acids, and specific vitamins in this aspect. The book highlights the critical role of nutrients on human placental development and its' in utero programming effects on the development of chronic diseases such as type 2 diabetes, cardiovascular diseases, hypertension, and obesity in later life. The book begins with discussions of the central process of placentation and its regulation on size and growth of the fetus. It also covers the effects of key macronutrients on placental growth, metabolism, transport, and secretory function. The text details important vitamins and few micronutrients and their roles in the feto-placental growth and development. It includes information on the influence of maternal lifestyle and environmental factors on regulation of the growth, metabolism and gene expression in the feto-placental unit. A review of the genes linked to the process of placentation rounds out the coverage. An examination of a broad range of evidence in the areas of placental growth, function, and its impact on feto-placental outcome, the book presents new knowledge on nutrition and its relevance with early human development. This includes not only the effects of maternal nutrients on possible neonatal growth and development but also their regulation by maternal lifestyle associated factors. A fine blending of epidemiology, clinical nutrition, perinatal and neonatal medicine, and biochemistry and molecular biology areas of research activities, the book helps you to understand the impact of maternal nutrition on placentation and its relevance with pregnancy outcome and fetal programming of adult health and disease.

It is commonly accepted that "exercise is good for children" but, considering the number of children worldwide exercising, we know comparatively little, compared to adults, about how specific mechanisms influence health and sports performance. There are considerable obstacles that challenge the progress of paediatric research, not least in relation to ethical and methodological considerations. Therefore, advances in the science and clinical application of paediatric exercise physiology, psychology and biomechanics have not reached their potential. Paediatric clinical exercise physiology has application to the role of exercise in the assessment and treatment of paediatric chronic diseases, the utilization of physical activity in preventing illness and enhancing wellbeing and can enhance our understanding of how sports can be made safer and more enjoyable for our young athletes. Exercise and Respiratory Diseases in Paediatrics highlights research by various methodologies, including literature reviews, experimental research and innovations, applied to children and adolescents with respiratory diseases. Chronic conditions such as asthma, bronchiectasis (e.g., cystic fibrosis), and those associated with prematurity and medical complexity are worldwide health problems for young people and although management includes pharmaceutical medications, physiotherapy, nutritional and psychological support, exercise has a role in optimising multidisciplinary care. There has been unprecedented acceleration in new technologies and methodologies that promise to facilitate paediatric research and these are explained and discussed as future research directions. This is reading for post graduate students, researchers, academics and policy makers within the field of paediatric healthcare, physical activity, physiology and the related disciplines.

This book follows a context-based approach to management of early-onset scoliosis (EOS) in countries with limited resources in education, finance, and research. Due to the great variety in etiology, onset age, progression rate, and severity associated with EOS, it calls for a unique treatment plan. This book enumerates the optimal provision of surgical and non-surgical services, from education/training of local surgeons, to effective teamwork, to implementing an effective data collection system; helping the surgeon to gain a hands-on experience. It also illustrates the successful execution of deformity correction using real life experiences from countries in Asia, Africa, and Latin America. Key Features Discusses biomedical principles that will help to get universally standard implants that are credible and affordable for countries with limited resources. Specific surgical Guidelines and the ability to develop evidence-based practice for this service would be an interesting read for surgeons working in global organizations as well as to local surgeons. First book to focus on countries with limited resources for the management of early onset scoliosis.

From Trauma to Harming Others shows the approach of professionals from the world-renowned Portman Clinic, which specializes in work with violence, delinquency and sexual acting out. This book focuses on the intricacies of working with young people who display such worrying behaviours. Written by experienced and eminent authors, the chapters unpack central theories and open up original ideas describing a range of work with sexual offenders, compulsive pornography users and violent young people. The central theme of the book is trauma and how acting out can be understood as a way of managing the psychic pain of such trauma. The chapters are ingrained with understandings from the classical psychoanalytic traditions of the Portman and Tavistock Clinics, together with more recent thinking about trauma, rooted in neurobiological, developmentally and trauma informed theories. They emphasize the need for awareness of both the victim of trauma and the perpetrator within the same person presenting for help, while panning treatment. With insights and examples from experienced clinicians, this book will be of value to all those working with traumatized, acting out young people.

Multicultural Child Maltreatment Risk Assessment provides detailed descriptions of child maltreatment assessment and key strategies for culturally informed risk assessment in families. The book presents a new model for evaluating families that includes cultural competence, a conceptualization of adequate parenting, and strategies for reflective decision making. Chapters address a range of factors including race, ethnicity, religion, gender, and sexuality. Ten case studies, each including discussion prompts, challenge the reader to apply forensic evaluation techniques for effective and ethical decision making in complex and ambiguous cases. Both experienced mental health providers and students will come away from the book with a deeper understanding of child maltreatment and its effects, models and modes of assessment, and factors that place families at greater risk.

Perinatal hospice is a novel form of care for an unborn child who has been diagnosed with a significantly life-limiting condition. In this book, Aaron D. Cobb develops a virtue-based defense of the value of perinatal hospice. He characterizes its promotion and provision as a common project of individuals, local communities, and institutions working together to provide exemplary care. Engaging with important themes from the work of Alasdair MacIntyre and Robert Adams, he shows how perinatal hospice manifests virtues crucial to meeting the needs of families in these difficult circumstances. As a work of applied virtue ethics, this book has important normative, social, and political implications for the creation and development of structured programs of care. It grounds the view that communities ought (i) to devote resources to ensure that these programs are widely available and (ii) to develop social structures that promote awareness of and accessibility to these forms of care. A Virtue-Based Defense of Perinatal Hospice will be of interest to philosophers working in bioethics and applied virtue ethics, as well as scholars in the fields of neonatology, nursing, palliative and hospice care, and counseling who are interested in the study of perinatal hospice.

Multicultural Child Maltreatment Risk Assessment provides detailed descriptions of child maltreatment assessment and key strategies for culturally informed risk assessment in families. The book presents a new model for evaluating families that includes cultural competence, a conceptualization of adequate parenting, and strategies for reflective decision making. Chapters address a range of factors including race, ethnicity, religion, gender, and sexuality. Ten case studies, each including discussion prompts, challenge the reader to apply forensic evaluation techniques for effective and ethical decision making in complex and ambiguous cases. Both experienced mental health providers and students will come away from the book with a deeper understanding of child maltreatment and its effects, models and modes of assessment, and factors that place families at greater risk.

In Stories from Child & Adolescent Psychotherapy author Henry Kronengold explores the unpredictable world of child and adolescent psychotherapy through a series of engaging and innovative clinical vignettes. The ups, downs, and dilemmas of therapeutic work are considered in each realistic narrative as readers are offered a unique view of what happens between the therapist and child, as well as the therapist's own process during the therapy. This captivating new resource is intended to spark a conversation within the reader, regardless of professional experience, regarding which therapeutic factors are ultimately most helpful to children and adolescents.

Working with Relational and Developmental Trauma in Children and Adolescents focuses on the multi-layered complex and dynamic area of trauma, loss and disrupted attachment on babies, children, adolescents and the systems around them. The book explores the impact of relational and developmental trauma and toxic stress on children's bodies, brains, relationships, behaviours, cognitions, and emotions. The book draws on a range of theoretical perspectives through reflective exercises, rich case studies, practical applications and therapeutic strategies. With chapters on wider organisational and systemic dynamics, strength-based practices and the intergenerational transmission of relational trauma, Karen Treisman provides a holistic view of the pervasive nature and impact of working with trauma. Working with Relational and Developmental Trauma in Children and Adolescents will be of interest to professionals working with children and families in the community, in-patient, school, residential, and court-based settings, including clinical psychologists, psychiatrists, social workers, teachers, and students.

In recent years there has been an increase in research into childhood depression, and it is now recognised that depression can severely impair young people in many aspects of their life, school, peer and social relationships, and frequently persists into adulthood.

Depression: Cognitive Behaviour Therapy with Children and Young People provides an accessible guide to recognising and treating depression in young people. Based on a successful manual developed for research trials, this book presents an overview of a cognitive behavioural model for working with this age group, as well as practical ideas about how to start therapy. Topics covered include:

• engaging young people
• setting goals for therapy
• cognitive behaviour assessment and formulation
• solutions for problems practitioners may face
• encouraging parents and agencies to support therapy.

Depression includes case examples and practical tips to prepare the practitioner for working with young people. Information is presented in a readable and practical style making this book ideal for professionals working in child and adolescent mental health services, as well as those in training. It will also be a useful guide for people working in community services for young people.

Online resources:

The appendices of this book contain worksheets that can be downloaded free of charge to purchasers of the print version. Please visit the website to find out more about this facility

Presents findings on the effects of hypnosis in reducing anxiety and pain in children with cancer and suggests that hypnotherapy offers real promise of pain relief without drugs.First published in 1991. Routledge is an imprint of Taylor & Francis, an informa company.

Infant, Child and Adolescent Nutrition: A Practical Guide, Second Edition, is an evidence-based, practical guide introducing readers to the theory behind optimal child nutrition. Containing practical advice on how to put that theory into practice, this new edition facilitates learning through case studies, key points, and learning activities. Divided into seven sections, chapters cover prenatal nutrition and nutrition throughout childhood from preterm babies to adolescents up to the age of 18. Sections throughout focus on topics ranging from nutrient requirements, balanced eating patterns and common problems to cultural influences on food choices and guidelines on assessing growth and dietary intakes. Prevention and management of obesity and allergies are covered in separate chapters. The first 1000 days are given particular consideration with chapters on diets for preconception, pregnancy, milk feeding and complementary feeding during infancy. The chapter on nutritional treatments covers common conditions such as diabetes and Crohn's disease, as well as more intricate feeding regimes and tube feeding required for children with rarer diseases and syndromes. New in this second edition are: * Changes in in food allergy prevention and oral immunotherapy treatments. * Causes and management strategies to deal with fussy and selective eating in toddlers. * The importance of iodine in diets before and during pregnancy to improve children's cognitive abilities. * Updated recommendations on vitamin D supplementation. This second edition is an essential reading for students taking courses in nutrition and paediatric healthcare. It serves as a useful reference for individuals responsible for the nutritional intakes of children in primary care and community settings including early years practitioners, midwives, health visitors, school nurses and governors, social workers, paediatricians and general practitioners. About the Author Judy More BSc, RD, RN is a Paediatric Dietitian, Honorary Lecturer at the University of Plymouth, UK and Director of Child-nutrition.co.uk Ltd, London, UK.

This textbook provides an overview of child and adolescent mental health. The text covers all core aspects on the subject, from the importance of knowing why mental health in children is important, to how to assess, formulate and treat a variety of presentations seen in children and young people. Beginning with an overview of conditions and the background to emotional and behavioural problems, the book examines the different models and tools used to assess and treat children and young people and provides an outline of the practitioners working to help this population. Chapters consider the many diverse identities and groups within the population, addressing specific problems encountered in children, young people and their families from different cultural backgrounds. This revised edition addresses issues of current public debate such as gender identity and the role of social media in children's and young people's development and behaviour. Featuring authors from a variety of clinical and research backgrounds, this fully revised third edition is an important resource for all professionals working with children, young people and their families, including student and practitioner psychiatrists, clinical psychologists, mental health nurses and social care specialists.

Nutrients play a significant role in brain development throughout fetal and postnatal life. This book reviews the evidence from animal and human research, highlighting the influence of specific nutrients on brain function and cognitive development. With a unique, integrative approach to the nutritional, environmental, and genetic influences on brain development, the book examines issues such as single versus multiple limiting nutrients, critical periods of deficiency, and the impact of the child-parent relationship on the architecture of the developing brain. The effect of undernutrition on the developing brain of infants and young children can be devastating and enduring. It can impede behavioural and cognitive development and educability, thereby undermining future work productivity. Chapter authors are experts in this field of research and provide an up-to-date insight into the role of the individual nutrients in brain development and function.

This title includes a number of Open Access chapters. Nutrition is not only a basic need that all humans have to sustain life, but it is also critical to successful early development. This research compendium lends deeper insights into the links between nutrition and healthy brain function-and from the reverse perspective, between nutrition and neurocognitive disorders. This well-organized and accessible compendium offers a vital research context for policymakers, educators, medical providers, and families. It underlines our urgent responsibility to give children a strong start by improving prenatal and early childhood nutrition.

This title includes a number of Open Access chapters. This collection of timely chapters presents a nuanced study of environmental toxins and the risks they pose to children's development. The book details the impact of a number of commonplace environmental toxins, focusing on everyday exposure to tobacco smoke, lead, pesticides, and flame retardants. There is growing recognition that the impact of the environment on children's health is of critical importance for both current and future generations. In the last half-century, thousands of chemicals have been introduced into the environment with limited-although growing-research on the consequences of exposure. It has been proven that children and adolescents are far more vulnerable than adults to these environmental toxins by virtue of children's behaviors, higher metabolic rate, greater skin area relative to their volume, and still developing organ systems. Increased number of ear infections, poor asthma control, and learning disabilities are just some of the adverse outcomes that have been noted. This well-researched book: * Presents detailed information on why children are more vulnerable to everyday toxins * Discusses why new approaches to medical care are necessary that take into account children's unique physiology and development * Offers well-defined research on tobacco smoking on prenatal development as well as children's exposure to tobacco smoke during their early years, particularly the evidence of asthma and asthma-like symptoms * Examines the possible health effects of children born to mothers living in areas of natural gas development * Looks at the health effects of childhood exposure to environmental lead, using GIS technology to study areas of potentially high lead concentrations * Discusses the possible effects of agricultural pesticides on children's health during gestation * Presents studies on prenatal and adolescent exposure to PBDEs used as flame retardants in many household and commercial products to prevent fire This valuable book, edited by a pediatric clinician at Boston's Children's Hospital, provides a wealth of information on this important issue. The book concludes with an article by the World Health Organization, which offers a practical and comprehensive summary of a series of action steps. The book aims to create greater awareness to spur additional research, provide vital information to clinicians, and send a powerful message to government officials, putting pressure on them to develop policies that improve the quality of the environment and spare children the detrimental effects of such exposures.

This title includes a number of Open Access chapters. Child obesity is a serious condition that affects children around the world in growing numbers. With obesity comes an increased risk of other chronic diseases as well, making it even more important to understand and treat this condition from a variety of angles. This current volume seeks to understand the phenomenon of child obesity and presents a range of viewpoints on its prevalence, causes, and treatments. The different sections contained within explore the following topics: * The worldwide prevalence of childhood obesity and its growing effect on children * The causes of childhood obesity and the complex interactions of genetic, environmental, social, and medical factors that contribute to its development * Proposed treatments, some intervention-based and others that aim to change how food is marketed and sold to youth This reference volume offers a comprehensive and thorough guide to a field that is rapidly expanding and points to new directions in research and public policy. Edited by a doctor with extensive experience as a researcher, writer, and medical practitioner, The Childhood Obesity Epidemic is an authoritative and easy-to-use reference that provides resources for researchers in the field, students, and anyone who wishes to gain an overview to this important field of study.

This title includes a number of Open Access chapters. Childhood obesity is a major public health crisis nationally and internationally. This insightful compendium provides valuable information and assesses the research foundations behind several school initiatives to help combat the epidemic of obesity in children and adolescents, particularly using interventions to increase physical activity. The book looks at the issue from three levels: first, the effects of unhealthy eating and lack of exercise on a number of health outcomes in children and adolescents; second, successful small- and large-scale school-based interventions; and finally, synthesis of current literature and translation into specific guidelines and recommendations. Specific topics addressed in the book include: * The appeal and benefits of outdoor versus indoor activity * Cultural differences in physical activity * Successful interventions and their continued success, or lack of, after several years * The roles of family and community interventions * Staff involvement in children's physical activities * Specific programs, such as Plant Health, an antismoking intervention with unintended obesity intervention * Establishing healthy habits in youth This research provides schools with a strong foundation for implementing policies and practices that support healthy eating and regular physical activity. In the process, educators will be ensuring the best possible chance for increasing students' academic success, improving both physical and mental health, and decreasing the risk for myriad chronic diseases.

This title includes a number of Open Access chapters. Research into the effects of child abuse has experienced an explosion over the last few decades, resulting in a far more wide-ranging understanding of this grave societal problem. This compendium volume collects some of the most recent research and organizes it within three categories: societal effects, effects on health (including mental health) behaviors, and epigenetic effects. Specific topics include the associations between childhood abuse and the following factors: Juvenile sexual offending Juvenile delinquency Adult aggression Cognitive development Adult smoking Sleep patterns Suicidal behaviors Psychopathology Epigenomic mechanisms Edited by a Harvard developmental behavioral pediatrician, this important compendium offers state-of-the-art knowledge to professionals and graduate students in the helping fields. The articles collected here provide researchers with foundations for further investigations, while they give active professionals greater power in the fight against child abuse.

Key Features * Special attention is given to include widely applicable techniques that can be employed across a variety of domestic and international practice settings, complete with a wealth of accompanying videos and illustrations from real-world experiences that are easy to replicate and reference in practice . * Promotes a multidisciplinary approach to evaluation of the upper and lower airways in children with respiratory and aerodigestive pathology as the lines between pediatric pulmonology, otolaryngology, anesthesiology, surgery, critical care, and emergency medicine are blurring, thus providing well-equipped clinicians a thorough perspective of all disciplines. * Features bullet-pointed lists for pre-procedure evaluation with procedural checklists and photographs, and serves as a portable, compact and more amenable quick reference guide