An overview of childhood traumatic exposures and their impact for health care providers - child and adolescent psychiatrists, general psychiatrists, other pediatric behavioral health providers and primary care clinicians - is presented. Most clinicians are unaware that children in the United States are exposed to trauma frequently, either as a single occurrence, or through repeated events. These exposures result in neurobiological, developmental and clinical sequelae that can undermine children's health and well-being. This issue describes the multiple types of traumatic exposures and their sequelae, methods of screening and assessment, and principles of effective prevention and clinical treatment. The volume highlights areas of particular relevance to children, such as natural disasters, war, domestic violence, school and community violence, sexual victimization, and complex trauma. Each is differentiated as a unique trauma, requiring trauma-informed systems of care to effectively meet the needs of the exposed population. Since traumatic exposure results in added risk to child well-being, the third section of the volume describes strategies for primary prevention (e.g. violence prevention) and risk mitigation (e.g. skill and resilience building strategies), as well as reviews evidence based treatments for trauma-induced clinical disorders.

Grief and bereavement are a universal part of the human experience. The impact of grief on human lives is increasingly evident as the COVID-19 pandemic, environmental disasters, and—in the United States in particular—gun-related violence upend normal life and expose vast swaths of society to recurring and profound trauma. It was only in 2022, with the publication of DSM-5-TR and in the context of considerable scientific progress, that prolonged grief disorder (PGD) was included as a formal diagnosis, one also reflected in ICD-11. Now, this new handbook provides both clinical and non-clinical readers with a science-based approach to identifying and addressing PGD, along with what might be termed "normal" grief. In extensively referenced chapters filled with illustrative case studies, this guide examines topics such as • What constitutes bereavement • How "simple" bereavement differs from PGD and how to manage them clinically • Grief in children and the importance of a life cycle approach • Cultural factors and their impact on the experience of grief • Stigma and attitudes toward treatment • Diagnosing and treating PGD With consequences that include suffering, social isolation and loneliness, poor physical health, shortened life expectancy, and suicide, it is critical that PGD be recognized and treated as quickly as possible. Thus, Grief and Prolonged Grief Disorder is a necessary resource: Its evidence-based approach gives readers the tools they need to recognize grief in themselves and others, strategies for the clinical management of typical grief, guidance on the specific treatment for PGD, and tips on when to refer patients for specialty care.

Care of Military Service Members, Veterans, and Their Families serves a critical need, which has been highlighted by recent reported rates of combat-related stress disorders and traumatic brain injury, as well as increases in suicide rates among service members and veterans over the past decade and the distress and challenges faced by their children and families. More than 2.5 million Americans currently serve in the U.S. military on active duty, in the Reserves, or in the National Guard, and more than 20 million civilians are veterans. Although patients are viewed here in the context of military service, they seek health care in military, veteran, and civilian settings, and their mental health concerns are as diverse as those encountered in the civilian population. This book is designed for clinicians in all care settings and provides thorough coverage of U.S. military structures and cultures across the armed services, as well as detailed material on the particular mental health challenges faced by service members and their families. • A full overview of the military lifestyle is provided, including the life cycle of the military (recruitment to retirement), service subcultures (Navy, Army, Marines, Air Force, and Reserve and Guard components), challenges of military life for service members and families (moves, deployments, etc.), and military mental health. Material on military culture provides insight for practitioners who may not be familiar with this population. • The book focuses on collaborative care, particularly between the military health care system and the Veterans Administration, providing clinicians with strategies to mitigate stigma and other barriers to care through mental health service delivery in primary care settings. • The incidence of traumatic brain injury among service members has increased because of the use of improvised explosive devices, and an entire chapter is devoted to diagnosing and treating these injuries as well as educating patients and their families on the condition. • The families of service members face significant challenges, and several chapters are devoted to the needs of military children, the families of ill and injured service members and veterans, deployment-related care, and caring for the bereaved. The book's comprehensive review of resources available to military service members, veterans, and families both ensures high-quality care and reduces the workload for treating physicians. Care of Military Service Members, Veterans, and Their Families is an authoritative and much-needed addition to the mental health literature.