proton jumbuck operations manual

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proton jumbuck operations manualThe 13-digit and 10-digit formats both work. Please try again.Please try again.Please try again. Additionally, Eric P. Hazen, Mark A. Goldstein, and Myrna Chandler Goldstein have compiled two practical appendices-one provides a list of resources, organizations, books, websites, and phone numbers for further information and support. By recognizing the early symptoms of a psychiatric disorder, adults may be able to save a teen's life. Mental Health Disorders in Adolescents offers real options to anyone searching for ways to help at-risk teens. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Register a free business account He practices at Massachusetts General Hospital and Newton-Wellesley Hospital, where he is the chief of the division of child and adolescent psychiatry. MARK A. GOLDSTEIN, M.D. is the founding chief of the adolescent and young adult division at the Massachusetts General Hospital and assistant professor of pediatrics at Harvard Medical School. He is the author of numerous books and editor of The MassGeneral Hospital for Children Adolescent Medicine Handbook.MYRNA CHANDLER GOLDSTEIN, M.A, is an independent scholar, journalist and author of numerous books and articles, including Healthy Foods: Fact versus Fiction Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. Please try again later. Amazon Customer 5.0 out of 5 stars I found this book would have been a great starting place for understanding teens, their problems and their possible disorders. I like that the author admits these are not simple to diagnose.

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The book made sense and gave good direction for those seeking answers, and the credentials of the authors in terms of backgrounds and experiences appear to be impeccable. Please head to Gale International site if you are located outside of North America. If you are located in the USA or Canada please visit the Gale North American site. We apologize for any inconvenience and are here to help you find similar resources. We offer many other periodical resources and databases that have been recently enhanced to make discovery faster and easier for everyone. Discover our premier periodical database Gale Academic OneFile. Some features of WorldCat will not be available.By continuing to use the site, you are agreeing to OCLC’s placement of cookies on your device. Find out more here. However, formatting rules can vary widely between applications and fields of interest or study. The specific requirements or preferences of your reviewing publisher, classroom teacher, institution or organization should be applied. Please enter recipient e-mail address(es). Please re-enter recipient e-mail address(es). Please enter your name. Please enter the subject. Please enter the message. Author: Eric P Hazen; Mark A Goldstein; Myrna Chandler Goldstein; Michael S JellinekOne appendix provides a list of resources, organizations, books, websites, and phone numbers.One appendix provides a list of resources, organizations, books, websites, and phone numbers.Please select Ok if you would like to proceed with this request anyway. One appendix provides a list of resources, organizations, books, websites, and phone numbers.All rights reserved. You can easily create a free account. Groups Discussions Quotes Ask the Author Additionally, Eric P. Hazen, Mark A. Goldstein, and Myrna Chandler Goldstein have compiled two practical appendices-one provides a list of resources, organizations, books, websites, and phone numbers for further information and support. Mental Health Disorders in Adolescents offers real options to anyone searching for ways to help at-risk teens. To see what your friends thought of this book,This book is not yet featured on Listopia.There are no discussion topics on this book yet. Readers will find comprehensive information about when and how to seek help and the kinds of treatments that are available, and information on specific disorders, including symptoms and warning signs, diagnostic evaluations, treatment options, prognosis, and associated risks. He practices at Massachusetts General Hospital and Newton-Wellesley Hospital, where he is the chief of the division of child and adolescent psychiatry. MARK A. GOLDSTEIN, M.D. is the founding chief of the adolescent and young adult division at the Massachusetts General Hospital and assistant professor of pediatrics at Harvard Medical School. He is the author of numerous books and editor of The MassGeneral Hospital for Children Adolescent Medicine Handbook.MYRNA CHANDLER GOLDSTEIN, M.A, is an independent scholar, journalist and author of numerous books and articles, including Healthy Foods: Fact versus Fiction All Rights Reserved. A strong support network is important for all individuals involved. The stresses and strains will impact your family similar to any other disease or illness and should be treated the same, with love and unconditional support. Education on mental health can help change the conversation and the more we do so, the better we can support those we care for. We wanted to highlight some other places where you might find information that suits your needs. Many different resources are available for all common mental health illnesses. We also provide resources for adults with eating disorders. People in mind include health professionals, people with lived experience with mental illness, and their family and friends. Many other North American cities have a similar program, check with your regional healthcare provider. This website has three key sections: find, explore and connect. Information about mental health is divided into relevant sections, making this website very user friendly. This site also has information on a variety of youth-related issues, as well as resources: a list of organizations and websites where you can get help. Here are the fact sheets that relate to youth and mental illness. Calgary, AB T2T 5C7 (403) 955-8467 But you can send us an email and we'll get back to you, asap. Learn more about how to host, give or attend a talk on childhood mental health disorders and issues. Provides information on causes and what happens to abused and neglected children. A public education pamphlet. 1997. It includes discussion of issues particular to disabled youth, same-sex relationships and cultural beliefs. Browse articles, guides and other resources by topic. Lea nuestros recursos en espanol. Aprenda mas Telehealth in an Increasingly Virtual World Read Our Report For Educators For Educators Insights on learning, behavior, and classroom management techniques. Tips to help all kids succeed. About Our Research Go to Center for the Developing Brain Meet the Research Team Initiatives Clinical-Research Integration Healthy Brain Network Computational Neuroimaging Lab Data-Sharing and Open-Source Initiatives CrisisLogger Technology Transfer Programs Sarah Gund Prize Endeavor Scientists Program Rising Scientist Scholarships On the Shoulders of Giants Scientific Symposium Technology Development Vision Learn More Our Impact Our Impact We transform lives with compassionate clinical care, innovative research, high-impact awareness campaigns, free online resources, and direct action in schools and communities. Go to Our Impact Go to Our Stories Go to Trauma Resources A Decade of Advancing Children’s Mental Health Read our Report Get Involved Get Involved It takes a community of friends, supporters and advocates to transform children’s lives. We need your help and invite you to take action with us! Start now. Go to Get Involved How You Can Help Connect Share Shop Ways to Give Partner With Us Discover our extraordinary impact Learn More Give The Child Mind Institute, Inc., is a 501(c)(3) organization. Make a one-time gift or a monthly sustaining gift. Your contributions are fully tax-deductible. Explore Ways to Give Table of Contents Parents Guide to Getting Good Care Does My Child Need Help. Where to Go for Diagnosis Help What Should I Look for in Diagnosis. Who Can Assist With Treatment. Pre-Treatment Questions to Ask Your Doctor How Do I Know if I’m Getting Good Treatment. What if My Child Has Multiple Disorders. What About Problems With Diagnosis or Treatment. What About Alternative Treatment Options. What Should I Do if My Child Has Learning Issues. How Do I Get School Services for My Child. And if you do seek help, what kind of professional, and what kind of treatment, are right for your child. In this guide we take you through the steps to finding the best professional (or team) for your child, and the most appropriate treatment for the disorder or disability. Along the way, we offer things to look for and questions to ask to ensure that you're getting quality care your child deserves. Does My Child Need Help. We all worry about our kids. Sometimes our worries are about whether they are developing in a healthy way. (Should he be talking by now?) Or about whether they are happy—we don’t like to see them sad or suffering. And sometimes we worry because a child’s behavior is causing problems for him—or for the whole family. One of the challenges of parenting is knowing when a worry should prompt action. How do you know when to get help for a child who is struggling. Keep in mind that there is a lot of variation in how kids develop, and a broad range of behavior that’s typical and healthy (if sometimes troublesome) as children grow up. So you don’t want to overreact. But when the behaviors you worry about are seriously interfering with your child’s ability to do things that are age-appropriate, or your family’s ability to be comfortable and nurturing, it’s important to get help. Here are some things mental health practitioners recommend you consider in deciding whether a child needs professional help. What are the behaviors that are worrying you. To evaluate your situation clearly, it’s important to observe and record specifically the things you are concerned about. Try to avoid generalizations like “He’s acting up all the time!” or “She’s uncooperative.” Think about specific behaviors, like “His teacher complains that he can’t wait for his turn to speak,” or “He gets upset when asked to stop one activity and start another,” or “She cries and is inconsolable when her mother leaves the room.” How often does it happen. If your child seems sad or despondent, is that occurring once a week, or most of the time. If he is having tantrums, when do they occur. How long do they last. Since many problematic behaviors—fears, impulsiveness, irritability, defiance, angst—are behaviors that all children occasionally exhibit, duration and intensity are often key to identifying a disorder. Are these behaviors outside the typical range for his age. Since children and teenagers exhibit a wide range of behaviors, it can be challenging to separate normal acting up, or normal anxiety, from a serious problem. It’s often useful to share your observations with a professional who sees a lot of children—a teacher, school psychologist, or pediatrician, for instance—to get a perspective on whether your child’s behaviors fall outside of the typical range for his age group. Is he more fearful, more disobedient, more prone to tantrums, than many other children? (See our Parents Guide to Developmental Milestones for children five and under.) How long has it been going on. Problematic behavior that’s been happening for a few days or even a few weeks is often a response to a stressful event, and something that will disappear over time. Part of diagnosing a child is eliminating things that are short-term responses, and probably don’t require intervention. How much are they interfering with his life. Perhaps the biggest determinant of whether your child needs help is whether his symptoms and behaviors are getting in the way of his doing age-appropriate things. Is it disrupting the family and causing conflict at home. Is it causing him difficulty at school, or difficulty getting along with friends. If a child is unable to do things he wants to do, or take pleasure in many things his peers enjoy, or get along with teachers, family members and friends, he may need help. Where to Go for Diagnosis Help If you’ve determined that your child’s behaviors, thoughts, or emotions might call for attention, your next move is to consult a professional. But where should you go. A potentially bewildering range of mental health providers are out there, and not all of them are the best people to go to for an evidence-based assessment and sound diagnosis. Where to start depends on the makeup of your child’s current healthcare team and the services available in your area. Not all of the specialists below will deliver a diagnosis, but many of them (pediatrician, school psychologist) can be valuable in the process of getting an accurate diagnosis that will help your child. (See our Guide to Mental Health Specialists for information about the types of specialists who treat children, their training and the kind of services they provide.) Where do I start? For most parents, consulting your family doctor is the first step. While medical doctors are not required to have substantial training in mental health, many do diagnose and treat psychiatric disorders, and others may be able to refer you to a specialist who can. The advantage to going to the pediatrician is that she already knows your child and your family, and she sees so many children, she can be adept at recognizing when behavior is beyond the typical range. She can also do medical testing to rule out possible non-psychiatric causes of troubling symptoms. The disadvantage is that your pediatrician may have limited experience in diagnosing psychiatric and developmental disorders and most don’t have time to do the kind of careful assessment that is important for an accurate diagnosis, given that many common problem behaviors in children—i.e. inattention, tantrums, disruptive behavior—can be caused by several different psychiatric or developmental disorders. Best practices in diagnosing children include using rating scales to get an objective take on symptoms, and collecting information from multiple sources, including the child, the parents, caregivers, teachers, and other adults. (Effective diagnosis of very young children requires extra measures, discussed here.) You should be upfront with your doctor and ask if she is comfortable and knowledgeable concerning mental illness. Ask for a referral or seek out another clinician if you are not comfortable with what your doctor offers. A developmental and behavioral pediatrician is a pediatrician who has completed additional training in evaluating and treating developmental and behavioral problems. Their expertise may make them a good choice for children with complicated medical or developmental problems. A child and adolescent psychiatrist is a medical doctor with specialized training both in adult psychiatry and psychiatric diagnosis and treatment in young people. They are equipped to diagnose the full range of psychiatric disorders recognized in the Diagnostic and Statistical Manual (DSM). A clinical child psychologist has a PhD or a PsyD as well as supervised clinical experience evaluating and treating kids with mental illness. Psychologists are trained to diagnose the whole range of disorders, and can coordinate other necessary evaluations. Neuropsychologists specialize in the functioning of the brain and how it relates to behavior and cognitive ability. Pediatric neuropsychologists do postgraduate training in testing and evaluation. Your child might be referred to a neuropsychologist for an assessment if your concerns include issues of focus, attention, problem-solving, or learning. Neuropsychologists can determine the likely cause of these problems—whether they are psychiatric symptoms, or symptoms of a learning or developmental disorder—in much the same way other specialists can rule out medical causes. Neurologists are medical doctors who specialize in the nervous system; a referral for neurological assessment aims to determine whether symptoms are the result of nervous system disorders, such as seizures. School psychologists can diagnose mental health disorders, but more frequently a school psychologist will serve as a repository of information from school reports and perhaps as a coordinator for a larger intervention team for your child. A school psychologist, much like a pediatrician, is a great place to start with your concerns, get advice, and, perhaps, a referral. A social worker is often one of the first people a child will see if he is having difficulty in school or is referred to a mental health facility. Licensed clinical social workers are extensively trained to assess the needs of a child and his family needs, diagnose psychiatric problems, and develop a treatment plan with the family. LCSW’s are skilled in finding ways to address issues and to explore why they are happening. School counselors are mental health professionals who practice in school settings, working with students and families to maximize student well-being and academic success. Counselors are often the central point of contact for school staff involved in an individual case, and they are able to make referrals. What questions should I ask about diagnosis. When looking for a mental health specialist to provide a diagnostic evaluation for your child, you’ll want to be prepared with questions that will help you decide if a particular clinician is a good match for your needs: Can you tell me about your professional training. Are you licensed, and, if so, in what discipline. Are you board certified, and, if so, in what discipline. How much experience do you have diagnosing children whose behaviors are similar to my child’s? How do you arrive at a diagnosis. What evidence do you use. When do you consult with other professionals. Do you provide the treatments you recommend, or do you refer to others. What if there are no mental health specialists in the area. It is a frustrating fact for far too many families in this country that adequate mental health services are not readily, or even realistically available. This is one reason that so much of the burden of caring for children with psychiatric and learning disorders has fallen to primary care doctors, even if their training isn’t always adequate for a child’s needs, especially in complex cases. Luckily, many state health services have begun to address this problem through telepsychiatry—giving local family doctors access to consultation with trained psychiatrists via telephone or internet. If you are having trouble finding someone competent to evaluate and perhaps diagnose your child, ask your pediatrician or any mental health provider you are in contact with if they can research getting a consultation from a remote service. If that is not available, it may be well worth the time and effort to go to an appropriate center some distance away to get an excellent evaluation and treatment plan that can be taken back for implementation by clinicians closer to home. What Should I Look for in Diagnosis. There are no blood tests or the like for psychiatric and learning disorders, so the diagnosis depends on a detailed picture of a child’s moods, behaviors, test results, etc. So a clinician depends on the information she gets from the child, parents, teachers, and other adults who have knowledge of him. A good clinician will ask you detailed questions about your child’s behavior, diagnosis symptoms, as well as her developmental history and your family’s history. She will also use tools designed to help get an objective take on those behaviors and symptoms. Some of these tools take the form of structured interviews, in which a clinician asks a set of specific questions about a child’s behavior. The clinician’s questions are based on the criteria for each psychiatric disorder in the Diagnostic and Statistical Manual, adapted for children. The answers are then used to determine if the child meets the criteria for a particular disorder. For instance, a clinician might use something referred to as ADIS (Anxiety Disorders Interview Schedule), or the K-SADS (Kiddie Schedule for Affective Disorders and Schizophrenia) to determine whether a child should be diagnosed with one or more psychiatric disorders. Some of the tools used to aid in diagnosis help are rating scales, in which the child is rated numerically on a list of symptoms. For instance, BASC (Behavior Assessment System for Children) is a set of questions that are customized for parents, teachers, and the patient, to utilize multiple perspectives to help understand the behaviors and emotions of children and adolescents. While this scale is not used as a diagnostic tool, it can alert clinicians to areas that are elevated (anxiety, conduct problems, depression) which may indicate that further exploration of a specific area is necessary. For children who may have ADHD, tools commonly used include the SNAP rating scale for teachers and parents, which scores kids on how often each of a list of a 18 symptoms occur. On the other hand, the CPT (Continuous Performance Test), which rates a child’s ability to complete a boring and repetitive task over a period of time, is the gold standard for differentiating kids whose inattention is a symptom of ADHD rather than some other cause, such as anxiety. A-DOS (the Autism Diagnostic Observation Schedule) is a set of tasks that involve interaction between the tester and the child which are designed to diagnose autism. These are just some examples of the kinds of tools qualified diagnosticians use to identify disorders. Most important: Do not accept treatment from a clinician who does not offer a diagnosis for your child. Just as a headache can be caused by many different things, worrisome behavior or moods can be symptoms of a range of psychiatric and developmental disorders. It’s a mistake to try medications to see if they work on the symptoms without a diagnosis that’s clearly explained to you, and based on substantial evidence. What are some questions I should ask. When looking for a mental health specialist to provide an evaluation for your child, you’ll want to be prepared with questions that will help you decide if a particular clinician is a good match for your needs: What kind of training do you have. How will you involve the family in the treatment. If your child has an anxiety disorder, such as OCD, separation anxiety disorder, or a specific phobia: Do you do exposure therapy? (The answer should be yes.) How much experience do you have diagnosing children whose behaviors are similar to mine. How do you arrive at a diagnosis. What are the recommended treatment options and where should I go. Once you have a diagnosis for your child, it’s time to think about treatment options. In some cases the clinician who did the diagnosis will be a good choice for treatment; in other cases you will need to find a different kind of practitioner. Either way, your primary care practitioner or the diagnosing clinician can be a good place to start the search. A licensed clinical social worker at your child’s school or a mental health facility may play a key role in coordinating care for your child and linking you with other professionals on the treatment team. Through ongoing monitoring, the LCSW helps you evaluate your child’s progress, access necessary services, and address issues as they develop. Before you decide who to work with, get informed. You’ll want to find out what the first-line treatment recommendations are for your child’s disorder, and make sure that the clinician you choose has both training and experience in that treatment. For instance, for many anxiety and mood disorders, there are very specific kinds of behavioral therapies tailored to specific disorders. (For a list of such evidence-based therapies and what they are used for, see our Guide to Behavioral Treatments.) The techniques are not interchangeable: The right clinician for you will be one who has experience in the particular therapy your child needs. If your child would benefit from medication, it’s crucial that you ask if your primary care doctor or psychiatrist who prescribes it actually has experience with that type of medication. Success with psychotropic medications depends on the right dosage, which can take considerable effort to establish, as well as expert monitoring as a child changes and grows. This process takes time and patience; if your doctor is too busy to work with you until the medication is successful, and to monitor your child to see that it stays successful, you should look for another practitioner. Please know that, in many cases, treating psychiatric disorders may begin with behavioral or environmental interventions, before medications. However, only a skilled clinician can properly explain the order in which treatments should be started and continued. Above all, you want to work with professionals who communicate effectively with you, explain clearly what they are offering, listen to your concerns, answer your questions, and pay close attention to your child’s particular needs and behaviors. Here are some specific examples of the kinds of professionals who may help in treatment for your child: Learning disorders like dyslexia: If you’ve had a neuropsychological evaluation of your child, and his learning challenges have been identified, you will want to find professionals who can help him build on his strengths and compensate for his weaknesses. He may qualify for an IEP (Individualized Education Plan), which spells out the support the school district is obligated to provide. In addition to whatever help is provided by school-based professionals, you may want to enlist a learning specialist (or educational therapist ), who works with a child to build skills and devise strategies for learning in whatever way works best for him. If he needs help with reading or math-related skills, there are specialists who work on those areas. If he is weak in executive functions, the specialist works with him to structure his time and keep track of the schoolwork he needs to do. Sometimes a tutor is useful for a student weak in a particular subject area, and a homework helper can help an unfocused or disorganized student stay on top of his work. If he qualifies for an IEP, it will outline the support the school district is obligated to give him. Though navigating the world of IEP negotiations can be difficult, the Individuals with Disabilities Education Act (IDEA) is firm on the provision of accommodations to children who qualify. If these cannot be provided at your child’s school, it is within your rights to find them elsewhere. Mood disorders like anxiety or depression: For children with anxiety disorders, such as social anxiety disorder or separation anxiety, the first-line treatment is usually behavior therapy. A psychologist works with both the child and the parents using a treatment protocol that is evidence-tested for his specific disorder. OCD and disorders related to it may be managed in a similar fashion. If a child is anxious or depressed enough to need medication, usually in addition to the behavior therapy, a psychiatrist or pediatrician prescribes medication and works with the child’s psychologist to monitor his progress. It’s important to make sure that whoever is doing the prescribing has experience with the medication and children similar to yours, and enough time to work with you to manage it successfully. Since behavior therapy uses very specific techniques that are not necessarily intuitive, it’s important that your psychologist be trained and experienced in the particular therapy that’s appropriate for your child. More often than not, evidence-based behavior or cognitive behavior therapies are manualized and time-limited—that is, procedures are spelled out very specifically—so a therapist should be able to explain clearly what will be expected of both you and your child, and the duration of treatment. Developmental disorders like autism: For children diagnosed with autism spectrum disorder, treatment usually begins as early as possible with applied behavior therapy, to help kids build social and communication skills that they’re not developing naturally. Psychologists with training in behavior therapy (including ABA ) will usually work with children and teach parents how to continue the therapy in between sessions. Children with autism or developmental delays often work with occupational therapists or physical therapists to build motor skills that are lacking. Children with developmental disorders, including autism, often have sensory processing challenges, which cause them to be unusually sensitive to sounds, lights, and other stimuli, or be under-stimulated by their senses.

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