Publications by authors named "Adam J Sagot"

Historically providing specialized advocacy training to Child and Adolescent Psychiatrists (CAP) beyond traditional medical education has been ambiguous at best. This is alarming particularly in light of the National Emergency in Child and Adolescent Mental Health and the increasing concern about health inequities resulting from social determinants of health (SDH). While Graduate Medical Education (GME) programs are adopting advocacy curricula, the authors argue that the shortage of trained CAPs and the growing need for advocacy makes it essential to focus on advocacy training that targets patients, organizations, or entire populations.

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Article Synopsis
  • All U.S. jurisdictions have laws to protect children from abuse and neglect, granting immunity to mandated reporters, like health professionals, who report suspected cases in good faith.
  • Medical child abuse (MCA), also known as Munchausen syndrome by proxy, complicates reporting due to ambiguous origins and potential caregiver deception, leading clinicians to sometimes face difficult decisions about reporting.
  • The article reviews legal cases related to good-faith reporting of MCA and finds that there have been few instances where the immunity protection for reporters has been challenged or revoked.
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Over the last year, the coronavirus disease 2019 (COVID-19) pandemic has resulted in profound disruptions across the globe, with school closures, social isolation, job loss, illness, and death affecting the lives of children and families in myriad ways. In an Editors' Note in our June 2020 issue, our senior editorial team described this Journal's role in advancing knowledge in child and adolescent mental health during the pandemic and outlined areas we identified as important for science and practice in our field. Since then, the Journal has published articles on the impacts of the pandemic on child and adolescent mental health and service systems, which are available in a special collection accessible through the Journal's website.

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