No greater obligation exists for child and adolescent psychiatrists than understanding how to take care of the most complex youths-those with serious emotional disorders (SEDs), co-occurring conditions, and multi-system involvement. Child and adolescent psychiatrists have the highest levels of training to assess the confluence of biological, environmental, and psychological factors affecting youths with complex behavioral health needs and to guide their treatment. With allied professionals expanding their capacity to take care of more straightforward behavioral health concerns, a clear domain of the child and adolescent psychiatrist becomes consultation, and at least a familiarity with working directly with the youths that are hardest to treat. Thus, it is vital that child and adolescent psychiatrists have an understanding of the treatment modalities available to treat youths with SED and complex behavioral health needs.
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