Behavioral Approaches to Chronic Disease in Adolescence

A Guide to Integrative Care

Edited by William O'Donohue and Lauren Woodward Tolle

Adolescence is typically fraught with problems, even under optimal conditions. And when chronic illness is added to the picture, medical and related social issues can complicate, and even disrupt, the course of development. The first text geared toward the integrated care setting, Behavioral Approaches to Chronic Disease in Adolescence offers clinicians an evidence-based guide to helping their young clients manage their chronic conditions and treating the psychosocial effects-from school problems and stigma to noncompliance and depression-that frequently follow diagnosis.

Expert contributors present up-to-date information on epidemiology, symptoms, comorbid psychosocial problems, and treatment options for a variety of common illnesses, arranged to foster effective interventions for adolescents and efficient collaboration with other care providers in the team. Coverage is comprehensive, authoritative, and accessible, ensuring best practice while respecting each client's individuality:

• Empirically-based treatment guidelines for illnesses commonly found in youth, including Type 1 and 2 diabetes, asthma, cancer, obesity, and chronic pain.

• Overview of the physiology of adolescence, particularly as it may be affected by medical conditions, and of adolescent brain development.

• Latest findings on the role of families in teens' adjustment to illness and treatment.

• Cultural considerations affecting ethnically diverse clients and their families.

• Detailed discussions of ethical issues relevant to treating chronically ill young people, and of controversies involving pharmacotherapy with this population.

• Chapters contain usefulhandouts for clinicians and clients

• "Taking Care of the Practitioner" chapter with helpful strategies for avoiding burnout.

Its emphasis on specific practical information makes Behavioral Approaches to Chronic Disease in Adolescence a "go-to" reference for health psychologists, child and adolescent mental health practitioners, pediatricians and family practitioners, and clinical social workers.

Autorentext
William T. O'Donohue, Ph.D. is Professor in the Department of Psychology and Adjunct Professor in the Department of Psychiatry at the University of Nevada, Reno. From 1999 through 2005 he was Nicholas Cummings Professor of Organized Behavioral Healthcare Delivery at the same institution. In addition, he is Director of the Victims of Crimes Treatment Center and the Sexual Assault Prevention and Counseling Services at University of Nevada, Reno. He is a member of the Association for the Advancement of Behavior Therapy and since 1999 has served on the Advisory Board of the Cambridge Center for Behavioral Studies. His areas of specialization are mental health service delivery, forensic psychology, human sexuality (treatment of victims and offenders), management and administration, behavior therapy, and philosophy of psychology.

Zusammenfassung
Adolescence is typically fraught with problems, even under optimal conditions. And when chronic illness is added to the picture, medical and related social issues can complicate, and even disrupt, the course of development. The first text geared toward the integrated care setting, Behavioral Approaches to Chronic Disease in Adolescence offers clinicians an evidence-based guide to helping their young clients manage their chronic conditions and treating the psychosocial effectsfrom school problems and stigma to noncompliance and depressionthat frequently follow diagnosis. Expert contributors present up-to-date information on epidemiology, symptoms, comorbid psychosocial problems, and treatment options for a variety of common illnesses, arranged to foster effective interventions for adolescents and efficient collaboration with other care providers in the team. Coverage is comprehensive, authoritative, and accessible, ensuring best practice while respecting each client's individuality: Empirically-based treatment guidelines for illnesses commonly found in youth, including Type 1 and 2 diabetes, asthma, cancer, obesity, and chronic pain. Overview of the physiology of adolescence, particularly as it may be affected by medical conditions, and of adolescent brain development. Latest findings on the role of families in teens' adjustment to illness and treatment. Cultural considerations affecting ethnically diverse clients and their families. Detailed discussions of ethical issues relevant to treating chronically ill young people, and of controversies involving pharmacotherapy with this population. Chapters contain useful handouts for clinicians and clients. Taking Care of the Practitioner chapter with helpful strategies for avoiding burnout. Its emphasis on specific practical information makes Behavioral Approaches to Chronic Disease in Adolescence a go-to reference for health psychologists, child and adolescent mental health practitioners, pediatriciansand family practitioners, and clinical social workers.

Inhalt
1 Basic Issues.- An Introduction to Adolescent Development.- Unique Considerations when Treating Adolescents with Chronic Illness.- Adolescent Physiology.- Family Influence on Adolescent Treatment Outcomes.- Ethics and the Teen Patients.- Overextending the Overextended: Burnout Potential in Health-Care Professionals, Psychologists, Patients, and Family Members.- 2 Integrated Care Practice Guidelines.- Type 1 Diabetes Mellitus.- Type 2 Diabetes in Youth.- Integrated Care Practice Guidelines for Adolescents with Asthma.- Juvenile Rheumatoid Arthritis.- Epilepsy.- Migraines/Chronic Headaches.- The Assessment and Management of Chronic and Recurrent Pain in Adolescents.- Adolescent Depression.- Cancer.- Cystic Fibrosis in Adolescents.- Chronic and End-Stage Renal Disease.- Sickle Cell Disease.- Inflammatory Bowel Disease.- Chronic Fatigue Syndrome.- Adolescents Living with HIV/AIDS.- Health-Related Quality of Life Instruments for Adolescents with Chronic Diseases.