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Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry

Children with a diagnosis of Autoimmune Encephalitis (AE) frequently require multi-disciplinary care in order to mobilize the assessment and treatment necessary for recovery. Institutional and provider practice differences often influence the diagnostic workup and treatment pathways made available t...

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Autores principales: Mooneyham, GenaLynne C., Ferrafiat, Vladimir, Stolte, Erin, Fuchs, D. Catherine, Cohen, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039450/
https://www.ncbi.nlm.nih.gov/pubmed/33854451
http://dx.doi.org/10.3389/fpsyt.2021.638901
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author Mooneyham, GenaLynne C.
Ferrafiat, Vladimir
Stolte, Erin
Fuchs, D. Catherine
Cohen, David
author_facet Mooneyham, GenaLynne C.
Ferrafiat, Vladimir
Stolte, Erin
Fuchs, D. Catherine
Cohen, David
author_sort Mooneyham, GenaLynne C.
collection PubMed
description Children with a diagnosis of Autoimmune Encephalitis (AE) frequently require multi-disciplinary care in order to mobilize the assessment and treatment necessary for recovery. Institutional and provider practice differences often influence the diagnostic workup and treatment pathways made available to patients. There are a variety of provider coalitions in pediatric rheumatology, internal medicine, and neurology that have been making meaningful progress toward the development of consensus in assessment and treatment approaches to patient care. However, child psychiatry is currently underrepresented in this work in spite of the high psychiatric symptom burden seen in some young patients. The need for consensus is often made visible only with inter-institutional dialogue regarding patient care trajectories. We aim to review key updates in the assessment and treatment of children and adolescents with autoimmune encephalitis during the acute phase, with or without catatonia, and to outline provider perspectives by comparing current treatment models in the United States, Canada, and Europe.
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spelling pubmed-80394502021-04-13 Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry Mooneyham, GenaLynne C. Ferrafiat, Vladimir Stolte, Erin Fuchs, D. Catherine Cohen, David Front Psychiatry Psychiatry Children with a diagnosis of Autoimmune Encephalitis (AE) frequently require multi-disciplinary care in order to mobilize the assessment and treatment necessary for recovery. Institutional and provider practice differences often influence the diagnostic workup and treatment pathways made available to patients. There are a variety of provider coalitions in pediatric rheumatology, internal medicine, and neurology that have been making meaningful progress toward the development of consensus in assessment and treatment approaches to patient care. However, child psychiatry is currently underrepresented in this work in spite of the high psychiatric symptom burden seen in some young patients. The need for consensus is often made visible only with inter-institutional dialogue regarding patient care trajectories. We aim to review key updates in the assessment and treatment of children and adolescents with autoimmune encephalitis during the acute phase, with or without catatonia, and to outline provider perspectives by comparing current treatment models in the United States, Canada, and Europe. Frontiers Media S.A. 2021-03-29 /pmc/articles/PMC8039450/ /pubmed/33854451 http://dx.doi.org/10.3389/fpsyt.2021.638901 Text en Copyright © 2021 Mooneyham, Ferrafiat, Stolte, Fuchs and Cohen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Mooneyham, GenaLynne C.
Ferrafiat, Vladimir
Stolte, Erin
Fuchs, D. Catherine
Cohen, David
Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry
title Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry
title_full Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry
title_fullStr Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry
title_full_unstemmed Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry
title_short Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry
title_sort developing consensus in the assessment and treatment pathways for autoimmune encephalitis in child and adolescent psychiatry
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039450/
https://www.ncbi.nlm.nih.gov/pubmed/33854451
http://dx.doi.org/10.3389/fpsyt.2021.638901
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