Practical Pearls in Managing Pediatric Anxiety in Primary Care
The prevalence of anxiety within the pediatric population has increased over the past decade, and primary care pediatricians (PCPs) are often called on to manage and treat child and adolescent anxiety. This activity will discuss anxiety in the pediatric population, off-label use of medications for anxiety, and the “black box warning,” which warns the public of serious, permanent, and possibly fatal side effects caused by that medication. A treatment plan for a medication-naïve and a refractory, or treatment-resistant, patient with anxiety will also be highlighted.
This activity is provided by Optum Health Education and Rocky Mountain Health Plans, UnitedHealthcare Colorado Community & State.
No commercial support was received for this activity.
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This activity is designed to meet the educational needs of physicians, PAs, nurses, nurse practitioners, psychologists, social workers, case managers, counselors, family therapists and other HCPs who have an interest in learning about practical approaches when treating children diagnosed with mental health conditions.
At the end of this activity, participants should be able to:
- Identify presentations of anxiety in the pediatric population.
- Create a treatment plan for a medication-naïve and a refractory patient with anxiety.
- Discuss off-label use of medications for anxiety and the “black box warning.”
- Evaluate patients with autism spectrum disorder (ASD) and anxiety.
Yamini Rao, MD, FAAP
Lyra Clinical Associates
About the presenter
Dr. Yamini Rao is a primary care pediatrician who specializes in mental health. She completed her medical school training at Vanderbilt University and her primary care focused pediatrics residency at University of California San Francisco. While working in primary care pediatrics, she saw the massive gap in pediatric mental health care resources. Motivated to help her community, Dr. Rao pursued further training in pediatric mental health through the REACH Institute, the American Academy of Child and Adolescent Psychiatry, ECHO Colorado, and the Sunfield Institute for Autism. At her previous primary care clinic in Colorado, Dr. Rao helped build an integrated behavioral health program. She currently works with Lyra Clinical Associates focusing on psychiatric medication management for patients across the United States. Dr. Rao is dedicated to expanding access to pediatric mental health.
Rebecca Gleason, RN, CCM
Optum Health Education
Alex Hulst, PhD, LMFT
Clinical Program Manager – Integrated Behavioral Health
Rocky Mountain Health Plans
UnitedHealthcare Colorado Community & State
Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Optum Health Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.
The activity faculty and planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, this activity has been planned and implemented by Optum Health Education and Rocky Mountain Health Plans, UnitedHealthcare Colorado Community & State. Optum Health Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.
Credit designation statements
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
Optum Health Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
Optum Health Education is approved by the American Psychological Association (APA) to offer continuing education for psychologists. Optum Health Education maintains responsibility for this program. 1.00 CE hour.
As a Jointly Accredited Organization, Optum Health Education is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Optum Health Education maintains responsibility for this course. Social workers completing this course receive 1.00 enduring continuing education credits.
Counselors and/or marriage and family therapists
CA: The Board of Behavioral Sciences has deferred CE course approvals to APA and ASWB for its licensees. See those approvals under Psychologists and Social Workers.
Other States: If your state is not specifically listed, nearly all state Counselor and MFT boards accept either APA or ASWB approval, or are reciprocal with other state licensing board approvals. Check with your board to be sure.
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been preapproved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization from which they wish to obtain credit.
- 1.00 AMA - Physicians
- 1.00 ANCC - Nurses
- 1.00 APA - Psychologists
- 1.00 Attendance - General Attendance
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