Like most young people, transgender and gender-expansive youth often have a pediatric primary care provider (PCP) who is their first or only point of contact in the health care system. Unfortunately, many of these providers feel they do not have the training or experience needed to…

Children and adolescents in foster care face signi cantly increased risk of having developmental, behavioral, and mental health issues. Healthcare providers play a critical role in addressing the interplay of complex childhood trauma and toxic stress on the developmental, behavioral,…

The prevalence of opioid use during pregnancy is increasing. Two downstream effects are neonatal abstinence syndrome (NAS), a postnatal withdrawal syndrome, and long-term prenatal opioid exposure (LTPOE) without documented withdrawal symptoms in the infant. Mental health…

The Ryan White HIV/AIDS Program provides much-needed primary medical care and essential support services for individuals living with HIV who are uninsured or underinsured. Vulnerable populations such as adolescents and young adults are in continuous need of access to Ryan White…

The term “transition to adulthood” is used to describe the process that adolescents and young adults (AYAs) with special health care needs experience as they become adults. This process includes not only the often complex transfer of care from pediatric to adult health care systems,…

OBJECTIVE: To identify behavioral health provider perspectives on gaps in mental health care for youth with rheumatologic conditions. METHODS: Social workers (n=34) and psychologists (n=8) at pediatric rheumatology centers in the Childhood Arthritis and Rheumatology Research Alliance …

Insurers are increasingly adopting narrow network strategies. Little is known about how these strategies may affect children’s access to needed specialty care. We examined the percentage of pediatric specialty hospitalizations that would be beyond existing Medicare Advantage network…

OBJECTIVE: To evaluate satisfaction with intrauterine device (IUD) insertion procedures among adolescent and young adult women. METHODS: This secondary analysis of data from a multisite, single-blind, sham-controlled randomized trial of women having a levonorgestrel 13.5-mg IUD…

Reproductive health is a key component of cancer care and survivorship, encompassing gynecologic issues ranging from contraception and fertility to treatment of sexual dysfunction and menopause. Yet, oncology providers are often unfamiliar with the management of gynecologic issues. In…

Pediatricians following clinical practice guidelines for tobacco intervention (“Ask, Advise, and Refer” [AAR]) can motivate parents to reduce child tobacco smoke exposure (TSE). However, brief clinic interventions are unable to provide the more intensive, evidence…