Symposium

Psychological Disorders Following Mild Traumatic Brain Injuries in the Pediatric Population: New Findings and Implications for Clinical Practice 9569

Presenter(s)

• 

  Richard L. Delmonico, PhD

  Director of Neuropsychology; NCAL Regional Lead for Neuropsychology Services
  Kaiser Foundation Rehabilitation Center, Kaiser Permanente Northern California
  Vallejo, CA, United States

Corresponding Presenter(s)

• 

  Brian R. Theodore, PhD

  Research Scientist II
  Kaiser Foundation Rehabilitation Center, Kaiser Permanente Northern California
  Brentwood, CA, United States

  Slides

Presenter(s)

• 

  Charles Filanosky, PhD

  Neuropsychologist
  Kaiser Foundation Rehabilitation Center, Kaiser Permanente Northern California
  Vacaville, CA, United States
• 

  Juliet Haarbauer-Krupa

  Health Scientist
  Division of Injury Prevention, National Center for Injury Prevention and Control, CDC
  Atlanta, USA, GA, United States

Non-Presenting Contributor(s)

• 

  Lue-Yen Tucker, BA (she/her/hers)

  Senior Manager, Data Reporting and Analytics, Biostatistics
  Division of Research, Kaiser Permanente Northern California
  Pleasanton, CA, United States
• 

  Michelle Camicia, PhD MSN CRRN CCM NEA-BC FAHA FARN FAAN

  Director
  Kaiser Foundation Rehabilitation Center, Kaiser Permanente Northern California
  Novato, California, United States

Mild traumatic brain injury (mTBI) among children has become an increasingly serious public health concern. The CDC’s Pediatric mTBI Guideline Workgroup, in a 2018 report, indicated that there are limited evidence-based guidelines and best practices for the diagnosis and management of non-sport related concussions in the under-18 population. In addition, mTBIs in children have been associated with an increased risk of development of mental health disorders, specifically affective and behavior disorders. In this symposium, we present data from two recently concluded studies investigating the incidence of psychological disorders following mTBI among children and adolescents, including observations of the association between mTBI and psychological disorders during the pandemic-related restrictions. We will then discuss clinical implications for the identification and management of the risks for psychological disorders following mTBI, and review updated evidenced-based practices and guidelines for management of mTBI-related psychological disorders.

Learning Objectives:

• Recognize the association between mTBI and common post-injury psychological disorders (anxiety and depressive) in the pediatric population (0 – 17 years old) and in the adult population (18 years and older).
• Recognize the importance of early screening and intervention to prevent long-term psychological and behavioral problems due to mTBI.
• Identify healthcare disparities related to mTBI.
• Discuss the clinical implications of affective and behavior disorders following mTBI
• Recognize the presently available tools to identify and manage affective and behavior disorders following mTBI