Addressing Key Issues in Adolescent Health Care Paritosh Kaul, MD, FAAP,a Martin M. Fisher, MD, FAAPb

The transition from childhood to adolescents 15 to 19 years of age Health (SOAH), under the leadership of adolescence is a major milestone, and continue to be accidents, suicide, and coeditors Drs Victor Strasburger and the adolescent years (starting with homicide.1 Working to improve Donald Greydanus, produced puberty) represent a critical period outcomes for adolescents and young Adolescent Medicine: State of the Art when many changes occur: biologically adults is an important task for our Reviews (AM:STARs), a triannual journal (body and brain), cognitively, society as a whole, not just for the for SOAH members dedicated to behaviorally, and emotionally. During pediatricians involved in providingcare providing in-depth information and this time, key areas of the brain are still for this population. covering ongoing advances on a wide developing and maturing with regard to range of topics for pediatricians to Guidance and support from trusted structure, function, and connections. reference when caring for adolescents adults help adolescents build a strong This provides opportunities for in the clinical setting; each issue foundation for success into adulthood, adolescents to explore their developing featured 10 to 12 articles, offering and pediatricians play a key role in identity, form relationships with peers a variety of perspectives on a specific guiding and supporting the physical and adults, and navigate social and topic. Publication of AM:STARs ceased and mental health needs of this age societal situations that will test the in April 2019 with a final issue on group. Research indicates that unmet decisions they make. The transition to contraception. We are grateful for the health care needs during adolescence is adolescence can be confusing and hard dedication of the coeditors and the a predictor of poor health outcomes as to navigate because adolescents are incredible contributions of the invited well as a lower quality of life into seeking more independence and might experts who authored and edited the adulthood.2 Promoting the importance engage in risk-taking behaviors. They multitude of articles that were of routine preventive health services should not make this journey alone. published in AM:STARs throughout the and delivering adolescent-supportive care that meets their needs will years. Discussions among SOAH Although risk-taking might be a normal encourage adolescents to seek needed leadership about a new format to experience for adolescents, some health services.3 provide current and practical risks can have significant, negative, and information and advances on key topics long-term health consequences. The For .30 years, the American Academy in adolescent health led to the birth of leading causes of death among of Pediatrics Section on Adolescent this supplement.

aDivision of Adolescent Medicine, Department of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado; and bCohen Children’s Medical Center, New Hyde Park, New York

Throughout the supplement, we use the term “pediatrician,” which refers to other physicians and subspecialists beyond pediatricians who are involved in the care of adolescents and young adults. Both authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work. DOI: https://doi.org/10.1542/peds.2019-2056B Address correspondence to Paritosh Kaul, MD, FAAP. E-mail: [email protected] PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275). Copyright © 2020 by the American Academy of Pediatrics FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. FUNDING: No external funding. POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

Downloaded from www.aappublications.org/news by guest on September 29, 2021 PEDIATRICS Volume 145, number s2, May 2020:e20192056B SUPPLEMENT ARTICLE The topics in and framework for the Continuing with the theme of mental Karen Smith, was key in coordinating supplement were chosen by the SOAH health, the next article addresses the and facilitating the development of Executive Committee and offer suicide epidemic and offers practical the supplement. fi guidance on the approach approaches within the of ce setting. We are thrilled to expand our reach to pediatricians and adolescent Also included is an article addressing readers of Pediatrics beyond the medicine specialists could take to several issues affecting sleep among SOAH membership, to help you care discuss and address current adolescents. Both suicide concerns for this population. We hope you will important topics affecting and sleep issues are currently benefit from this supplement as you adolescents in their own practice impacting large numbers of teenagers continue to work to improve the settings. The articles are short and across the country. The next three health and well-being of all focus on the evidence for effective articles address clinical issues that adolescents and young adults in your modalities for management of these affect adolescents and are seen most practices. issues, while also identifying the gaps commonly by pediatricians and other in knowledge that exist for the topics physicians: management of polycystic covered in this supplement. The ovarian syndrome; screening, testing, ABBREVIATIONS authors of the articles also suggest and treatment of sexually transmitted future directions to move the field of infections; and concepts involved in AM:STARs: Adolescent Medicine: adolescent health forward. the evaluation and management State of the Art Reviews SOAH: Section on Adolescent The articles featured in this issue fall of acne. Health into several categories, all topical and There were many people involved in critical for adolescent and young the development of this supplement, adult health. The supplement begins whose contributions are greatly with articles addressing three of the appreciated. The authors shared their most prevalent and concerning knowledge and expertise and are REFERENCES substances that are being used by well-respected experts on these 1. NVSS. Deaths: leading causes for 2016. youth today: opioids, marijuana, and topics. The SOAH Executive Available at: https://www.cdc.gov/nchs/ electronic cigarettes. It then tackles Committee provided leadership and data/nvsr/nvsr67/nvsr67_06.pdf. a topic that is constantly changing input on the topics and encouraged Accessed December 16, 2019 and expanding dramatically: and supported the development of 2. Hargreaves DS, Elliott MN, Viner RM, technology, both problematic Internet this supplement. The editorial team Richmond TK, Schuster MA. Unmet use by teenagers as well as use of (Megan Moreno, MD, MSEd, MPH, health care need in US adolescents and technology to promote and improve FAAP; Margaret [Peggy] Stager, MD, adult health outcomes. Pediatrics. 2015; adolescent health and wellness. FAAP; and Maria E. Trent, MD, MPH, 136(3):513–520 Substance use and technology are FAAP) worked with us to select the 3. Hagan JF, Shaw JS, Duncan PM, eds. issues that will require pediatricians final topics and provided guidance Bright Futures: Guidelines for Health to reflect and strategize, asking a new along the way in developing Supervision of Infants, Children, and set of questions as they see their a publication that is relevant and Adolescents, 4th ed. Elk Grove Village, IL: adolescent patients. timely. The SOAH staff manager, American Academy of Pediatrics; 2017

Downloaded from www.aappublications.org/news by guest on September 29, 2021 S152 KAUL and FISHER Addressing Key Issues in Adolescent Health Care Paritosh Kaul and Martin M. Fisher Pediatrics 2020;145;S151 DOI: 10.1542/peds.2019-2056B

Updated Information & including high resolution figures, can be found at: Services http://pediatrics.aappublications.org/content/145/Supplement_2/S151 References This article cites 1 articles, 1 of which you can access for free at: http://pediatrics.aappublications.org/content/145/Supplement_2/S151 #BIBL Permissions & Licensing Information about reproducing this article in parts (figures, tables) or in its entirety can be found online at: http://www.aappublications.org/site/misc/Permissions.xhtml Reprints Information about ordering reprints can be found online: http://www.aappublications.org/site/misc/reprints.xhtml

Downloaded from www.aappublications.org/news by guest on September 29, 2021 Addressing Key Issues in Adolescent Health Care Paritosh Kaul and Martin M. Fisher Pediatrics 2020;145;S151 DOI: 10.1542/peds.2019-2056B

The online version of this article, along with updated information and services, is located on the World Wide Web at: http://pediatrics.aappublications.org/content/145/Supplement_2/S151

Pediatrics is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since 1948. Pediatrics is owned, published, and trademarked by the American Academy of Pediatrics, 345 Park Avenue, Itasca, Illinois, 60143. Copyright © 2020 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 1073-0397.

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