@article{ref1,
title="Treatment of Maladaptive Aggression in Youth: CERT Guidelines II. Treatments and Ongoing Management",
journal="Pediatrics",
year="2012",
author="Scotto Rosato, Nancy and Correll, Christoph U. and Pappadopulos, Elizabeth and Chait, Alanna and Crystal, Stephen and Jensen, Peter S.",
volume="129",
number="6",
pages="e1577-86",
abstract="OBJECTIVE:To develop guidelines for management and treatment of maladaptive aggression in youth in the areas of psychosocial interventions, medication treatments, and side-effect management.METHODS:Evidence was assembled and evaluated in a multistep process, including systematic reviews of published literature; an expert survey of recommended practices; a consensus conference of researchers, policymakers, clinicians, and family advocates; and review by the steering committee of successive drafts of the recommendations. The Center for Education and Research on Mental Health Therapeutics Treatment of Maladaptive Aggression in Youth guidelines reflect a synthesis of the available evidence, based on this multistep process.RESULTS:This article describes the content, rationale, and evidence for 11 recommendations. Key treatment principles include considering psychosocial interventions, such as evidence-based parent and child skills training as the first line of treatment; targeting the underlying disorder first following evidence-based guidelines; considering individual psychosocial and medical factors, including cardiovascular risk in the selection of agents if medication treatment (ideally with the best evidence base) is initiated; avoiding the use of multiple psychotropic medications simultaneously; and careful monitoring of treatment response, by using structured rating scales, as well as close medical monitoring for side effects, including metabolic changes.CONCLUSIONS:Treatment of children with maladaptive aggression is a &quot;moving target&quot; requiring ongoing assimilation of new evidence as it emerges. Based on the existing evidence, the Treatment of Maladaptive Aggression in Youth guidelines provide a framework for management of maladaptive aggression in youth, appropriate for use by primary care clinicians and mental health providers.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="10.1542/peds.2010-1361",
url="http://dx.doi.org/10.1542/peds.2010-1361"
}