COVID-2019 Alert

The latest information about the 2019 Novel Coronavirus, including vaccine clinics for children ages 6 months and older.

La información más reciente sobre el nuevo Coronavirus de 2019, incluidas las clínicas de vacunación para niños de 6 meses en adelante.


Shashank V Joshi, MD

  • Shashank V. Joshi

Especialidades médicas y/o especialidades quirúrgicas

Child & Adolescent Psychiatry

Trabajo y educación


Baylor College of Medicine, Houston, TX, 1993

Primeros años de residencia

Albert Einstein College of Medicine, Bronx, NY, 1994

Últimos años de residencia

Albert Einstein College of Medicine, Bronx, NY, 1995

Albert Einstein College of Medicine, Bronx, NY, 1998

Certificado(s) de especialidad

Child & Adolescent Psychiatry, American Board of Psychiatry and Neurology

Psychiatry, American Board of Psychiatry and Neurology

Todo Publicaciones

Responding to Suicide in School Communities: An Examination of Postvention Guidance from Expert Recommendations and Empirical Studies. Current psychiatry reports Aluri, J., Haddad, J. M., Parke, S., Schwartz, V., Joshi, S. V., Menon, M., Conrad, R. C. 2023


We review the published literature on a school's response after a student dies by suicide ("postvention"). We examine published recommendations based on expert guidance and empirical studies that have evaluated postvention measures.Experts recommend careful communication with family, staff, and students that adheres to published suicide reporting guidelines. Experts also emphasize the importance of identifying and supporting high-risk students. Few robust, controlled studies have identified effective postvention measures. Effective measures tended to occur in group settings (e.g., group therapy), focus on improving grief symptoms, and involve mental health professionals. Postvention has not been robustly studied in the school context. Expert recommendations and a few evidence-backed studies provide the frame for a coherent, school-based postvention response. Further research is needed to strengthen and expand our collective understanding of effective postvention measures in the school context as youth suicide attempts continue to rise.

View details for DOI 10.1007/s11920-023-01431-x

View details for PubMedID 37470928

View details for PubMedCentralID 8979602

Oppositional Defiant Disorder Pediatrics in Review Lopez, J. D., Joshi, S. V., Daniels, W. 2023; in press
Principles of High Quality Pediatric Pharmacotherapy Psychiatric Annals Joshi, S. V., Glowinski, A. L. 2023; 53 (7): 298-300


The purpose of this study is to examine the impact of an online virtual human role-play simulation in teaching high school educators and staff to identify, talk to, and if necessary, refer students in psychological distress to support services. High school educators (N=31,144) from 43 US states and 5 American territories completed a baseline survey and then randomly assigned to a wait-list control or treatment group. Participants in the treatment group completed the training simulation which included active learning strategies to teach evidenced-based communication strategies such as motivational interviewing to build skills and shift attitudes. Immediately after the training, treatment group participants completed a post-survey and then a 3-month follow-up survey. Baseline and post-surveys included the validated gatekeeper behavior scale measures which assess attitudinal constructs that predict helping behaviors. Self-reported helping behaviors were collected at baseline from both groups and at the 3-month follow-up for the treatment group. The treatment group participants' post and follow-up data were compared to the control group's baseline measures. The treatment group post-training scores were significantly higher (p<.001) than the control group's baseline scores for all gatekeeper behavior scale attitudinal constructs of preparedness, likelihood, and self-efficacy to engage in helping behaviors. A teacher subsample reported significant increases (p<.001) in the number of students referred to mental health support services when compared to baseline measures of the control group. Role-play simulations hold promise in teaching educators to become the "eyes and ears" of student mental health by empowering them to identify students in psychological distress, engage them in effective conversations about their concerns, and if necessary, make a referral to behavioral health support services. Future studies need to implement measures that document students entering counseling as a result of self-reported referrals and examine the impact of the training on the overall mental health culture within schools. Such studies could lead to simulations being widely adopted to support public health initiatives that address student mental health and wellness.

View details for DOI 10.1007/s41347-022-00243-9

View details for PubMedID 35372668

High School Educator Training by Simulation to Address Emotional and Behavioral Concerns in School Settings: A Randomized Study. Journal of technology in behavioral science Albright, G., Fazel, M., Khalid, N., McMillan, J., Hilty, D., Shockley, K., Joshi, S. 2022: 1-13


Research suggests that media adherence to suicide reporting recommendations in the aftermath of a highly publicized suicide event can help reduce the risk of imitative behavior, yet there exists no standardized tool for assessing adherence to these standards. The Tool for Evaluating Media Portrayals of Suicide (TEMPOS) allows media professionals, researchers, and suicide prevention experts to assess adherence to the recommendations with a user-friendly, standardized rating scale. An interdisciplinary team of raters constructed operational definitions for three levels of adherence to each of the reporting recommendations and piloted the scale on a sample of articles to assess reliability and clarify scale definitions. TEMPOS was then used to evaluate 220 news articles published during a high-risk period following the suicide deaths of two public figures. Post-hoc analyses of the results demonstrated how data produced by TEMPOS can be used to inform research and public health efforts, and inter-rater reliability analyses revealed substantial agreement across raters and criteria. A novel, wide-reaching, and practical approach to suicide prevention, TEMPOS allows researchers, suicide prevention professionals, and media professionals to study how adherence varies across contexts and can be used to guide future efforts to decrease the risk of media-induced suicide contagion.

View details for DOI 10.3390/ijerph19052994

View details for PubMedID 35270688

The Tool for Evaluating Media Portrayals of Suicide (TEMPOS): Development and Application of a Novel Rating Scale to Reduce Suicide Contagion. International journal of environmental research and public health Sorensen, C. C., Lien, M., Harrison, V., Donoghue, J. J., Kapur, J. S., Kim, S. H., Tran, N. T., Joshi, S. V., Patel, S. G. 2022; 19 (5)


Psychiatrists need to create a partnership that doesnt lean on psychiatric jargon or an encyclopedic list of side effects, but instead on measured candor, vulnerability, andmost importantlytime.

The Pharmacotherapeutic Alliance in School Mental Health Thinking about Prescribing: The Psychology of Psychopharmacology with Diverse Youth & Families, in press Connor, A., Joshi, S. V. American Psychiatric Association Publishing, Inc.. 2022

View details for DOI 10.1037/aap0000294

School-based Suicide Prevention with Immigrant and Refugee Communities School-based Family Counseling with Refugees and Immigrants Joshi, S. V., Tabuenca, A. C. Routledge. 2022; in press


OBJECTIVE: Recruitment is one of the most important missions for the Child and Adolescent Psychiatry (CAP) Caucus of the American Association of Directors of Psychiatric Residency Training, the American Academy of Child and Adolescent Psychiatry, and the American Association of Directors of Child and Adolescent Psychiatry. A review of the National Resident Matching Program (NRMP) Match data is needed to inform current and future practices.METHODS: The NRMP, Accreditation Council for Graduate Medical Education, and Association of American Medical College databases were queried from 1996 to 2021.RESULTS: The NRMP data show that the number of programs participating in the Match has increased from 87 in 1996 to 106 in 2021 and that the percentage of programs that fill their positions in the Match is increasing and has increased from 41% in 1996 to 67% in 2021. However, each year, a percentage of programs do not fill their positions offered in the Match. The numbers indicate a surplus of positions for the number of applicants that appears to be increasing, and there are currently 49 more positions than applicants.CONCLUSIONS: Trends in the CAP Match are encouraging, and importantly, more programs and applicants are using the Match. One concerning trend is the surplus of positions while there is a great need for child psychiatrists. More research is needed on the incentives for programs and applicants to participate in the Match and how to increase interest in child and adolescent psychiatry.

View details for DOI 10.1007/s40596-021-01546-4

View details for PubMedID 34854071

Prescriber, *Prescribe Thyself* Joshi, S. V., Martin, A. American Psychiatric Press, Inc. . Wash DC. 2022 ; APA News Special Report 35-38


Since the early 1900s when school-based health services were first introduced, models of school-based health have evolved toward comprehensive and integrated models that include mental health. New and innovative models of Comprehensive Mental Health Systems offer a range of prevention and intervention strategies that are delivered across collaborative systems of community and school-based mental health. Studies of school-based health services indicate positive outcomes in health, mental health, and education. Child and adolescent psychiatrists can work with schools by providing direct service, consultation, and technical assistance to increase access, improve health equity, and optimize mental health outcomes for all youth.

View details for DOI 10.1016/j.chc.2021.07.004

View details for PubMedID 34538446

Thinking about Prescribing: The Psychology of Psychopharmacology with Diverse Youth & Families edited by Joshi, S. V., Martin, A. American Psychiatric Association Publishing. 2022


Children and adolescents should be included in exercises and drills to the extent that their involvement advances readiness to meet their unique needs in the event of a crisis and/or furthers their own preparedness or resiliency. However, there is also a need to be cautious about the potential psychological risks and other unintended consequences of directly involving children in live exercises and drills. These risks and consequences are especially a concern when children are deceived and led to believe there is an actual attack and not a drill and/or for high-intensity active shooter drills. High-intensity active shooter drills may involve the use of real weapons, gunfire or blanks, theatrical makeup to give a realistic image of blood or gunshot wounds, predatory and aggressive acting by the individual posing to be the shooter, or other means to simulate an actual attack, even when participants are aware that it is a drill. This policy statement outlines some of the considerations regarding the prevalent practice of live active shooter drills in schools, including the recommendations to eliminate children's involvement in high-intensity drills and exercises (with the possible exception of adolescent volunteers), prohibit deception in drills and exercises, and ensure appropriate accommodations during drills and exercises based on children's unique vulnerabilities.

View details for DOI 10.1542/peds.2020-015503

View details for Web of Science ID 000562996900041

View details for PubMedID 32839245

Psychological Distress and Mental Health Service Utilization Disparities in Disaggregated Asian American Populations, 2006-2018 Asian American Journal of Psychology Balaraman, K. K., Dan, S., Ortega, N., Srinivasan, M., Joshi, S. V. 2022

View details for DOI 10.1542/peds.2020-0127

View details for PubMedID 32434762

Child and Adolescent Psychiatry Fellowship Program Participation in the National Resident Matching Program Match: Trends and Implications for Recruitment. Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry Williamson, E., Shoemaker, E., Kim, A., Joshi, S., Lewis, A. L., Vandekar, S., Zalpuri, I., Kerlek, A. 2021


A pilot survey was created to sample early career child and adolescent psychiatrists (CAPs) and fellows to identify factors contributing to recruitment, satisfaction, and general practice trends.A 44-item survey was developed based on a previous study of early career CAPs and discussion at an early career forum. Participants were recruited at a professional meeting and through emails sent to all 125 US training program directors.Only 184 out of 2209 responses were received. Approximately two-thirds were female and one-third had completed fellowship. Most decided to pursue a career in child psychiatry during medical school and expected full time salaries between $175,000 and $250,000 after fellowship. Forty-five percent owed more than $150,000 in educational debt. The top reasons for pursuing a career in child psychiatry included the following: working with children, working in an interesting field, and helping society. Males (x=85.7, SD 22.9) compared with females (x=77.5, SD 25.3) were more interested in pursuing full time work. A higher proportion of participants were confident in prescribing medications (x=79.9, SD 17.1) compared with providing psychotherapy (X=63.3, SD 23.9).The vast majority of early career CAPs were recruited during medical school, motivated by altruistic reasons, and rated high confidence in their career choice despite significant student loan debt. Training directors should consider increasing competency in psychotherapeutic skills. Early child psychiatry exposure and a means of addressing physician debt are needed to improve recruitment to this specialty.

View details for DOI 10.1007/s40596-019-01167-y

View details for PubMedID 31900876

Collaboration with Schools and School-Based Health Centers. Child and adolescent psychiatric clinics of North America Ryst, E., Joshi, S. V. 2021; 30 (4): 751-765


Projects done in interprofessional groups can foster faculty development with minimal resources beyond what is already available at the university or medical center. Each project can yield multiple "wins" in individual faculty growth while meeting the needs of academic medical centers. These projects can build collaborative skills and a sense of community among faculty, trainees, and staff. The combination of low costs, high yields, and improvements in team skills make these approaches appealing and sustainable in resource-constrained medical centers. The authors describe 4 sample projects and their teams, needed resources, and outcomes.

View details for DOI 10.1016/j.psc.2019.05.011

View details for PubMedID 31358121

Child and Adolescent Psychiatry Fellowship Program Participation in the National Resident Matching Program Match: Trends and Implications for Recruitment Academic Psychiatry Williamson, E., Shoemaker, E., Kim, A., Joshi, S. V., Lewis, A. L., Vandekar, S., Zalpuri, I., Kerlek, A. J. 2021; in press


The American Academy of Pediatrics has created recommendations for health appraisal and preparation of young people before participation in day, resident, or family camps and to guide health and safety practices at camp. These recommendations are intended for parents and families, primary health care providers, and camp administration and health center staff. Although camps have diverse environments, there are general guidelines that apply to all situations and specific recommendations that are appropriate under special conditions. This policy statement has been reviewed and is supported by the American Camp Association and Association of Camp Nursing.

View details for DOI 10.1542/peds.2019-1355

View details for Web of Science ID 000479007500048

View details for PubMedID 31209160

Participation of Children and Adolescents in Live Crisis Drills and Exercises PEDIATRICS Schonfeld, D. J., Melzer-Lange, M., Hashikawa, A. N., Gorski, P. A., Council Children Disasters, Council Injury Violence Poison Pre, Council Sch Hlth 2020; 146 (3)


Psychiatric training for medical students, residents, and fellows can integrate well-being principles to improve mental health. From preschool to college, principles of wellness and health promotion are increasingly prevalent and are showing promising results. Courses on happiness and well-being have been embraced at colleges and universities. Well-being is now a required component of child and adolescent psychiatry training. Training residents and fellows in emotional and behavioral well-being requires incorporation into clinical supervision and the overall culture and infrastructure of the training program.

View details for PubMedID 30832957

Increasing Access to Mental Health Services Through Reduction of Stigma. Pediatrics Beers, N., Joshi, S. V. 2020
An Exploratory Survey of Career Choice, Training, and Practice Trends in Early Career Child and Adolescent Psychiatrists and Fellows. Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry Mann, A., Tarshis, T., Joshi, S. V. 2020


More than 6.5 million children in the United States, approximately 13% of all students, miss 15 or more days of school each year. The rates of chronic absenteeism vary between states, communities, and schools, with significant disparities based on income, race, and ethnicity. Chronic school absenteeism, starting as early as preschool and kindergarten, puts students at risk for poor school performance and school dropout, which in turn, put them at risk for unhealthy behaviors as adolescents and young adults as well as poor long-term health outcomes. Pediatricians and their colleagues caring for children in the medical setting have opportunities at the individual patient and/or family, practice, and population levels to promote school attendance and reduce chronic absenteeism and resulting health disparities. Although this policy statement is primarily focused on absenteeism related to students' physical and mental health, pediatricians may play a role in addressing absenteeism attributable to a wide range of factors through individual interactions with patients and their parents and through community-, state-, and federal-level advocacy.

View details for DOI 10.1542/peds.2018-3648

View details for Web of Science ID 000457458700053

View details for PubMedID 30835245

Low-Resource Project-Based Interprofessional Development with Psychiatry Faculty. The Psychiatric clinics of North America Shoemaker, E. Z., Myint, M. T., Joshi, S. V., Hilty, D. M. 2019; 42 (3): 41323
Improving Health and Safety at Camp PEDIATRICS Ambrose, M. J., Walton, E. A., Lerner, M., De Pinto, C., Baum, M., Beers, N., Bode, S., Gibson, E. J., Gorski, P., Kjolhede, C., O'Leary, S. C., Schumacher, H., Weiss-Harrison, A., Council Sch Hlth 2019; 144 (1)
Teaching Well-Being: From Kindergarten to Child Psychiatry Fellowship Programs. Child and adolescent psychiatric clinics of North America Rettew, D. C., Satz, I., Joshi, S. V. 2019; 28 (2): 26780


Adolescence is a time of remarkable growth and development. It is also a time of great vulnerability. According to national indicators of adolescent health and well-being, the most significant health issues young people face are related to mental health. When a young person is supported to develop the skills and habits associated with robust mental health and their mental health needs are effectively diagnosed and treated, they are more likely to experience positive outcomes associated with their physical, social, emotional, and cognitive development as well as overall quality of life. Conversely, when a young person is not supported to develop the skills and habits associated with robust mental health and their mental health needs are left undiagnosed or untreated, they are more likely to experience a wide range of negative outcomes including, but not limited to, an acute mental health crisis. The Center for Disease Control and Prevention and The National Institute of Mental Health have reported that suicide, often considered to be an indicator of acute mental health distress, was the second leading cause of death for American youth ages 10-24 in 2017. In San Mateo County, a recent report on adolescent health frames the prevalence of mental health needs among public school students as staggering. Both locally and nationally, To address these challenges in Northern Californias San Mateo County, San Mateo Union High School District, Peninsula Health Care District, and Stanfords Department of Psychiatry & Behavioral Sciences Center for Youth Mental Health and Wellbeing have been collaborating to strengthen mental health supports for youth in both the high school district and its K-8 partner districts. To better understand which efforts have the greatest potential for impact, we joined their collaborative to conduct a mixed methods study to examine three questions: 1. How do students, parents, teachers, and providers perceive mental health needs and student supports throughout middle and high school? 2. What predictive factors appear to be related to positive transitions, high school readiness, or risk indicators of later mental health challenges? 3. What are the opportunities for intervention and support to improve teen mental health? schools are grappling with the challenges of students mental health needs, and the resulting demand it places on them not only to respond to students experiencing acute mental health distress, but to more effectively promote the mental health and well-being of all students. Key Findings Schools are experiencing earlier onset, increased prevalence, and greater complexity of student mental health needs across all ages (K-12) and across the socio-economic spectrum. Student mental health is affected by a wide range of school and non-school factors. Student mental health needs are often difficult to detect until they manifest as crisis. Resources to address student mental health needs vary across schools and districts, primarily focus on crisis management, and rest heavily on individual responses rather than a comprehensive or integrated system of support. Most students and families navigate transitions between grades, schools, and districts with relatively little guidance, leaving them vulnerable to gaps in services and support. Information regularly collected by public school districts provides little insight into students mental health strengths/challenges and the effectiveness of mental health supports; available data do not yield any predictive factors related to mental health challenges. There are many opportunities with high potential for transforming how participating schools and districts support student mental health and well-being. Opportunities The research findings point toward four opportunities for schools and districts to transform their approach to supporting mental health and well-being: 1. Situate student mental health in the broader context of comprehensive development and well-being that is cultivated over the course of a lifetime 2. Shift from an individual view of the problem and solution to a systems view 3. Strengthen continuity of care across grades, schools, and districts 4. Expand data systems to include meaningful measures of well-being These opportunities are accompanied by a tri-level framework for comprehensive change which emphasizes an integrated approach to innovation that simultaneously addresses the system (district/cross-district), setting (school site), and the individual (student/family). The Research Brief includes concrete examples of strategies that can be used to address each of the opportunities at each of these levels, across the K-12 continuum. In so doing, it offers multiple entry points for activating a more comprehensive and coordinated approach to supporting student mental health and well-being.

The Use of Technology by Youth: Implications for Psychiatric Educators ACADEMIC PSYCHIATRY Joshi, S. V., Stubbe, D., Li, S. T., Hilty, D. M. 2019; 43 (1): 1019


In this article, the authors make a compelling case that all clinicians who treat youth with depressive disorders should embrace strategies to engage with school staff to best serve their patients in the classroom. Because these disorders have a high incidence in the school population (13% of US teens experienced at least 1 major depressive episode in 2016), this can affect learning, social interactions, and classroom engagement. Several approaches are highlighted for assessment of depressive symptoms, intervention and treatment in school settings, and prevention strategies, including depression education curricula and programs promoting subjective well-being, such as positive psychology and mindfulness.

View details for PubMedID 31076113

The Link Between School Attendance and Good Health PEDIATRICS Allison, M. A., Attisha, E., Lerner, M., De Pinto, C., Beers, N., Gibson, E. J., Gorski, P., Kjolhede, C., O'Leary, S. C., Schumacher, H., Weiss-Harrison, A., Allison, M., Ancona, R., Holmes, B., Okamoto, J., Young, T., Chang, H., Seeley, K., Adkins, S., Combe, L., Johnson, V., Joshi, S., Fekaris, N., Grant, L., Kataoka, S., Leonard, S., Guinn-Jones, M., Domain, S., Council Sch Hlth 2019; 143 (2)

View details for DOI 10.1037/aap0000134

View details for Web of Science ID 000453232100003

Developmental approaches to professional development. Psychiatric Clinics of North America Teshima, J., Seritan, A., Joshi, S. V., Hilty, D. 2019; 42 (3): 375-387
School-Based Interventions for Pediatric-Onset Mood Disorders CLINICAL HANDBOOK FOR THE DIAGNOSIS AND TREATMENT OF PEDIATRIC MOOD DISORDERS Joshi, S. V., Jassim, N., Singh, M. K. 2019: 45783


(2018). , in , . : American Society of Clinical Psychopharmacology.

SAN MATEO AREA TEEN MENTAL HEALTH STUDY Geiser, K., Fehrer, K., Pyne, J., Gerstein , A., Harrison, V., Joshi, S. V. John W. Gardner Center for Youth and their Communities, Stanford University . 2019

View details for PubMedID 29437126

Summer support in SBHCs for students with mental health need needs over the summer AAP Council on School Health News Joshi, S. V., Ladegard, K. 2019

View details for DOI 10.1007/s40596-015-0484-9

View details for Web of Science ID 000376248800036

View details for PubMedID 27020935

Youth Depression in School Settings: Assessment, Interventions, and Prevention. Child and adolescent psychiatric clinics of North America Joshi, S. V., Jassim, N. n., Mani, N. n. 2019; 28 (3): 34962
Guest Editors' Introduction to Special Issue on Advancing our Understanding of Suicide among Asian Americans Asian American Journal of Psychology Leong, F. T., Chu, J., Joshi, S. V. 2019; 9 (4): 247-251
Hidden Suicidal Ideation or Intent Among Asian American Pacific Islanders: A Cultural Phenomenon Associated With Greater Suicide Severity ASIAN AMERICAN JOURNAL OF PSYCHOLOGY Chu, J., Lin, M., Akutsu, P. D., Joshi, S. V., Yang, L. H. 2018; 9 (4): 26269


Joshi SV (Contibutor, 2014). California Dept of Education, Placer Co. Office of Education and Minnesota Association for Childrens Health: A Guide to Student Mental Health and Wellness in California. 2014 (90 pages): St. Paul, (I contributed as part of the California School Mental Health Policy Workgroup, appointed by State Superintendent of Schools Tom Torlikson)

Social media/networking as part of e-behavioral health and psychiatric education: competencies, teaching methods, and implications. J Technology in Behav Sci Hilty, D. M., Zalpuri, I., Snowdy, C. E., Shoemaker, E. Z., Joshi, S. V., Mint, M. T., Liu, H. 2018


OBJECTIVE There is a critical shortage of child and adolescent psychiatrists in the United States. Increased exposure, through mentorship, clinical experiences, and research opportunities, may increase the number of medical students selecting child and adolescent psychiatry (CAP) as a career choice. METHOD Between 2008 and 2011, 241 first-year participants of a program to increase exposure to CAP, funded by the Klingenstein Third-Generation Foundation (KTGF) at 10 medical schools completed baseline surveys assessing their opinions of and experiences in CAP, and 115 second-year participants completed follow-up surveys to reflect 1 year of experience in the KTGF Program. RESULTS Students reported significantly increased positive perception of mentorship for career and research guidance, along with perceived increased knowledge and understanding of CAP. CONCLUSIONS Results suggest that the KTGF Program positively influenced participating medical students, although future studies are needed to determine whether these changes will translate into more medical students entering the field of CAP.

View details for Web of Science ID 000323916200007

View details for PubMedID 24026370

Mental health issues among 1st generation college students. College Student Mental Health Wang, R., Joshi, S. V. edited by Roberts, L. Springer. 2018: 389398


Ojakian V, Joshi SV, et al. (2012). Suicide Prevention Initiative, 2nd Annual Report. (24 pages); San Jose: County of Santa Clara.

Cultural Child & Adolescent Psychiatry Lewis Child & Adolescent Psychiatry Sholevar, P., Joshi, S. V. edited by Martin, A., et al Wolters Kluwer. 2018; 5


Research indicates that the therapeutic alliance between therapist and pediatric patient is most effective in the context of a productive supporting alliance--an alliance encompassing the network of relationships among therapists, parents and teachers. In this essay, we develop a model of the supporting alliance, arguing that the child's primary relationships with various parties (therapists, teachers, and parents) imply a set of secondary relationships among those parties (parent-therapist, therapist-teacher, parent-teacher). We review the literature on these secondary relationships, focusing on their nature and discussing the benefits of and obstacles to establishing productive collaborations in each case. We also describe three sorts of pathology that can afflict the supporting alliance as a whole, and discuss the importance of patient autonomy and therapist-patient confidentiality relative to the supporting alliance. Finally, we identify directions for future research and highlight implications for practice.

View details for PubMedID 20131741

Maintaining the Therapeutic Alliance in Modern Pharmacology Practice Joshi, S. V. American Society of Clinical Psychopharmacology (ASCPP). Brentwood TN. 2018 ; Model Psychopharmacology Curriculum, 8th edition. I. Glick (ed.) 501.1501.22


Delirium in adult populations of hospitalized patients has been well characterized into hyperactive, hypoactive, and mixed subtypes. The degree to which these subtypes apply to pediatric populations has yet to be fully demonstrated. In this case report, the authors present two cases of delirium that serve as examples of the hyperactive and hypoactive/mixed types and then discuss treatment. They find marked differences in the response of different delirium subtypes to haloperidol and risperidone and theorize as to the neurochemical pathways by which these pharmacological agents might work. This framework provides an algorithm for the treatment of pediatric delirium.

View details for Web of Science ID 000246210400010

View details for PubMedID 17478595

Recognizing and Referring Children with Posttraumatic Stress Disorder: Guidelines for Pediatric Providers. Pediatrics in review Wilson, H. W., Joshi, S. V. 2018; 39 (2): 6877


Currently our field is actively involved in developing new ways to characterize and treat children and adolescents with psychiatric disorders and in evaluating the effects of our therapies. We also are beginning to examine the effectiveness of our teaching methods. This article presents evidence for, ideas about, and a philosophy to guide individuals who are privileged to train child psychiatrists in psychotherapies. Specifically, it discusses the issues of the evidence base for diagnosis and for nonspecific and specific active elements of child psychotherapy. Evidence for methods of training is presented. The article addressed the need for supervising psychiatrists to keep abreast of developments in teaching methods so that we can best train competent, curious, and compassionate child psychiatrists.

View details for DOI 10.1016/j.chc.2006.09.004

View details for Web of Science ID 000243016300012

View details for PubMedID 17141124

After a Suicide: A Toolkit for Schools, 2nd ed. Joshi_Contributor, S. V. Suicide Prevention Resource Center / AFSP. NYC. 2018


All child psychiatrists' interactions with patients and families have important potential meanings, and the act of prescribing medication is no exception. As psychopharmacologic practice has increased in child psychiatry, facility with psychotherapeutic skills, such as establishing an alliance, identifying and treating symptoms, and promoting adherence must follow to enhance clinical outcomes. This article addresses the role of the therapeutic alliance in pediatric work, the psychologic implications of administering medications, developmental issues altering psychopharmacologic efforts, the role of the dual alliance (allying both patients and parents), and recommendations for clinical practice and further research.

View details for DOI 10.1016/j.chc.2005.08.004

View details for Web of Science ID 000234522400013

View details for PubMedID 16321733

K12 Mental Health Promotion and Suicide Prevention Toolkit Joshi, S. V., Ojakian, M., Lenoir, L., Lopez, J. Heard Alliance / Student Mental Health Policy Workgroup, California Dept. of Education. 2017 300


This cross-sectional survey determined the prevalence of motherhood among severely mentally ill women hospitalized in an inner-city facility and examined the demographic characteristics and perceived needs of the 32 mothers who were identified. Slightly less than one-quarter of these mothers had seen their children within the last week, and only about 20 percent maintained full custody of their children. However, none of the respondents reported feeling that it was unimportant whether they continued mothering their children. Approximately half described needing help in dealing with their sadness about their children. The pilot data presented in this paper suggest that motherhood is common among severely mentally ill and hospitalized women and that issues relevant to mothering remain important to them.

View details for Web of Science ID 000082941600017

View details for PubMedID 10506308

Statement Regarding the National Resident Matching Program Child and Adolescent Psychiatry Match: A Call to Uphold the Gentlepersons' Agreement ACADEMIC PSYCHIATRY Joshi, S. V., Stock, S., Adams, A., Gleason, M. M., Varley, C. K. 2016; 40 (3): 552-554

View details for DOI 10.1542/pir.2022-005715

View details for PubMedID 37122041

School-based Suicide Prevention: Content, Process, and the Role of Trusted Adults and Peers Child and Adolescent Psychiatric Clinics of North America Joshi, S. V., Hartley, S. N., Kessler, M., Barstead, M. 2015; 24 (2): 353-370
Partnerships for Mental Health: Narratives of Community and Academic Collaboration edited by Roberts, L. W., Reicherter, D., Adelsheim, S., Joshi , S. V. Springer. 2015
Multicultural and Ethical Considerations in American Medicine Professionalism and Ethics in Medicine Joshi, S. V., Reicherter, D., Pumariega, A. J., Roberts, L. W. Springer. 2015; 1: 3956
Shared Learning in Community-Academic Partnerships: Addressing the Needs of Schools Partnerships for Mental Health: Narratives of Community and Academic Collaboration Joshi, S. V., Ijadi-Maghsoodi, R., Merrell, S. E., Dunlap, P., Hartley, S. N., Kataoka, S. Springer. 2015: 163178
A Guide to Student Mental Health and Wellness in California Joshi_Contributor, S., et al Minnesota Association for Childrens Health. St. Paul , MN. 2014 90

View details for DOI 10.1016/j.chc.2010.08.001

View details for Web of Science ID 000284507200002

View details for PubMedID 21056339

Does Early Mentorship in Child and Adolescent Psychiatry Make Difference? The Klingenstein Third-Generation Foundation Medical Student Fellowship Program ACADEMIC PSYCHIATRY Stein, J. A., Althoff, R., Anders, T., Davison, Y., Edwards, S., Frosch, E., Horst, R., Hudziak, J. J., Hunt, J., Josh, S. V., Kitts, R. L., Larson, J., Leckman, J., O'Brien, J., Lowenhaupt, E., Pruitt, D., Malloy, E., Martin, A., Partner, A., Sarles, R., Sikich, L., Wells, L., Kolevzon, A. 2013; 37 (5): 321-324

View details for PubMedID 11826259

Ethical issues in child & adolescent psychiatry Focus: The Journal of Lifelong Learning in Psychiatry Goldsmith MD, Joshi SV 2012; X (3): 315-320
Suicide Prevention Initiative, 2nd Annual Report. Ojakian, V., Joshi, S. V., et al County of Santa Clara Behavioral Health Board. San Jose. 2012 24
Culture and Development in Children and Youth Child & Adolescent Psychiatric Clinics of North America Pumariega AJ, Joshi SV 2010; 19 (4): 661-680
Thinking About Prescribing:The Psychology of Psychopharmacology Pediatric Psychopharmacology: Principles and Practice Pruett, K., Joshi, S. V., Martin, A. Oxford Univ Press. 2010; 2nd: 422433
Cultural issues in pediatric mental health (Collected volume of papers) Child & Adolescent Psychiatric Clinics of North America Joshi SV, Pumariega AJ (eds.) 2010; 19 (4; October)
Culturally adapted pharmacotherapy and the integrative formulation Child & Adolescent Psychiatric Clinics of North America Malik M, Lake J, Lawson W, Joshi SV 2010; 19 (4): 791-814
The supporting alliance in child and adolescent treatment: enhancing collaboration among therapists, parents, and teachers. American journal of psychotherapy Feinstein, N. R., Fielding, K., Udvari-Solner, A., Joshi, S. V. 2009; 63 (4): 319-344
Subtypes of pediatric delirium: A treatment algorithm PSYCHOSOMATICS Karnik, N. S., Joshi, S. V., Paterno, C., Shaw, R. 2007; 48 (3): 253-257
Teaching evidence-based psychotherapies CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA Thienemann, M., Joshi, S. V. 2007; 16 (1): 183-?
Psychiatric Medications for the Treatment of Pruritus Psychosomatic Medicine Shaw, R. J., Dayal, S., Good, J., Bruckner, A. L., Joshi, S. V. 2007; 69 (9)
Teamwork: The therapeutic alliance in pediatric pharmacotherapy CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA Joshi, S. V. 2006; 15 (1): 239-?
ADHD: Assessment and Treatment across the Lifespan American Society of Clinical Psychopharmacology (ASCPP) Model Psychopharmacology Curriculum, 4th ed., Glick I (ed.) Joshi SV 2006: 504.1-504.22
School Consultation and Intervention Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Approach, Joshi SV 2004: 885-916
Psychostimulants, atomoxetine, and alpha-agonists in the treatment of ADHD Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Approach, Joshi SV 2004: 258-287
Psychological aspects of pediatric medication management Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Approach Joshi SV, Khanzode LA , Steiner H 2004: 465-481
Characteristics and perceived. needs of mothers with serious mental illness PSYCHIATRIC SERVICES Joseph, J. G., Joshi, S. V., Lewin, A. B., Abrams, M. 1999; 50 (10): 1357-1359
Obsessive-Compulsive Disorder. Pediatrics in review Hasassri, E., Joshi, S. V., Zalpuri, I. 2023; 44 (5): 297-299
Clinical Update for the Role of Child & Adolescent Psychiatrists in Schools Kataoka, S., Joshi, S. V., in press, A., et al American Acad of Child & Adol Psychiatry. Wash DC. 2022
Childrens Participation in Live Crisis Drills and Exercises. Pediatrics Pediatrics Lerner, M., Committee on School Health, T. 2019; in press
School-based Health Centers and Pediatric Practice. Pediatrics Lerner and the Committee on School Health, M., et al 2019; in press
ADHD and Other Disorders of Attention Regulation Steiner H (ed.), Handbook of Developmental Psychiatry Steiner H, Stemmle P, Joshi SV, Patel P 2011: 271-315
America's New Kids Preface CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA Joshi, S. V., Pumariega, A. J. 2010; 19 (4): XV-XVII
Medical assessment and laboratory testing in child and adolescent psychiatry Poustka F, Lehmkuhl D, Steiner H , eds: Lehrbuch der Kinder - und Jugendpsychiatrie. Traver D, Joshi SV 2008
Teaching about School Psychiatry American Academy of Child & Adolescent Psychiatry News Bostic JQ, Joshi SV 2007; February
The Resident as Teacher and Learner: Utilizing Principles of Adult Learning Theory American Academy of Child & Adolescent Psychiatry News Joshi SV, Hunt J 2007; December
Attention Deficit Hyperactivity Disorder Ferri's Clinical Advisor: Instant Diagnosis and Treatment Misakian AM, Louie A, McBurnett K, Joshi SV 2006
ADHD, growth deficits, and relationships to psychostimulant use. Pediatrics in review Joshi, S. V. 2002; 23 (2): 67-68
Fever and Acute Foot Pain in an 8-year Old Boy Emergency and Office Pediatrics Joshi SV 1996; 9: 92-94
The Berman Award Lecture: Cultural Considerations in School Mental Health-Lessons Learned From Diverse Settings American Academy of Child & Adolescent Psychiatry Annual Meeting 2016 Joshi, S. V. 2016