Peter S Jensen

Peter S Jensen
The Reach Institute

MD
- the author of > 350 scientific articles, chapters, & books, focusing on dissemination & implementation research.

About

455
Publications
133,648
Reads
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39,603
Citations
Citations since 2017
39 Research Items
8436 Citations
201720182019202020212022202302004006008001,0001,2001,400
201720182019202020212022202302004006008001,0001,2001,400
201720182019202020212022202302004006008001,0001,2001,400
201720182019202020212022202302004006008001,0001,2001,400
Additional affiliations
December 2018 - present
The Reach Institute
The Reach Institute
Position
  • Chair
July 2018 - present
University of Arkansas for Medical Sciences
Position
  • Professor (Associate)
December 2014 - June 2018
University of Arkansas for Medical Sciences
Position
  • Professor
Education
July 1981 - June 1983
University of California, San Francisco
Field of study
  • Child & Adolescent Psychiatry
July 1978 - June 1982
University of California, San Francisco, Letterman AMC
Field of study
  • General Psychiatry
September 1974 - June 1978
George Washington University School of Meedicine
Field of study
  • Medical

Publications

Publications (455)
Article
Child mental health treatment and services research yields more immediate public health benefit when they focus on outcomes of relevance to a broader group of stakeholders. We reviewed all experimental studies of child and adolescent treatment and service effectiveness published in the last 15 years (1996-2011) and compared the distribution and typ...
Article
Full-text available
The US Surgeon General has called for new approaches to close the mental health services gap for the large proportion of US children with significant mental health needs who have not received evaluation or services within the previous 6 to 12 months. In response, investigators sought to develop brief, easily understood, scientifically derived "warn...
Article
Full-text available
Despite major recent research advances, large gaps exist between accepted mental health knowledge and clinicians' real-world practices. Although hundreds of studies have successfully utilized basic behavioral science theories to understand, predict, and change patients' health behaviors, the extent to which these theories-most notably the theory of...
Article
We examined developmental trajectories of attention‐deficit/hyperactivity disorder (ADHD) symptoms, standardized achievement, and school performance for adolescents with and without ADHD who did and did not enroll in postsecondary education (PSE; N = 749; 79% boys; 63% White, 17% non‐Hispanic Black, 10% Hispanic, and 10% other ethnicities). In a mu...
Article
Objective: It is estimated that childhood attention deficit hyperactivity disorder (ADHD) remits by adulthood in approximately 50% of cases; however, this conclusion is typically based on single endpoints, failing to consider longitudinal patterns of ADHD expression. The authors investigated the extent to which children with ADHD experience recove...
Chapter
Ethical dilemmas unique to child and adolescent psychiatry are consequences of the child psychiatrist’s duty to serve as advocate for child patients while simultaneously having professional responsibilities to the parents and guardians of the children, as well as to child-related institutions inclusive of schools, juvenile justice systems, and chil...
Article
The article in this issue of JAACAP by the CAMELS (Child/Adolescent Anxiety Multimodal Extended Long-term Study) study team, Peris et al.1, offers 2 very important contributions. Conveniently, the first contribution is also the stated purpose of this report: to present findings detailing the extent to which children and adolescents who previously p...
Article
Full-text available
Attention deficit hyperactivity disorder (ADHD) is the most prevalent neurodevelopmental disorder in children, with genetic factors accounting for 75–80% of the phenotypic variance. Recent studies have suggested that ADHD patients might present with atypical central myelination that can persist into adulthood. Given the essential role of sphingolip...
Chapter
This new compendium contains AAP clinical practice guidelines, policy statements, and clinical reports of interest to physicians who care for adolescents. https://shop.aap.org/adolescent-health-a-compendium-of-aap-clinical-practice-guidelines-and-policies-paperback/
Chapter
This new compendium contains AAP clinical practice guidelines, policy statements, and clinical reports of interest to physicians who care for adolescents. https://shop.aap.org/adolescent-health-a-compendium-of-aap-clinical-practice-guidelines-and-policies-paperback/
Chapter
This new compendium is your source for trustworthy recommendations on quality care of children and adolescents with mental health issues. https://shop.aap.org/mental-health-a-compendium-of-aap-clinical-practice-guidelines-and-policies-paperback/
Chapter
This new compendium is your source for trustworthy recommendations on quality care of children and adolescents with mental health issues. https://shop.aap.org/mental-health-a-compendium-of-aap-clinical-practice-guidelines-and-policies-paperback/
Article
Objective: Aggressive behavior is among the most common reasons for referral to psychiatric clinics and confers significant burden on individuals. Aggression remains poorly defined; there is currently no consensus on the best ways to recognize, diagnose, and treat aggression in clinical settings. In this review, we synthesize the available literatu...
Article
Objective: To estimate long-term stimulant treatment associations on standardized height, weight and BMI trajectories from childhood to adulthood in the Multimodal Treatment Study of Attention-Deficit/Hyperactivity Disorder (MTA). Method: Of 579 children with DSM-IV ADHD-Combined Type at baseline (ages 7.0-9.9 years) and 289 classmates (local no...
Article
Full-text available
Objective This is a narrative review of validation and outcome studies using the Weiss Functional Impairment Rating Scale (WFIRS). The objective of the review is to establish a framework for understanding functional impairment and create a definition for functional response and remission. Methods We conducted a literature search via MEDLINE, EBSCO...
Article
Despite enormous social-psychological and economic consequences of substance abuse in youth and young adults, too little is known about effective interventions among substance users, both with and without ADHD. This special issue reports on four linked investigations that employed a novel research strategy when the Multimodal Treatment Children wit...
Article
Objectives: To update clinical practice guidelines to assist primary care (PC) clinicians in the management of adolescent depression. This part of the updated guidelines is used to address practice preparation, identification, assessment, and initial management of adolescent depression in PC settings. Methods: By using a combination of evidence-...
Article
Objectives: To update clinical practice guidelines to assist primary care (PC) in the screening and assessment of depression. In this second part of the updated guidelines, we address treatment and ongoing management of adolescent depression in the PC setting. Methods: By using a combination of evidence- and consensus-based methodologies, the gu...
Article
Full-text available
Objective: To evaluate participants' perceptions about frequent use and reasons for substance use (SU) in the qualitative interview study, an add-on to the multimodal treatment study of ADHD (MTA). Method: Using the longitudinal MTA database, 39 ADHD cases and 19 peers with Persistent SU, and 86 ADHD cases and 39 peers without Persistent SU were...
Article
Pediatric primary care providers (PPCPs) are increasingly expected to know how to assess, diagnose, and treat a wide range of mental health problems in children and adolescents. For many PPCPs, this means learning and performing new practice behaviors that were not taught in their residency training. Typical continuing education approaches to engag...
Article
Full-text available
Objective: Qualitative interviews with 183 young adults (YA) in the follow-up of the Multimodal Treatment Study of Children With and Without ADHD (MTA) provide rich information on beliefs and expectations regarding ADHD, life's turning points, medication use, and substance use (SU). Method: Participants from four MTA sites were sampled to includ...
Article
Objective: This study examines the behavior beliefs, social supports, and turning points in individuals with/without ADHD related to their substance use/abuse (SU/A) decisions. Method: The coded interviews from 60 participants with/without ADHD were compared for their SU/A decisions and precipitants with these decisions among abstainers, persist...
Article
Full-text available
Background: The Multimodal Treatment Study (MTA) began as a 14-month randomized clinical trial of behavioral and pharmacological treatments of 579 children (7-10 years of age) diagnosed with attention-deficit/hyperactivity disorder (ADHD)-combined type. It transitioned into an observational long-term follow-up of 515 cases consented for continuati...
Article
Objective: In this study, we performed a candidate genetic risk score (GRS) analysis of early-onset bipolar disorder (BD). Methods: Treatment of Early Age Mania (TEAM) study enrollment and sample collection took place from 2003 to 2008. Mayo Clinic Bipolar Biobank samples were collected from 2009 to 2013. Genotyping and analyses for the present...
Article
Objective: Although substance use (SU) is elevated in ADHD and both are associated with disrupted emotional functioning, little is known about how emotions and SU interact in ADHD. We used a mixed qualitative-quantitative approach to explore this relationship. Method: Narrative comments were coded for 67 persistent (50 ADHD, 17 local normative c...
Article
There is a considerable shortage of child and adolescent psychiatrists (CAPs) in Arkansas. Collaboration between pediatric primary care providers (PCPs) and CPSs is an innovative model of care that may address this shortage. A tiered model of collaboration, ranging from brief speciality consultation to intensive psychiatric services, may help with...
Article
Objective: To compare educational, occupational, legal, emotional, substance use disorder, and sexual behavior outcomes in young adults with persistent and desistent attention-deficit/hyperactivity disorder (ADHD) symptoms and a local normative comparison group (LNCG) in the Multimodal Treatment Study of Children with ADHD (MTA). Method: Data we...
Article
Objective: Longitudinal studies of children diagnosed with ADHD report widely ranging ADHD persistence rates in adulthood (5-75%). This study documents how information source (parent vs. self-report), method (rating scale vs. interview), and symptom threshold (DSM vs. norm-based) influence reported ADHD persistence rates in adulthood. Method: Fi...
Article
Full-text available
Aim: To investigate child and adolescent psychiatrists' (CAPs) attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) diagnoses and treatments in real-world clinical practice. Methods: The medical records of 69 ADHD children (mean age = 9.5 years), newly referred to the ADHD clinic, were reviewed for their scores...
Article
Aim: To determine the prevalence of bipolar disorder (BD) and sub-threshold symptoms in children with attention deficit hyperactivity disorder (ADHD) through 14 years' follow-up, when participants were between 21-24 years old. Methods: First, we examined rates of BD type I and II diagnoses in youth participating in the NIMH-funded Multimodal Tre...
Chapter
The history of ADHD in the twenty-first century was summarized using 5 topics (diagnosis, epidemiology, treatment, prognosis, and pathophysiology). Brief reviews were provided for changes in the official criteria, stability of worldwide prevalence, increases in pharmacological treatment, persistence into adulthood, and biological bases of ADHD.
Chapter
The history of ADHD in the twenty-first century was summarized using 5 topics (diagnosis, epidemiology, treatment, prognosis, and pathophysiology). Brief reviews were provided for changes in the official criteria, stability of worldwide prevalence, increases in pharmacological treatment, persistence into adulthood, and biological bases of ADHD.
Article
To better understand the types and quantity of mental health services and medication usage for youth diagnosed with bipolar disorder (BD) within an integrated healthcare system, medical records were reviewed from 2000 to 2011. Eighty-five youth diagnosed with BD were identified and healthcare services (medication and psychotherapy follow-up appoint...
Article
Objectives Brain-derived neurotrophic factor (BDNF) Val66Met (rs6265) functional polymorphism has been implicated in early-onset bipolar disorder. However, results of studies are inconsistent. We aimed to further explore this association.MethodsDNA samples from the Treatment of Early Age Mania (TEAM) and Mayo Clinic Bipolar Disorder Biobank were in...
Article
Objective: Mothers raising a child with ADHD can experience high parenting stress. We evaluated if mothers’ personality traits and own ADHD symptoms could also affect parenting stress. Method: 430 biological mothers from the Multimodal Treatment Study of Children with ADHD (MTA mothers) and 237 of a local normative comparison group (LNCG mothers) w...
Article
This study examines the prevalence and characteristics of services reported by school staff for 543 high school students participating in the 8 year follow-up of the multi-site Multimodal Treatment study of ADHD (MTA). Overall, 51.6% of students with a history of attention-deficit/hyperactivity disorder (ADHD) were receiving services through an Ind...
Article
Full-text available
The current study presents the implementation of a set of school based interventions in a greater New Orleans school district one year following Hurricane Katrina. The interventions included adaptation and implementation of evidence based treatments in a crisis situation with at-risk youth which involved training and clinical challenges. 386 studen...
Article
Full-text available
Although many children and adolescents need assessment and treatment for psychological problems, few get such treatment from mental health specialists after a community disaster Research suggests that a very large proportion of children are seen in pediatric primary care settings and that pediatricians can provide appropriate care for many social a...
Data
Objective Results of the NIMH Collaborative Multisite Multimodal Treatment Study of Children With Attention-Deficit/Hyperactivity Disorder (MTA) were analyzed to determine whether a double-blind, placebo-controlled methylphenidate (MPH) titration trial identified the best MPH dose for each child with attention-deficit/hyperactivity disorder (ADHD).
Data
Objective Since the introduction of DSM-III/III-R, clinicians and investigators have shown increasing interest in the study of conditions comorbid with attention-deficit hyperactivity disorder (ADHD). Better understanding ADHD comorbidity patterns is needed to guide treatment, research, and future classification approaches.
Article
To determine long-term effects on substance use and substance use disorder (SUD), up to 8 years after childhood enrollment, of the randomly assigned 14-month treatments in the multisite Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder (MTA; n = 436); to test whether medication at follow-up, cumulative psychostimu...
Article
Objective: Therapeutic goals for chronic mental disorders like major depressive disorder (MDD) and schizophrenia have evolved in parallel with the growing medical knowledge about the course and treatment of these disorders. Although the knowledge base regarding the clinical course of ADHD, a chronic psychiatric disorder, has evolved beyond symptom...
Article
Children and adolescents experience significant emotional disorders and the prevalence of these conditions is notable. There is a dearth of pediatric mental health care professionals in the U.S., and among those professionals available, geographic and reimbursement limitations restrict access to the care.Objectives Primary health care providers are...
Conference Paper
Background: North Carolina is piloting a pediatric psychopharmacology program preparing primary care providers (PCPs) to better diagnose and manage ADHD. Methods: A volunteer sample of 48 Medicaid PCPs from 31 practices attended a 3-day training on ADHD and other common child mental health conditions. The training included role-playing, small group...
Conference Paper
New York’s CAP PC program modeled itself after one of the first state-wide programs, the Massachusetts Child Psychiatry Access Project, with some key changes. The CAP PC program covers 95% of the New York state population but uses the same toll-free number everywhere, compared with multiple different phone numbers being used in different regions in...
Article
Full-text available
To develop guidelines for management and treatment of maladaptive aggression in the areas of family engagement, assessment and diagnosis, and initial management, appropriate for use by primary care clinicians and mental health providers. Maladaptive aggression in youth is increasingly treated with psychotropic medications, particularly second-gener...
Article
Full-text available
To develop guidelines for management and treatment of maladaptive aggression in youth in the areas of psychosocial interventions, medication treatments, and side-effect management. Evidence was assembled and evaluated in a multistep process, including systematic reviews of published literature; an expert survey of recommended practices; a consensus...