Kaiser Permanente Researchers Study Bariatric Surgery for Obese Teens

Severe obesity affects 4 to 6 million U.S. adolescents. Kaiser Permanente researchers are exploring solutions to this major problem. Two of them — David Arterburn, MD, MPH, and Karen J. Coleman, PhD — are among the leaders of a team of doctors and scientists across the country comparing the three main types of bariatric surgery in severely obese teens. The team conducted the largest study in this field to date — twice the size of the largest one before — analyzing data from 544 teens. The research team recently published “Comparative Effectiveness of Bariatric Procedures among Adolescents: The PCORnet Bariatric Study” in Surgery for Obesity and Related Diseases. These are the first results to be produced using the resources of PCORnet®, the National Patient-Centered Clinical Research Network.

Three types of bariatric surgery from left: adjustable gastric banding, Roux-en-Y gastric bypass and sleeve gastrectomy.

Three types of bariatric surgery from left: adjustable gastric banding, Roux-en-Y gastic bypass and sleeve gastrectomy.

The investigators compared weight loss associated with Roux-en-Y gastic bypass (in which a small stomach pouch is created by dividing the top of the stomach from the rest of the stomach), sleeve gastrectomy (which removes 80 percent of the stomach), and adjustable gastric banding (in which an inflatable band is placed around the upper portion of the stomach, creating a small stomach pouch above the band).

Dr. Arterburn, whose research focuses on obesity and shared decision-making, answered these questions about the study:

What did you discover?

David Arterburn, MD, MPH

David Arterburn, MD, MPH

Of the three most common bariatric surgery procedures, we found that adolescents with severe obesity achieved substantial and lasting weight loss with both the laparoscopic sleeve gastrectomy procedure and Roux-en-Y gastric bypass surgery — but not with gastric banding. Gastric bypass and sleeve gastrectomy resulted in comparable weight loss through at least three years, but adjustable gastric banding was much less effective than those two other operations. And few surgical and medical complications happened within 30 days after surgery.

We also found that over the decade of 2005-2015, sleeve gastrectomy became the dominant procedure used in adolescents, while use of gastric bypass and adjustable gastric banding markedly declined. This mirrors what we’ve seen in adults who get these procedures.

Body mass index (or BMI) reduction was somewhat higher after the gastric bypass, which is considered the “gold-standard” operation, than after sleeve gastrectomy. But it’s encouraging to see that sleeve gastrectomy, which is a newer and easier operation, can achieve similar results to gastric bypass, which is more complex to perform.

Why does this matter?

Our research adds substantially to the information available to families and doctors who struggle with decision-making for adolescents with weight-related health complications. Many people tend to gain weight as they age, so adolescents with severe obesity are starting out at a disadvantage. Severe obesity is linked to many health conditions, including sleep apnea, high blood pressure and other heart risks. It is also linked to developing type 2 diabetes before adulthood — the same disease that was called “adult-onset” diabetes before the obesity epidemic.

Why would you subject a child to such major surgery?

Before bariatric surgery, the adolescents in our study had severe obesity, with a mean BMI of nearly 50 kg/m2. This is more than 100 pounds above a healthy weight for most of these teens. For severely obese adolescents who haven’t been successful losing much weight with traditional weight loss measures, including diet and exercise, medication options are limited. Bariatric surgery is currently the most effective solution offering them the prospect of lasting weight control.

Why did you use BMI instead of weight?

Many of the adolescents in our study were still growing taller, so using BMI — which measures body fat based on your height and weight — gave a better comparison to other teens in the study than just weight alone.

What made your research possible?

We couldn’t have done it without PCORnet®, which is funded by the Patient-Centered Outcomes Research Institute (or PCORI) and designed to produce clinical insights faster and less expensively than traditional clinical studies. PCORnet® involves multiple individual networks that together represent more than 100 million patients. The network securely collects health information during routine care, minus data that could help identify individuals, to produce real-world evidence with outcomes that matter most to patients, who are full partners in this research.

For our study, PCORnet® allowed our research team to gather and analyze data from electronic health records of 11 Clinical Data Research Networks representing 27 participating health care systems nationwide. We identified adolescents age 12-19 years who had a first bariatric procedure from 2005 through 2015. The percentage change in BMI was calculated at 1, 3 and 5 years.

It was a big collaboration, also co-led by Thomas H. Inge, MD, PhD, the article’s first author and chief of Pediatric Surgery and director of the Bariatric Surgery Center at Children’s Hospital Colorado; Kathleen Mary McTigue, MD, MPH, an associate professor of Medicine and Epidemiology at the University of Pittsburgh; and the Rev. Neely Williams, MDiv, a patient-principal investigator at the Community Partners’ Network in Nashville.*

What had previous research shown?

Studies had shown that gastric bypass could give severely obese teens significant and sustained decreases in body mass index. But less was known about the other two bariatric procedures that are done in the United States: sleeve gastrectomy and gastric banding.

What will you do next?

We’ll look at weight loss in adults, and longer-term complications, more than 30 days after surgery. And we’ll do more long-term studies to address nutritional concerns and changes in other health conditions such as diabetes.

* PCORI, through PCORI Award OBS-1505-30683, funded the study, which is registered at ClinicalTrials.gov (NCT02741674).

The post Kaiser Permanente Researchers Study Bariatric Surgery for Obese Teens appeared first on Kaiser Permanente.

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“The first few years of having a period can be challenging for tweens, teens and their parents. Our customers have repeatedly requested a product designed for young people with periods, and we listened,” said Maria Molland, chief executive officer of Thinx. “With the launch of Thinx (Btwn), parents have the opportunity to help ease their tween and teen into period management by providing an easy-to-use and eco-friendly solution to what can be a stressful time.”

Thinx (Btwn) brief. 

The collection features the same Thinx technology that absorbs and prevents leaks. It’s made from organic cotton and comes in three colors — Beet Juice, Let’s Polka! and Tidal Wave — and three silhouettes — shorty, bikini and brief. Each silhouette’s packaging features a period mascot that educates teens on the different phases of menstruating. They include a horse, which is featured on the shorty silhouette box that’s meant to signify “Enjoy the ride”; a cat is placed on the bikini packaging, which identifies “stay curious,” and a sloth is on the brief packaging,

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Families Struggle 3 Years After Florida Teens Lost at Sea: ‘There Is No Healing Process’

Unending mourning, ongoing legal battles and bittersweet celebration mark the third anniversary this week of the disappearance of two Florida teenagers into the Atlantic waters off Jupiter Inlet. On the morning of July 24, 2015, longtime friends Austin Stephanos and Perry Cohen boarded Austin’s 19-foot 1978 SeaCraft and set out for a fishing excursion, but never returned.

“It’s so hard to put into words,” Austin’s father, Blu Stephanos, told PEOPLE. “Losing a child is the most unnatural thing that can happen and we’re doing the best we can. There is no healing process.”

Perry’s mother, Pamela Cohen, shares a similar sentiment.

“For three years, I’ve put my head on the pillow each night, thinking of him and praying that this wasn’t real,” said Pamela. “I used to dream about what he would be like as a man. I was robbed of that.”

On Tuesday, the anniversary of the boys’ disappearance, family and friends of Perry held a small candlelight vigil at a private beach on the north side of 400-foot-wide Jupiter Inlet, near the spot where he and Austin were last seen motoring into the waters.

“Our family and close circle of friends gathered, lit candles, hugged each other and prayed for both boys,” Pamela said.

By all reasonable accounts, the sea stole from both families that day. Just two hours after a final text from Austin to Blu and his mother, Carly Black — “What’s up? I am checking in. I’m just out here fishing,” it read — a fierce storm ripped through the area. By nightfall, a massive air, sea and land search by multiple law enforcement, search and rescue agencies, as well as hundreds of volunteers, garnered worldwide attention, but ultimately would turn up no trace of the boys.

An investigative report from the Florida Department of Law Enforcement released last year cites analysis by Gainesville’s Six Maritime concluding that Perry and Austin most likely remained together until they died off the coast of northern Georgia.

In the three years since their sons vanished, the boys’ families have sought answers as to exactly what led up to the boys’ disappearance and whether the tragedy could have been avoided. Sadly, the quest for answers also has forged a rift between them.

WATCH: Critical Clues That You Need to Know About Florida Teens Missing at Sea

Central to the ongoing legal battle is cell phone communication between Austin and his family and friends in the days just before and during the boys’ fishing trip. The most recent revised complaint in a case filed by Pamela last July requests that text and other data from both Austin’s and Blu’s cell phones be shared.

Pamela and her attorneys assert that data may prove that Austin’s parents were aware the boys planned to fish for dolphin offshore and allowed it despite knowing that Perry was forbidden to travel offshore without an adult. Blu counters that he knew nothing of the boys’ plans that day and had never seen the boat, which Black had purchased for Austin just two months before.

“We don’t believe that, from a legal perspective, there is any case against Mr. Stephanos,” argues attorney Michael Pike, who, along with Dan Santaniello and Chris Moore, represents Blu. “This is a monumental tragedy. However, the law is designed to look past that and get the heart of liability. There’s a saying in the legal world that Lady Justice is blind and part of that is the ability for judges and juries to see past the emotional aspect of a case and determine whether or not there is actual liability. There is no liability that should or will attach to Mr. Stephanos and we believe that he was added wrongfully to the lawsuit as a defendant.”

When reached by PEOPLE, Black declined to comment.

“She’s saddened and she has periods of emotional anguish over the loss of the kids, like any mother would,” Black’s attorney, George Harris, said.

In any case, “We are not going to leave any avenue unchecked,” Cohen’s attorney Guy Rubin told PEOPLE. “That is Pamela’s right as the mother who entrusted her child to other parents and he never came home. That’s a very difficult position for anyone in this world to be in, to not only lose a child to but have questions go unanswered and to never have closure.”

RELATED: Mom of Florida Teen Missing at Sea with Friend Files Wrongful Death Lawsuit Against Other Boy’s Family

Austin’s iPhone, recovered with the capsized boat found floating 100 miles off the Bermuda coast eight months after the boys’ disappearance, remains with Apple, Inc., where it was sent for forensic examination. Unfortunately, technicians were unable to power up or recover any data from the phone.

Today, Austin and Perry, both 14 when they vanished, would be 17, undoubtedly looking forward to their senior years in high school and all that this coming-of-age time typically entails — prom, graduation and plans for college and careers. Instead, their families manage to find some solace in running foundations they’ve each established in their sons’ names.

The Perry J. Cohen Foundation has served more than 1,000 underprivileged children via boating safety courses, sailing school and an environmental studies summer camp. Last year, the organization broke ground on the Perry J. Cohen Wetlands Laboratory at Jupiter High School, slated to open in May 2019 — the same time Perry would have graduated. And an endowment in Perry’s name will fund scholarships for students of the University of Miami’s Rosenstiel School of Marine and Atmospheric Science.

“Our lives now are about fulfilling Perry’s legacy,” Pamela said. “While he’s physically vanished, it’s impossible to let his spirit and who he was disappear.”

RELATED: Family of Missing Florida Teen Speaks Out for First Time Since Being Sued by Mother of Other Missing Boy: ‘Don’t We All Want the Truth?’ 

The AustinBlu Foundation also promotes boating safety and related legislation. The organization was key in securing passage of Florida’s Beacon Bill, which offers boater registration discounts for boats equipped with an emergency position indicating radio beacon (EPIRB), or whose owner has a personal locator beacon (PLB). Mikele D’Arcangelo, vice president of global marketing for ACR Electronics, says the legislation has driven sales of EPIRBs and PLBs by some 15 percent.

“Ever since that unfortunate day three years ago, when we go to trade shows, three of every five people we talk to bring up the boys to this day,” D’Arcangelo tells PEOPLE. Several have been survivors of boating mishaps who credit Austin and Perry’s loss with prompting them to better prepare. “We get to call Blu and Carly and say, ‘Thanks to all that hard work you’ve done, here’s a family that doesn’t have to go through what you did,’” adds D’Arcangelo.

“It’s bittersweet,” Blu admits. “But I know this is what Austin would want.”

Despite the families’ differences, “Two beautiful souls were lost that day,” Pamela says. “We never forget that.”


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On top of looking to sell you everything available on this planet, and then some – as long as your product doesn’t compete with theirs – Amazon is reportedly looking to become your banker too. The company is currently looking at ways to offer customers Amazon checking accounts, with teens being the primary target.

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The popularity of energy drinks and junk food might have unique risks for teenagers who consume too much of them during the later stages of brain development. These are just two of the factors potentially affecting teen brain development examined in a new special issue of Birth Defects Research: The Teenage Brain, published by the Teratology Society with John Wiley & Sons.
Teen Health News — ScienceDaily

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Teens show decreased risk for heart disease later in life after bariatric surgery

Adolescents with severe obesity who had bariatric surgery showed significant improvements in cardiovascular disease risk factors, according to this study. Prior to bariatric surgery, 33 percent of the study participants had three or more defined cardiovascular disease risk factors. However, three years post-surgery only 5 percent of study participants had three or more risk factors; representing significant reduction in the overall likelihood of developing cardiovascular disease later in life.
Teen Health News — ScienceDaily

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Kaiser Permanente Pediatrician-Researcher Discusses Teens and Gun Safety

Youth suicide was three times more common in 2014 than in 1999, and currently more than 1,000 10- to 19-year-old Americans die from suicide by guns every year.

But many of these heartbreaking cases could potentially be prevented by better identifying and treating teenagers with depression and substance abuse problems, and storing guns more safely.

David C. Grossman, MD, MPH

We interviewed David C. Grossman, MD, MPH, a senior investigator at Kaiser Permanente Washington Health Research Institute and a pediatrician at Washington Permanente Medical Group, who recently authored an editorial — Reducing Youth Firearm Suicide Risk — in the March issue of Pediatrics about opportunities to reduce youth firearm suicide.

What are we learning about gun safety and teen suicide?

In the editorial, I discuss a study also published in the March issue of Pediatrics by John Scott, PhD, of Florida Atlantic University; Deborah Azrael, PhD, of the Harvard T.H. Chan School of Public Health; and Matthew Miller, MD, MPH, ScD, of Northeastern University in Boston. This study, Firearm Storage in Homes with Children with Self-Harm Risk Factors, reports that parents of children and adolescents with high-risk conditions like depression and substance abuse were just as likely to store guns unlocked and loaded as were other families whose children didn’t have these conditions. Our research team had found the same thing in a study with a smaller sample size in 2017.

The Boston team conducted a national survey that is representative of American households with children, teens, or both. The study found that in all families, whether or not the families had youth at risk for self-harm:

  • Guns were present in 4 in 10 of all households
  • Only 1 in 3 families with guns stored them safely (locked and unloaded)

What about families whose teens have depression or substance abuse?

These gun-safety strategies are especially important for families with teenagers who have depression or substance abuse because these teens are at higher risk for suicide.

More research is needed. We must test more ideas and find more practical solutions. But in the meantime, we all can be more aware and take action when appropriate.

What’s the most promising way to prevent teen suicide by gun?

As a pediatrician-researcher, I focus on keeping children and teens safe. When they intentionally harm themselves, these acts tend to be more impulsive compared to adult self-harm. Teens’ urge to die may be fleeting, so deterring them from taking impulsive action with a highly lethal method (like firearms) can save their lives. Health care providers should:

  • Routinely screen all teens for depression, which often goes undiagnosed and is the most important risk factor for suicide.
  • Get them effective treatment and long-term care to treat depression and substance abuse and help them reduce their risk of harming themselves.
  • Use depression screening and treatment as a natural opportunity to raise parents’ awareness of potential risks from unlocked guns at home, especially for teens with depression or substance abuse.
  • Explain to parents that controlling the household environment, such as storing handguns and rifles in lockboxes and safes, tends to be more effective than relying on behavioral controls, such as setting household rules about not handling guns.
  • Engage families in discussion about storing guns safely at home — or discussing whether to remove them.

How can we keep guns safe at home?

Our research team published Gun Storage Practice and Risk of Youth Suicide and Unintentional Firearm Injuries in 2005 in the Based on many research findings including that study, we advise that, if parents or guardians choose to own a gun and keep it in a household where teens and children live or visit, they should:

  • Keep the gun locked and unloaded.
  • Keep the ammunition locked — and stored in a location separate from the gun.

We found each of these storage practices for handguns, rifles and shotguns were associated with much reduced risk of suicide and accidental firearm injuries among children and teens.

Youth who lived in homes where guns were locked and/or unloaded were about 70 percent less likely to commit suicide or self-harm by a gun compared to youth in homes where guns were stored unsafely.  That level of protection is similar to seatbelt use in a car. Homes where the ammunition was locked and/or kept separately from household guns were also less likely to be linked to a gun injury or death by self-harm or accident.

The post Kaiser Permanente Pediatrician-Researcher Discusses Teens and Gun Safety appeared first on Kaiser Permanente Share.

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Legal medical pot doesn’t lead to increased use in teens, research shows

Busting medical marijuana myths.
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For these Chicago teens, basketball is the only way out

When it comes to high-school basketball documentaries, the city of Chicago has provided a rich but harrowing backdrop. The celebrated 1994 film “Hoop Dreams” followed two teens trying to beat the odds and make it to the pros, while 2012’s heart-wrenching “Benji: The True Story of a Dream Cut Short” dissected the shooting death of…
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What’s eating all moms of teens? Where do I start?

by

Betsy Shaw

posted in Parenting

This morning I ran into two mom friends. I talked to each of them for nearly half an hour. Our conversations could have gone on for days. The topic? Parenting teenagers.

I came away thinking, wow, we could really use a club or support group for mothers of teens in this town. Well, maybe I’m projecting.

Motherhood starts out seeming like such a romantic idea. I’m not saying this in a “Oh my God, I hate it” kind of way, but I am saying it in a “How did I not realize this was going to be so relentlessly emotionally demanding?” kind of way.

You get pregnant and you’re the center of attention. You connect with other pregnant women, seamlessly. You talk, you laugh about your new, all-natural boob job, you lament the weight gain, the gas, the fatigue. But you know there’s a baby coming, like a prize in the bottom of the cereal box, so the conversations are generally light.

You have the baby and you’re still the center of attention. Everyone wants to visit. Everyone wants to hold that baby. Everyone wants to hear your birth story and tell you how precious and magical being a mother is. You’ve brought a child into the world. You are a courageous goddess who can do anything. Baby care is hard, but your focus is clear: Food, comfort, love–survival.

Your baby turns into a toddler who becomes the center of attention. Opportunities, real or virtual, to get together with other moms and compare milestones and struggles abound. Online groups, Mommy and Me, story hour, it’s all so new, and everything you do, you do with a sense of infinite possibility. You could live on love and pride and the joy that’s in your curious, naughty child’s eyes alone. You need nothing else.

 

You have a school kid and your social circle becomes your child’s friends’ and teammates’ parents. There’s a ton of support all around you. Moms at school drop off, moms at ballet and recreational soccer games. Your world feels bigger and wilder, maybe a little bit meaner, but can always be made to feel small and friendly again by curling up with a picture book and reading together. You have each other.

Your kid becomes a tween. Things shift. Navigating social life and activities gets tricky. It’s busy, in a good way, mostly. There’s plenty of opportunity for talking with other moms. And there’s still that illusion of control, that sense that all these things you’re doing with and for your kid will somehow guarantee they’ll grow up to be happy, safe, healthy, and maybe even academically, athletically, or artistically accomplished. Sure, social media is a bit of a worry, yet they’re still so young and pliable and, if your lucky, cuddly. You’re still steering the ship, or so you think.

And then your kid’s in high school. While you weren’t sleeping, someone turned up the speed of the earth’s rotation. Time is flying. You try so hard to keep connected with your friends but everyone is so busy. Your relationship with your husband feels more like a tag-team wrestling match than a romantic partnership. There’s a hint of desperation in the air as we all come to the same revelation that these kids we’ve spent so much time on are not ours to keep. They’re growing up and away from us with each breath they take. We are no longer their go-to security blankets or wisdom dispensers.

They have inner worlds we cannot know. They have boyfriends and girlfriends. Maybe they have no friends. They have Instagram. They’ve got grownup body parts and grownup desires yet we know, oh how we know, their brains are unfinished. They spend an absurd amount of time in their rooms. You’re not sure who you should worry about more: your kids, yourself, your job, or your marriage — if you still have one.

And all that instinctual worrying about and doing for and doting on becomes an impediment to the mother-child relationship, if you still have one. They need you, yes, but they don’t want to need you. And you want them to need you but you also need to know they can handle themselves without you.

And you see them struggle and want to snatch them up and curl them back into you, and promise to keep them safe inside your arms. You want to make their world small again, like the ones in those beautiful picture books, because that small world seemed so easy to manage. But you can’t. So while you are trying to trust them and respect their need for independence, you are grieving. And you are petrified you haven’t armed them properly against the elements they are sure to face.

And that is why, when you see another mother of a teenager, you let loose at the very first mention of “How are you?” even if you don’t know them that well. And, most often, they say, “Same here. I know exactly what you’re talking about.” And thank Goodness for that.

Photos from iStock and Betsy Shaw

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Kaiser Permanente Study Finds Cognitive Behavioral Therapy Is Cost-Effective for Teens Who Decline Antidepressants

PORTLAND, Ore. — Cognitive behavioral therapy (or CBT) delivered in a primary care setting is a cost-effective way to treat adolescents with depression who decline or quickly stop using antidepressants, according to a Kaiser Permanente study published today in the journal Pediatrics.

This work builds upon previous research, also published in Pediatrics, showing that CBT improved time to diagnostic recovery from major depression for teenagers who received CBT in their primary care clinic. Participants who received CBT learned how to modify their behaviors, challenge their unrealistic and negative beliefs, and think more positively.

Depression is a widespread and costly health problem in the U.S., with one estimate placing the total economic burden of depression at more than $ 210 billion annually. Among adolescents, the prevalence of depression is on the rise. Antidepressant medications are the usual course of treatment for adolescents diagnosed with depression, but as many as half of families with a depressed child choose not to begin antidepressant therapy. And among those who do begin treatment, nearly half do not continue, for reasons including side effects, lack of benefit and cost.

“Untreated or undertreated depression is a serious burden for many adolescents and their families, and the impact is often felt for many years after diagnosis,” said John Dickerson, PhD, a health economist at the Kaiser Permanente Center for Health Research and lead author of the new publication. “Now we have evidence that CBT is not only clinically effective, but cost-effective as well. This is good news for patients, their families and health care systems.”

In their new analysis, the study team showed that over a two-year period, depression-related health care costs for adolescents who received CBT were about $ 5,000 less on average than depressed adolescents in the control group, who received usual care without CBT.

Researchers examined depression-related costs from a societal perspective, meaning they accounted for costs experienced by patients and their families in addition to the costs borne by the health care system. In addition to the cost of delivering the CBT intervention to patients, researchers examined the cost of mental health-related inpatient hospital stays, a wide variety of medical and mental health services, and the time that parents spent taking their children to services, among other factors.

The study, which included 212 adolescents who received care in Kaiser Permanente primary care clinics in Oregon and Washington, showed that a CBT intervention can be brief and still deliver long-term benefits in terms of cost and clinical outcomes.

“Most other studies of CBT for depressed youths that we looked at involved a much longer treatment program than the one we tested,” Dickerson explained. “We chose to test a ‘lean’ model with a smaller number of CBT sessions because such a model is more likely to be adopted by health care organizations. It’s important for health systems and families to know that a brief CBT program is likely to improve mental health outcomes for depressed adolescents who decline antidepressants, and is also likely to be cost-effective over time.”

The study was funded by a grant from the National Institutes of Mental Health (R01-MH73918) and was led by Greg Clarke, PhD, of the Kaiser Permanente Center for Health Research.

Additional authors include Frances Lynch, PhD, Michael Leo, PhD. John Pearson, MD, and Greg Clarke, PhD, from the Kaiser Permanente Center for Health Research in Portland, Ore.; and Lynn DeBar, PhD, from the Kaiser Permanente Health Research Institute in Seattle.

About the Kaiser Permanente Center for Health Research
The Kaiser Permanente Center for Health Research, founded in 1964, is a nonprofit research institution dedicated to advancing knowledge to improve health. It has research sites in Portland, Oregon, and Honolulu. Visit kpchr.org for more information.

About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 11.7 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/share.

The post Kaiser Permanente Study Finds Cognitive Behavioral Therapy Is Cost-Effective for Teens Who Decline Antidepressants appeared first on Kaiser Permanente Share.

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Say What Now? Teens Under Investigation After ‘Black People are Trash’ Snapchat Video Goes Viral

A California high school student is under investigation by her school district after a racist video she recorded on Snapchat went viral on social media.

In the video, she recorded herself saying all sorts of racist foolishness.

“Black people are trash; they need to die,” she says in the video. As the girl speaks, she turns the camera to her friend, who pretends to be shocked before giggling in agreement.

The girl continues her racist rant:

“When the police were killing all those black people I was so happy, because I was like ‘Fuck black people, go die bitches.’”

According to CBS 13 Sacramento, her entire community is demanding an apology.

 

“If it was a joke, it wasn’t a funny joke at all,” said Camryn Tomlin. She couldn’t believe her ears when she saw the video on Twitter a few days ago.

Tomlin just graduated from Pleasant Grove High along with her cousin Breann Bray.

“It’s not right; I think she should be suspended if not even more,” Bray said.

“It’s as hateful as it gets, the type of words and the phrases she uses are despicable,” said Alin Cintean, a Sacramento attorney.

But Cintean says no crime has been committed.

“There’s nothing in there that would constitute a crime, there’s no immediate incitement to violence,” Cintean added.

Cintean says the U.S. Supreme Court gives public high schools more leeway to discipline students if the school believes their words are a threat.

The Elk Grove Unified School District sent CBS 13 a statement Wednesday responding to the racist post, saying the school is working with the students in the video and their families and investigating the incident.

“The school district needs to step up and do its part, they need to educate,” said Sharie Thompson, a member of the Black community.

The post wasn’t a surprise for Thompson, who has recently received threats at her Elk Grove salon.

She says the district needs to adopt new policies around racism, starting with the girl whose video whipped up a Twitter firestorm.

“Shame on you,” Thompson said, referring to the girl and her family.

Since the girl is a minor, news outlets aren’t reporting her name.

We’re going to leave this right … here:

The post Say What Now? Teens Under Investigation After ‘Black People are Trash’ Snapchat Video Goes Viral appeared first on B. Scott | lovebscott.com.

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Teen’s Hilarious Senior Quote Puts New Spin On Coming Out Of The Closet

Maxwell Barrett wanted to leave high school “with a bang.” He succeeded.

The 18-year-old senior at Raritan High School in Hazlet, New Jersey, tweeted a screenshot of his yearbook photo and accompanying quote on Tuesday:

The quote, credited to “Unknown,” reads: “Of course I dress well, I didn’t spend all that time in the closet for nothing.”

“I wanted to go out with a bang,” Barrett, who is indeed very snappily dressed in the photo, told The Huffington Post. “I had never done sports, or clubs. I was always just an art student. I wanted to go out in a way people would remember me by!” He added that he didn’t come up with the quote completely on his own, but had rephrased a similar quote he’d seen online.

Barrett said he was “out” as gay to most people around him. Though he had never officially told his parents, he said he could tell that they already knew. “It was just more of a confirmation to [my parents] than a coming-out story,” he said.

And his parents’ reaction?

“They said it was the best one in the yearbook and that they were proud of me,” Barrett said. He mentioned that his classmates also loved it, and that even teachers had pulled him aside to congratulate him and comment on the quote.

Barrett said a yearbook supervisor initially told him they weren’t going to run the quote because of its “shock value.”

However, Hazlet Township Public School Superintendent Bernard Bragen could not confirm that happened.

“My understanding is that it was never pulled,” he said.


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Teens – Body Image & Beyond

Teens – Body Image & Beyond


Teens Body Image and Beyond helps teens to accept their body types and inherited features, see differences as distinctions, and know their appearance is not their identity. Media messages, online profiles, friends, sports, eating disorders, muscle madness, temptations to use steroids or diet pills, and other issues are addressed. Teens will be encouraged to value variety in shapes and sizes and to embrace their own and others’ uniqueness. Teens like to be active and interact; games, role plays, panel discussions and team activities promote movement and fun; thought-provoking questions encourage verbal and artistic expression; teens create posters, poetry, slogans and skits; they play expert advisors to each other. The workbook is divided in ten chapters with two to nine sessions per chapter. Each session includes clear directions for the facilitator including purpose and goal of the session, key background information on the specific subject, and interactive activities to use in a

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Teen’s Instagram Tribute To His Sick Great Grandma Needs No Filter

When Louisville, Ky., teen, Zach Belden, created an Instagram account for his great grandma, he had no idea how big of a following it would attract, WDRB reported.

Grandma Betty is dying of cancer, so Zach thought this would be a great opportunity to share happy moments with his family and friends, and also have something to remember her by.

But, it hasn’t only reached their family and friends: the account, grandmabetty33, was made in January and already has more than 6,500 followers.

Grandma Betty gets a huge kick out of it, asking how many new followers they’ve gained every day, according to WDRB.

“I’ve been here 80 years, maybe they’ll learn something good from me,” she told the outlet.

On March 10, Zach posted an Instagram thanking all their followers:

From photos of her and her late husband, to videos of her dancing to Pharrell’s “Happy,” the sweet account is definitely worth checking out.

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