This article is reporting data from the qualitative arm of a mixed-methods study in which the researchers explored perceptions of compassion fatigue (CF), compassion satisfaction (CS), and burnout (BO) among a subset of clinical providers from various disciplines providing services to highly traumatized youth. Thirty-six providers (case managers, psychology fellows, psychologists, and clinical social workers) completed an anonymous online survey collecting demographic, professional, and personal data. Twenty-five providers participated in discipline-specific focus groups that solicited reflections on providing services to traumatized youth. Qualitative analyses provided rich illustrations of the impact of working with highly traumatized youth. Results also highlighted the unique nuances of how each provider type perceived and experienced CF, CS, and BO and presented how personal, professional, and organizational factors interacted to influence the manifestation of these constructs.

The United States Maternal Child Health Bureau (MCHB) funds seven Leadership in Adolescent Health (LEAH) programs across the country [1]. The mission of the network of LEAH programs is to train health professionals from medicine, nursing, nutrition, psychology, and social work to be leaders in clinical care, teaching, research, public health policy, and organization of health services for adolescents and young adults (AYA). On March 30, 2020, Project Directors of the LEAH programs convened an urgent conference call to discuss early experiences with managing adolescent health and medicine training programs within the context of the COVID-19 pandemic. LEAH Project Directors lead academic interdisciplinary adolescent health training programs in the following locations:

For many adolescent and young adult solid organ transplant recipients, medication non-adherence is a mortal issue. This study investigated the feasibility, acceptability, and potential efficacy of a 12-week cell phone support intervention to improve immunosuppressant medication adherence. A small sample (N = 8) of non-adherent adolescent and young adult transplant recipients, aged 15-20.5 years, was enrolled. Cell phone support consisted of short calls each weekday including medication reminders, discussion of needs, problem-solving support, and promotion of clinic and community resources. Changes in adherence were measured by self-report and laboratory values, and intervention acceptability, adherence barriers, social support, depression, and substance use were assessed by self-report. Pre-post effect sizes showed medium-to-large improvements in adherence, lasting through a 12-week follow-up assessment. There were also small-to-medium changes in adherence barriers, social support, and depression. However, acceptability and feasibility were limited, due to a low rate of enrollment by eligible male participants. Cell phone support interventions may promote medication adherence among adolescents and young adults. Cell phone support warrants further investigation, including a randomized controlled trial to evaluate efficacy.