Not Just Bad Kids: The Adversity and Disruptive Behavior Link explores the theory that all behavior makes sense in context. If you understand a person’s frame of reference – their background, history and experience – you can imagine what might be driving their behavior. The book describes the social, cultural and environmental factors that shape the lives of many youths, including early childhood attachment which sets the foundation for how they interact with authority figures. The book also delves into an explanation of conduct disorder which is characterized by persistent, repetitive behaviors that violate the basic rights of other human beings and break rules. Studies have shown that conduct disorder affects 1-4% of adolescents in the United States and oppositional defiant disorder is estimated to develop in approximately 10.2% of children. The presence of DBD is also known to be more prevalent in boys than it is in girls. As there is a growing need to understand why children and adolescent exhibit signs of hostility, defiance and isolation, this book is an ideal resource for this timely topic.

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Dr. Akeem Marsh has dedicated his career to working with children and families of medically neglected communities. He currently serves as the Assistant Medical Director of the Home for Integrated Behavioral Health – The New York Foundling and as a member of the Verywell Mind Review Board. He also holds a faculty appointment as a Clinical Assistant Professor of Child and Adolescent Psychiatry at the New York University Grossman School of Medicine. He previously served for many years as an Attending Psychiatrist with the Bellevue Juvenile Justice Mental Health Service, providing clinical care to youth in New York City’s juvenile detention system. Dr. Marsh is board-certified in both general and child & adolescent psychiatry. He received his Bachelor of Science degree from the prestigious Sophie Davis School of Biomedical Education/CUNY School of Medicine at the City College of New York and earned his Medical Doctorate from the SUNY Health Science Center at Brooklyn/Downstate College of Medicine. He completed both his residency in general psychiatry and his fellowship in child and adolescent psychiatry at the Zucker School of Medicine at Hofstra/Northwell. Dr. Marsh is a Fellow of the American Psychiatric Association and a distinguished fellow of the American Academy of Child and Adolescent Psychiatry (AACAP). He also serves as a member of the Board of Directors of the New York Council on Child and Adolescent Psychiatry and on the editorial board of the organization’s newsletter.

Dr. Lara Cox is an attending psychiatrist with Correctional Health Services, the division of New York City Health + Hospitals that provides medical and mental health care to individuals incarcerated on Rikers Island. She was previously an attending psychiatrist with the Bellevue Juvenile Justice Mental Health Service, providing clinical care to youth in secure and nonsecure juvenile detention in New York City, and had a dual appointment as a Clinical Assistant Professor in the Department of Child and Adolescent Psychiatry and the Division of Forensic Psychiatry at New York University’s Grossman School of Medicine. She completed her adult psychiatry residency, in addition to her child and adolescent psychiatry and forensic psychiatry fellowships, at NYU. Dr. Cox is board-certified in general, child and adolescent, and forensic psychiatry. She earned her medical degree and a master's degree in clinical research from the University of Pittsburgh, after graduating from Kenyon College with a bachelor's degree with high honors in neuroscience and psychology. She maintains membership in the American Psychiatric Association, the American Academy of Child and Adolescent Psychiatry, and the American Academy of Psychiatry and the Law.

Drs. Marsh and Cox have shared primary interests in terms of clinical care, advocacy, and research, including the nexus of trauma-related symptoms and disruptive behaviors, trauma-informed juvenile justice reform, and antiracism in education and practice. They also have a vision for the future of creating a safe space for and with youth in the community, dedicated to meeting their needs, so kids who too often must fend for themselves will always have a place to go and caring people who will be there for them. Since 2016, Drs. Cox and Marsh have given many presentations on trauma and disruptive behaviors as well as racism in medicine and psychiatry. They have presented both together and individually, to a wide range of local, national, and international audiences.

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