Canada Research Chair in Youth Mental Health and Director of the Advancing Research in Children's Health Lab at the University of Waterloo.

Joined October 2014
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Honoured to deliver the 2025 Carol Buck Lecture at @WesternU! Presented updated findings from @arch_lab’s MY LIFE study on child physical-mental #multimorbidity—prevalence, determinants, & prevention strategies that can inform policy and improve outcomes. bit.ly/4j1JKLU
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📊 New study in Psychiatry Research validates the Ontario Child Health Study Emotional Behavioural Scales (OCHS-EBS) in clinical settings: ✅ Large sample: 3,000+ caregivers & 1,900+ #youth ✅ Strong reliability & validity 🔗 bit.ly/48LYkUA #Psychometrics #MentalHealth
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📢 New @ARCH_Lab pub: How well do #parents and #kids agree on #mentalhealth when chronic physical illness is involved? Agreement improves over time—and parent experience with their own mental health matters! Read more 👉bit.ly/48JvzGF #ChildHealth
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New from @ARCH_Lab's MY LIFE Study🧠Mental health problems in kids with chronic physical illness are common & persistent. After 4 yrs, up to 39% had #anxiety, #depression, #ADHD or behavior problems. Integrated care is essential‼️bit.ly/3MssWld #ChildHealth #MentalHealth
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📢 New from ARCH Lab ➡️ bit.ly/4nSm2CI: #Youth 15–17 with #multimorbidity face significantly higher risks of suicidality: 🔹 44% felt hopeless 🔹28% had suicidal thoughts 🔹19% attempted #suicide Support must be inclusive & family-centered
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Pleased to return to Twitter/X to promote a recently published article in The Lancet Psychiatry. Our team recently demonstrated (via meta-analysis) prospective, longitudinal relationships between negative family dynamics and self-harm and suicidality in children and adolescents.
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Loss to follow up (LFU) rates of patients who attended the @mch_childrens Pediatric Rheumatology Transition Clinic were only 29%. Improved LFU rates may lead to improved long-term outcomes. journals.lww.com/jclinrheum/…
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This is a huge accomplishment - and unquestionably changing the futures of young people with rheumatic diseases for the better! Congrats and thanks.
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📢 New @ARCH_Lab study finds 1 in 10 🇨🇦 kids experience #multimorbidity (physical+mental/neurodev disorders). Risk factors: teen age, caregiver #stress & #mentalhealth. Implications for screening & family-centered care: bit.ly/4gA381F @UWaterlooSPHS @uwaterloohealth
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Mark Ferro retweeted
Replying to @PsychiatristCNS
This is a fascinating area of research! Hair cortisol levels provide a non-invasive way to assess long-term stress exposure, which could greatly aid in understanding how chronic illness impacts children over time. It leads me to wonder how this method could be integrated into regular medical screenings. Could these findings eventually influence treatment plans or early interventions for stress management in pediatric care? For anyone interested in diving deeper into this topic or similar biomedical discussions, check out sciqst.com. It's a one-stop platform to explore detailed biomedical questions and create comprehensive reviews. #Medicine
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#ThrowbackThursday - ⬆️ New Canadian study, published in Stress and Health, suggests that something as simple as a hair sample could be the key to better understanding how stress hormones influence their #mentalhealth. #anxiety #stress
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New @arch_lab research finds specific #inflammatory markers in blood predict greater #mentalhealth challenges in kids with chronic #physicalillness🩸Early screening could change the care trajectory bit.ly/46gP3kL @UWaterlooSPHS @ExMedDr
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✂️🧠 New paper by @arch_lab's @emma_littler5 shows stress leaves a mark—in kids’ hair. Those with chronic illness and chronically high cortisol had ⬆️#mentalhealth symptoms; hair cortisol a useful tool for early mental health intervention bit.ly/4panZMG @UWaterlooSPHS
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Mark Ferro retweeted
Researchers have found that certain immune markers in the blood are linked to internalizing and externalizing symptoms in chronically ill children. The study adds to growing evidence that inflammation may shape psychological outcomes in pediatric… dlvr.it/TMl3sc
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