Psychiatric disorders and the use of mental health services among children involved in bullying

Children with conduct disorders are among the most frequent referrals for psychiatric or other mental health treatment; yet the diagnosis of conduct disorders is also frequently seen as a reason to exclude children or youth from special education and related mental health services. This article highlights the possibility that associated with conduct disorders or its symptoms may be a variety of other psychiatric disorders requiring very different interventions. Extrapolation of symptoms from classroom inattention or disruptive behavior and estimated prevalence are discussed.

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Are we training psychiatrists to develop skills in intellectual disability psychiatry? Current European context and future directions

European Psychiatry ◽

10.1192/j.eurpsy.2020.102 ◽

2020 ◽

Vol 63 (1) ◽

Author(s):

Marisa Casanova Dias ◽

Bhathika Perera ◽

Florian Riese ◽

Livia De Picker ◽

Mariana Pinto da Costa ◽

...

Keyword(s):

Mental Health ◽

Intellectual Disability ◽

Mental Health Services ◽

Health Services ◽

Intellectual Disabilities ◽

Psychiatric Disorders ◽

Psychiatric Training ◽

Future Directions ◽

Education And Health ◽

People With Intellectual Disabilities

Abstract The majority of people with intellectual disabilities (ID) and psychiatric disorders access mainstream mental health services across Europe. However, only 56% of countries provide postgraduate psychiatric training in ID according to a survey across 42 European countries. We explore the challenges of ID training and make recommendations for education and health policymakers.

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Impact of school-based and out-of-school mental health services on reducing school absence and school suspension among children with psychiatric disorders

Evaluation and Program Planning ◽

10.1016/j.evalprogplan.2017.12.006 ◽

2018 ◽

Vol 67 ◽

pp. 105-112 ◽

Cited By ~ 3

Author(s):

Christina D. Kang-Yi ◽

Courtney Benjamin Wolk ◽

Jill Locke ◽

Rinad S. Beidas ◽

Ishara Lareef ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Psychiatric Disorders ◽

School Mental Health ◽

School Suspension ◽

School Absence ◽

School Based ◽

Out Of School

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Mental Health Care for Latinos: Mental Health Services for Latino Adolescents With Psychiatric Disorders

Psychiatric Services ◽

10.1176/appi.ps.53.12.1556 ◽

2002 ◽

Vol 53 (12) ◽

pp. 1556-1562 ◽

Cited By ~ 59

Author(s):

Richard L. Hough ◽

Andrea L. Hazen ◽

Fernando I. Soriano ◽

Patricia Wood ◽

Kristen McCabe ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Services ◽

Health Services ◽

Mental Health Care ◽

Psychiatric Disorders ◽

Latino Adolescents

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Incidence of suicide ideation and attempts in adults: the 13-year follow-up of a community sample in Baltimore, Maryland

Psychological Medicine ◽

10.1017/s0033291701004482 ◽

2001 ◽

Vol 31 (7) ◽

pp. 1181-1191 ◽

Cited By ~ 140

Author(s):

WEN-HUNG KUO ◽

J. J. GALLO ◽

A. Y. TIEN

Keyword(s):

Mental Health ◽

Suicidal Ideation ◽

Mental Health Services ◽

Health Services ◽

Psychiatric Disorders ◽

Suicidal Behaviour ◽

Suicide Attempts ◽

Community Sample ◽

Suicide Behaviour

Background. Utilizing a prospectively designed community sample, we set out to estimate the rate of newly-incident suicidal ideation and attempts (non-fatal suicide behaviour) in a community sample, to evaluate antecedent sociodemographic characteristics and psychiatric disorders, and to assess use of mental health services in relation to non-fatal suicide behaviour.Method. Prospectively-gathered data was utilized from 3481 continuing participants in the 13-year follow-up of the Baltimore sample of the NIMH Epidemiologic Catchment Area survey interviewed in 1981, 1982 and 1993/6.Results. The incidence of suicide attempts was estimated at 148·8 per 100000 person-years and ideation at 419·9 per 100000 person-years. Persons in the youngest age group, in the lowest socio-economic status, and previously married persons were at increased risk for non-fatal suicide behaviour during the follow-up interval. Persons who reported suicidal ideation at baseline were more likely to report having attempted suicide at follow-up (RR = 6·09, 95% CI 2·58–14·36). Psychiatric disorders, especially depression and substance abuse, were associated with new-onset of non-fatal suicidal behaviour. While persons who reported newly-incident suicidal behaviour were more likely to report use of mental health services, few said that suicidal ideation or attempts were the reason for the visits.Conclusions. Suicidal ideation is a common and important antecedent to suicide attempts and deserves more attention in community and general medical settings.

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Coexisting Psychiatric Disorders in a New Zealand Outpatient Alcohol and other Drug Clinical Population

Australian & New Zealand Journal of Psychiatry ◽

10.1080/j.1440-1614.2006.01764.x ◽

2006 ◽

Vol 40 (2) ◽

pp. 164-170 ◽

Cited By ~ 31

Author(s):

Simon J. Adamson ◽

Fraser C. Todd ◽

J Douglas Sellman ◽

Terry Huriwai ◽

Joel Porter

Keyword(s):

Mental Health ◽

New Zealand ◽

Mental Health Services ◽

Health Services ◽

Psychiatric Disorder ◽

Psychiatric Disorders ◽

Composite International Diagnostic Interview ◽

Diagnostic Interview ◽

Clinical Population ◽

Axis I

Objective: To describe the extent of psychiatric disorder and mental health service utilization in a representative outpatient alcohol and other drug (AOD) treatment sample in New Zealand. Method: A total of 105 patients were randomly recruited from two outpatient AOD treatment services in New Zealand and completed a diagnostic interview within the first 2 months of treatment. Axis I psychiatric diagnoses were made using the computerized Composite International Diagnostic Interview (CIDI-Auto), and were supplemented by the South Oaks Gambling Scale (SOGS) and the conduct disorder and antisocial personality disorder section of the Diagnostic Interview for Genetic Studies (DIGS). Results: Seventy-four per cent of the sample had a current non-substance or gambling axis I disorder, with a lifetime rate of 90%. The most commonly diagnosed of these coexisting psychiatric disorders were major depressive episode (34%), social phobia (31%) and posttraumatic stress disorder (31%). Past contact with mental health services was common, while contact at the time of baseline assessment was uncommon. Conclusions: Coexisting psychiatric disorder was the rule and not the exception in this sample. AOD patients are clearly part of the larger population of mental health patients. AOD services need to be capable of comprehensive assessment and treatment planning, which includes coexisting psychiatric disorders, and should work toward better integration with other mental health services.

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PUSAT REHABILITASI GANGGUAN JIWA DAN SKIZOFRENIA DENGAN PENDEKATAN ARSITEKTUR PERILAKU DI KABUPATEN KULONPROGO

Arsitektura ◽

10.20961/arst.v15i1.12076 ◽

2017 ◽

Vol 15 (1) ◽

pp. 188

Author(s):

Annisa Mutia Sari ◽

Musyawaroh Musyawaroh ◽

Wiwik Setyaningsih

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Psychiatric Disorder ◽

Psychiatric Disorders ◽

Design Concept ◽

Rehabilitation Center ◽

Basic Form ◽

Architectural Elements ◽

The Look

Abstract: Psychiatric disorder sufferers in Indonesia is increasing every year. This also happens in the Daerah Istimewa Yogyakarta which is the province with the largest number of psychiatric sufferers in Indonesia. The phenomenon of the increasing psychiatric sufferers happen due to the lack of mental health services and facilities so that many sufferers of psychiatric disorders that have not been handled properly. The problem that arise in the design of Psychiatric Disorder and Schizophrenia Rehabilitation Center is how to create the design of rehabilitation center that accomodates the activities and needs of sufferers both physically and mentally based on behavior that indicated the sufferers. The goal is to get the container activities and needs that play a role in the healing of sufferers psychologically, socially, and spiritually with Behaviorism Architecture as the design concept. The methods used in the design of Psychiatric Disorder and Schizophrenia Rehabilitation Center is Behaviorism Concept. This concept was applied in architectural elements focused on three aspects, namely, privacy, comfort, and security. The application of the Behaviorism concept aims to meet the appropriate design in accordance with the surferrers’ behavior wihich is realized through optimization of potential site and the zonning concept. The basic form of the building is a square shape in combination with pyramid roof and sloping roof to get a homey impression. Likewise, the look of the building is made simple, but it capable to display the principles of Behaviorism Architecture. Kata kunci: Behavior Architecture, Psychiatric Disorders, Rehabilitation Center, Schizophrenia

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FIVE YEARS ON: A COHORT STUDY OF YOUNG PEOPLE TREATED WITH ANTIPSYCHOTIC DRUGS WHO WERE TRANSITIONING FROM CHILD TO ADULT MENTAL HEALTH SERVICES IN THE LOMBARDY REGION, ITALY

Archives of Disease in Childhood ◽

10.1136/archdischild-2015-310148.10 ◽

2015 ◽

Vol 101 (1) ◽

pp. e1.2-e1

Author(s):

Laura Reale ◽

Antonio Clavenna ◽

Rita Campi ◽

Massimo Cartabia ◽

Maurizio Bonati

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Psychiatric Disorders ◽

Service Use ◽

Transition Period ◽

Early Adulthood ◽

Antipsychotic Treatment ◽

Lombardy Region ◽

The Impact

The aim of this study was to monitor the pattern of service attendance and antipsychotic use in youth with psychiatric disorders crossing age boundaries for paediatric mental health services. Regional administrative health databases were used to identify subjects born in the 1989–1992 period, who were hospitalised for psychiatric disorders and had both outpatient visits and antipsychotic prescriptions between the age of 16 and 17 years. Information about service use, antipsychotic medication, and hospitalizations during the transition period covering the age of 18–20 years was collected. A total of 144 patients were identified. Risperidone was the most commonly prescribed drug (28% of youths), followed by haloperidol (22%) and olanzapine (19%). In early adulthood, 117 of 144 (81%) subjects were still attending a mental health service: 43% of whom were receiving parallel care, and 47 (40%) of whom were being seen by adult, and 20 (17%) by child, psychiatrists. In all, 99 of 144 (69%) continued antipsychotic treatment into adulthood, 65 of whom (66%) switched to another drug, with an increase in aripiprazole, and a reduction of haloperidol and chlorpromazine, prescriptions. Less than half (45%) were re-admitted for psychiatric disorders, mainly for schizophrenia. In conclusion, only 4 out of 10 adolescents completed the transition to adult services by the age of 20 years, while 30% discontinued drug therapy and only a third maintained the treatment received during adolescence. Monitoring therapeutic pathways in this challenging life period is essential, and further analyses on the impact of service transition on pharmacological treatment are ongoing.

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Sleep problems among adolescents within child and adolescent mental health services. An epidemiological study with registry linkage

European Child & Adolescent Psychiatry ◽

10.1007/s00787-020-01676-4 ◽

2020 ◽

Author(s):

Mari Hysing ◽

Ove Heradstveit ◽

Allison G. Harvey ◽

Sondre Aasen Nilsen ◽

Tormod Bøe ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Psychiatric Disorders ◽

Sleep Problems ◽

Adolescent Mental Health ◽

Child And Adolescent ◽

Sleep Efficiency ◽

Poor Sleep ◽

Delayed Sleep

Abstract Sleep problems are prevalent among adolescents, especially among those diagnosed with mental health disorders. There is insufficient knowledge about sleep among adolescents within child and adolescent mental health services (CAMHS) in comparison to the general population. The data are drawn from the youth@hordaland study, a large population-based study conducted in 2012, linked to the Norwegian Patient Registry (NPR) (n = 9077). Psychiatric disorders were based on clinical diagnoses from the NPR, while insomnia, delayed sleep–wake-phase disorder (DSWPD), and other sleep problems/patterns were assessed by self-report questionnaires from youth@hordaland. The prevalence of diagnosed sleep disorders among adolescents seeking mental health services was 0.6%, yielding an estimated prevalence of 0.07% of the population. However, questionnaire-based measurement of insomnia from the youth@hordaland study indicated that insomnia was highly prevalent across disorders in comparison to a reference group of adolescents who were not within mental health care. Insomnia ranged from 29% among adolescents diagnosed with ADHD (PR = 1.79; 95% CI 1.41–2.29) to 48% among adolescents diagnosed with depression (PR = 2.53, 95% CI 2.19–2.92). All diagnostic groups had a mean sleep efficiency below (85%), indicating poor sleep quality. Insomnia, delayed sleep-phase wake disorder, and poor sleep efficiency were confirmed as transdiagnostic sleep problems across psychiatric disorders. In addition, some disorder-specific patterns emerged, such as a higher prevalence of insomnia among adolescents with depression, and DSWPS among adolescents with conduct disorder. This underscores the need for treating sleep problems in CAMHS, and transdiagnostic treatment approaches are warranted.

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