Accessing Targeted and Intensive Mental Health Services

2020 ◽  
pp. 503-522
Author(s):  
Tammy L. Hughes ◽  
Maggie B. Mazzotta
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Health Services ◽  
Child Mental Health ◽  
Mental Health Disorder ◽  
At Risk Youth ◽  
Universal Prevention ◽  
Wide Range ◽  
Full Picture ◽  
Almost All

One in five children and adolescents experience a mental health disorder during their school-aged years. Given that almost all children attend school, this setting offers the opportunity to deliver a wide range of services including universal prevention programs, targeted support for at-risk youth, and tailored individual treatments that can be coordinated with community and family supports. However, there is debate about what is a schools’ responsibility. Schools prioritize services on issues that interfere with the youth’s educational gains. Yet, there are major differences in perspectives about what is an educational matter. This autonomy means that children in some districts receive services while other children in other districts do not. This chapter offers readers a full picture of the challenges schools address and how to work within these systems. How to negotiate and coordinate with school teams to address child mental health needs is detailed.

scholarly journals Clinical risk management and child mental health

2003 ◽  
Vol 9 (5) ◽  
pp. 319-326 ◽  
Author(s):  
Fiona Subotsky
Keyword(s):  
Mental Health ◽  
Risk Management ◽  
Health Services ◽  
Child Mental Health ◽  
Policy Development ◽  
Clinical Governance ◽  
Clinical Risk Management ◽  
New Paradigm ◽  
Adult Services ◽  
Wide Range

Risk management is a requirement of clinical governance and a new paradigm for child and adolescent mental health services. Issues are different from those of adult services and a wide range need to be considered, which include not only the risk of harm to self, to others and from others but also from the system (by omission or commission) and to the staff. Systematic policy development, using information from audits, complaints, incidents and inquiries, will be helpful and interagency agreements necessary to promote coordination. The complex regulatory framework is discussed.

OP46 Redefining Mental Health Services For Youth: Evidence To Action

2018 ◽  
Vol 34 (S1) ◽  
pp. 18-18
Author(s):  
Angela Ly ◽  
Gilbert A. Tremblay ◽  
Sylvie Beauchamp
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
At Risk ◽  
Young Adults ◽  
Early Intervention ◽  
Mental Health Services ◽  
Health Services ◽  
Systematic Reviews ◽  
Adolescents And Young Adults ◽  
At Risk Youth

Introduction:Current organization of mental health services in Canada imposes a rupture during youth transition to adulthood, when severe mental health disorders start appearing. This can have a major impact on youth recovery and social integration. A health technology assessment (HTA) was initiated to evaluate the efficacy of programs that simultaneously target adolescents and young adults to support decision making.Methods:A systematic review of systematic reviews was conducted. Four databases were searched (MEDLINE, Embase, Applied Social Sciences Index and Abstracts, and CINAHL) for articles published between 2000 and 2017. Article selection and quality assessment (ROBIS tool) were performed and inter-rater agreement was measured. To be included, the systematic review had to study specialized models or programs serving both adolescents and young adults. An analytical framework was constructed based on the categorization of performance measures for early intervention and the five dimensions of recovery. Group and individual interviews were conducted to collect contextual and experiential data.Results:A total of 1,054 references were identified. After applying the selection criteria, five systematic reviews were selected. The majority of programs identified were developed for early psychosis. This HTA did not identify specialized programs for other types of mental illness or at-risk youth. Evidence on early interventions for psychosis is emerging in regards to their efficacy in improving functional and clinical recovery. However, evidence has yet to be established for their impact on access. Contextual and experiential data from our organization validated and completed the scientific findings. Facilitating and constraining factors in the implementation of a person-centered care model and inter-agency collaboration were identified.Conclusions:Services targeting at-risk youth should be developed as part of a continuum of care that is adapted to clinical stages so that all youths living with psychological distress can be treated, regardless of diagnosis or age. These services may draw inspiration from models of early intervention for psychosis. Recommendations from this HTA are currently being put into action in the West Island of Montreal.

Promising approaches to police–mental health partnerships to improve service utilization for at-risk youth.

2019 ◽  
Vol 5 (2) ◽  
pp. 206-215 ◽  
Author(s):  
Elizabeth Janopaul-Naylor ◽  
Samantha L. Morin ◽  
Brian Mullin ◽  
Esther Lee ◽  
James G. Barrett
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Service Utilization ◽  
At Risk Youth ◽  
Health Partnerships

Is Pacific language ability protective of prevalence of mental disorders among Pacific peoples in New Zealand?

2018 ◽  
Vol 21 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Eirenei Taua'i ◽  
Rose Richards ◽  
Jesse Kokaua
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Common Mental Disorders ◽  
Mental Health Disorder ◽  
Positive Role ◽  
Pacific People ◽  
Language Promotion

Aims: To explore associations between experiences of mental illness, migration status and languages spoken among Pacific adults living in NZ. Methods: SURVEY FREQ and SURVEY LOGISTIC procedures in SAS were applied to data from Te Rau Hinengaro: The New Zealand (NZ) Mental Health Survey, a survey of 12,992 New Zealand adults aged 16 and over in 2003/2004. Pacific people were over sampled and this paper focuses on the 2374 Pacific participants but includes, for comparison, 8160 non-Maori-non-Pacific (NMNP) participants. Results: Pacific migrant respondents had the lowest prevalence of mental disorders compared to other Pacific peoples. However, Pacific immigrants were also less likely to use mental health services, suggesting an increased likelihood of experiencing barriers to available mental health care. Those who were born in NZ and who were proficient in a Pacific language had the lowest levels of common mental disorders, suggesting a protective effect for the NZ-born population. Additionally, access to mental health services was similar between NZ-born people who spoke a Pacific language and those who did not. Conclusions: We conclude that, given the association between Pacific language and reduced mental disorder, there may be a positive role for Pacific language promotion in efforts to reduce the prevalence of mental health disorder among Pacific communities in NZ.

scholarly journals Mental health services for war-affected children

2003 ◽  
Vol 183 (6) ◽  
pp. 540-546
Author(s):  
Lynne Jones ◽  
Alban Rrustemi ◽  
Mimoza Shahini ◽  
Aferdita Uka
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Learning Disability ◽  
Stress Reactions ◽  
Educational Role ◽  
Number Of Patients ◽  
Wide Range ◽  
Adolescent Mental Health Service ◽  
Local Actors

BackgroundIn war-affected societies it is assumed that the major mental health problem facing the population will be stress reactions.AimsTo describe the creation of a child and adolescent mental health service (CAMHS) in Kosovo after the military conflict ended in 1999, and to establish the range of problems and diagnoses that presented.MethodData were collected on 559 patients over 2 years, including their referring problems and diagnoses.ResultsStress-related disorders constituted only a fifth of the case-load in year 1. A substantial number of patients were symptom-free but attended because they had been exposed to atraumatic event, and believed it might make them ill. Non-organic enuresis and learning disability were the most common diagnoses in year 2. Many patients had a complex mix of social and psychological difficulties that did not fit conventional diagnostic categories.ConclusionsMental health services that only address traumatic stress may fail to meet the needs of war-affected children. A comprehensive, culturally appropriate CAMHS is needed to address a wide range of problems including learning disability. It should be developed through local actors, and build on existing local infrastructure. Services can also have an educational role in ‘depathologising’ normative responses.

scholarly journals A benchmarking study of father involvement in Australian child mental health services

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0203113 ◽  
Author(s):  
Mark R. Dadds ◽  
Daniel A. J. Collins ◽  
Frances L. Doyle ◽  
Lucy A. Tully ◽  
David J. Hawes ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Father Involvement ◽  
Child Mental Health ◽  
Australian Child ◽  
Child Mental Health Services

scholarly journals Mental health services for war-affected children

2003 ◽  
Vol 183 (06) ◽  
pp. 540-546 ◽  
Author(s):  
Lynne Jones ◽  
Alban Rrustemi ◽  
Mimoza Shahini ◽  
Aferdita Uka
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Learning Disability ◽  
Stress Reactions ◽  
Educational Role ◽  
Number Of Patients ◽  
Wide Range ◽  
Adolescent Mental Health Service ◽  
Local Actors

Background In war-affected societies it is assumed that the major mental health problem facing the population will be stress reactions. Aims To describe the creation of a child and adolescent mental health service (CAMHS) in Kosovo after the military conflict ended in 1999, and to establish the range of problems and diagnoses that presented. Method Data were collected on 559 patients over 2 years, including their referring problems and diagnoses. Results Stress-related disorders constituted only a fifth of the case-load in year 1. A substantial number of patients were symptom-free but attended because they had been exposed to atraumatic event, and believed it might make them ill. Non-organic enuresis and learning disability were the most common diagnoses in year 2. Many patients had a complex mix of social and psychological difficulties that did not fit conventional diagnostic categories. Conclusions Mental health services that only address traumatic stress may fail to meet the needs of war-affected children. A comprehensive, culturally appropriate CAMHS is needed to address a wide range of problems including learning disability. It should be developed through local actors, and build on existing local infrastructure. Services can also have an educational role in ‘depathologising’ normative responses.

scholarly journals Prevalence of psychosocial distress in school going adolescents in rural Pakistan: findings from a cross-sectional epidemiological survey

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S56-S57
Author(s):  
Syed Usman Hamdani ◽  
Zill-e- Huma ◽  
Hashim Javed ◽  
Azza Warraitch ◽  
Atif Rahman ◽  
...  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Public Schools ◽  
Health Services ◽  
Early Identification ◽  
Epidemiological Survey ◽  
Psychosocial Distress ◽  
Cross Sectional ◽  
Rural Pakistan ◽  
At Risk Adolescents

AimsEarly interventions are recommended in adolescents to prevent long-term psychiatric morbidity. However, in Low and Middle Income Countries (LMICs), where there are no child and adolescent mental health services, early identification of adolescents at-risk of mental health problems remains a challenge. Pediatric Symptoms Checklist (PSC) is used in preventive child healthcare services in a number of high income countries for early identification of children and adolescents in need of mental health services. The aim of this study was to assess the reliability and validity of self-rated, Urdu version of PSC to identify at-risk adolescents studying in the public schools of rural Rawalpindi in Pakistan.MethodWe did a cross-sectional epidemiological survey with all adolescents aged 13–15 years, studying in 41 public schools of Kallar Syedan sub-district in Rawalpindi, Pakistan. An adapted Urdu version of self-reported PSC was used to assess the psychosocial distress in adolescents in-terms of externalizing, internalizing and attention problems. Strengths and Difficulties Questionnaire (SDQ) was used as a gold standard measure. Youth version of PSC and SDQ were administered in classroom settings by trained research teams.ResultThe data were collected from 5856 adolescents (response rate 97%) between April-May, 2019. The mean age of the participants was 14.37 years (±1.06); 51% participants were female. The internal consistency reliability of Urdu version of PSC was good (Cronbach alpha 0.85). At the standard cut-off score of PSC ≥28, the prevalence rate of psychosocial distress in adolescents was 25.5% (27.4% in boys & 23.6% in girls). Using the SDQ total difficulties score ≥16 as a standard criterion; the area under the ROC curve was 0.85 (95% CI 0.82–0.88), with a sensitivity of 57.64% and specificity of 89.10% of PSC. If the sensitivity and specificity of PSC is optimized to 76% at the cut-off score of PSC ≥ 24, the prevalence rates of psychosocial distress in adolescents is increased to 41%.ConclusionIn our study, 1 in 4 adolescents in public schools of rural Rawalpindi in Pakistan have been identified at-risk of poor socio-emotional development. Urdu version of PSC is a reliable and valid tool to identify adolescents in need of psychosocial interventions in public schools of rural Pakistan. While the standard cut-off score yields a better specificity; PSC with relatively lower cutoff score can be used a screening tool to identify at-risk adolescents in public schools of rural Pakistan.

Sign in / Sign up

Export Citation Format

Share Document