scholarly journals Clinical risk management and child mental health

2003 ◽  
Vol 9 (5) ◽  
pp. 319-326 ◽  
Author(s):  
Fiona Subotsky

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.

Author(s):  
Tammy L. Hughes ◽  
Maggie B. Mazzotta

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.


2003 ◽  
Vol 183 (6) ◽  
pp. 540-546
Author(s):  
Lynne Jones ◽  
Alban Rrustemi ◽  
Mimoza Shahini ◽  
Aferdita Uka

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.


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 ◽  
...  

2003 ◽  
Vol 183 (06) ◽  
pp. 540-546 ◽  
Author(s):  
Lynne Jones ◽  
Alban Rrustemi ◽  
Mimoza Shahini ◽  
Aferdita Uka

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.


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