Dr Jon Goldin on the coronavirus and child mental health

2020 ◽  
Keyword(s):  
Mental Health ◽  
Child Mental Health ◽  
Child And Adolescent ◽  
Adolescent Psychiatrist ◽  
Street Hospital ◽  
Great Ormond Street Hospital

Dr. Jon Goldin Consultant Child and Adolescent Psychiatrist, working at Great Ormond Street Hospital discusses child mental health in the wake of the coronavirus pandemic.

Early phase child and adolescent psychiatry response after mass trauma: Lessons learned from the Easter Sunday attack in Sri Lanka

2020 ◽  
Vol 66 (4) ◽  
pp. 331-334
Author(s):  
Miyuru Chandradasa ◽  
Layani C Rathnayake ◽  
Madushi Rowel ◽  
Lalin Fernando
Keyword(s):  
Mental Health ◽  
Sri Lanka ◽  
Adolescent Psychiatry ◽  
Child Mental Health ◽  
Psychological Trauma ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Psychological Support ◽  
Adolescent Psychiatrist ◽  
Mass Trauma

Background: Sri Lanka is a South-Asian nation with a multi-ethnic population. A 26-year-old armed conflict ended in 2009 and the relative stability over the last decade was unexpectedly disrupted by the Easter Sunday Bombings of Catholic Churches and luxury hotels in 2019. More than 250 were killed and most of the deaths were reported from the St. Sebastian’s Church in Negombo in the District of Gampaha. This article describes how mental health services of the District of Gampaha, with a population of 2.3 million and only one child and adolescent psychiatrist responded to the psychological trauma in children. Activities: The child and adolescent psychiatry response to the mass trauma was a collaboration between health, educational and voluntary organisations. The psychological support was provided at affected villages, schools and hospital settings. Medical and non-medical personnel were able to refer affected children directly to the child and adolescent psychiatrist. Children who had developed psychological consequences of trauma were provided with evidence-based psychotherapies and psychopharmacology where necessary. In addition, health staff members and teachers were trained to provide psychological support and a booklet was prepared in the local language based on trauma-focused cognitive behaviour therapy. Psychoeducation about the psychological response to trauma was provided through electronic, printed and social media. The limited number of trained psychotherapists and experts in child mental health were a major barrier to implement effective management strategies. Conclusion: Due to the severe shortage of child mental health experts, practical low-cost methodologies were employed to provide an early response to trauma. Traditional ways of mental health service provision were modified to be implemented via non-experts.

scholarly journals A child and adolescent mental health service for children with intellectual disabilities – 8 years on

2010 ◽  
Vol 34 (5) ◽  
pp. 195-199
Author(s):  
Barry Wright ◽  
Chris Williams ◽  
Marcella Sykes
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Intellectual Disabilities ◽  
Child Mental Health ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Specialist Service ◽  
Adolescent Mental Health Service

SummaryThis paper reports on the last 8 years in the development of a child mental health learning disability service. The growth, challenges and pitfalls faced by the service are charted here. The paper also shows how a service can cope with rising demand without the development of waiting lists and how a specialist service can be embedded within a generic child and adolescent mental health service (CAMHS) as a tier 3 team, thus creating synergies and commonalities of purpose, while avoiding service gaps that inevitably arise from separate services with specific referral criteria. This is a healthy service model that meets the needs of local children with moderate to severe intellectual disabilities and concomitant child mental health problems.

Social Workers in Child Mental Health: Securing a Future

2000 ◽  
Vol 5 (3) ◽  
pp. 102-107
Author(s):  
Philip Messent
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Social Workers ◽  
Child Mental Health ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
The Uk

A study was conducted to investigate reductions in the numbers of social work posts located within Child and Adolescent Mental Health Services in the UK. Results suggested that reductions in posts noted in earlier studies are continuing. Interviewees' ideas about factors contributing to the survival of such posts are summarised. The significance of the loss of posts is discussed, with an account of changing ideas about the role of social workers within CAMHS teams, and of an audit undertaken of one service lacking such a post. Conclusions are drawn concerning ways of ensuring the preservation of such posts.

scholarly journals A Cambodian-Norwegian Competence Building Program in Child Mental Health: A Qualitative Focus-Group Study

2020 ◽  
Author(s):  
Marit Hafting ◽  
Puthy Pat ◽  
Gunn Aadland ◽  
Krister Fjermestad ◽  
Bhoomikumar Jegannathan
Keyword(s):  
Mental Health ◽  
Focus Group ◽  
Capacity Building ◽  
Child Mental Health ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
High Income ◽  
Middle Income ◽  
Knowledge And Skills ◽  
Building Program

Abstract BackgroundThe prevalence of mental health and neurodevelopmental disorders in young people is high in low- and middle-income counties, such as Cambodia, as risk factors in the perinatal period, malnutrition, infections and adverse childhood experiences can be abundant due to poverty and/or conflict. Collaboration between institutions from high-income countries and institutions in resource-poor settings for professional development can improve service providers’ knowledge and skills, which is key to bridging the gap between service needs and the ability to meet those needs. The aim of the present article is to describe some significant aspects of a transcultural capacity-building program in child mental health.MethodsA Norwegian team comprised of a pediatrician, a child and adolescent psychiatrist and a child psychologist implemented a program for competence building at Centre for Child and Adolescent Mental Health (Caritas-CCAMH) in Cambodia two weeks per year over a 14-year period. Herein, we explore some aspects of this collaboration from the perspective of the Caritas-CCAMH staff with a qualitative approach using thematic analysis of the transcripts from a focus-group interview with 11 staff members at the end of the 14-year period. Results The multidisciplinary team at Caritas-CCAMH described a learning process characterized by collaboration in planning and implementation. Mixing theory and practice in clinical case discussions with a bio-psycho-social perspective was perceived as the cornerstone of the pedagogical process. Learning by observation and supervision from the Norwegian team led to mastering skills and enhancing self-confidence and job satisfaction. A pedagogical strategy that involved constant reflection back and forth enabled the customization of the content and method of capacity building despite the differences in socio-economic conditions and learning styles that were unfamiliar to the mental health professionals from a high-income country.ConclusionsBuilding knowledge and skills within a dialogic partnership over a significant period of time contributed to learning across cultures. This model of continuity, low-investment and low-intensity capacity-building may enrich the child and adolescent mental health settings in low- and middle-income countries. Furthermore, the model appears feasible for Western professionals with an ambition to support.

Medical Law

2019 ◽  
Author(s):  
Emily Jackson
Keyword(s):  
Mental Health ◽  
General Medical Council ◽  
Medical Council ◽  
Medical Law ◽  
Street Hospital ◽  
General Data Protection Regulation ◽  
Great Ormond Street Hospital ◽  
Legal Context ◽  
Independent Review ◽  
Alder Hey

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing students with a stand-alone resource. Medical Law: Text, Cases, and Materials offers exactly what the title says—all of the explanation, commentary, and extracts from cases and key materials that students need to gain a thorough understanding of this complex topic. Key case extracts provide the legal context, facts, and background; extracts from materials, including from the most groundbreaking writers of today, provide differing ethical perspectives and outline current debates; and the author’s insightful commentary ensures that readers understand the facts of the cases and can navigate the ethical landscape to form their own understanding of medical law. Chapters cover all of the topics commonly found on medical law courses, including a separate chapter on mental health law. This new edition, thoroughly updated, includes: coverage of important new cases in all chapters, including Bawa-Garba v General Medical Council; Great Ormond Street Hospital for Children NHS Foundation Trust v Yates; Alder Hey Children's NHS Foundation Trust v Evans; Re (Northern Ireland Human Rights Commission's Application for Judicial Review); An NHS Trust v Y, and R (on the application of Conway) v Secretary of State for Justice; coverage of the new General Data Protection Regulation and the Independent Review of the Mental Health Act 1983.

In Conversation… Professor Tasmin Ford the importance of schools in a child’s mental health

2019 ◽  
Keyword(s):  
Mental Health ◽  
Early Intervention ◽  
Medical School ◽  
Adolescent Psychiatry ◽  
Child Mental Health ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry

Professor Tamsin Ford, Professor of Child and Adolescent Psychiatry, University of Exeter Medical School, talks about attachment and early intervention, and explains why schools are an important setting in relation to child mental health.

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