scholarly journals Child Psychiatric Disorders Presenting to a Tertiary Multidisciplinary Child Development Service in Bangladesh

2012 ◽  
Vol 35 (3) ◽  
pp. 84-89 ◽  
Author(s):  
Farzana Islam ◽  
Monowara Parveen ◽  
Rezina Parvin ◽  
Dilara Begum ◽  
Humaira Muslima ◽  
...  

Background: Shishu Bikash Kendra (SBK or Child Development Center) of the Dhaka Shishu (Children’s) Hospital (DSH) has been using a multidisciplinary approach for assessment and management of children with various neurodevelopmental disorders since its establishment in 1991. In the past decade, a major proportion have presented with a range of emotional and behavioural problems. This paper aims to describe the types of child psychiatric disorders and the multidisciplinary team approach used in this centre for diagnosis and management of these children.Patients and Methods: Clinical records of 300 children who were assessed by the Child Mental Health Clinic of SBK during April 2004 to December 2006 were analyzed. These children were among the 1648 children who were referred for behavioural problems after having a General Developmental assessment (GDA). Children received services by a team comprising of child health physicians, child neurologists, child psychologists, developmental therapists and psychosocial counselors and a social worker. Psychiatric conditions were diagnosed using the multi-axial diagnostic guidelines of the Diagnostic and Statistical Manual (DSM-IV) and the International Classification of Diseases (ICD-10). The role of various clinics of the SBK to address specific aspects of a child’s mental health condition is described.Results: Of the 300 children seen 55% were of primary school age (ie, between 5-10 years), boys comprising 71%. The majority (94%) could be categorized into a psychiatric condition. Sixty three percent had a developmental problem. In addition, with 44% children having some intellectual deficit. Sixty one percent had an associated neurological or general medical condition. It was important to note also that 54% had some form of psychosocial adversity which needed immediate help. Commonest psychiatric diagnosis was Hyperkinetic Disorders (33%) followed by Autism Spectrum Disorders (ASD) and other Pervasive Developmental Disorders (PDD) (27%).Conclusion: Psychiatric morbidity is a common presentation among children who come to the child development and neurodisability service. If Child Mental Health professionals work with a multidisciplinary team within a child development service such as SBK, it may best utilize the multiaxial diagnosis system.DOI: http://dx.doi.org/10.3329/bjch.v35i3.10385  Bangladesh J Child Health 2011; Vol 35 (3): 84-89

2017 ◽  
Vol 4 ◽  
Author(s):  
G. Belkin ◽  
L. Wissow ◽  
C. Lund ◽  
L. Aber ◽  
Z. Bhutta ◽  
...  

We are a group of researchers and clinicians with collective experience in child survival, nutrition, cognitive and social development, and treatment of common mental conditions. We join together to welcome an expanded definition of child development to guide global approaches to child health and overall social development. We call for resolve to integrate maternal and child mental health with child health, nutrition, and development services and policies, and see this as fundamental to the health and sustainable development of societies. We suggest specific steps toward achieving this objective, with associated global organizational and resource commitments. In particular, we call for a Global Planning Summit to establish a much needed Global Alliance for Child Development and Mental Health in all Policies.


1975 ◽  
Vol 37 (3) ◽  
pp. 923-934 ◽  
Author(s):  
Peter B. Henderson ◽  
Max G. Magnussen ◽  
Barbara B. Snyderman ◽  
Juergen Homann

This paper describes a four-component procedure of clinical decision-making, developed by a group of senior child clinicians in an urban child mental health center. The major goal of the paper is to give readers a basic understanding of the theory underlying the formulation of our disposition-oriented clinical decision-making system, that can be eventually translated into questionnaire format, and made useful and usable in general clinical application. The four-component procedure is described in a step-wise fashion and then linked to clinical dispositional options to be chosen from the clinical services available in a clinic. A child mental health data system will ultimately be developed.


2021 ◽  
pp. 183-205
Author(s):  
David Rettew

The amount of time even young children spend watching television, playing video games, and generally looking at some sort of screen is truly astonishing. At the same time, technology has become a necessary part of so many aspects of our life. This chapter will summarize the evolving positions of many national child health organizations on screens and delve into the complex studies that have tried to measure the effects of media on child mental health and cognition with regards to things like aggression, anxiety, and attention-deficit/hyperactivity disorder. Tips for helping children develop healthy habits for screen use are shared, and information is presented regarding how inherent qualities of the child need to be taken into account when looking at the potential risks and benefits of screen use for an individual child.


2012 ◽  
Vol 60 (5) ◽  
pp. S49-S50
Author(s):  
H. Yoshida ◽  
H. Homma ◽  
S. Onodera ◽  
M. Takada ◽  
Y. Mizumoto ◽  
...  

2020 ◽  
Vol 33 (4) ◽  
pp. e100211
Author(s):  
Arefayne Alenko ◽  
Shimelis Girma ◽  
Mubarek Abera ◽  
Abdulhalik Workicho

BackgroundIn sub-Saharan countries, one in five children and one in three women experiences emotional and behavioural problems (EBPs) and depression, respectively. While various factors were reported to affect the mental health of children, little is known about the impact of maternal depression on the offspring. Moreover, the magnitude of children’s EBPs is barely known in Ethiopia.AimTo determine the magnitude of child EBPs and its association with maternal depression in Jimma town, southwest Ethiopia.MethodsA quantitative cross-sectional study was conducted among 734 mother–child pairs in Jimma town from January to June, 2019. EBP was assessed by using the parent version of Strengths and Difficulties Questionnaire (SDQ) with cut-off score of ≥14. Maternal depression was assessed using Patient Health Questionnaire-9 with a cut-off score of ≥10. Data were entered into Epidata V.3.1 and exported to SPSS V.24 for analysis. Multivariable logistic regression was fitted to identify the strength of association between exposure and outcome variables.ResultsOf the 734 participants, 146 (19.9%, 95% CI: 16.9% to 22.9%) met EBP criteria based on parent version of SDQ. Maternal depression had significant association with child EBP (adjusted OR=2.38, 95% CI: 1.55 to 3.66). In addition, children aged 7–10 years, family size categories of ≤3 and 4–6, maternal intimate partner violence and maternal khat use had significant association with child EBP.Conclusions and recommendationsA significant number of children suffer from EBP in Jimma town. Maternal depression is found to be a predictor of children’s EBPs. Thus, there is a need to design and implement an integrated maternal and child mental health programme. The maternal and child health section at the national level should integrate and cascade routine maternal and child mental health screening and intervention modalities down to the family healthcare system.


1982 ◽  
Vol 27 (7) ◽  
pp. 546-548 ◽  
Author(s):  
Paul D. Steinhauer

This paper discusses the essential components of child psychiatric training, considering priorities and the arguments for and against a pluralistic approach to training. It explores what aspects in the training of child psychiatrists should prepare them to make a contribution different from that of other members of the child mental health team. Other issues discussed include the balance between academic and clinical work, development of the capacity for clinical thinking, and the teaching of child development and psychiatric aspects of mental retardation.


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