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Improving access to care for children with mental disorders: a global perspective

Developmental disabilities, emotional disorders and disruptive behaviour disorders are the leading mental health-related causes of the global burden of disease in children aged below 10 years. This article aims to address the treatment gap for child mental disorders through synthesising three bodies... Full description

Journal Title: Archives of disease in childhood 2013-05, Vol.98 (5), p.323-327
Main Author: Patel, Vikram
Other Authors: Kieling, Christian , Maulik, Pallab K , Divan, Gauri
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
ID: ISSN: 0003-9888
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3672840
title: Improving access to care for children with mental disorders: a global perspective
format: Article
creator:
  • Patel, Vikram
  • Kieling, Christian
  • Maulik, Pallab K
  • Divan, Gauri
subjects:
  • Abridged Index Medicus
  • Article
  • Biological and medical sciences
  • Care and treatment
  • Causes of
  • Child
  • Child Health Services - organization & administration
  • Child Health Services - standards
  • Children
  • Delivery of Health Care - organization & administration
  • Diagnosis
  • Evidence-Based Medicine - methods
  • General aspects
  • Global Health
  • Health aspects
  • Health Service
  • Health Services Accessibility - organization & administration
  • Health Services Accessibility - standards
  • Humans
  • Medical care
  • Medical care (Private)
  • Medical sciences
  • Medically Underserved Area
  • Mental disorders
  • Mental Disorders - diagnosis
  • Mental Disorders - therapy
  • Mental Health Services - organization & administration
  • Mental Health Services - standards
  • Mental illness
  • Miscellaneous
  • Neurodisability
  • Prevention and actions
  • Psychology. Psychoanalysis. Psychiatry
  • Psychopathology. Psychiatry
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • School Health Services - organization & administration
  • Usage
ispartof: Archives of disease in childhood, 2013-05, Vol.98 (5), p.323-327
description: Developmental disabilities, emotional disorders and disruptive behaviour disorders are the leading mental health-related causes of the global burden of disease in children aged below 10 years. This article aims to address the treatment gap for child mental disorders through synthesising three bodies of evidence: the global evidence base on the treatment of these priority disorders; the barriers to implementation of this knowledge; and the innovative approaches taken to address these barriers and improve access to care. Our focus is on low-resource settings, which are mostly found in low- and middle-income countries (LMIC). Despite the evidence base on the burden of child mental disorders and their long-term consequences, and the recent mental health Gap Action Programme guidelines which testify to the effectiveness of a range of pharmacological and psychosocial interventions for these disorders, the vast majority of children in LMIC do not have access to these interventions. We identify three major barriers for the implementation of efficacious treatments: the lack of evidence on delivery of the treatments, the low levels of detection of child mental disorders and the shortage of skilled child mental health professionals. The evidence based on implementation, although weak, supports the use of screening measures for detection of probable disorders, coupled with a second-stage diagnostic assessment and the use of non-specialist workers in community and school settings for the delivery of psychosocial interventions. The most viable strategy to address the treatment gap is through the empowerment of existing human resources who are most intimately concerned with child care, including parents, through innovative technologies, such as mobile health, with the necessary skills for the detection and treatment of child mental disorders.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0003-9888
fulltext: fulltext
issn:
  • 0003-9888
  • 1468-2044
url: Link


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descriptionDevelopmental disabilities, emotional disorders and disruptive behaviour disorders are the leading mental health-related causes of the global burden of disease in children aged below 10 years. This article aims to address the treatment gap for child mental disorders through synthesising three bodies of evidence: the global evidence base on the treatment of these priority disorders; the barriers to implementation of this knowledge; and the innovative approaches taken to address these barriers and improve access to care. Our focus is on low-resource settings, which are mostly found in low- and middle-income countries (LMIC). Despite the evidence base on the burden of child mental disorders and their long-term consequences, and the recent mental health Gap Action Programme guidelines which testify to the effectiveness of a range of pharmacological and psychosocial interventions for these disorders, the vast majority of children in LMIC do not have access to these interventions. We identify three major barriers for the implementation of efficacious treatments: the lack of evidence on delivery of the treatments, the low levels of detection of child mental disorders and the shortage of skilled child mental health professionals. The evidence based on implementation, although weak, supports the use of screening measures for detection of probable disorders, coupled with a second-stage diagnostic assessment and the use of non-specialist workers in community and school settings for the delivery of psychosocial interventions. The most viable strategy to address the treatment gap is through the empowerment of existing human resources who are most intimately concerned with child care, including parents, through innovative technologies, such as mobile health, with the necessary skills for the detection and treatment of child mental disorders.
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subjectAbridged Index Medicus ; Article ; Biological and medical sciences ; Care and treatment ; Causes of ; Child ; Child Health Services - organization & administration ; Child Health Services - standards ; Children ; Delivery of Health Care - organization & administration ; Diagnosis ; Evidence-Based Medicine - methods ; General aspects ; Global Health ; Health aspects ; Health Service ; Health Services Accessibility - organization & administration ; Health Services Accessibility - standards ; Humans ; Medical care ; Medical care (Private) ; Medical sciences ; Medically Underserved Area ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - therapy ; Mental Health Services - organization & administration ; Mental Health Services - standards ; Mental illness ; Miscellaneous ; Neurodisability ; Prevention and actions ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; School Health Services - organization & administration ; Usage
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descriptionDevelopmental disabilities, emotional disorders and disruptive behaviour disorders are the leading mental health-related causes of the global burden of disease in children aged below 10 years. This article aims to address the treatment gap for child mental disorders through synthesising three bodies of evidence: the global evidence base on the treatment of these priority disorders; the barriers to implementation of this knowledge; and the innovative approaches taken to address these barriers and improve access to care. Our focus is on low-resource settings, which are mostly found in low- and middle-income countries (LMIC). Despite the evidence base on the burden of child mental disorders and their long-term consequences, and the recent mental health Gap Action Programme guidelines which testify to the effectiveness of a range of pharmacological and psychosocial interventions for these disorders, the vast majority of children in LMIC do not have access to these interventions. We identify three major barriers for the implementation of efficacious treatments: the lack of evidence on delivery of the treatments, the low levels of detection of child mental disorders and the shortage of skilled child mental health professionals. The evidence based on implementation, although weak, supports the use of screening measures for detection of probable disorders, coupled with a second-stage diagnostic assessment and the use of non-specialist workers in community and school settings for the delivery of psychosocial interventions. The most viable strategy to address the treatment gap is through the empowerment of existing human resources who are most intimately concerned with child care, including parents, through innovative technologies, such as mobile health, with the necessary skills for the detection and treatment of child mental disorders.
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abstractDevelopmental disabilities, emotional disorders and disruptive behaviour disorders are the leading mental health-related causes of the global burden of disease in children aged below 10 years. This article aims to address the treatment gap for child mental disorders through synthesising three bodies of evidence: the global evidence base on the treatment of these priority disorders; the barriers to implementation of this knowledge; and the innovative approaches taken to address these barriers and improve access to care. Our focus is on low-resource settings, which are mostly found in low- and middle-income countries (LMIC). Despite the evidence base on the burden of child mental disorders and their long-term consequences, and the recent mental health Gap Action Programme guidelines which testify to the effectiveness of a range of pharmacological and psychosocial interventions for these disorders, the vast majority of children in LMIC do not have access to these interventions. We identify three major barriers for the implementation of efficacious treatments: the lack of evidence on delivery of the treatments, the low levels of detection of child mental disorders and the shortage of skilled child mental health professionals. The evidence based on implementation, although weak, supports the use of screening measures for detection of probable disorders, coupled with a second-stage diagnostic assessment and the use of non-specialist workers in community and school settings for the delivery of psychosocial interventions. The most viable strategy to address the treatment gap is through the empowerment of existing human resources who are most intimately concerned with child care, including parents, through innovative technologies, such as mobile health, with the necessary skills for the detection and treatment of child mental disorders.
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