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2.
Child Adolesc Psychiatr Clin N Am ; 28(2): 127-135, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30832947

RESUMO

Training and practice within child psychiatry has focused predominantly on mental illness rather than mental health. A growing body of evidence, however, is demonstrating the importance for clinicians also to be able to focus directly on enhancing positive traits and emotions and increasing well-being and health promotion in their patients. This complementary aspect of mental health care has been called well-being and positive psychiatry, among other terms. Being able to apply these principles to standard practice requires new knowledge, skills, and attitudes that are not part of traditional psychiatric training.


Assuntos
Psiquiatria Infantil/tendências , Bem-Estar da Criança/psicologia , Transtornos Mentais/terapia , Atitude do Pessoal de Saúde , Criança , Bem-Estar da Criança/tendências , Promoção da Saúde , Humanos , Modelos Psicológicos
3.
Child Adolesc Psychiatr Clin N Am ; 28(2): 195-207, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30832952

RESUMO

Music is a significant part of daily life for most youth, affording clinical opportunities to cultivate positive emotions, engagement, relationships, meaning, and accomplishment. Clinical inquiry into what types of music elicit different emotions, how music fits into daily life routines, how music connects one to others, and how music anchors life events can improve the clinician-patient alliance and patient well-being practices. Music may be useful in home and school settings to help youth manage diverse moods. Practicing an instrument effectively accelerates accomplishment and pleasure, which applies to other life activities.


Assuntos
Psiquiatria Infantil/tendências , Transtornos Mentais/terapia , Música , Adolescente , Encéfalo , Criança , Emoções , Feminino , Humanos , Masculino
5.
Soins Psychiatr ; 39(319): 14-16, 2018.
Artigo em Francês | MEDLINE | ID: mdl-30473101

RESUMO

The legal framework of mother-baby care has evolved over the last thirty years driven by innovative programmes put in place by hospital health professionals. Liaison in perinatal care lies at the crossroads of different temporalities and treatment objectives, and requires constant dialogue between the liaison caregivers and those in maternity. The aim is to form a holding environment facilitating the establishment of an adapted response to the complexity of the clinical situations encountered.


Assuntos
Psiquiatria Infantil/tendências , Maternidades/tendências , Feminino , Humanos , Recém-Nascido , Gravidez
7.
Z Kinder Jugendpsychiatr Psychother ; 46(6): 466-477, 2018 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-30371254

RESUMO

50 years specialty for child and adolescent psychiatry in Germany. History, current situation, and future perspectives Abstract. Abstracts: Method: Review of the historical background and implementation of an independent medical specialty "child and adolescent psychiatry" (CAP) in Germany. Results: The implementation of an independent specialty for CAP in 1968 was crucial for the progressive further development of the discipline. The Enquête Commission "Psychiatry" of the Federal Government, followed by the Model Program "Psychiatry", the Staff Regulations for Psychiatry, the Agreement on the Social Psychiatry and the Psychotherapy Act have had significant impact on the care for psychiatrically ill children and adolescents and their families. This led to an institutional anchoring of new structures, covering three of the four leading principles of the Model Program, namely integration into medicine, community-based and appropriate care. Equality of psychiatric patients with other patient groups has, nevertheless, not yet been achieved and is still to be claimed. Current and future challenges are: (1) The realistic evaluation of new research methods and epochal trends and elimination of opposites, (2) the establishment of future-oriented research initiatives, (3) the intensive promotion of clinical and scientific staff members, and (4) a renewed attention for the subjective perspective of the illness. Conclusions: The implementation of an independent specialty "child and adolescent psychiatry" was an important stimulus for the further development of the discipline. Essential demands for the future will be: the integration of CAP into the curriculum for medical students and the promotion of young researchers within the scope of regional and supra-regional projects.


Assuntos
Psiquiatria do Adolescente/história , Psiquiatria Infantil/história , Adolescente , Psiquiatria do Adolescente/tendências , Criança , Psiquiatria Infantil/tendências , Previsões , História do Século XX , História do Século XXI , Humanos , Especialização/história , Especialização/tendências
9.
Curr Psychiatry Rep ; 20(11): 105, 2018 09 27.
Artigo em Inglês | MEDLINE | ID: mdl-30259208

RESUMO

PURPOSE OF REVIEW: Improving child and adolescent mental health (CAMH) is a priority worldwide. The majority of children with psychiatric conditions in low-middle-income countries (LMIC), like Ghana, receive no treatment due largely to limited resources and few CAMH training opportunities. The Komfo Anokye Teaching Hospital (KATH) and University of Michigan (UM) established a partnership to expand CAMH training for general psychiatrists in Ghana. Lessons learned from the early stages of the collaboration can serve as an adaptable roadmap for similar efforts to expand CAMH training in LMIC. RECENT FINDINGS: Previous articles have discussed global academic partnership, training, and capacity building programs; however, early challenges, opportunities, and preparatory stages involved in creating a mutually beneficial collaboration aimed at improving child psychiatry expertise in a LMIC are under explored in the global mental health literature. This article seeks to fill that gap by using examples to highlight unique considerations for institutions in the initial stages of establishing their global partnership. The early stages of a global partnership can impact the success of the collaboration. Collaborations should be bi-directional, sensitive to local culture, and flexible and establish achievable sustainable goals.


Assuntos
Psiquiatria do Adolescente/educação , Psiquiatria do Adolescente/organização & administração , Psiquiatria Infantil/educação , Psiquiatria Infantil/organização & administração , Adolescente , Psiquiatria do Adolescente/tendências , Fortalecimento Institucional , Criança , Psiquiatria Infantil/tendências , Gana , Saúde Global , Hospitais de Ensino , Humanos , Saúde Mental/educação , Saúde Mental/tendências
11.
J Am Acad Child Adolesc Psychiatry ; 57(5): 300-301, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29706155

RESUMO

Psychiatric disorders affect a large number of children around the world. Recent data have reported that approximately 10% to 13% of children have a serious emotional disturbance with significant functional impairment, suggesting that at least 1 in 10 children require mental health services.1,2 Approximately half the adults with mental illness received their diagnosis before 15 years of age3 and close to three fourths of mental health disorders start by the mid-20s.4 Mental illnesses are associated with a large disease burden because these conditions lead to increases in morbidity, mortality, and financial costs. For example, in high-income countries such as the United States, 3 of the leading illnesses associated with pediatric disease burden are psychiatric (depression, bipolar disorder, and schizophrenia) and psychiatric illness in children and adolescents is a key risk factor for completed suicide.5 In the United States, suicide is the second leading cause of death in people 15 to 24 years of age,6 with rural areas having particularly high suicide rates.7 What is even more disconcerting is the fact that most youngsters who might benefit from psychiatric or behavioral health treatment do not receive it. For example, only 45% of adolescents with mental illness received psychiatric services in 2013. This number is even smaller for children and adolescents with internalizing disorders and for minorities.8.


Assuntos
Psiquiatria do Adolescente/tendências , Psiquiatria Infantil/tendências , Serviços de Saúde Mental/provisão & distribução , Psiquiatria/estatística & dados numéricos , Recursos Humanos/estatística & dados numéricos , Adolescente , Adulto , Criança , Feminino , Saúde Global , Acesso aos Serviços de Saúde/economia , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Estados Unidos , Recursos Humanos/tendências , Adulto Jovem
12.
Actas esp. psiquiatr ; 46(2): 42-50, mar.-abr. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-172849

RESUMO

Introducción. El ingreso hospitalario es una experiencia susceptible de generar alteraciones emocionales o conductuales a cualquier edad. Este estudio pretende analizar la respuesta de ansiedad, miedos y/o alteraciones conductuales en pacientes pediátricos expuestos a un ingreso hospitalario convencional no quirúrgico y las relaciones existentes entre dichas respuestas y determinadas variables moduladoras. Metodología. Diseño de cohortes. La recogida de datos se realizó en tres momentos (M1: al ingreso; M2: al alta; M3: a las dos semanas del alta), sobre una muestra de 30 pacientes de 6 a 15 años y 30 cuidadores. Se realizó una comparación de medias de medidas repetidas (t de Student) de las variables de respuesta y su correlación (Coeficiente correlación de Pearson) con variables moduladoras. Resultados. Los resultados del análisis intrasujeto muestran significación en cuanto a los niveles de ansiedad estado del paciente en M1 versus M3 (t=3.93, p<0.0001, d=0.69) y la magnitud de alteraciones conductuales totales registradas en M1 versus M3 (t=-5.02, p<0.0001, d=0.60). Se objetivó relación significativa positiva entre variables moduladoras del paciente (ansiedad rasgo) y del cuidador (ansiedad rasgo-estado, estrategias de afrontamiento) y las variables de respuesta de ansiedad y alteraciones conductuales del paciente. Conclusiones. La exposición a una hospitalización convencional no quirúrgica puede producir consecuencias negativas a nivel emocional y conductual en el niño, presentes más allá del ingreso hospitalario. Determinadas variables, del paciente y del cuidador, son factores de vulnerabilidad psicológica ante el proceso de hospitalización


Introduction. A hospital admission is an experience capable of generating emotional and behavioral alterations at any age. This study pretends to analyze the response of anxiety, fears and/or behavioral alterations in pediatric patients exposed to a conventional non-surgical hospital admission and the existing relationship between these responses and certain modulating variables. Metodology. Design of cohorts. Data collection was carried out in three stages (M1: at admission; M2: at discharge; M3: 2 weeks after discharge), on a 30 patient sample between the ages of 6 to 15 years and 30 caregivers. A comparison was made on the mean of the repeated measurements (Student t) of the respond variables and their correlation (Pearson's Coefficient Correlation) with modulating variables. Results. The results of the intra-subject analysis showed significance in terms of anxiety levels state in patients in M1 versus M3 (t=3.93, p<.0001, d=0.69) and the magnitude of the total behavioral alterations registered in M1 versus M3 (t=-5.02, p<.0001, d=0.60). It was observed that a significant relationship between modulating variables of patients (anxiety risk) and of the caregiver (anxiety character state, constrategy of confrontation) and the variables of response of the anxiety and behavioral alterations of the patient. Conclusions. Exposure of a conventional non-surgical hospital admission may have negative consequences at an emotional and behavioral level in children, present far beyond the hospital admission. Certain variables, from the patient and the caregiver, are psychological vulnerability factors before a hospitalization process


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Comportamento Infantil/psicologia , Ansiedade , Cuidadores/psicologia , Psiquiatria Infantil/métodos , Psiquiatria Infantil/tendências , Estudos de Coortes , Criança Hospitalizada/psicologia , Psicologia da Criança/métodos
15.
Z Kinder Jugendpsychiatr Psychother ; 46(4): 325-335, 2018 Jul.
Artigo em Alemão | MEDLINE | ID: mdl-29183258

RESUMO

Transitional and Adolescent Psychiatry in Austria: A Pilot Study on the Attitudes of Experts Abstract. OBJECTIVE: This pilot study establishes baseline data on the current situation of transitional processes in Austrian psychiatry. We sought to gather information on the specific problems and needs occurring during the transition of mentally ill adolescents from child and adolescent to adult psychiatry. METHOD: Professionals (psychiatrists, psychologists, psychotherapists) working in child and adolescent psychiatry and adult psychiatry (N = 86) were assessed by means of an online survey concerning their experience with the transition of young adults. RESULTS: Almost all of the subjects queried (98.8 %) considered the current system inappropriate, and the majority (70.9 %) thought that patients would not tolerate transition from youth to adult psychiatric institutions very well. Only 16.3 % reported having a structured transition protocol at their workplace. Further 83.7 % expressed the need to improve collaboration between adolescent and adult psychiatry. CONCLUSIONS: This sample of Austrian healthcare professionals describes large deficits regarding transitional issues in psychiatry. There is an urgent need to establish structured protocols for transition, especially since experiences occurring during this vulnerable period are crucial to the mental health of young people later in life.


Assuntos
Psiquiatria do Adolescente/tendências , Atitude do Pessoal de Saúde , Psiquiatria Infantil/tendências , Transtornos Mentais/terapia , Transição para Assistência do Adulto/tendências , Adaptação Psicológica , Adolescente , Adulto , Áustria , Criança , Feminino , Previsões , Necessidades e Demandas de Serviços de Saúde/tendências , Hospitalização/tendências , Humanos , Comunicação Interdisciplinar , Colaboração Intersetorial , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Projetos Piloto , Inquéritos e Questionários , Adulto Jovem
17.
Nord J Psychiatry ; 72(1): 31-38, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28933586

RESUMO

BACKGROUND: A parental mental illness affects all family members and should warrant a need for support. AIM: To investigate the extent to which psychiatric patients with underage children are the recipients of child-focused interventions and involved in interagency collaboration. METHODS: Data were retrieved from a psychiatric services medical record database consisting of data regarding 29,972 individuals in southern Sweden and indicating the patients' main diagnoses, comorbidity, children below the age of 18, and child-focused interventions. RESULTS: Among the patients surveyed, 12.9% had registered underage children. One-fourth of the patients received child-focused interventions from adult psychiatry, and out of these 30.7% were involved in interagency collaboration as compared to 7.7% without child-focused interventions. Overall, collaboration with child and adolescent psychiatric services was low for all main diagnoses. If a patient received child-focused interventions from psychiatric services, the likelihood of being involved in interagency collaboration was five times greater as compared to patients receiving no child-focused intervention when controlled for gender, main diagnosis, and inpatient care. CONCLUSIONS: Psychiatric services play a significant role in identifying the need for and initiating child-focused interventions in families with a parental mental illness, and need to develop and support strategies to enhance interagency collaboration with other welfare services.


Assuntos
Psiquiatria do Adolescente/métodos , Psiquiatria Infantil/métodos , Filho de Pais Incapacitados/psicologia , Colaboração Intersetorial , Transtornos Mentais/psicologia , Serviço Social/métodos , Adolescente , Psiquiatria do Adolescente/tendências , Adulto , Criança , Psiquiatria Infantil/tendências , Bem-Estar da Criança/psicologia , Bem-Estar da Criança/tendências , Pré-Escolar , Feminino , Humanos , Masculino , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Pais/psicologia , Psicoterapia/métodos , Psicoterapia/tendências , Serviço Social/tendências , Suécia/epidemiologia
19.
Neuropsychiatr ; 31(3): 112-120, 2017 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-28852995

RESUMO

The medical speciality "Child and Adolescent Psychiatry" exists since 2007. 2015 a new training regulation defined an increment to "Child and Adolescent Psychiatry and Psychotherapeutic Medicine". To document the achievements in research within the last 10 years for the first time, all papers listed in Pubmed and all books published by the member of the ÖGKJP were summarized. Additionally, the clinical/scientific key aspects of all large teaching centres were documented.All members of the ÖGKJP are scientifically active in various areas of child psychiatry. Most of the 284 publications (n = 115; 41%) were published on 5 topics: eating disorders, forensic psychiatry, neuropediatrics, psychoses and prodromal states, suicidality. Thirteen of the papers have already been awared prices because of their high quality. All departments define clinical/scientific key areas - beside a time-consuming clinical work load - and offer specialized care. Further development of research competence should take place and should also have high priority in health politics.


Assuntos
Psiquiatria do Adolescente/tendências , Pesquisa Biomédica/tendências , Psiquiatria Infantil/tendências , Psicoterapia/tendências , Publicações/tendências , Áustria , Criança , Hospitais de Ensino/tendências , Humanos , PubMed , Sociedades Médicas/tendências
20.
Neuropsychiatr ; 31(3): 127-132, 2017 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-28853017

RESUMO

The child- and adolescent psychiatry has emancipated itself 10 years ago from an additional specialist physician's area to a separate specialist medical domain with a specific curriculum. Associated with this is an irreconcilable interlacing with the psychotherapy of childhood and adolescence. Even if childhood and juvenile psychiatry is always settled within the framework of a biopsychosocial model, psychotherapy is of particular importance. In the following, the psychotherapeutic requirements and ethical issues of the human being are to be formulated according to a view on the new morbidity and the Zeitgeist in which we are working. A scientific legitimation leads to the demarcation of esoteric endeavors and the view into practice leads us from nosology to functionality in the consideration of mental disorders in children and adolescents.


Assuntos
Psiquiatria do Adolescente/tendências , Psiquiatria Infantil/tendências , Psicoterapia/tendências , Adolescente , Psiquiatria do Adolescente/educação , Áustria , Criança , Psiquiatria Infantil/educação , Comorbidade , Currículo/tendências , Ética Médica , Humanos , Transtornos Mentais/classificação , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Psicopatologia , Psicoterapia/educação , Especialização/tendências
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