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1.
Rev. psiquiatr. infanto-juv ; 36(1): 20-30, 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184297

RESUMO

Introduccion: La Psiquiatría Infantil es una especialidad relativamente reciente. Es un área importante de trabajo ya que los datos reflejan que la tasa de prevalencia de trastornos mentales en niños y adolescentes se sitúa entre el 15 y el 20 % de la población infanto-juvenil a nivel mundial, o que el 80 % de los trastornos mentales de los adultos tuvieron comienzo antes de los 18 años. En toda España se puede ofrecer asistencia a niños y adolescentes, aunque ésta no se encuentra homogeneizada en todas las Comunidades Autónomas (CCAA). Adicionalmente, España es uno de los dos únicos países de la Unión Europea que no dispone de la especialidad de Psiquiatría del Niño y Adolescente. Al no existir a día de hoy una especialidad propia, el carácter de la atención ofrecida dependerá de la formación particular de cada profesional. Objetivo: Analizar la situación de la atención a la Salud Mental del Niño y Adolescente en España a través de los Planes Estratégicos de Salud Mental Autonómicos. Método: Se analizaron mediante lectura exhaustiva las líneas estratégicas de los 17 Planes Estratégicos de Salud Mental de todas las CCAA. Resultados: Se han encontrado desigualdades tanto en la vigencia y actualización de dichos planes, como en la estructura y oferta de recursos asistenciales y formativos. Conclusión: Hoy en día la especificidad en la atención a la Salud Mental del niño y adolescente se distribuye de forma desigual en España, dependerá de la CCAA en la que resida el niño o adolescente


Background: Child Psychiatry is a relatively recent specialty. It is an important field of work because the data show that the prevalence rate of Mental Disorders in children and adolescents is between 15 and 20 % of the infantile-juvenile population worldwide, and that 80 % of the Mental Disorders in adults began before the age of 18. Throughout Spain, assistance can be offered to children and adolescents, although it is not standardised in all the Autonomous Communities (CCAA). In addition, Spain is one of only two countries in the European Union that does not have the specialty of Child and Adolescent Psychiatry. As there is currently no specialty of its own, the nature of the care offered will depend on the particular training of each professional. Objective: To analyse the situation of mental health care for children and adolescents in Spain through the Autonomous Mental Health Strategic Plans. Methods: The strategic lines of the 17 Strategic Mental Health Plans of all the Autonomous Communities were analysed. Results: Inequalities were found in the validity and updating of these plans, as well as in the structure and supply of assistance and training resources. Conclusion: Today, the specificity of mental health care for children and adolescents is distributed unequally in Spain, depending on the Autonomous Community in which the child or adolescent resides


Assuntos
Humanos , Criança , Adolescente , Saúde Mental , Planejamento de Assistência ao Paciente/organização & administração , Psiquiatria do Adolescente/organização & administração , Psiquiatria Infantil/organização & administração , Nível de Saúde , Psiquiatria do Adolescente/normas , Disparidades em Assistência à Saúde
2.
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
6.
Neuropsychiatr ; 31(3): 121-126, 2017 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-28887619

RESUMO

According to underlying law (Krankenanstaltengesetz) the internal structure of Departments of Child and Adolescent Psychiatry (CAP) represents a matrix structure, defining formal roles and tasks of the personel. In contrast, external cooperation is defined in several different laws. Furthermore, patients and their systems are exhibiting a high tensional potential. These different influences can cause more or less severe enmeshments. Thus, during the treatment of this patients it is necessary to take into account the possibility of these enmeshments. It should be answered by special forms of care of the relationship between professionals and families. These special forms of relational care can be delivered by clear organizational structures and must undergo reflective processes on a regular basis. The planning and delivery of those structures is clearly seen as a central responsibility of the management of a CAP-Department.


Assuntos
Psiquiatria do Adolescente/organização & administração , Psiquiatria Infantil/organização & administração , Comunicação Interdisciplinar , Colaboração Intersetorial , Relações Profissional-Família , Unidade Hospitalar de Psiquiatria/organização & administração , Teoria de Sistemas , Adolescente , Áustria , Criança , Assistência à Saúde/organização & administração , Processos Grupais , Humanos , Relações Interinstitucionais , Negociação
7.
Neuropsychiatr ; 31(3): 103-111, 2017 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-28853027

RESUMO

We discuss the comprehensive work for the development of child and adolescent psychiatry in Austria, summarize the current status of care in various settings and focus on further developments. Intramural care offers about 50% of the places needed and is heterogeneously distributed over the country, extramural care offers already around one quarter of care in need. We calculated a fully developed extramural care system from about 2033. Further development of the Austrian care system in child and adolescent psychiatry needs collaborative efforts of all responsible players.


Assuntos
Psiquiatria do Adolescente/tendências , Psiquiatria Infantil/tendências , Programas Nacionais de Saúde/tendências , Prática de Saúde Pública , Especialização/tendências , Adolescente , Psiquiatria do Adolescente/organização & administração , Assistência Ambulatorial/organização & administração , Assistência Ambulatorial/tendências , Áustria , Criança , Psiquiatria Infantil/organização & administração , Previsões , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde/organização & administração , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Programas Nacionais de Saúde/organização & administração
8.
Neuropsychiatr ; 31(3): 144-149, 2017 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-28853042

RESUMO

Anniversaries are turningpoints for reflexions of the past and planing for the future. In conclusion of all papers in this actual issue one can say tha CAP has reached a respected place in the medical landscape. Also internationally, the work of Austrian child and adolescent psychiatrist is recognised and respected. CAP is cooperating as an respected discipline with adjacent specialties as pediatrics and psychiatry as well as with external partners as Kinder- und Jugendhilfe (social child welfare).Anyway, the actual situation shows several deficits concerning patient care on all levels of the health system as well as in education and training of sufficient numbers of child and adolescent psychiatrists.


Assuntos
Psiquiatria do Adolescente/organização & administração , Psiquiatria do Adolescente/tendências , Psiquiatria Infantil/organização & administração , Psiquiatria Infantil/tendências , Adolescente , Áustria , Criança , Previsões , Humanos
9.
Acad Psychiatry ; 41(5): 582-586, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28707231

RESUMO

OBJECTIVE: This report examines the experience of one institution's development of the first student-run psychiatry clinic that serves both adult and pediatric populations. METHODS: The clinic is held weekly with pre-clinical and clinical medical student volunteers under the supervision of board-certified adult and child psychiatrists. The development and evolution of the clinic over time are evaluated with particular attention to obstacles overcome. Medical student volunteers were surveyed retrospectively to evaluate their experience with patients with psychiatric illness, skill development, and interest in psychiatry. RESULTS: Since January 2016, the clinic has scheduled 90 patients, 32% of which were pediatric patients. Ninety-six medical students have volunteered, with roughly equal parts from all four medical school classes. Respondents to the experience survey showed marked improvement in their comfort working with patients with mental illness. Additionally, 40% "strongly agreed" or "agreed" that their experience influenced their interest in pursuing psychiatry as a career. CONCLUSION: This report describes a student-run psychiatry clinic with a dual mission of education and service, and the challenges associated with these sometimes competing goals. This clinic serves a vital need within our community and may be an example of the role that student-run clinics can have in fostering interdisciplinary care, psychiatric recruitment, and training for medical students.


Assuntos
Psiquiatria do Adolescente/organização & administração , Instituições de Assistência Ambulatorial/organização & administração , Psiquiatria Infantil/organização & administração , Transtornos Mentais/terapia , Faculdades de Medicina/organização & administração , Estudantes de Medicina , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
11.
Prax Kinderpsychol Kinderpsychiatr ; 66(1): 5-25, 2017 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-28042759

RESUMO

Crisis Intervention in a Health Care Hospital for Child and Adolescent Psychiatry In the past years the pressure in society and psychological problems in Germany have risen up. This can especially be verified by the great influx of utilization of child and adolescent psychiatric clinics through the admission of crisis. In this connection social disadvantaged female adolescents with a low socio-economic status, students of the secondary school, children in care and the ones whose parents have to manage their upbringing alone are preferentially affected. These developments require a fast adaptation of the supply system to the transformed demands, in particular in terms of outpatient treatment, as well as a closely and structured cooperation between the youth welfare and child and adolescent psychiatric clinics in their function as systems of help. In the script statistical data and adaptive approaches of a supply department of child and adolescent psychiatry are presented.


Assuntos
Psiquiatria do Adolescente/organização & administração , Serviços de Proteção Infantil/organização & administração , Psiquiatria Infantil/organização & administração , Intervenção na Crise/métodos , Intervenção na Crise/organização & administração , Necessidades e Demandas de Serviços de Saúde/organização & administração , Comunicação Interdisciplinar , Colaboração Intersetorial , Transtornos Mentais/terapia , Ambulatório Hospitalar/organização & administração , Unidade Hospitalar de Psiquiatria/organização & administração , Adolescente , Criança , Terapia Combinada , Registros Eletrônicos de Saúde/organização & administração , Alemanha , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Planejamento de Assistência ao Paciente/organização & administração , Estresse Psicológico/complicações
13.
Psychiatr Prax ; 43(3): 141-6, 2016 Apr.
Artigo em Alemão | MEDLINE | ID: mdl-25643037

RESUMO

OBJECTIVE: To evaluate a new ambulatory care system in outpatient child and adolescent psychiatry based on the web-based Development and Well-Being Assessment (DAWBA). METHODS: We analyzed patient paths (flows), acceptance, satisfaction, and staff costs in the newly implemented care model. RESULTS: The new model was very well accepted by the respondents (DAWBA response rate: 92 %). A third of the patients registered with the psychiatric service in 2012 were not in need of psychiatric treatment and were therefore referred to other psycho-social services. The additional staff costs of $ 200 per case might be low compared to the saved costs due to the avoidance of inappropriate medical care. CONCLUSION: The new ambulatory care model proved to be effective, efficient and broadly accepted when resources are strictly limited.


Assuntos
Psiquiatria do Adolescente/organização & administração , Assistência Ambulatorial/organização & administração , Psiquiatria Infantil/organização & administração , Aceitação pelo Paciente de Cuidados de Saúde , Adolescente , Psiquiatria do Adolescente/economia , Assistência Ambulatorial/economia , Criança , Redução de Custos , Humanos , Satisfação do Paciente/economia , Encaminhamento e Consulta/economia , Encaminhamento e Consulta/organização & administração , Suíça , Triagem/economia , Triagem/organização & administração
14.
J Ark Med Soc ; 113(5): 110-111, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30005460

RESUMO

There is a considerable shortage of child and adolescent psychiatrists (CAPs) in Arkansas. Collaboration between pediatric primary care providers (PCPs) and CPSs is an innovative model of care that may address this shortage. A tiered model of collaboration, ranging from brief speciality consultation to intensive psychiatric services, may help with early treatment and expeansion of available services to a larger population. We describe the current state of collaboration in Arkansas between the two specialties and steps for additional collaboration.


Assuntos
Psiquiatria do Adolescente/organização & administração , Comportamento Cooperativo , Pediatria/organização & administração , Atenção Primária à Saúde/organização & administração , Arkansas , Comunicação , Humanos , Relações Interprofissionais , Modelos Organizacionais
15.
Z Kinder Jugendpsychiatr Psychother ; 43(6): 387-95, 2015 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-26602044

RESUMO

The German Psychiatry Personnel Act, which went into effect in 1990, has led to a decrease in the number of child and adolescent psychiatry inpatient beds, to a decrease in the length of stay, and to an increase in inpatient psychotherapy. Today, this act is outdated~ for a number of reasons, such as changes in the morbidity of the population, the rising number of emergencies, and new professional standards such as documentation. In addition, new legal provisions and conventions (like the UN Convention on the Rights of the Child) necessitate a complete reevaluation. Child and adolescent psychiatry needs a normative act to enable the necessary implementation. Many different rationales are available to support the debate.


Assuntos
Psiquiatria do Adolescente/organização & administração , Psiquiatria do Adolescente/normas , Psiquiatria Infantil/organização & administração , Psiquiatria Infantil/normas , Hospital Dia/organização & administração , Hospital Dia/normas , Diretrizes para o Planejamento em Saúde , Necessidades e Demandas de Serviços de Saúde/organização & administração , Necessidades e Demandas de Serviços de Saúde/normas , Hospitalização/tendências , Equipe de Assistência ao Paciente/organização & administração , Equipe de Assistência ao Paciente/normas , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Garantia da Qualidade dos Cuidados de Saúde/normas , Adolescente , Psiquiatria do Adolescente/tendências , Criança , Psiquiatria Infantil/tendências , Hospital Dia/tendências , Previsões , Alemanha , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/normas , Acesso aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Tempo de Internação/tendências , Programas Nacionais de Saúde/tendências , Equipe de Assistência ao Paciente/tendências , Psicoterapia/organização & administração , Psicoterapia/normas , Garantia da Qualidade dos Cuidados de Saúde/tendências
17.
Rev. psiquiatr. salud ment ; 8(3): 137-145, jul.-sept. 2015. tab
Artigo em Espanhol | IBECS | ID: ibc-138607

RESUMO

Introducción. Las conductas suicidas y autoagresivas de los adolescentes suponen un importante problema de salud pública. Sin embargo, se desconoce en nuestro medio la prevalencia y funciones de la ideación así como de las conductas suicidas y autoagresivas en la población adolescente atendida en salud mental. Métodos. Un total de 267 adolescentes de entre 11 y 18 años fueron reclutados de las consultas ambulatorias del Servicio de Psiquiatría de la Fundación Jiménez Díaz del 1 de noviembre de 2011 al 31 de octubre de 2012. Se administró a todos los pacientes la Escala de Pensamientos y Conductas Autolesivas que evalúa la presencia, frecuencia y características de la ideación suicida, la planificación suicida, los gestos de suicidio, los intentos de suicidio y las autolesiones sin intención suicida. Resultados. Un 20,6% de los adolescentes afirmaron haber tenido ideación suicida; un 2,2% planes suicidas; un 9,4% gestos suicidas; un 4,5% intentos de suicidio y un 21,7% autolesiones al menos una vez a lo largo de su vida. El 47,6% de los adolescentes refirieron haber tenido a lo largo de su vida al menos una de las conductas estudiadas y el 47,2% de ellos señalaron 2 ó más de estas conductas. Con relación a la función atribuida a las conductas examinadas, la mayor parte se realizaron con la intención de regular emociones, a excepción de los gestos suicidas (que mostró una función relacionada con el contexto social). Conclusiones. Dadas las elevadas cifras en población clínica de prevalencia y comorbilidad, unido al conocido riesgo de transición de unas conductas autoagresivas a otras, se recomienda la evaluación sistemática y rutinaria de dichas conductas en los adolescentes atendidos en salud mental (AU)


Introduction. Suicidal and self-injurious behaviors in adolescents are a major public health concern. However, the prevalence of self-injurious thoughts and behaviors in Spanish outpatient adolescents is unknown. Methods. A total of 267 adolescents between 11 and 18 year old were recruited from the Child and Adolescent Outpatient Psychiatric Services, Jiménez Díaz Foundation (Madrid, Spain) from November 1st 2011 to October 31st 2012. All participants were administered the Spanish version of the Self-Injurious Thoughts and Behaviors Inventory, which is a structured interview that assesses the presence, frequency, and characteristics of suicidal ideation, suicide plans, suicide gestures, suicide attempts, and non-suicidal self-injury. Results. One-fifth (20.6%) of adolescents reported having had suicidal ideation at least once during their lifetime. Similarly, 2.2% reported suicide plans, 9.4% reported suicide gesture, 4.5% attempted suicide, and 21.7% reported non-suicidal self-injury, at least once during their lifetime. Of the whole sample, 47.6% of adolescents reported at least one of the studied thoughts or behaviors in their lifetime. Among them, 47.2% reported 2 or more of these thoughts or behaviors. Regarding the reported function of each type of thoughts and behaviors examined, most were performed for emotional regulation purposes, except in the case of suicide gestures (performed for the purposes of social reinforcement). Conclusions. he high prevalence and high comorbidity of self-injurious thoughts and behaviors, together with the known risk of transition among them, underline the need of a systematic and routine assessment of these thoughts and behaviors in adolescents assessed in mental health departments (AU)


Assuntos
Adolescente , Feminino , Humanos , Masculino , Agressão/psicologia , Comportamento do Adolescente/psicologia , Suicídio/prevenção & controle , Suicídio/psicologia , Tentativa de Suicídio/prevenção & controle , Tentativa de Suicídio/psicologia , Testes Psicológicos/normas , Psiquiatria do Adolescente/métodos , Psiquiatria do Adolescente/organização & administração , Psiquiatria do Adolescente/normas , Psicologia do Adolescente/organização & administração , Psicologia do Adolescente/normas
20.
Soc Sci Med ; 122: 31-43, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25441315

RESUMO

Attention Deficit Hyperactivity Disorder (ADHD) has been medicalized in the United States since the 1960s. Primarily used in North America until the 1990s, ADHD diagnosis and treatment have increasingly been applied internationally. After documenting the expansion of ADHD in a global context, this paper presents five brief international examples examining ADHD usage and expansion: the United Kingdom, Germany, France, Italy and Brazil. We then identify and describe several vehicles that facilitate the migration of the ADHD diagnosis: the transnational pharmaceutical industry; the influence of western psychiatry; moving from ICD to DSM diagnostic criteria; the role of the Internet including the related advent of easily accessible online screening checklists; and advocacy groups. Finally, we discuss what this globalization of a diagnosis reflects about the potential global medicalization of other conditions.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Saúde Global , Medicalização/tendências , Psiquiatria do Adolescente/organização & administração , Brasil , Psiquiatria Infantil/organização & administração , Informação de Saúde ao Consumidor/métodos , Manual Diagnóstico e Estatístico de Transtornos Mentais , Indústria Farmacêutica/organização & administração , Europa (Continente) , Educação em Saúde/organização & administração , Humanos , Classificação Internacional de Doenças , Internet , Meio Social , Estados Unidos
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