Annotation: Mood Disorder in Suicidal Children and Adolescents: Recent Developments / Alan J. FLISHER in Journal of Child Psychology and Psychiatry, 40-3 (March 1999)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 40-3 (March 1999) . - p.315-324 Titre : Annotation: Mood Disorder in Suicidal Children and Adolescents: Recent Developments Type de document : Texte imprimé et/ou numérique Auteurs : Alan J. FLISHER, Auteur Année de publication : 1999 Article en page(s) : p.315-324 Langues : Anglais (eng) Index. décimale : PER Périodiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124 [article] Annotation: Mood Disorder in Suicidal Children and Adolescents: Recent Developments [Texte imprimé et/ou numérique] / Alan J. FLISHER, Auteur . - 1999 . - p.315-324. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 40-3 (March 1999) . - p.315-324 Index. décimale : PER Périodiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124

Prevalence and correlates of partner violence among South African adolescents / Alan J. FLISHER in Journal of Child Psychology and Psychiatry, 48-6 (June 2007)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 48-6 (June 2007) . - p.619–627 Titre : Prevalence and correlates of partner violence among South African adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Alan J. FLISHER, Auteur ; Landon MYER, Auteur ; Adele MERAIS, Auteur ; Carl LOMBARD, Auteur ; Priscilla REDDY, Auteur Année de publication : 2007 Article en page(s) : p.619–627 Langues : Anglais (eng) Mots-clés : Adolescence epidemiology prevalence relationships sexual-behaviour social-cognition Third-World-children violence Index. décimale : PER Périodiques Résumé : Little is known about the prevalence of partner violence among adolescents, nor of the factors with which it is associated. The objectives of this study were to document prevalence rates for partner violence among high school students in Cape Town, and to explore factors that are associated with such violence. Method: The sample consisted of 596 Grade 8 and 11 students attending public high schools in Cape Town, who were selected using a multistage cluster design. They completed an anonymous and confidential questionnaire. The dependent variable was whether they had ever perpetrated partner violence, or intended to do so. The independent variables, which were derived from a modified version of the Theory of Planned Behaviour (TPB), included attitudes, subjective norms (general and peer social influence and outcome expectancy) and self-efficacy. Separate multiple logistic regression models were developed of partner violence intentions or behaviours on the scales derived from the TPB and demographic variables. Regression coefficients from adjusted models were used to examine the potential mediating role of partner violence intentions in the association between each scale and partner violence behaviours using the Sobel test. Results: Among participants who reported being in a relationship, 20.7% reported perpetrating partner violence, and 16.4% reported intending to do so. After adjusting for demographic characteristics and other predictor scales, perpetration of partner violence was significantly associated with attitudes and outcome expectancy, while intention to perpetrate partner violence was significantly associated with attitudes and general social influence. The influence of attitude and general social influence on violent behaviours were each partially mediated by partner violence intentions. Conclusions: There are high levels of partner violence among high school students in Cape Town. Interventions to address this problem should focus on violence-related attitudes and outcome expectancy. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01711.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=103 [article] Prevalence and correlates of partner violence among South African adolescents [Texte imprimé et/ou numérique] / Alan J. FLISHER, Auteur ; Landon MYER, Auteur ; Adele MERAIS, Auteur ; Carl LOMBARD, Auteur ; Priscilla REDDY, Auteur . - 2007 . - p.619–627. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 48-6 (June 2007) . - p.619–627 Mots-clés : Adolescence epidemiology prevalence relationships sexual-behaviour social-cognition Third-World-children violence Index. décimale : PER Périodiques Résumé : Little is known about the prevalence of partner violence among adolescents, nor of the factors with which it is associated. The objectives of this study were to document prevalence rates for partner violence among high school students in Cape Town, and to explore factors that are associated with such violence. Method: The sample consisted of 596 Grade 8 and 11 students attending public high schools in Cape Town, who were selected using a multistage cluster design. They completed an anonymous and confidential questionnaire. The dependent variable was whether they had ever perpetrated partner violence, or intended to do so. The independent variables, which were derived from a modified version of the Theory of Planned Behaviour (TPB), included attitudes, subjective norms (general and peer social influence and outcome expectancy) and self-efficacy. Separate multiple logistic regression models were developed of partner violence intentions or behaviours on the scales derived from the TPB and demographic variables. Regression coefficients from adjusted models were used to examine the potential mediating role of partner violence intentions in the association between each scale and partner violence behaviours using the Sobel test. Results: Among participants who reported being in a relationship, 20.7% reported perpetrating partner violence, and 16.4% reported intending to do so. After adjusting for demographic characteristics and other predictor scales, perpetration of partner violence was significantly associated with attitudes and outcome expectancy, while intention to perpetrate partner violence was significantly associated with attitudes and general social influence. The influence of attitude and general social influence on violent behaviours were each partially mediated by partner violence intentions. Conclusions: There are high levels of partner violence among high school students in Cape Town. Interventions to address this problem should focus on violence-related attitudes and outcome expectancy. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01711.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=103

Promoting child and adolescent mental health in low and middle income countries / Vikram PATEL in Journal of Child Psychology and Psychiatry, 49-3 (March 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.313–334 Titre : Promoting child and adolescent mental health in low and middle income countries Type de document : Texte imprimé et/ou numérique Auteurs : Vikram PATEL, Auteur ; Alan J. FLISHER, Auteur ; Anula NIKAPOTA, Auteur ; Savita MALHOTRA, Auteur Année de publication : 2008 Article en page(s) : p.313–334 Langues : Anglais (eng) Mots-clés : Cross-cultural developing-countries-children mental-health prevalence protective-factors public-health risk-factors Index. décimale : PER Périodiques Résumé : Children and adolescents in low and middle income countries (LAMIC) constitute 35–50% of the population. Although the population in many such countries is predominantly rural, rapid urbanisation and social change is under way, with an increase in urban poverty and unemployment, which are risk factors for poor child and adolescent mental health (CAMH). There is a vast gap between CAMH needs (as measured through burden of disease estimates) and the availability of CAMH resources. The role of CAMH promotion and prevention can thus not be overestimated. However, the evidence base for affordable and effective interventions for promotion and prevention in LAMIC is limited. In this review, we briefly review the public health importance of CAM disorders in LAMIC and the specific issues related to risk and protective factors for these disorders. We describe a number of potential strategies for CAMH promotion which focus on building capacity in children and adolescents, in parents and families, in the school and health systems, and in the wider community, including structural interventions. Building capacity in CAMH must also focus on the detection and treatment of disorders for which the evidence base is somewhat stronger, and on wider public health strategies for prevention and promotion. In particular, capacity needs to be built across the health system, with particular foci on low-cost, universally available and accessible resources, and on empowerment of families and children. We also consider the role of formal teaching and training programmes, and the role for specialists in CAMH promotion. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01824.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=337 [article] Promoting child and adolescent mental health in low and middle income countries [Texte imprimé et/ou numérique] / Vikram PATEL, Auteur ; Alan J. FLISHER, Auteur ; Anula NIKAPOTA, Auteur ; Savita MALHOTRA, Auteur . - 2008 . - p.313–334. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.313–334 Mots-clés : Cross-cultural developing-countries-children mental-health prevalence protective-factors public-health risk-factors Index. décimale : PER Périodiques Résumé : Children and adolescents in low and middle income countries (LAMIC) constitute 35–50% of the population. Although the population in many such countries is predominantly rural, rapid urbanisation and social change is under way, with an increase in urban poverty and unemployment, which are risk factors for poor child and adolescent mental health (CAMH). There is a vast gap between CAMH needs (as measured through burden of disease estimates) and the availability of CAMH resources. The role of CAMH promotion and prevention can thus not be overestimated. However, the evidence base for affordable and effective interventions for promotion and prevention in LAMIC is limited. In this review, we briefly review the public health importance of CAM disorders in LAMIC and the specific issues related to risk and protective factors for these disorders. We describe a number of potential strategies for CAMH promotion which focus on building capacity in children and adolescents, in parents and families, in the school and health systems, and in the wider community, including structural interventions. Building capacity in CAMH must also focus on the detection and treatment of disorders for which the evidence base is somewhat stronger, and on wider public health strategies for prevention and promotion. In particular, capacity needs to be built across the health system, with particular foci on low-cost, universally available and accessible resources, and on empowerment of families and children. We also consider the role of formal teaching and training programmes, and the role for specialists in CAMH promotion. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01824.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=337

Scaling up child and adolescent mental health services in South Africa: Human resource requirements and costs / Crick LUND in Journal of Child Psychology and Psychiatry, 50-9 (September 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-9 (September 2009) . - p.1121-1130 Titre : Scaling up child and adolescent mental health services in South Africa: Human resource requirements and costs Type de document : Texte imprimé et/ou numérique Auteurs : Crick LUND, Auteur ; Alan J. FLISHER, Auteur ; Gerard BOYCE, Auteur ; Zuhayr KAFAAR, Auteur ; Andrew DAWES, Auteur Année de publication : 2009 Article en page(s) : p.1121-1130 Langues : Anglais (eng) Mots-clés : Developing-countries mental-health-services planning policy children adolescents public-health Index. décimale : PER Périodiques Résumé : Background: Children and adolescents with mental health problems have poor service cover in low- and middle-income countries. Little is known about the resources that would be required to provide child and adolescent mental health services (CAMHS) in these countries. The purpose of this study was to calculate the human resources and associated costs required to scale up CAMHS in South Africa. Methods: A spreadsheet model was developed to calculate mental health service resources, based on an estimation of the need for services in a given population. The model can be adapted to specific settings by adjusting population size, age distribution, prevalence, comorbidity, levels of coverage, service utilisation rates, workloads, length of consultations and staff profile. Steps in the modelling include population identification; estimates of prevalence, service utilisation and staffing; and costing. Results: Using a nominal total population of 100,000 (of which 43,170 would be children and adolescents under 20 years of age), the following full-time equivalent staff are required at minimum coverage level: 5.8 in PHC facilities, .6 in general hospital outpatient departments (OPDs), .1 in general hospital inpatient facilities, 1.1 in specialist CAMHS OPDs, .6 in specialist CAMHS inpatient facilities, .5 in specialist CAMHS day services, and .8 in regional CAMHS teams. This translates into roughly $21.50 and $5.99 per child or adolescent per annum nationally for the full coverage and minimum coverage scenarios respectively. When comparing the results of this model with current realities in South Africa, there remains a substantial shortfall in existing levels of CAMHS provision. Conclusions: The model can be used as an advocacy tool to engage with planners and policy makers on a rational basis. It can also be adapted for use in other countries, and is intended to support wider calls for a global scaling up of mental health services. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02078.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=829 [article] Scaling up child and adolescent mental health services in South Africa: Human resource requirements and costs [Texte imprimé et/ou numérique] / Crick LUND, Auteur ; Alan J. FLISHER, Auteur ; Gerard BOYCE, Auteur ; Zuhayr KAFAAR, Auteur ; Andrew DAWES, Auteur . - 2009 . - p.1121-1130. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-9 (September 2009) . - p.1121-1130 Mots-clés : Developing-countries mental-health-services planning policy children adolescents public-health Index. décimale : PER Périodiques Résumé : Background: Children and adolescents with mental health problems have poor service cover in low- and middle-income countries. Little is known about the resources that would be required to provide child and adolescent mental health services (CAMHS) in these countries. The purpose of this study was to calculate the human resources and associated costs required to scale up CAMHS in South Africa. Methods: A spreadsheet model was developed to calculate mental health service resources, based on an estimation of the need for services in a given population. The model can be adapted to specific settings by adjusting population size, age distribution, prevalence, comorbidity, levels of coverage, service utilisation rates, workloads, length of consultations and staff profile. Steps in the modelling include population identification; estimates of prevalence, service utilisation and staffing; and costing. Results: Using a nominal total population of 100,000 (of which 43,170 would be children and adolescents under 20 years of age), the following full-time equivalent staff are required at minimum coverage level: 5.8 in PHC facilities, .6 in general hospital outpatient departments (OPDs), .1 in general hospital inpatient facilities, 1.1 in specialist CAMHS OPDs, .6 in specialist CAMHS inpatient facilities, .5 in specialist CAMHS day services, and .8 in regional CAMHS teams. This translates into roughly $21.50 and $5.99 per child or adolescent per annum nationally for the full coverage and minimum coverage scenarios respectively. When comparing the results of this model with current realities in South Africa, there remains a substantial shortfall in existing levels of CAMHS provision. Conclusions: The model can be used as an advocacy tool to engage with planners and policy makers on a rational basis. It can also be adapted for use in other countries, and is intended to support wider calls for a global scaling up of mental health services. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02078.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=829

Treated prevalence of and mental health services received by children and adolescents in 42 low-and-middle-income countries / Jodi MORRIS in Journal of Child Psychology and Psychiatry, 52-12 (December 2011)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 52-12 (December 2011) . - p.1239-1246 Titre : Treated prevalence of and mental health services received by children and adolescents in 42 low-and-middle-income countries Type de document : Texte imprimé et/ou numérique Auteurs : Jodi MORRIS, Auteur ; Myron L. BELFER, Auteur ; Amy M. DANIELS, Auteur ; Alan J. FLISHER, Auteur ; Liesbet VILLE, Auteur ; Antonio LORA, Auteur ; Shekhar SAXENA, Auteur Année de publication : 2011 Article en page(s) : p.1239-1246 Langues : Anglais (eng) Mots-clés : Mental health services  access  treated prevalence  low- and middle-income countries Index. décimale : PER Périodiques Résumé : Background:  Little is known about the treated prevalence and services received by children and adolescents in low- and middle-income countries (LAMICs). The purpose of this study is to describe the characteristics and capacity of mental health services for children and adolescents in 42 LAMICs. Methods:  The World Health Organization Assessment Instrument for Mental Health Systems (WHO-AIMS), a 155-indicator instrument developed to assess key components of mental health service systems, was used to describe mental health services in 13 low, 24 lower-middle, and 5 upper-middle-income countries. Child and adolescent service indicators used in the analysis were drawn from Domains 2 (mental health services), 4 (human resources), and 5 (links with other sectors) of the WHO-AIMS instrument. Results:  The median one-year treated prevalence for children and adolescents is 159 per 100,000 population compared to a treated prevalence of 664 per 100,000 for the adult population. Children and adolescents make up 12% of the patient population in mental health outpatient facilities and less than 6% in all other types of mental health facilities. Less than 1% of beds in inpatient facilities are reserved for children and adolescents. Training provided for mental health professionals on child and adolescent mental health is minimal, with less than 1% receiving refresher training. Most countries (76%) organize educational campaigns on child and adolescent mental health. Conclusions:  Mental health services for children and adolescents in low- and middle-income countries are extremely scarce and greatly limit access to appropriate care. Scaling up of services resources will be necessary in order to meet the objectives of the WHO Mental Health Gap Action (mhGAP) program which identifies increased services for the treatment of child mental disorders as a priority. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02409.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=146 [article] Treated prevalence of and mental health services received by children and adolescents in 42 low-and-middle-income countries [Texte imprimé et/ou numérique] / Jodi MORRIS, Auteur ; Myron L. BELFER, Auteur ; Amy M. DANIELS, Auteur ; Alan J. FLISHER, Auteur ; Liesbet VILLE, Auteur ; Antonio LORA, Auteur ; Shekhar SAXENA, Auteur . - 2011 . - p.1239-1246. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 52-12 (December 2011) . - p.1239-1246 Mots-clés : Mental health services  access  treated prevalence  low- and middle-income countries Index. décimale : PER Périodiques Résumé : Background:  Little is known about the treated prevalence and services received by children and adolescents in low- and middle-income countries (LAMICs). The purpose of this study is to describe the characteristics and capacity of mental health services for children and adolescents in 42 LAMICs. Methods:  The World Health Organization Assessment Instrument for Mental Health Systems (WHO-AIMS), a 155-indicator instrument developed to assess key components of mental health service systems, was used to describe mental health services in 13 low, 24 lower-middle, and 5 upper-middle-income countries. Child and adolescent service indicators used in the analysis were drawn from Domains 2 (mental health services), 4 (human resources), and 5 (links with other sectors) of the WHO-AIMS instrument. Results:  The median one-year treated prevalence for children and adolescents is 159 per 100,000 population compared to a treated prevalence of 664 per 100,000 for the adult population. Children and adolescents make up 12% of the patient population in mental health outpatient facilities and less than 6% in all other types of mental health facilities. Less than 1% of beds in inpatient facilities are reserved for children and adolescents. Training provided for mental health professionals on child and adolescent mental health is minimal, with less than 1% receiving refresher training. Most countries (76%) organize educational campaigns on child and adolescent mental health. Conclusions:  Mental health services for children and adolescents in low- and middle-income countries are extremely scarce and greatly limit access to appropriate care. Scaling up of services resources will be necessary in order to meet the objectives of the WHO Mental Health Gap Action (mhGAP) program which identifies increased services for the treatment of child mental disorders as a priority. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02409.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=146

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