Child and adolescent mental disorders: the magnitude of the problem across the globe / Myron L. BELFER 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.226-236 Titre : Child and adolescent mental disorders: the magnitude of the problem across the globe Type de document : Texte imprimé et/ou numérique Auteurs : Myron L. BELFER, Auteur Année de publication : 2008 Article en page(s) : p.226-236 Langues : Anglais (eng) Mots-clés : Burden epidemiology international mental-health public-health service-development social-policy Third-World-children Index. décimale : PER Périodiques Résumé : Objective: Describe objectively the global gaps in policy, data gathering capacity, and resources to develop and implement services to support child mental health. Methods: Report on the World health Organization (WHO) child and adolescent mental health resources Atlas project. The Atlas project utilized key informants and was supplemented by studies that focused on policy. This report also draws on current epidemiological studies to provide a context for understanding the magnitude of the clinical problem. Results: Current global epidemiological data consistently reports that up to 20% of children and adolescents suffer from a disabling mental illness; that suicide is the third leading cause of death among adolescents; and that up to 50% of all adult mental disorders have their onset in adolescence. While epidemiological data appears relatively uniform globally, the same is not true for policy and resources for care. The gaps in resources for child mental health can be categorized as follows: economic, manpower, training, services and policy. Key findings from the Atlas project include: lack of program development in low income countries; lack of any policy in low income countries and absent specific comprehensive policy in both low and high income countries; lack of data gathering capacity including that for country-level epidemiology and services outcomes; failure to provide social services in low income countries; lack of a continuum of care; and universal barriers to access. Further, the Atlas findings underscored the need for a critical analysis of the ‘burden of disease’ as it relates to the context of child and adolescent mental disorders, and the importance of defining the degree of ‘impairment’ of specific disorders in different cultures. Conclusions: The recent finding of substantial gaps in resources for child mental health underscores the need for enhanced data gathering, refinement of the economic argument for care, and need for innovative training approaches. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01855.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=336 [article] Child and adolescent mental disorders: the magnitude of the problem across the globe [Texte imprimé et/ou numérique] / Myron L. BELFER, Auteur . - 2008 . - p.226-236. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.226-236 Mots-clés : Burden epidemiology international mental-health public-health service-development social-policy Third-World-children Index. décimale : PER Périodiques Résumé : Objective: Describe objectively the global gaps in policy, data gathering capacity, and resources to develop and implement services to support child mental health. Methods: Report on the World health Organization (WHO) child and adolescent mental health resources Atlas project. The Atlas project utilized key informants and was supplemented by studies that focused on policy. This report also draws on current epidemiological studies to provide a context for understanding the magnitude of the clinical problem. Results: Current global epidemiological data consistently reports that up to 20% of children and adolescents suffer from a disabling mental illness; that suicide is the third leading cause of death among adolescents; and that up to 50% of all adult mental disorders have their onset in adolescence. While epidemiological data appears relatively uniform globally, the same is not true for policy and resources for care. The gaps in resources for child mental health can be categorized as follows: economic, manpower, training, services and policy. Key findings from the Atlas project include: lack of program development in low income countries; lack of any policy in low income countries and absent specific comprehensive policy in both low and high income countries; lack of data gathering capacity including that for country-level epidemiology and services outcomes; failure to provide social services in low income countries; lack of a continuum of care; and universal barriers to access. Further, the Atlas findings underscored the need for a critical analysis of the ‘burden of disease’ as it relates to the context of child and adolescent mental disorders, and the importance of defining the degree of ‘impairment’ of specific disorders in different cultures. Conclusions: The recent finding of substantial gaps in resources for child mental health underscores the need for enhanced data gathering, refinement of the economic argument for care, and need for innovative training approaches. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01855.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=336

Prerequisites for global child and adolescent mental health / Leon EISENBERG in Journal of Child Psychology and Psychiatry, 50-1-2 (January/February 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-1-2 (January/February 2009) . - p.26-35 Titre : Prerequisites for global child and adolescent mental health Type de document : Texte imprimé et/ou numérique Auteurs : Leon EISENBERG, Auteur ; Myron L. BELFER, Auteur Année de publication : 2009 Article en page(s) : p.26-35 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The epidemiology of the mental and physical health of children and adolescents the world over reflects: the genomes they inherit (and the modifications those genes undergo in utero); the pregnancies that led to their births, whether their mothers survive those pregnancies, and whether their births were welcome; the parents, the neighbors, and the neighborhoods they 'inherit' along with their genomes; when and where they live (by cohort, by country, and by province); the air they breathe; the water they drink; what and how much they eat; the schools they attend (and by whom they are taught what and for how long); the energy they expend; the family status in the social order; the friends they have; and last but not least, the amount and kind of medical and psychiatric care they receive. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01984.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=693 [article] Prerequisites for global child and adolescent mental health [Texte imprimé et/ou numérique] / Leon EISENBERG, Auteur ; Myron L. BELFER, Auteur . - 2009 . - p.26-35. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-1-2 (January/February 2009) . - p.26-35 Index. décimale : PER Périodiques Résumé : The epidemiology of the mental and physical health of children and adolescents the world over reflects: the genomes they inherit (and the modifications those genes undergo in utero); the pregnancies that led to their births, whether their mothers survive those pregnancies, and whether their births were welcome; the parents, the neighbors, and the neighborhoods they 'inherit' along with their genomes; when and where they live (by cohort, by country, and by province); the air they breathe; the water they drink; what and how much they eat; the schools they attend (and by whom they are taught what and for how long); the energy they expend; the family status in the social order; the friends they have; and last but not least, the amount and kind of medical and psychiatric care they receive. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01984.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=693

La psychiatrie de l’enfant et de l’adolescent au Royaume-Uni et aux États-Unis / Aaron K. VALLANCE

Public ISBD in Psychiatrie de l'enfant / Anne DANION-GRILLIAT Titre : La psychiatrie de l’enfant et de l’adolescent au Royaume-Uni et aux États-Unis Type de document : Texte imprimé et/ou numérique Auteurs : Aaron K. VALLANCE, Auteur ; M. Elena GARRALDA, Auteur ; Myron L. BELFER, Auteur ; Jean-Philippe RAYNAUD, Auteur Année de publication : 2011 Importance : p.9-14 Langues : Français (fre) Index. décimale : SCI-E SCI-E - Psychiatrie Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=213 in Psychiatrie de l'enfant / Anne DANION-GRILLIAT La psychiatrie de l’enfant et de l’adolescent au Royaume-Uni et aux États-Unis [Texte imprimé et/ou numérique] / Aaron K. VALLANCE, Auteur ; M. Elena GARRALDA, Auteur ; Myron L. BELFER, Auteur ; Jean-Philippe RAYNAUD, Auteur . - 2011 . - p.9-14. Langues : Français (fre) Index. décimale : SCI-E SCI-E - Psychiatrie Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=213

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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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