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Global Mental Health, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book

Global Mental Health, An Issue of Child and Adolescent Psychiatric Clinics of North America, E-Book

Paramjit T. Joshi

(2016)

Additional Information

Abstract

This publication in Child & Adolescent Psychiatric Clinics is led by two renown psychiatric physicians specializing in Disaster Psychiatry, Trauma, and International Psychiatry for children and adolescents: Dr. Paramjit Joshi and Dr. Lisa Cullins. The audience for this clinically focused resource includes: Child & Adolescent Psychiatrists -Clinical physicians or research PhDs; Mental Health Nurse Practitioners and all Nurses; International Aid Organizations; Religious Counselors; and Psychology Counselors.
Each Author in this publication is recognized expert in their own right, who cover topics such as: Bullying: A Global Approach to Prevention;  Challenges in Providing Child and Adolescent Psychiatric Services in Low Resource Countries; Child Soldiers;  Wealth, Health and the Moderating Role of Implicit Social Class Bias from a Global Perspective;  Developing Mental Health Services for child and adolescent psychiatrists after an Earthquake; . Nuclear Disasters;  Children Displaced by War: Impact on the Psychological Well-being;  Global Perspectives on Teaching and Learning about child and adolescent psychiatry; Partnering and Collaborating for the Word's Children.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Global Mental Health\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
CONSULTING EDITOR EMERITUS iii
FOUNDING CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Preface: Partnering for Our World’s Children\r vii
Partnering for the World's Children: Why Collaborations Are Important\r vii
Advancing Research to Action in Global Child Mental Health\r vii
Child and Adolescent Psychiatry Training: A Global Perspective\r vii
Displaced Children: The Psychological Implications\r vii
Child and Adolescent Mental Health in Haiti: Developing Long-Term Mental Health Services After the 2010 Earthquake\r viii
Implicit Cognition: Implications for Global Health Disparities\r viii
Child Soldiers: Children Associated with Fighting Forces\r viii
Challenges in Providing Child and Adolescent Psychiatric Services in Low Resource Countries\r viii
The Global Implications of Bullying and Other Forms of Maltreatment,\rin the Context of Migratory Trends and Psychiatric Resources\r ix
Psychological Impact of Nuclear Disasters in Children and Adolescents\r ix
Global Child and Adolescent Mental Health: A Culturally Informed Focus\r ix
CHILD AND ADOLESCENT\rPSYCHIATRIC CLINICS\r x
FORTHCOMING ISSUES x
January 2016 x
April 2016 x
July 2016 x
RECENT ISSUES x
July 2015 x
April 2015 x
January 2015 x
Preface : Partnering for Our World’s Children \r xi
Partnering for the World's Children 659
Key points 659
INTRODUCTION 660
BACKGROUND 660
The Rights of Children 661
SUMMARY OF THE UNITED NATIONS CONVENTION ON THE RIGHTS OF THE CHILD 661
OPTIONAL ADDITIONS 666
A CALL TO ACTION 666
CHALLENGES AND OPPORTUNITIES 669
Providing Timely Access to Care 669
Developing Standards of Care 669
Stop the Stigma and Discrimination 669
Performing Clinical and Translational Research 670
Fostering Models of Cross-Disciplinary Integration 670
Increasing Funding for Research on Psychiatric Disorders 670
Funding and Enforcement of Mental Health Parity with Other Medical Illnesses Is Essential 670
Enhanced Information 671
Policy 671
Training 671
Financing 671
WITH WHOM DO WE PARTNER AND WHY IS PARTNERING IMPORTANT? 671
International Organizations 671
Role of the Medical Home 673
Schools 673
Communities 674
SUMMARY 674
REFERENCES 675
Advancing Research to Action in Global Child Mental Health 679
Key points 679
INTRODUCTION 679
RESEARCH PRIORITY SETTING FOR GLOBAL MENTAL HEALTH 681
Challenge 1: Support Community Environments that Promote Physical and Mental Well-Being Throughout Life 681
Challenge 2: Develop Interventions to Reduce the Long-Term Negative Impact of Low Childhood Socioeconomic Status on Cogniti ... 684
Challenge 3: Develop Locally Appropriate Strategies to Eliminate Childhood Abuse and Enhance Child Protection 684
Challenge 4: Develop an Evidence-Based Set of Primary Prevention Interventions for a Range of Mental, Neurologic, and Subst ... 688
Challenge 5: Reduce the Duration of Untreated Illness by Developing Culturally Sensitive Early Interventions Across Settings 689
BUILDING RESEARCH CAPACITY 689
SUMMARY 692
REFERENCES 692
Child and Adolescent Psychiatry Training 699
Key points 699
HISTORY 700
CHILD AND ADOLESCENT PSYCHIATRY IN THE UNITED STATES 701
UNDERGRADUATE MEDICAL EDUCATION 701
GRADUATE TRAINING 702
CERTIFICATION AND CONTINUING EDUCATION 703
CHILD AND ADOLESCENT PSYCHIATRY IN EUROPE 703
UNDERGRADUATE TRAINING 704
POSTGRADUATE TRAINING 704
THE EUROPEAN UNION OF MEDICAL SPECIALISTS: THE EUROPEAN UNION OF MEDICAL SPECIALISTS CURRICULUM FOR CHILD AND ADOLESCENT PS ... 705
THE MAIN PRINCIPLES UNDERLYING THE EUROPEAN UNION OF MEDICAL SPECIALISTS CHILD AND ADOLESCENT PSYCHIATRY TRAINING 705
POSTGRADUATE TRAINING IN CHILD AND ADOLESCENT PSYCHIATRY IN THE UNITED KINGDOM 706
THE UNITED KINGDOM–CHILD AND ADOLESCENT PSYCHIATRY CURRICULUM 707
THE EXPERIENCES OF TRAINEES IN EUROPE 707
CHILD AND ADOLESCENT PSYCHIATRY IN OTHER PARTS OF THE WORLD 708
CHILD AND ADOLESCENT PSYCHIATRY TRAINING IN THE FAR EAST 708
SUMMARY 712
REFERENCES 713
Displaced Children 715
Key points 715
INTRODUCTION 715
RESPONSES TO DISPLACEMENT IN THE CONTEXT OF CHILD DEVELOPMENT 718
Preschool Years (<6 Years) 718
School Age (7–11 Years) 718
Teenage Years (﹥12 Years) 719
The multilayered consequences of displacement 719
The act of displacement itself 719
Living with distressed adults 720
Loss of traditional way of life 721
Disruption of education 721
Less-than-optimal physical environment 721
Changes in the community 721
Physical effects 721
Physical injuries leading to incapacitation and handicap 721
Neurodevelopmental effects 722
Cognition, memory, and attention 722
Psychological effects 722
Anxiety disorders and posttraumatic stress disorder 722
Depression 723
Behavioral disorders 724
Alcohol and substance use 724
MEDIATING VARIABLES AFFECTING THE PSYCHOSOCIAL WELL-BEING OF DISPLACED CHILDREN 724
Type and Degree of Exposure 724
Family Support 725
Child Variables 726
SUMMARY 726
REFERENCES 727
Child and Adolescent Mental Health in Haiti 731
Key points 731
INTRODUCTION 731
HISTORY 732
POVERTY, VIOLENCE, AND STRUCTURAL VIOLENCE 733
CHILD PROTECTION 734
COMMUNITY AND FAMILY 735
HEALTH CONTEXT PRE-EARTHQUAKE 736
Maternal and Child Health 736
Child Neurodevelopmental and Mental Health 737
Health Care System 738
Beliefs and Values Related to Mental and Neurologic Illness 740
AFTER THE EARTHQUAKE MENTAL HEALTH NEEDS 741
AFTER THE EARTHQUAKE MENTAL HEALTH RESPONSE 742
TOWARD LONG-TERM SUSTAINABLE SOLUTIONS FOR CHILDREN'S MENTAL HEALTH IN HAITI 743
ACKNOWLEDGMENTS 746
REFERENCES 746
Implicit Cognition 751
Key points 751
IMPLICIT VERSUS EXPLICIT 751
IMPLICIT MEASURES OF BIAS 752
CAPTURING THE IMPLICIT 752
IMPLICIT MEASURES AND MENTAL HEALTH 753
Treatment-Induced Changes in Automatic Associations 754
Implicit Associations and Suicide Ideation 754
IMPLICIT BIASES AND PHYSICAL HEALTH OUTCOMES 754
Implicit Social Class Bias as a Moderator of the Relationship Between Socioeconomic Status and Health 754
Racial Disparities in Health and the Role of Implicit Biases 756
Implications for Obesity 757
IMPLICIT BIASES IN A HEALTH CARE SETTING 758
DISCUSSION 759
REFERENCES 761
Child Soldiers 765
Key points 765
INTRODUCTION 765
EXPERIENCE OF A CHILD SOLDIER 766
GENDER-BASED VIOLENCE 767
MENTAL HEALTH OF FORMER CHILD SOLDIERS 767
Longitudinal Studies 768
Comparison Groups 769
Intergenerational Trauma 769
Protective Factors for Former Child Soldiers 770
PSYCHOSOCIAL INTERVENTIONS FOR FORMER CHILD SOLDIERS 770
Mental Health–focused Interventions 771
Psychosocial Focused Interventions 771
ROLE OF CHILD AND ADOLESCENT PSYCHIATRISTS 772
REFERENCES 772
Challenges in Providing Child and Adolescent Psychiatric Services in Low Resource Countries 777
Key points 777
AVAILABILITY OF SERVICES 778
Resources 778
Research 778
To Summarize 779
CONCEPT OF EFFECTIVE CHILD AND ADOLESCENT MENTAL HEALTH SERVICES 779
Epidemiology 780
IMPROVING ACCESS TO CARE 781
IDENTIFICATION OF THOSE IN NEED 782
Interventions 783
Example 1 783
Example 2 784
POLICY AND PROGRAMS 786
Policy and Training 786
SUGGESTED SYSTEMIC APPROACH FOR LOW-RESOURCE COUNTRIES 789
Advocacy, Policy, and Program Development in India 789
Advocacy, Policy, and Program Development in Other Low and Middle Income Countries 791
Lithuania 791
Vietnam 791
China 791
Brazil 791
Turkey 791
Thailand 791
Ethiopia 791
Bangladesh 792
SUMMARY 792
REFERENCES 792
The Global Implications of Bullying and Other Forms of Maltreatment, in the Context of Migratory Trends and Psychiatric Res ... 799
Key points 799
INTRODUCTION 799
GLOBAL PREVALENCE OF BULLYING 801
WORLDWIDE FREQUENCY OF ADOLESCENT PHYSICAL FIGHTS 801
Physical Assault 801
HOMICIDES 801
MORTALITY CAUSED BY INTERPERSONAL VIOLENCE 802
MORTALITY CAUSED BY COLLECTIVE VIOLENCE AND LEGAL INTERVENTION 802
MIGRATION PATTERNS AND AVAILABILITY OF PSYCHIATRIC RESOURCES 803
Psychiatric Resources 805
IMPLICATIONS OF GLOBAL HIGH PREVALENCE OF BULLYING AND OTHER FORMS OF MALTREATMENT 805
REFERENCES 806
Psychological Impact of Nuclear Disasters in Children and Adolescents 811
Key points 811
INTRODUCTION 811
REVIEW OF MAJOR NUCLEAR DISASTERS 812
PHYSICAL EFFECTS OF RADIATION 814
Acute Effects 814
Long-term Effects 814
THYROID CANCER 814
OTHER CANCERS 814
In-utero Exposure and Birth Defects 815
PSYCHOLOGICAL EFFECTS OF RADIATION 815
Depressive and Anxiety Disorders 815
Posttraumatic Stress Symptoms 818
BEHAVIOR AND ATTENTION/HYPERACTIVITY PROBLEMS 818
COGNITIVE AND INTELLECTUAL FUNCTIONING 819
LIMITATIONS OF EXISTING STUDIES 819
SUMMARY 820
REFERENCES 820
Global Child and Adolescent Mental Health 823
Key points 823
CULTURE AND CULTURAL COMPETENCY 824
GLOBAL CHALLENGES IN CHILD AND ADOLESCENT MENTAL HEALTH 825
SUMMARY 829
REFERENCES 829
Index 831