Debate: Bridging the gap – role of nonspecialists in child and adolescent mental health care

IF 6.8 3区 医学 Q1 PEDIATRICS
Aisha Sanober Chachar, Ayesha I. Mian
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引用次数: 0

Abstract

The first point of contact for patients and families seeking professional help for health problems is often in nonspecialist community healthcare settings that vary widely across the countries in funding sources, resources and support from specialist services. They typically involve general practitioners, family physicians, general and community paediatricians, and nonphysician health workers such as nurses, social workers and public health professionals. This article discusses the role of nonspecialists in addressing the challenges of limited resources in Child and Adolescent Mental Health (CAMH) care services as healthcare systems struggle to meet the high demand. Stakeholders and decision-makers need to reconsider traditional healthcare models and service delivery. Integrating nonspecialist community care can be a potential solution but is beset with ethical, geopolitical, practical and economic challenges. The urgency and complexity of the issue are highlighted, emphasising the need for global discussion around CAMH care.

辩论:缩小差距--非专业人员在儿童和青少年心理保健中的作用。
病人和家庭因健康问题寻求专业帮助的第一接触点往往是非专科的社区医疗机构,这些机构在资金来源、资源和专科服务支持方面在各国存在很大差异。这些机构通常包括全科医生、家庭医生、普通儿科医生和社区儿科医生,以及护士、社会工作者和公共卫生专业人员等非医师卫生工作者。本文讨论了在医疗保健系统努力满足高需求的情况下,非专科医生在应对儿童和青少年心理健康(CAMH)护理服务资源有限的挑战中所扮演的角色。利益相关者和决策者需要重新考虑传统的医疗保健模式和服务提供方式。整合非专科社区医疗服务可能是一个潜在的解决方案,但也面临着伦理、地缘政治、实践和经济方面的挑战。我们强调了这一问题的紧迫性和复杂性,并强调有必要围绕心理、精神和健康护理开展全球性讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Child and Adolescent Mental Health
Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY
CiteScore
8.30
自引率
3.30%
发文量
77
审稿时长
>12 weeks
期刊介绍: Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.
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