Child and Adolescent Mental Health最新文献

{"title":"Short Research Article: Opening a new CAMHS day hospital – does it affect inpatient admissions and does it help at all?","authors":"Sannie John,&nbsp;Dermot Cohen","doi":"10.1111/camh.12680","DOIUrl":"10.1111/camh.12680","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Day hospitals in child and adolescent mental health services are held to be helpful entities in the psychiatric care of young people. However, limited research has been done to look into how day hospitals and similar settings affect referrals, inpatient stays and in which cohort of patients do they show the most impact. This study's primary aims were to examine the impact of a new Child and Adolescent Mental Health Service (CAMHS) day hospital on referrals and admissions to the associated CAMHS in-patient unit. A secondary aim of this study was to examine the demographics and clinical outcomes of the young people attending the day hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Information was gathered using retrospective reviews of clinical files and databases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a reduction in admissions and in the total bed days from the study area following the opening of the day hospital. There was an improvement in clinical outcomes for young people attending the day hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Day hospital in child and adolescent mental health services can prove to be a useful modality to provide support to young people with a moderate to severe mental illness leading to reduced inpatient admissions and improving lengths of inpatient stay. It also improves clinical outcomes for cohorts of young people where inpatient stay is not warranted but higher levels of support is needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"276-280"},"PeriodicalIF":6.8,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review: Systematic review and metasynthesis of qualitative literature on young people's experiences of going to A&E/emergency departments for mental health support","authors":"Gianna Cadorna,&nbsp;Norha Vera San Juan,&nbsp;Heather Staples,&nbsp;Sonia Johnson,&nbsp;Rebecca Appleton","doi":"10.1111/camh.12683","DOIUrl":"10.1111/camh.12683","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There has been an increase in children and young people attending emergency departments for mental health reasons, including self-harm. Patients often report having poor experiences when attending emergency departments for mental health support. However, there has yet to be a review exploring the experiences of young people. Our aim in this study was to synthesise qualitative literature on young people's experiences of going to emergency departments for mental health support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review and metasynthesis were conducted. Five databases and grey literature were searched for relevant studies. Five articles met study criteria and were analysed using an iterative process of thematic synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The synthesis yielded four overarching themes: (a) emergency departments' inability to meet the mental health needs of young people, (b) emergency departments exacerbating patient distress, (c) patients feeling like a burden or undeserving of treatment and (d) consequences of poor emergency department experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings (based on a still very limited literature) highlight the role that emergency departments have in relation to being a key point of contact with young people who self-harm. To properly engage with patients, emergency departments need to have the resources to provide compassionate care and follow clinical guidelines regarding assessments.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"266-275"},"PeriodicalIF":6.8,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12683","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Short interventions and self-help interventions in child and adolescent mental health","authors":"Gonzalo Salazar de Pablo","doi":"10.1111/camh.12678","DOIUrl":"10.1111/camh.12678","url":null,"abstract":"&lt;p&gt;Welcome to the November issue of &lt;i&gt;Child and Adolescent Mental Health&lt;/i&gt; (&lt;i&gt;CAMH&lt;/i&gt;). In this issue, several pieces highlight the importance of researching, and in some cases, implementing short interventions and self-help interventions for children and adolescents with mental health concerns while highlighting the importance of finding ways to engage children and young people.&lt;/p&gt;&lt;p&gt;As highlighted in one of the studies providing a tertiary care centre experience for 3 years, visits to paediatric emergency departments and admission rates continue to rise, and novel strategies are needed to find solutions for the limited resources currently available (Manuel, Yen, Feng, &amp; Patel, &lt;span&gt;2023&lt;/span&gt;). These strategies need to ensure that children and adolescents receive high-quality care. These strategies also need to promote engagement for children and young people, and acknowledge that time constraints can limit engagement (Ali, Wright, Curran, &amp; Newton, &lt;span&gt;2022&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;I invite you to read several studies relevant to this matter in this issue, showing how short interventions and self-help interventions can be useful strategies for some children and adolescents. Sams, Garrison, Walsh, Maeng, and Cross (&lt;span&gt;2023&lt;/span&gt;) looked at the impact of a brief inpatient intervention on the length of stay and on readmissions in adolescents who had been admitted into the hospital. This ‘Rapid Stabilization Pathway’, where a safety planning intervention was provided, achieved a decrease in the length of stay at the hospital, and no significant differences in readmissions to the inpatient unit up to 90 days after discharge were found (Sams et al., &lt;span&gt;2023&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;A pilot randomized clinical trial found that a guided paced breathing audiovisual intervention of no more than 10 min per session decreased anxiety symptoms in the intervention group compared to the control group (Shank et al., &lt;span&gt;2022&lt;/span&gt;). Another study evaluating a self-help, online programme showed improvements in anxiety symptoms in children and adolescents, and reductions in life interference in children (Rowe, Evans, Donovan, Spence, &amp; March, &lt;span&gt;2023&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;As highlighted by Loades and Schleider (&lt;span&gt;2023&lt;/span&gt;), single session interventions, even provided as one-off therapeutic interventions, can be helpful to expand current mental health provisions and help young people access evidence-based interventions promptly, including underserved populations such as ethnic minorities or L.G.B.T.Q.I.A+ populations. According to the authors, reductions in depressive symptoms can be achieved at up to 9 months later.&lt;/p&gt;&lt;p&gt;One of the challenges is that these strategies may be helpful for some individuals and some populations, but not necessarily for others. To note, precision strategies typically depend on the characteristics of the patients (Salazar de Pablo et al., &lt;span&gt;2021&lt;/span&gt;). For instance, digital health interventions may be better accep","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 4","pages":"471-472"},"PeriodicalIF":6.1,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12678","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical research updates","authors":"Marinos Kyriakopoulos,&nbsp;Rebecca Kingston,&nbsp;Konstantinos Stathias","doi":"10.1111/camh.12677","DOIUrl":"10.1111/camh.12677","url":null,"abstract":"&lt;p&gt;Rebecca Kingston&lt;/p&gt;&lt;p&gt;South London and Maudsley NHS Foundation Trust&lt;/p&gt;&lt;p&gt;The term ‘quasi-autism’ (QA) describes the autism-like difficulties that are observed in a high number of children who had prolonged negative social experiences in early childhood. QA is one of several challenges that can arise as a result of early deprivation. These challenges are referred to as deprivation-specific problems (DSP) and include QA, attention deficit and hyperactivity disorder (ADHD), disinhibited social engagement disorder (DSE) and cognitive impairment. Furthermore, all the DSPs continue to be seen throughout adolescence and early adulthood even when children are removed from deprivation in early childhood.&lt;/p&gt;&lt;p&gt;In this recent study, Rodriguez-Perez et al. (2023) investigated the persistence of QA and other DSPs in adulthood, and the impact of QA on well-being, daily functioning and relationships. A total of 217 adoptees were compared into three groups: those who experienced early deprivation and were identified as having QA in childhood, adoptees who had experienced early deprivation but did not present with childhood QA and adoptees who had no experience of deprivation (Low/No deprivation). A wide range of measures were collected throughout childhood and into early adulthood looking at the presence of DSP symptoms and the outcomes of the adoptees. As it had been demonstrated in previous research, the study finds that symptoms of QA, ADHD and DSE continue to be seen throughout childhood and into young adulthood. IQ also remains significantly lower in adoptees who had experienced early deprivation when compared to those who had not.&lt;/p&gt;&lt;p&gt;Looking specifically at symptoms of QA, the study shows that while the levels of social reciprocal interaction remain the same into early adulthood and repetitive and stereotyped behaviours are marginally better, communication difficulties worsen. This differs from what is typically seen in idiopathic autism where improvements have been identified across all symptom clusters. A further point of note is that, while not as prominent as they are in adoptees with childhood QA, elevated levels of QA symptoms are seen in the adoptees who have experienced childhood deprivation but do not present with QA. Although they may not meet the clinical threshold for QA, people who have experienced deprivation are more likely to experience some of the same difficulties. Regarding the impact of QA on mental health, functioning and relationships, this study demonstrates that QA is linked to higher prevalence of mental health difficulties and use of services as well as negative impact on daily functioning such as education, employment and independent living. However, while those with QA are seen to have less success with romantic relationships, familial relationships are not negatively impacted. Furthermore, the adoptees with childhood QA have comparable levels of self-esteem and life satisfaction to the other groups, in contrast to the","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 4","pages":"573-574"},"PeriodicalIF":6.1,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12677","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Debate: Child and adolescent mental health services: time to take the lead in prevention of psychosis in youth","authors":"Inmaculada Baeza,&nbsp;Gisela Sugranyes","doi":"10.1111/camh.12679","DOIUrl":"10.1111/camh.12679","url":null,"abstract":"<p>Children and adolescents are at risk of developing mental disorders that have lifelong consequences. This debate piece argues that youth meeting the criteria for clinical high risk for psychosis cannot be assessed and treated with the same tools as adults, given that they often present with different patterns and timecourse of symptoms, age-specific comorbidities and follow different pathways to care. It looks at the key role that Child and Adolescent Mental Health Services and other professionals can play by using an age-specific approach to detecting and preventing psychosis.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 4","pages":"556-558"},"PeriodicalIF":6.1,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10580858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Debate: Better use of existing services, not more new pathways, is required for psychosis prevention in young people – Commentary on Salazar de Pablo and Arango: ‘Prevention of psychosis in adolescents: does CAMHS have a role?’","authors":"Paul A. Tiffin,&nbsp;Guy Northover","doi":"10.1111/camh.12676","DOIUrl":"10.1111/camh.12676","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There has been much academic interest in ‘the clinical high-risk state for psychosis’ (CHR-P) concept. Whilst early intervention in psychosis (EIP) services have offered input to individuals meeting the CHR-P criteria the involvement of CAMHS clinicians in supporting young people with ideational and perceptual disturbance has been more inconsistent and uncertain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We bring together our relevant lived experience, empirical evidence and clinical and research expertise to write this commentary.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We assert that the CHR-P paradigm needs to be revised. This should reflect the low transition rates to psychosis and the prevalent general, impairing psychopathology in individuals meeting these criteria. Nevertheless, it is clear that both CAMHS and EIP services have potential roles in meeting the needs of young people affected by distressing ideational and perceptual disturbance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We suggest that new care pathways and services are not required for young people affected by distressing psychosis-like experiences. Rather more effective joint working between CAMHS, EIP, crisis services and other agencies could meet the needs of these young people more comprehensively.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 4","pages":"553-555"},"PeriodicalIF":6.1,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12676","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10589742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Everyone needs to know that infant mental health is important’ – a commentary/reflection on ‘Improving access to mental health interventions for children from birth to five years: a scoping review’ (Hickey et al., 2023)","authors":"Anne McFadyen","doi":"10.1111/camh.12675","DOIUrl":"10.1111/camh.12675","url":null,"abstract":"<p>Hickey et al.'s scoping of infant mental health (IMH) services and the challenges faced in ensuring that vulnerable infants can access them highlights important issues and suggests some solutions (Hickey et al., <i>Child and Adolescent Mental Health</i>, 2023). Their synthesis of useful research in the field is limited only by its focus on more affluent English-speaking countries, which is acknowledged. Writing from an Australian perspective, they highlight the need for culturally sensitive service delivery. This commentary draws attention to the concept of candidacy as a helpful way of thinking about patents' journeys into services. It can support a deeper understanding of the barriers to referral for infants most in need. One key issue is the knowledge and understanding of both professionals and the public about the importance of the early years for later well-being. Infants cannot advocate for themselves and depend on those around them to exercise their right to services. Good relationships between professionals and between family members and clinicians are essential for IMH service development and delivery.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 1","pages":"96-98"},"PeriodicalIF":6.1,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10059656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychotic-like experiences and adverse life events in young people. Does gender matter?","authors":"Samuel Adjorlolo,&nbsp;Victoria Awortwe,&nbsp;Adote Anum,&nbsp;Keng-Yen Huang,&nbsp;Daniel Mamah","doi":"10.1111/camh.12674","DOIUrl":"10.1111/camh.12674","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychotic-like experiences (PLEs) and adverse life events (ALEs) are highly prevalent in sub-Saharan Africa where gendered practices are also common. There is, however, a paucity of data on how the relationship between PLEs and life adversities is influenced by gender. The current study addressed this gap.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data were collected from 1886 school-based young people (1174 females) in Ghana, West Africa using a cross-sectional survey methodology and analyzed using Chi-square, independent <i>t</i>-test, Pearson correlation, and multivariate regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that victimization experiences, school stress and having a family member with mental illness were significantly associated with PLEs in both males and females. In contrast, substance misuse and experiences of head trauma correlated significantly with PLEs in females only.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Life adversities constitute major risk factors for PLEs among school-based young people in Ghana, who could benefit from gender neutral and gender-sensitive intervention programming to remediate the effects of life adversities on PLEs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 2","pages":"154-160"},"PeriodicalIF":6.1,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10426921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators of implementation of evidence-based interventions in children and young people's mental health care – a systematic review","authors":"Araminta Peters-Corbett,&nbsp;Sheryl Parke,&nbsp;Holly Bear,&nbsp;Timothy Clarke","doi":"10.1111/camh.12672","DOIUrl":"10.1111/camh.12672","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Effective evidence-based practices (EBP) for children and young people's (CYP) mental health exist, however, there is low uptake in clinical practice and interventions do not always reach those in need. This review aimed to comprehensively identify and synthesise the barriers and facilitators to implementing EBP in CYP mental health care, mapped according to an implementation framework in order to make pragmatic recommendations for practitioners, commissioners and researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following the PRISMA guidelines, an electronic search of PsycINFO, MEDLINE, CINAHL and Embase in 2021 yielded 1830 results. In total, 107 abstracts were screened, 57 of which were included for full-text review and 26 were included for data extraction and analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified a number of organisational and clinician-level barriers which impede the implementation of evidence in ‘real world’ practice. Barriers included lack of access to funding; poor access to resources; clinician attitudes and flexibility of EBP. Facilitators included targeted funding and access to resources; supportive staff and leadership committed to innovation and skills in the EBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although the process of translating research into practice is challenging and the solutions are not straightforward, we have identified a set of practical recommendations for ways in which implementation practices can improve. Researchers, commissioners, funders and practitioners can work together to improve the implementation of EBP in CYP mental health settings by ensuring funding is available, prioritise implementation beyond the end of trials, upskill staff on integrating EBP into care, ensure EBPs are flexible and are co-produced with service users.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration</h3>\u0000 \u0000 <p>This review was registered on PROSPERO international prospective register of systematic reviews (CRD42021252995).</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"242-265"},"PeriodicalIF":6.8,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short Research Article: RESEED – the perceived impact of an enhanced usual care model of a novel, teacher-led, task-shifting initiative for child mental health","authors":"Setareh Ekhteraei,&nbsp;Juliana L. Vanderburg,&nbsp;Choden Dukpa,&nbsp;Priscilla Giri,&nbsp;Surekha Bhattarai,&nbsp;Arpana Thapa,&nbsp;Catherine Shrestha,&nbsp;Bradley N. Gaynes,&nbsp;Molly M. Lamb,&nbsp;Michael Matergia,&nbsp;Christina M. Cruz","doi":"10.1111/camh.12673","DOIUrl":"10.1111/camh.12673","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Task-shifted, teacher-led care may begin to bridge the child mental health care gap in low- and middle-income countries by improving mental health literacy. We explore the perceived impact of RESEED (Responding to Students' Emotions through Education), an abbreviated version of Tealeaf (Teachers Leading the Frontlines).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After classroom implementation of tools from a 3-day training on child mental health and cognitive behavioral techniques in Darjeeling, India, 29 teachers participated in focus group discussions (FGDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Inductive content analyses of FGDs demonstrated RESEED's acceptability, positive overall impact, and barriers<i>.</i></p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Stepped levels of teacher-led care may support child mental health in resource-limited settings through mental reframing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 1","pages":"113-118"},"PeriodicalIF":6.1,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}