Child and Adolescent Mental Health最新文献

{"title":"Debate: Bridging the gap – role of nonspecialists in child and adolescent mental health care","authors":"Aisha Sanober Chachar,&nbsp;Ayesha I. Mian","doi":"10.1111/camh.12736","DOIUrl":"10.1111/camh.12736","url":null,"abstract":"<p>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 <i>Child and Adolescent Mental Health</i> (<i>CAMH</i>) 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.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 4","pages":"399-401"},"PeriodicalIF":6.8,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401746","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":"Self-harm, suicidal ideation, depression and peer relationships in transgender and gender diverse adolescents accessing specialist mental health services","authors":"Kathryn Whittle,&nbsp;Emma Moore,&nbsp;Paul Stallard","doi":"10.1111/camh.12738","DOIUrl":"10.1111/camh.12738","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There are an estimated 25 million transgender and gender diverse (TGD) individuals worldwide, with 1.2%–2.7% of this population being under the age of 18. Community studies describe increased rates of mental health difficulties such as depression, self-harm, suicidal ideation and difficulties with peer relationships for TGD youth over cisgender peers. However, comparatively little is known about the mental health symptomatology of TGD youth attending specialist mental health services (CAMHS) in the UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This cross-sectional study explored data from 170 young people participating in the Beating Adolescent Self-Harm (BASH) trial. Baseline data about self-harm, depression, and impact on daily life was compared for those who identified as TGD (<i>n</i> = 18) with those who identified as cisgender (<i>n</i> = 152).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the transgender group, 18 (100%) scored ≥27 on the MFQ suggesting severe depression and had total scores on the SDQ impact scale of ≥3, in the very high range. In comparison in the cisgender group, 140 (92.1%) scored ≥27 on the MFQ and 103 (67.8%) had total scores on the SDQ impact scale of ≥3. The TGD group reported higher rates of self-harm, poorer peer relationships, less prosocial behaviour and greater interference with friendships and leisure activities and impact in the classroom. Both groups reported similar symptoms of depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Whilst this exploratory study has limitations, these results suggest that TGD youth attending CAMHS may experience greater mental health problems than their cisgender peers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 4","pages":"363-370"},"PeriodicalIF":6.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394702","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: How much should nonspecialists be involved in mental health care for children and young people when resources are limited? Working with police forces to improve mental health crisis care for young people","authors":"Amy McCulloch,&nbsp;Zarah Eve,&nbsp;Sarah Parry","doi":"10.1111/camh.12733","DOIUrl":"10.1111/camh.12733","url":null,"abstract":"<p>The last few years have seen a mental health crisis for children and young people in the UK, with more young people presenting to services at crisis point. Young people have reported that there is a general lack of support before reaching the point of crisis and police forces in the UK have seen a rise in callouts related to youth mental health problems. We provide an overview of the evidence for joint responses from police and mental health services and highlight the importance of including people with lived experience in the development of crisis services. Most of the available data relates to interventions for adults, with very few studies including children and young people. We outline a new study in the UK aiming to evaluate a joint response for young people experiencing a mental health crisis. Whilst resources for children and young people's crisis services remain limited, joint response models with police forces can help to provide much needed intervention.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 4","pages":"394-395"},"PeriodicalIF":6.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382155","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: How much should nonspecialists be involved in mental health care for children and young people when resources are limited?","authors":"Lina Gega","doi":"10.1111/camh.12737","DOIUrl":"10.1111/camh.12737","url":null,"abstract":"<p>From the barber-surgeons of the Middle Ages to the digitally enabled clinical interventions of today, the role of nonspecialists in delivering accessible health care remains relevant and important. Their contribution in developing and supporting appropriate interventions and care pathways in the community can make a big difference for the overwhelming majority of children and young people with diagnosable mental health conditions who are not eligible for specialist treatment or do not seek help. Even if resources for specialist services were unlimited, there are independent benefits in involving nonspecialists in mental health care, albeit not without limitations and concerns. The natural shift over time in the boundaries of specialisms, the omnipresence and omnipotence of digital media in our lives and the vision of ‘no wrong door’ for service users, mean that it is not a question of <i>whether</i>, but of <i>how</i>, nonspecialists should be involved. We need to get past the point of considering them just as alternative providers of mental health interventions and services. Instead, they are best placed to protect children and young people's mental health through ubiquitous everyday actions, which counter the negative and maximise the positive elements in current practices, environments and interactions that influence families and communities.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 4","pages":"391-393"},"PeriodicalIF":6.8,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299468","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: How much should nonspecialists be involved in mental health care when resources are limited? A perspective from low- and middle-income countries","authors":"Cornelius Ani,&nbsp;Olayinka Omigbodun","doi":"10.1111/camh.12735","DOIUrl":"10.1111/camh.12735","url":null,"abstract":"<p>Millions of children and young people (CYP) in low- and middle-income countries (LMICs) have no access to mental health care. This huge treatment gap is primarily due to limited availability of trained mental health professionals. We propose task-sharing as a scalable strategy to expand access to child and adolescent mental health (CAMH) interventions in LMICs. Task-sharing involves using the few mental health specialists in LMICs to train and supervise nonspecialists to provided CAMH interventions. There is strong evidence of clinical and cost effectiveness of task-shared mental health interventions for adults in LMICs and promising evidence for CYP. To succeed, task-shared programmes need to be embedded in a balanced system-wide care setting that includes stakeholder involvement. The existing mental health specialists may require additional training in leadership, supervision, mentoring, service design and evaluation in order to meet the additional expectations of managing task-sharing programmes. The nonspecialists to be trained would need assurances about workload, ongoing supervision, clinical back up for cases that exceed their expertise, certification for their training and career progression. CAMH task-sharing offers good promise for increasing CYP's access to mental health interventions in LMICs. However, planners need to be aware of the important practical, ethical and contextual considerations necessary for success and sustainability.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 4","pages":"396-398"},"PeriodicalIF":6.8,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12735","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299397","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;Charvi Saraswat,&nbsp;Lucy Snelson,&nbsp;Marios Stathopoulos","doi":"10.1111/camh.12725","DOIUrl":"https://doi.org/10.1111/camh.12725","url":null,"abstract":"&lt;p&gt;Lucy Snelson&lt;/p&gt;&lt;p&gt;South London and Maudsley NHS Foundation Trust&lt;/p&gt;&lt;p&gt;Bullying is considered one of the most robust, preventable risk factors for the development of psychiatric disorders. It is recognised by the World Health Organisation as a major public health concern. Those with neurodevelopmental and psychiatric conditions may be at increased risk of being involved in bullying due to being perceived as different by their peers.&lt;/p&gt;&lt;p&gt;Abregú-Crespo et al. (2024) conducted a systematic review and meta-analysis to explore the overall prevalence of bullying in those with neurodevelopmental and psychiatric conditions. The authors identified 212 studies which reported bullying in children and adolescents (N = 126,717; 37.6% female) aged 4–17 (mean age: 12.3 years) with a neurodevelopmental or psychiatric condition. They distinguished between traditional bullying, which included physical, verbal and relational bullying (actions which intend to harm an individuals' reputation), and cyber bullying, defined as repeated harm inflicted online (for example on social media). They noted that this was the first meta-analysis in this population to differentiate between different types of bullying, including the relatively recent phenomenon of cyberbullying.&lt;/p&gt;&lt;p&gt;The authors found that 42.2% of young people with neurodevelopmental or psychiatric conditions were victims, 24.4% were perpetrators and 14% were both victims and perpetrators of traditional bullying. Those with conduct disorders, autism and ADHD showed the highest prevalence rates for involvement in traditional bullying. Prevalence rates were lower for involvement in cyber bullying, with 21.8% of the population being victims and 19.6% perpetrators. Interestingly, the rate of those who were both victims and perpetrators were higher for cyberbullying (20.7%) than traditional bullying. Furthermore, when compared with controls (N = 504,806; 47.5% female; mean age 12.5 years), this population experienced increased bullying victimisation (2.85-fold), perpetration (2.45-fold) and perpetration–victimisation (3.66-fold). The authors suggested that difficulties in social communication, behaviour and emotional regulation may lead young people in this population to be perceived as being different to their peers and, therefore, more vulnerable to being involved in bullying. Lastly, they found that victims of traditional bullying with neurodevelopmental or psychiatric conditions scored higher on mental health measures including internalising, externalising, general psychopathology and suicidality compared to controls.&lt;/p&gt;&lt;p&gt;A key strength of the study is that the authors used a thorough screening method to minimise risk of bias and to increase the validity of the results. All articles were screened twice across three screening phases with five researchers reviewing articles independently. They performed additional sensitivity analyses removing cases with conduct disorders to avoid skewing their results, in r","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"328-329"},"PeriodicalIF":6.8,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12725","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142007132","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: Open science and methods review for Child and Adolescent Mental Health","authors":"Thees F. Spreckelsen,&nbsp;Lewis W. Paton","doi":"10.1111/camh.12726","DOIUrl":"10.1111/camh.12726","url":null,"abstract":"<p>This editorial introduces the journal's new open data policy for original articles using quantitative data. It discusses key opportunities from data and code sharing. It further briefly sets out the new methods review that articles which use quantitative analysis will automatically undergo. With both changes we hope to strengthen our review process and contribute to a better evidence base in the field.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"223-225"},"PeriodicalIF":6.8,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12726","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001129","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: Socio-economic inequality and child and adolescent mental health","authors":"Kate E. Pickett,&nbsp;Richard G. Wilkinson","doi":"10.1111/camh.12699","DOIUrl":"10.1111/camh.12699","url":null,"abstract":"&lt;p&gt;It would be hard to find anyone, including politicians anywhere on the political spectrum, who would not agree that a society should look after its children well – giving them a good start in life, protecting their interests and their health and wellbeing, and promoting their development and education. Our children are our future – our long-term societal well-being depends on them. And there is widespread contemporary concern for the mental health of children and adolescents, following the global COVID-19 pandemic.&lt;/p&gt;&lt;p&gt;In this context, it is perhaps surprising that it is so difficult to compare different societies in terms of child and adolescent mental health, but it remains the case that there are no sources of high quality, internationally comparable data on mental illness in children and young people. Even within countries, there are surprisingly few sources of data – no data on child mental illness could be included in the recent Child and Adolescent Thriving Index 1.0 in the USA (Pickett, &lt;span&gt;2022&lt;/span&gt;). To try and understand both variation in child and adolescent mental health, and the causes of such variation, we have to use proxy measures, such as life satisfaction, or measures such as the adolescent suicide rate that represent a very extreme tip of an iceberg of mental distress. In their most recent report on child well-being in high income countries, the United Nations Children's Fund (UNICEF), created an index of mental well-being that includes the percentage of 15 year olds reporting high life satisfaction and the suicide rate for 15–19 year olds (https://www.unicef-irc.org/publications/pdf/Report-Card-16-Worlds-of-Influence-child-wellbeing.pdf). On this index, the Netherlands ranks top and New Zealand bottom, and there is much variation in both measures. Over 90% of children in the Netherlands have high life satisfaction, but only 64% of UK children say the same. In Greece, the teenage suicide rate is 1.4 per 100,000 adolescents, in New Zealand that figure is 10 times higher at 14.9 per 100,000.&lt;/p&gt;&lt;p&gt;Nevertheless, there are now a number of studies suggesting that income inequality, the gap between rich and poor in a society, is robustly associated with measures of mental well-being in children and young people (Alemán-Díaz et al., &lt;span&gt;2016&lt;/span&gt;), whether that is child mental illness in relation to income inequality across the 50 US states (Wilkinson &amp; Pickett, &lt;span&gt;2009&lt;/span&gt;), happiness and psychological distress across regions of China (Du, Chi, &amp; King, &lt;span&gt;2019&lt;/span&gt;) or psychological symptoms across 17 high income countries (Dierckens et al., &lt;span&gt;2020&lt;/span&gt;). We have also shown that changes in income inequality are related to changes in child well-being – as countries become more or less equal their child well-being rises or falls (Pickett &amp; Wilkinson, &lt;span&gt;2015&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Within countries, socio-economic position has a well-described and profound impact on all aspects of child and adolesce","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"308-310"},"PeriodicalIF":6.8,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12699","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001130","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: The Cass Review – implications and reassurance for practitioners","authors":"Hilary Cass","doi":"10.1111/camh.12723","DOIUrl":"10.1111/camh.12723","url":null,"abstract":"<p>This editorial perspective summarises the key findings of the independent review of gender identity services for children and young people commissioned by the National Health Service (NHS) in England (the Cass Review). Although the evidence underpinning endocrine interventions in this group of young people remains weak, there is much that mental health practitioners can do to improve their well-being and support their families. The controversies surrounding this group of young people have disempowered local professionals, who have lost confidence in their ability to provide care for them. The reality is that CAMHS professionals already have all the necessary transferrable skills and with a small amount of top up training, they can make a profound difference to the lives of this vulnerable group, which has been marginalised in our healthcare system.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"311-313"},"PeriodicalIF":6.8,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12723","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001131","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":"Letter to the Editor: Addressing the escalating trend of nonmedical use of benzodiazepines and Z-hypnotics among adolescents – a call for gender-sensitive interventions and policy reforms","authors":"Lien-Chung Wei,&nbsp;Hsien-Jane Chiu","doi":"10.1111/camh.12731","DOIUrl":"10.1111/camh.12731","url":null,"abstract":"","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 1","pages":"108-109"},"PeriodicalIF":6.8,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989333","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}