Diffusion of efficacious interventions for children and adolescents with mental health problems

Journal of Child Psychology and Psychiatry and Allied Disciplines - Tập 49 Số 3 - Trang 335-352 - 2008
Ana Soledade Graeff‐Martins1, Martine F. Flament2, John Fayyad3, Sam Tyano4, Peter S. Jensen5, Luís Augusto Rohde6
1Child and Adolescent Psychiatric Division, Department of Psychiatry, Federal University of São Paulo, Brazil
2Youth Unit, Institute of Mental Health Research, University of Ottawa, Canada
3Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Balamand University Faculty of Medicine, Institute for Development, Research, Advocacy and Applied Care, Lebanon
4Child and Adolescent Division, Geha Mental Health Center, Israel
5The REACH Institute (Resource for Advancing Children's Health), USA
6Child and Adolescent Psychiatric Division, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul, Brazil.

Tóm tắt

Background:  Child and adolescent mental health problems are prevalent and require adequate interventions. Despite several evidence‐based interventions for these problems described in the literature, few studies addressed strategies to diffuse efficacious interventions for child mental disorders especially in developing countries.

Methods:  An extensive but not systematic review of the literature was performed aiming to identify evidence‐based interventions for children and adolescents with mental disorders, professionals to target in disseminating these interventions, and the available strategies to diffuse information.

Results:  Substantial evidence‐based information is available to guide preventive, psychosocial and psychopharmacological interventions. The effectiveness of treatments in real‐world settings and the cost‐effectiveness of interventions are rarely tested. Professionals at different levels (teachers, school counselors, social workers, general practitioners, pediatricians, child psychologists and psychiatrists) should be targeted in diffusing efficacious interventions for child mental health problems worldwide. Telepsychiatry and the internet seem to be the most promising strategies to diffuse knowledge with lower costs.

Conclusions:  Medical and allied professionals must incorporate child and adolescent mental health issues in their under‐ and postgraduate curricula, and be better prepared to critically evaluate available information. Professionals need to disseminate evidence‐based programs to guide parents and teachers in developing countries to deal with child and adolescent difficulties. Countries need to explore internet solutions for dissemination of medical information.

Từ khóa


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Thông tin xuất bản

Journal of Child Psychology and Psychiatry and Allied Disciplines

Tập 49 Số 3

335-352

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