Introduction: There has been a considerable increase in the numbers of older people in the world population of both developed and developing countries. The increasing elderly populations are prone to depression. Studies regarding depression among elderly, especially in old age homes is lesser in the developing countries.

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DOI: http://dx.doi.org/10.3126/jpan.v1i1.9923 Journal of Psychiatrists' Association of Nepal Vol.1(1) 2011: 20-23

Introduction: Homelessness in children is a serious problem in the society. Factors leading tohomelessness in Nepalese children are poverty, unemployment, multiple children, exposure toviolence, caste based social discrimination etc. Children living out of their homes have problemsin attachment, temperament, social skills, cognitive ability, and language development. Few nongovernmentalorganizations that have started to look after these children but the mental healthneed is neglected. The study attempted to investigate the emotional and behavioural problems inhomeless children in one of the shelters in Kathmandu.Methods: All the children (n=126) in the SAATHI Organization were included in the study. Theywere administered Child Behaviour Check List 6-18. Children with T-score ≥65 on externalising orinternalising dimension were further evaluated in the Child Guidance Clinic for the final diagnosisbased on DSM IV.Results: The prevalence of emotional and behavioural problem among the participants was 36(28.57%) [15 (26.31%) in boys and 21 (30.43%) in girls] based on CBCL/6-18 years and 29 (23.01%)[12 (21.05%) in boys and 17 (24.63%) in girls] based on final diagnosis. The conduct problems wasthe most common among the male children 5 (8.77%), followed by ODD 3 (5.26%), ADHD 2 (3.5%),Anxiety 2 (3.50%) whereas Anxiety is most common in female children 9 (13.04 %), followed bydepression 5 (7.24%), conduct 3 (4.34%).Conclusions: The rate of emotional and behavioral disorder in homeless children in the study issimilar to the school aged non homeless children in previous studies, which may be because of theprotection provided by the shelters. This study highlighted the need for methodologically betterstudies in the field._______________________________________________________________________________________Keywords: children; emotional and behavioural problems; homelessness; Nepal.

Introduction: Alcohol dependence is a global problem worldwide and the global burden of disease study published in 2010 concluded alcohol use to be the third leading risk factor for death and disability. This study was conducted to find out the diagnostic profile, socio- cultural determinants, motivation level and other related variables in patients diagnosed as alcohol dependence in hospital admitted patients.Material and Method: This was a cross- sectional study carried out in patients diagnosed as alcohol dependence and admitted in the deaddiction ward of Tribhuvan University Teaching Hospital over a period of eight months. SPSS version 18 was used for the statistical analysis of the data obtained.Results: A total of 86 patients were admitted during the period of 8 months. Among those, 48% were admitted with the diagnosis of alcohol dependence- complicated withdrawal while remaining 52% were admitted with alcohol dependence- uncomplicated withdrawal. Assessment of motivation revealed that majority of the patients i.e.43% were in precontemplation phase, 27.9% were in the contemplation phase, 9.3% were in preparation phase, and 19.8% were ready to take action for remaining abstinent. Sociodemographic variables were not statistically significant except for family type where more than 70% of patients with complicated withdrawal belonged to nuclear family when compared to uncomplicated withdrawal.Conclusion: In this study, we assessed the overall profile of patients admitted with alcohol dependence syndrome in a tertiary care hospital so that this data can be used for better management of our patients.J Psychiatrists’ Association of Nepal Vol .6(1), 2017, p.38-43