The number of children in Europe with significant psychologic and social problems is large and increasing. This article describes an innovative crosscultural method of working with families to This project has been financially supported by the European Union (Leonardo da Vinci Programme, EL 98/98/1/ 68123/P1/1.1.1.b/FPC), the Ministry of Social Welfare and Health in Finland, the Medical Research Fund of Tampere University Hospital, the Greek General Secretariat of Research and Technology and the Greek Ministry of Health (Cofunding programme 96SYN103), The Gatsby Charitable Foundation, The South London and Maudsley NHS Trust, and the Community Health South London NHS Trust. We should like to thank all the primary health care professionals involved in the project for their commitment and care, all the research staff, and of course the families and children. Direct correspondence to: Kaija Puura, Assistant Chief of Child Psychiatry, Medical School, 33014 University of Tampere, Finland; e-mail: puura@sci.fi.
The European Early Promotion Project •
607promote the psychosocial well being of children and prevent the development of psychologic and social problems. A study designed to evaluate the effects of the service is also presented. Primary health care workers in five European countries have been trained to conduct promotional interviews with all prospective mothers in their area one month before and one month after birth. They have also been taught to work with mothers identified as in need of support as a parent by using a specific counselling model to try to prevent the onset of child mental health difficulties. Effects of the intervention on children's psychologic development and family adaptation are being evaluated at two years in comparison with matched groups not receiving the intervention.RESUMEN: El número de niños en Europa con problemas sicológicos y sociales significativos es grande y va en aumento. Este ensayo describe un método innovador e intercultural de trabajar con familias para promover el bienestar sicológico de los niños y prevenir el desarrollo de problemas sicológicos y sociales. También se presenta un estudio diseñado para evaluar los efectos del servicio prestado. Los trabajadores que prestan los servicios de salud esenciales en cinco países europeos han sido entrenados para llevar a cabo entrevistas promocionales con todas las futuras madres en sus áreas un mes antes y un mes después del parto. A ellos se les ha enseñado también a trabajar con madres identificadas como personas con necesidad de apoyo en su papel de madre, por medio de un modelo específico de consejería para tratar de prevenir el comienzo de las dificultades de salud mental del niño. Los efectos de la intervención en el desarrollo sicológico de los niños y la adaptación familiar están siendo evaluados a los dos años en comparación con grupos similares que no están recibiendo tal intervención.RÉ SUMÉ : Le nombre d'enfants en Europe qui ont d'importants problèmes psychologiques et sociaux est élevé et grandit sans ce...
Early detection of Autism Spectrum Disorder (ASD) has proven to be of high significance, however there is a limited availability of ASD screening tools in Serbian language. In this study we aim to translate, assess reliability and, in part, test the applicability of Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT R/F) in Serbian Healthcare environment. We screened 128 children in three primary healthcare centres and 20 children in a tertiary psychiatric center, using M-CHAT R/F translated into Serbian language, between December 2014 and October 2015. At the end of the screening process 80% of participants in the risk group screened positive for ASD, while in the control group 4 (3.1%) participants screened positive, with a mean total scores of 8.25 and 0.66 respectively. The Cronbach’s α coefficient was 0.91 and Guttman’s λ6 was 0.93. Test – retest reliability was deemed as acceptable, and no significant correlation was found between M-CHAT-R/F scores and Epworth Sleepiness Scale for children scores. The Serbian version of the M-CHAT-R/F has shown satisfactory reliability. We can therefore assert that it is a reliable tool for identifying ASD and it can be used in clinical practice to improve early detection, assessment and treatment.
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