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

Abstract

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.

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

“…Reasons for exclusion of reviews were: no quantitative systematic review process (n=3) 14,33,40 , a narrative review (n=1) 41 and non-focused videoconferencing interventions (n=3), namely an e-therapy systematic review on internet therapy 42 , a safety systematic review of telephone support 43 , and evidence based interventions for children and adolescents. 29 There was very good agreement between reviewers with a Kappa 0.9 [95% CI, 0.6-0.1].…”

“…Generally the literature of telepsychiatry is characterised by descriptive and poor evaluation studies, with few high quality evidence studies regarding the effectiveness of telepsychiatry to be found. [26][27][28] In addition, there are only a handful of reported telepsychiatry papers from the developing world [29][30][31][32] and only one reported out of Africa. 33 Before considering the implementation of telepsychiatry in South Africa, it is important to assess the existing evidence for telepsychiatry before making recommendations for the application of telepsychiatry to this environment 34 based on the level of evidence found.…”

Telemental health in Brazil: past, present and integration into primary care

“…After initial skepticism, the experience was incorporated in daily practice activity, reducing the number of hospitalizations 15 . In 2008, the first papers about TMH in Brazil were published, stressing the future impact of Telepsychiatry in Brazil 16 and the relevance of internetbased strategies to deliver effective mental health interventions for children 17 , and a tele-education program for primary care teams using webconferencing 18 …”

Saúde mental na infância proposta de capacitação para atenção primária vol 2

“…Além disso, pesquisas recentes têm demonstrado que a maioria das patologias nos adultos começa ainda no período da infância e da adolescência. Desse modo, é necessário que haja capacitação de profissionais e serviços específicos para essa faixa etária, além de uma articulação intersetorial de diferentes secretarias (PAULA et al, 2009b;GRAEFF--MARTINS et al, 2008).…”