Strengthening the Paediatricians Project 2: The effectiveness of a workshop to address the Priority Mental Health Disorders of adolescence in low-health related human resource countries

Abstract

BackgroundPaediatricians can be empowered to address the Priority Mental Health Disorders at primary care level. To evaluate the effectiveness of a collaborative workshop in enhancing the adolescent psychiatry knowledge among paediatricians.MethodsA 3-day, 27-hours workshop was held for paediatricians from different regions of India under the auspices of the National Adolescent Paediatric Task Force of the Indian Academy of Paediatrics. A 5-item pretest-posttest questionnaire was developed and administered at the beginning and end of the workshop to evaluate the participants' knowledge acquisition in adolescent psychiatry. Bivariate and multivariate analyses were performed on an intention-to-participate basis.ResultsForty-eight paediatricians completed the questionnaire. There was significant enhancement of the knowledge in understanding the phenomenology, identifying the psychopathology, diagnosing common mental disorder and selecting the psychotropic medication in the bivariate analysis. When the possible confounders of level of training in paediatrics and number of years spent as paediatrician were controlled, in addition to the above areas of adolescent psychiatry, the diagnostic ability involving multiple psychological concepts also gained significance. However, both in the bivariate and multivariate analyses, the ability to refer to appropriate psychotherapy remained unchanged after the workshop.ConclusionsThis workshop was effective in enhancing the adolescent psychiatry knowledge of paediatricians. Such workshops could strengthen paediatricians in addressing the priority mental health disorders at the primary-care level in countries with low-human resource for health as advocated by the World Health Organization. However, it remains to be seen if this acquisition of adolescent psychiatry knowledge results in enhancing their adolescent psychiatry practice.

Prevalência e características de escolares vítimas de bullying

“…The instrument comprises 25 items, five in each of five subscales covering emotional symptoms, behavioral problems, hyperactivity, relationship problems and prosocial behavior. 10 The items from the first four subscales provide an overall score for "difficulties. "…”

“…6,8 These behavioral and learning disorders mean that there is a need for intervention strategies developed on the basis of knowledge about the types and prevalence rates of bullying in different communities. 9,10 The objective of this study is to describe the prevalence and the characteristics of bullying victims in two public schools.…”

The prevalence and characteristics of first to eighth grade bullying victims

“…Acima desta idade, foi aplicado nos pais e nas próprias crianças. O instrumento é composto por 25 itens, que são divididos em cinco subescalas, com cinco itens cada uma, resultando em escores de sintomas emocionais, problemas de conduta, hiperatividade, problemas de relacionamento e comportamento pró-social 10 . Os itens das quatro primeiras escalas geram um escore total de dificuldades.…”

“…Devido à presença de transtornos comportamentais e de aprendizagem, são necessárias estratégias de intervenção desenvolvidas a partir do conhecimento dos tipos e das prevalências de bullying nas diferentes comunidades 9,10 .…”

Priority Mental Health Disorders of Children and Adolescents in Primary-care Pediatric Setting in India 1: Developing a Child and Adolescent Mental Health Policy, Program, and Service Model

“…Although effective efforts are on to train the pediatricians, family physicians and general practitioners on smaller scales [29,30], national level programs are needed and is discussed in the last paper of this series. Use of DSM-IV-TR or ICD-10…”