Update on adolescent mental health

Paruk, Saeeda; Karim, Enver

doi:10.7196/samj.2016.v106i6.10943

Cited by 15 publications

(19 citation statements)

References 14 publications

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“…The burden of CAMH has been well-described, especially in LMICs [ 17 , 37 ]. Barriers to CAMH service provision in LMICs will undoubtedly be aggravated by the COVID-19 pandemic, an event that will substantially test the resilience and responsiveness of district health systems.…”

Section: Introductionmentioning

confidence: 99%

“…However, the paucity of specific national CAMH policies and national implementation guidelines, poor intersectoral collaboration and the shortage of CAMH resources still hinder the provision of optimal child and adolescent mental health services in many countries [25]. The burden of CAMH has been well-described, especially in LMICs [17,37]. Barriers to CAMH service provision in LMICs will undoubtedly be aggravated by the COVID-19 pandemic, an event that will substantially test the resilience and responsiveness of district health systems.…”

mentioning

confidence: 99%

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Stakeholders' perceptions of child and adolescent mental health services in a South African district: a qualitative study

Babatunde

Rensburg

Bhana

et al. 2020

Int J Ment Health Syst

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Background In order to develop a district child and adolescent mental health (CAMH) plan, it is vital to engage with a range of stakeholders involved in providing CAMH services, given the complexities associated with delivering such services. Hence this study sought to explore multisectoral dynamics in providing CAMH care in one resource-constrained South African district as a case study, towards informing the development of a model for district mental health plan and generating lessons for mental health systems strengthening to support CAMH services using the Health Systems Dynamics (HSD) framework. HSD provides a suitable structure for analysing interactions between different elements within the health system and other sectors. Methods Purposive sampling of 60 key informants was conducted to obtain an in-depth understanding of various stakeholders' experiences and perceptions of the available CAMH services in the district. The participants include stakeholders from the Departments of Health (DoH), Basic Education (DBE), community-based/non-governmental organizations and caregivers of children receiving CAMH care. The data was categorized according to the elements of the HSD framework. Results The HSD framework helped in identifying the components of the health systems that are necessary for CAMH service delivery. At a district level, the shortage of human resources, un-coordinated CAMH management system, lack of intersectoral collaboration and the low priority given to the CAMH system negatively impacts on the service providers' experiences of providing CAMH services. Services users' experiences of access to available CAMH services was negatively impacted by financial restrictions, low mental health literacy and stigmatization. Nevertheless, the study participants perceived the available CAMH specialists to be competent and dedicated to delivering quality services but will benefit from systems strengthening initiatives that can expand the workforce and equip non-specialists with the required skills, resources and adequate coordination. Conclusions The need to develop the capacity of all the involved stakeholders in relation to CAMH services was imperative in the district. The need to create a mental health outreach team and equip teachers and caregivers with skills required to promote mental wellbeing, promptly identify CAMH conditions, refer appropriately and adhere to a management regimen was emphasized.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Stakeholders' perceptions of child and adolescent mental health services in a South African district: a qualitative study

Babatunde

Rensburg

Bhana

et al. 2020

Int J Ment Health Syst

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“…This review will refer to mental health issues as a broad term for mental, emotional, and behavioral problems or disorders focusing on depression, anxiety, and substance use. Depression, anxiety, and substance use disorders are more common among adolescents [ 37 - 39 ]…”

Section: Introductionmentioning

confidence: 99%

Communication Technology Use by Caregivers of Adolescents With Mental Health Issues: Systematic Review

Jansen¹,

Reid²

2020

JMIR Mhealth Uhealth

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Background Caregivers of adolescents with mental health issues experience challenges that may result in the caregivers having a variety of unmet needs. There is a growing need to support these caregivers. Effective support to strengthen positive caregiving behavior in caregivers may address their challenges. Communication technologies offer novel opportunities to assist these caregivers and may contribute to strengthening caregiver behavior. However, little is known about the use of communication technologies among caregivers of adolescents with mental health issues. Objective The study aimed to answer the question: “What is the best evidence available to strengthen positive behavior of caregivers of adolescents with mental health issues using communication technology.” Methods A systematic review of articles published between January 2007 and August 2018 was conducted. Searches included articles of multiple study designs from EBSCO Host and Scopus platforms with prespecified eligibility criteria. Methodological quality was evaluated using the applicable Critical Appraisal Skills Programme and Joanna Briggs Institute assessment tools. Results The search yielded 1746 articles. Altogether, 5 articles met the eligibility criteria and were included in the review for data synthesis. Data analysis and synthesis identified three thematic conclusions reflecting the types of communication technologies used, caregivers as the target population, and strengthening of positive behavior through determinants of the Integrated Model of Behavior Prediction. Conclusions The review reported the usefulness of communication technology by caregivers. Caregivers also demonstrated improvement in self-efficacy, knowledge, parent-child communication, and parental skills reflecting positive behavior. Although the use of communication technology is expanding as a supportive intervention to address caregivers’ needs, the evidence for usefulness among caregivers of adolescents with mental health issues is still scarce. More research and information related to preferred methods of communication delivery among caregivers of adolescents is still needed.

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“…The burden of CAMH has been well-described, especially in LMICs (Erskine et al 2017;Paruk & Karim, 2016). Barriers to CAMH service provision in LMICs will undoubtedly be aggravated by the pandemic, an event that will substantially test the resilience and responsiveness of district health systems.…”

Section: Introductionmentioning

confidence: 99%

Stakeholders' perceptions of child and adolescent mental health services in a South African district – a qualitative study.

Babatunde

Rensburg

Bhana

et al. 2020

Preprint

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Background: In order to develop a district child and adolescent mental health (CAMH) plan, it is vital to engage with a range of stakeholders involved in providing CAMH services, given the complexities associated with delivering such services. Hence this study sought to explore multisectoral dynamics in providing CAMH care in one resource-constrained South African district as a case study, towards informing the development of a model for district mental health plan and generating lessons for mental health systems strengthening to support CAMH services using the Health Systems Dynamics (HSD) framework. HSD provides a suitable structure for analysing interactions between different elements within the health system and other sectors. Methods: Purposive sampling of 60 key informants was conducted to obtain an in-depth understanding of various stakeholders' experiences and perceptions of the available CAMH services in the district. The participants include stakeholders from the Departments of Health (DoH), Basic Education (DBE), community-based/non-governmental organizations and caregivers of children receiving CAMH care. The data was categorized according to the elements of the HSD framework. Results: The HSD framework helped in identifying the components of the health systems that are necessary for CAMH service delivery. At a district level, the shortage of human resources, un-coordinated CAMH management system, lack of intersectoral collaboration and the low priority given to the CAMH system negatively impacts on the service providers' experiences of providing CAMH services. Services users' experiences of access to available CAMH services was negatively impacted by financial restrictions, low mental health literacy and stigmatization. Nevertheless, the study participants perceived the available CAMH specialists to be competent and dedicated to delivering quality services but will benefit from systems strengthening initiatives that can expand the workforce and equip non-specialists with the required skills, resources and adequate coordination. Conclusions: The need to develop the capacity of all the involved stakeholders in relation to CAMH services was imperative in the district. The need to create a mental health outreach team and equip teachers and caregivers with skills required to promote mental wellbeing, promptly identify CAMH conditions, refer appropriately and adhere to a management regimen was emphasized.

show abstract

Update on adolescent mental health

Cited by 15 publications

References 14 publications

Stakeholders' perceptions of child and adolescent mental health services in a South African district: a qualitative study

Stakeholders' perceptions of child and adolescent mental health services in a South African district: a qualitative study

Communication Technology Use by Caregivers of Adolescents With Mental Health Issues: Systematic Review

Stakeholders' perceptions of child and adolescent mental health services in a South African district – a qualitative study.

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