OCDObsessive-compulsive disorder PANDAS Paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections AIM Sydenham's chorea is a post-streptococcal, autoimmune, neuropsychiatric movement disorder. Sydenham's chorea is a major criterion for diagnosis of acute rheumatic fever with the implication of potential long-term sequelae including cardiac complications. It is well established that there is psychiatric comorbidity in Sydenham's chorea, but there are variations in the literature regarding the nature and prevalence of psychiatric diagnoses associated with Sydenham's chorea. The aim of this review was to systematically evaluate the evidence for psychiatric symptoms presenting with Sydenham's chorea. Knowledge of comorbid psychiatric symptomatology will support early diagnosis and treatment, leading to improved long-term outcomes for children with Sydenham's chorea.METHOD The study used a systematic search strategy, using MEDLINE, MEDLINE in Process, EMBASE, and The Cochrane Library. Abstracts were screened to identify relevant papers which were then assessed further. Eligible papers were summarized.

QuestionThis review will aim to critically evaluate the currently available literature concerning the use of online mobile-based applications and interventions in the detection, management and maintenance of children and young people’s mental health and well-being.Study selection and analysisA systematic literature search of six electronic databases was conducted for relevant publications until May 2019, with keywords pertaining to mental health, well-being and problems, mobile or internet apps or interventions and age of the study population. The resulting titles were screened and the remaining 92 articles were assessed against the inclusion and exclusion criteria with a total of 4 studies included in the final review.FindingsIn general, young people seem to engage very well with this type of tools, and they demonstrate some positive effects in emotional self-awareness. There have been some studies about this issue and many of the outcomes were notstatistically significant. However, it is still a sparsely documented area, and more research is needed in order to prove these effects.ConclusionsMental health apps directed at young people have the potential to be important assessment, management and treatment tools, therefore creating easier access to health services, helping in the prevention of mental health issues and capacitating to self-help in case of need. However, a limited number of studies are currently available, and further assessments should be made in order to determine the outcomes of this type of interventions.

Mental health difficulties are prevalent among children and young people and there is strong evidence-base for the effectiveness of school-based programmes in promoting mental health and resilience; however, there is a need for further trial and evaluation of such programmes in different contexts. The present study aims to evaluate a pilot mental health programme, SafeSpot, trialled in a secondary school, assessing the impact of the programme on students' mental health as well as teachers' opinions and experiences. A mixed-methods design was employed. Results revealed significantly lower self-reported emotional distress post-intervention compared to pre-intervention. Teachers' overall experiences were positive, supporting the delivery of mental health content in schools and sharing perceived limitations and recommended adaptations to programme content. Preliminary findings are promising and further research into the programme is recommended. Mixed methods research is a useful tool for the evaluation of school-based interventions, and should be considered by researchers undertaking such projects. ARTICLE HISTORY