Creating headspace for integrated youth mental health care

McGorry, Patrick D.; Trethowan, Jason; Rickwood, Debra

doi:10.1002/wps.20619

Cited by 85 publications

(67 citation statements)

References 8 publications

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“…While KSA has begun to implement strategies to reduce stigma, increase detections, and make people aware of the existence of effective treatments for mental disorders, healthcare policymakers need to accelerate these efforts and ensure timely screening and effective treatment of mental disorders. Useful models exist in other countries (McGorry, Trethowan, & Rickwood, 2019;McMahon et al, 2019;Moller, Ryan, Rollings, & Barkham, 2019), but adaptation to the unique circumstances of KSA will doubtlessly be needed before these models or some blending of their elements can be implemented successfully to address the challenges facing the Saudi healthcare system in addressing this important problem.…”

Section: Discussionmentioning

confidence: 99%

Lifetime treatment of DSM‐IV mental disorders in the Saudi National Mental Health Survey

Al‐Subaie

Altwaijri

Alhabeeb

et al. 2020

Int J Methods Psych Res

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Objectives To estimate lifetime treatment rates of mental disorders in the Saudi National Mental Health Survey (SNMHS). Methods The SNMHS is a face‐to‐face community epidemiological survey in a nationally representative household sample of citizens ages 15–65 in the Kingdom of Saudi Arabia (KSA) (n = 4,004). The World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) was used to produce estimates of lifetime prevalence and treatment of common DSM‐IV mental disorders. Results Lifetime treatment ranged from 52.2% for generalized anxiety disorder to 20.3% for attention deficit/hyperactivity disorder, had a median (interquartile range) of 35.5% (30.6–39.5%) across disorders, and was 28.3% for people with any lifetime DSM‐IV/CIDI disorder. Half (49.0%) of patients received treatment in the mental health specialty sector, 35.9% in the general medical sector, 35.2% in the human services sector, and 15.7% in the complementary‐alternative medical sector. Median (interquartile range) delays in help‐seeking after disorder onset among respondents who already sought treatment were 8 (3–15) years. Odds of seeking treatment are positively related to age‐of‐onset and comorbidity. Conclusions Unmet need for treatment of lifetime mental disorders is a major problem in KSA. Interventions to ensure prompt help‐seeking are needed to reduce the burdens and hazards of untreated mental disorders.

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Section: Discussionmentioning

confidence: 99%

Lifetime treatment of DSM‐IV mental disorders in the Saudi National Mental Health Survey

Al‐Subaie

Altwaijri

Alhabeeb

et al. 2020

Int J Methods Psych Res

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“…The identification of this first stage is important from the viewpoint of public health care, because it has led in some countries to the development of soft entry points, i.e., places well integrated in the community and separated from mental health departments, with a strong involvement of young volunteers, in which the declared objectives are socialization, educational and vocational support, and promotion of physical and mental health. The idea is to reach, through these soft entry points, the highest possible number of young people who are currently in the stage 1a, in order to refer timely those who start to manifest a more specific subthreshold symptomatology to the appropriate clinical services (e.g., centers for first psychotic episodes) [27].…”

Section: Clinical Stagingmentioning

confidence: 99%

Beyond diagnosis in psychiatric practice

Maj

2020

Ann Gen Psychiatry

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In psychiatry, the information conveyed by diagnosis (i.e., the "type" to which the individual patient is reconducted) is in itself insufficient for therapeutic and prognostic purposes. Hence the need for a more detailed characterization of the individual case, with a special focus on the assessment of low-order and high-order psychopathological dimensions, the evaluation of the severity of the clinical picture, the assessment of the stage of development of the disorder, and the exploration of a series of antecedent and concomitant variables. We should start to promote the construction and validation of tools guiding the clinician systematically in this characterization, trying to incorporate in this effort elements of the approaches that are currently presented as "alternative" to the ICD and DSM.

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“…How to structure and sequence increasing specificity and expertise beyond entry remains a valid focus for the next generation of health services research [10,80,81]. The clinical staging model offers a viable public health strategy through its goal of reducing incidence, prevalence, and disease impact for not only psychotic disorders, but across all mental and substance use disorders.…”

Section: Implications For Service Reform and Research Strategymentioning

confidence: 99%