Unmet needs of child and adolescent psychiatrists among Asian and European countries: does the Human Development Index (HDI) count?

Sourander, André; Chudal, Roshan; Skokauskas, Norbert; Alansari, Ahmed M.; Klomek, Anat Brunstein; Pornnoppadol, Chanvit; Kolaitis, Gerasimos; Maezono, Junko; Steinhausen, H.-C.; Slobodskaya, Helena R.; Kaneko, Hitoshi; Regmee, Jaya; Li, Liping; Nguyen, Mai; Grimland, Meytal; Osokina, O.I.; Ong, Say How; Praharaj, Samir Kumar; Lesinskienė, Sigita; Fossum, Sturla; Wiguna, Tjhin; Makasheva, V.; Lehti, Venla

doi:10.1007/s00787-017-1095-7

Cited by 37 publications

(24 citation statements)

References 9 publications

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“…However, sociotechnical system theory and interventions need more evaluation in child psychiatric area, as well as in Italy where a public universal health system has been up and running for decades in an efficient way. Different CANPS strategies and models of services delivery have been proposed or endorsed [11, 31–33], also for ADHD oriented services [16, 34–36], to facilitate access, reducing barriers, and improving facilitators. Signs of improvement have been seen but the rate of progress is still not good enough [14].…”

Section: Discussionmentioning

confidence: 99%

Waiting times for diagnosis of attention-deficit hyperactivity disorder in children and adolescents referred to Italian ADHD centers must be reduced

Bonati

Cartabia

Zanetti

2019

BMC Health Serv Res

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Background To investigate timely access to and the time needed to complete the diagnostic path of children and adolescents with suspected attention deficit hyperactivity disorder (ADHD) in the 18 Italian Lombardy Region ADHD reference centers. Methods Data of children and adolescents enrolled in the Regional ADHD disease-oriented Registry for suspected ADHD who requested their first visit in 2013–2017 were analyzed. Results The sample comprised 2262 children and adolescents aged 5–17 years who accessed the ADHD centers for diagnostic classification and management. The median waiting time was of 177 days (range 66–375) from the request for the initial appointment to the completion of the diagnostic path, with a three - fold difference between centers. In addition to the center, the strongest significant predictors of long waiting times were age comorbidities, the severity of the disorder, and having already completed some diagnostic procedures provided by the common standard path. Conclusions To guarantee an equal standard of care in ADHD centers for all children and adolescents there is a pressing need to reduce the times to complete the diagnostic path. It is the task of both policymakers and each center to optimize the quality of the service and of the care delivered.

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Section: Discussionmentioning

confidence: 99%

Waiting times for diagnosis of attention-deficit hyperactivity disorder in children and adolescents referred to Italian ADHD centers must be reduced

Bonati

Cartabia

Zanetti

2019

BMC Health Serv Res

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“…This study is part of the Eurasian Child Mental Health Study (EACMHS) and included eight Asian countries and five European countries: China, Finland, Greece, India, Indonesia, Iran, Israel, Japan, Lithuania, Norway, Russia, Singapore and Vietnam. The EACMHS aims to conduct cross-cultural, multi-site research on the wellbeing and mental health of children and adolescents and it includes child and adolescent mental health experts in the participating countries [31][32][33].…”

Section: Methodsmentioning

confidence: 99%

Victimization by traditional bullying and cyberbullying and the combination of these among adolescents in 13 European and Asian countries

Chudal

Tiiri

Klomek

et al. 2021

Eur Child Adolesc Psychiatry

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There has been a lack of studies on bullying in non-western low-income and middle-income countries. This study reported the prevalence of traditional victimization, cybervictimization, and the combination of these, in 13 European and Asian countries, and explored how psychiatric symptoms were associated with victimization. The data for this cross-sectional, school-based study of 21,688 adolescents aged 13–15 were collected from 2011 to 2017. The main outcomes were traditional and cybervictimization obtained from student self-reports. The Strengths and Difficulties Questionnaire was used to assess psychiatric symptoms. Generalized estimating equation and logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs). The mean prevalence of any victimization was 28.9%, of traditional victimization only, this was 17.7%, and for cybervictimization only this was 5.1%. Cybervictimization occurred both independently, and in combination with, traditional victimization. The mean prevalence of combined victimization was 6.1%. The mean proportion of those who were cyberbullied only among those who were either cyberbullied only or bullied both traditionally and in cyber was 45.1%. The rates of prevalence varied widely between countries. In the total sample, those who experienced combined victimization, reported the highest internalizing symptoms (girls, OR 1.25, 95% CI 1.22–1.29; boys, OR 1.29, 95% CI 1.25–1.33). The study findings suggest that anti-bullying interventions should include mental health components and target both traditional and cyberbullying. Due to the overlap between these, targeting bullying should primarily focus on how to reduce bullying behavior rather than just focusing on where bullying takes place.

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“… 11 The number of psychiatrists delivering child and adolescent mental health care in India is 1 per 4–5 million children, with most of them working in cities, making access to mental health care difficult to a large number of children. 12 Given the limited feasibility of reducing the resource gap and the increased access to technology across the country, telepsychiatry appears an ideal resource for the provision of mental health care for children. 13 …”

Section: Need For Pediatric Telepsychiatrymentioning

confidence: 99%

Telepsychiatry for Mental Health Service Delivery to Children and Adolescents

Kommu

Sharma

Ramtekkar

2020

Indian Journal of Psychological Medicine

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Children constitute 40% of India’s population. Large number of children with psychiatric disorders and neurodevelopmental conditions are unable to access mental health services due to factors such as unavailability of these services in smaller urban and rural centres and lack of training for primary care providers. Given the relatively easy access to video conferencing technology, feasibility and acceptability of Telepsychiatry, there is an urgent need to invest resources and strengthen the use of Telepsychiatry for child and adolescent mental health training and serviced delivery . This viewpoint article discusses the need,scope,experiences and challenges related to use of Telepsychiatry in the area of child mental health.

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Unmet needs of child and adolescent psychiatrists among Asian and European countries: does the Human Development Index (HDI) count?

Cited by 37 publications

References 9 publications

Waiting times for diagnosis of attention-deficit hyperactivity disorder in children and adolescents referred to Italian ADHD centers must be reduced

Waiting times for diagnosis of attention-deficit hyperactivity disorder in children and adolescents referred to Italian ADHD centers must be reduced

Victimization by traditional bullying and cyberbullying and the combination of these among adolescents in 13 European and Asian countries

Telepsychiatry for Mental Health Service Delivery to Children and Adolescents

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