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Kaku SM, Sibeoni J, Basheer S, Chang JPC, Dahanayake DMA, Irarrazaval M, Lachman JM, Mapayi BM, Mejia A, Orri M, Jui-Goh T, Uddin MS, Vallance I. Global child and adolescent mental health perspectives: bringing change locally, while thinking globally. Child Adolesc Psychiatry Ment Health 2022; 16:82. [PMID: 36345001 PMCID: PMC9640779 DOI: 10.1186/s13034-022-00512-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 08/03/2022] [Indexed: 11/09/2022] Open
Abstract
Child and adolescent mental health (CAMH) are a global priority. Different countries across the globe face unique challenges in CAMH services that are specific to them. However, there are multiple issues that are also similar across countries. These issues have been presented in this commentary from the lens of early career CAMH professionals who are alumni of the Donald J Cohen Fellowship program of the IACAPAP. We also present recommendations that can be implemented locally, namely, how promoting mental health and development of children and adolescents can result in better awareness and interventions, the need to improve quality of care and access to care, use of technology to advance research and practices in CAMH, and how investing in research can secure and support CAMH professionals and benefit children and adolescents across the globe. As we continue to navigate significant uncertainty due to dynamic circumstances globally, bolstering collaborations by "bringing change locally, while thinking globally" are invaluable to advancing global CAMH research, clinical service provision, and advancement of the field.
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Affiliation(s)
- Sowmyashree Mayur Kaku
- Centre for Advanced Research and Excellence in Autism and Developmental Disorders (CAREADD), St. John's Medical College Hospital and St. John's Research Institute, Bangalore, India.
| | - Jordan Sibeoni
- Service Universitaire de Psychiatrie de l’Adolescent, Argenteuil Hopital Centre, Cedex, France ,grid.508487.60000 0004 7885 7602ECSTRRA Team, UMR-1153, Université de Paris, Inserm, Paris, France
| | - Salah Basheer
- grid.513003.4Department of Psychiatry, Iqraa International Hospital and Research Centre, Kozhikode, Kerala India
| | - Jane Pei-Chen Chang
- grid.411508.90000 0004 0572 9415Child Psychiatry Division, Department of Psychiatry, College of Medicine, China Medical University Hospital, Taichung, Taiwan
| | | | - Matias Irarrazaval
- Millenium Institute for Research in Depression and Personality, Santiago, Chile
| | - Jamie M Lachman
- grid.4991.50000 0004 1936 8948Department of Social Policy and Intervention, University of Oxford, Oxford, UK
| | - Boladale Moyosore Mapayi
- grid.10824.3f0000 0001 2183 9444Mental health, Obafemi Awolowo University, Ile Ife, Osun State Nigeria
| | - Anilena Mejia
- grid.5379.80000000121662407Division of Psychology of Mental Health, The University of Manchester, Manchester, UK
| | - Massimiliano Orri
- grid.412078.80000 0001 2353 5268Department of Psychiatry, McGill Group for Suicide Studies, Douglas Mental Health University Institute, McGill University, Montreal, QC Canada
| | - Tze Jui-Goh
- grid.414752.10000 0004 0469 9592Department of Developmental Psychiatry, Institute of Mental Health, Buangkok Green, Singapore
| | - Md Saleh Uddin
- grid.440425.30000 0004 1798 0746Jeffrey Cheah School of Medicine and Health Sciences, Monash University (Malaysia campus), Bandar Sunway, Malaysia
| | - Inge Vallance
- grid.4991.50000 0004 1936 8948Department of Social Policy and Intervention, University of Oxford, Oxford, UK
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Ansari DA. Casting and scripting: Visibility, responsibility, and legitimacy in transcultural psychiatry apprenticeships in Paris. Transcult Psychiatry 2022; 59:130-142. [PMID: 31744400 DOI: 10.1177/1363461519884154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Transcultural psychiatry was developed in France to promote cultural and linguistic diversity and address the mental health needs of immigrants who were excluded from accessing other public mental health services. Professionals in health and social services refer patients to transcultural psychiatry consultations when miscommunications arise or when professionals determine that patients need culturally sensitive therapy. In transcultural psychiatry consultations, a group of therapists, composed primarily of psychologists and psychiatrists, as well as other health and social service professionals, receives a patient, the patient's family, and referring professionals. Previous research on transcultural psychiatry has emphasized the importance of culturally diverse therapy teams and the ways that therapists' diversity could permit patients to open up in consultation sessions. This study draws on ethnographic research in two transcultural psychiatry consultations in Île-de-France, and pays particular attention to the experiences of apprentice therapists, who were often graduate students in clinical psychology. Apprentice therapists reported being introduced to patients in ways that they would not choose themselves. As a result, therapists felt that they had to overemphasize their cultures or countries of origin and French therapists questioned their place in the group. This article describes how transcultural therapy groups are a theater in which belonging, identity, and Frenchness are contested and performed. Apprentice therapists proposed more intersectional and inclusive ways of portraying diversity in the transcultural groups.
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Giammusso I, Casadei F, Catania N, Foddai E, Monti MC, Savoja G, Tosto C. Immigrants Psychopathology: Emerging Phenomena and Adaptation of Mental Health Care Setting by Native Language. Clin Pract Epidemiol Ment Health 2018; 14:312-322. [PMID: 30972131 PMCID: PMC6407656 DOI: 10.2174/1745017901814010312] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 10/18/2018] [Accepted: 10/29/2018] [Indexed: 11/22/2022]
Abstract
Mental health of immigrants is an important social and clinical issue. Immigrants may report higher rates of mental disorders and lower levels of use of mental health service with respect to natives. The aim of the present work is to review recent findings of the psychopathology of immigrants and analyze how to adapt the mental care settings through the use of mother tongues. We searched the literature to individuate and review the most recent scientific articles focused on the psychopathology of immigrants realized in Europe. Moreover, we summarized the guidelines about immigrants mental health care and we focused on the barriers caused by language. We individuated 15 papers reporting data about mental disorders among immigrants and the related risk and protective factors. The articles reported information about psychosis, depression, anxiety, post-traumatic stress disorder, somatization and suicide rates. Risk and protective factors are individuated mainly among social factors (e.g. ethnic density effect, hosting countries' policies). Furthermore, immigrants encounter language barriers in the use of mental care services. The realization of cross-cultural training and the development of a working alliance between clinicians and interpreters resulted to be effective solutions even if these interventions are not frequently implemented. The extent of migratory flows and the related difficulties experienced by immigrants require attention and well-informed interventions. The high rates of incidence of mental disorder and the strict number of services who implement interventions taking into accounts fundamental aspect as language show that there is still a lot to do.
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Affiliation(s)
- Isabella Giammusso
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.,Associazione PLP, Psicologi Liberi Professionisti, Via Pasteur, 65, 00144, Rome, Italy
| | - Filippo Casadei
- Associazione PLP, Psicologi Liberi Professionisti, Via Pasteur, 65, 00144, Rome, Italy
| | - Nicolay Catania
- Associazione PLP, Psicologi Liberi Professionisti, Via Pasteur, 65, 00144, Rome, Italy
| | - Elena Foddai
- Associazione PLP, Psicologi Liberi Professionisti, Via Pasteur, 65, 00144, Rome, Italy
| | - Maria Chiara Monti
- Associazione PLP, Psicologi Liberi Professionisti, Via Pasteur, 65, 00144, Rome, Italy
| | - Giorgia Savoja
- Associazione PLP, Psicologi Liberi Professionisti, Via Pasteur, 65, 00144, Rome, Italy
| | - Crispino Tosto
- Istituto per le Tecnologie Didattiche, Consiglio Nazionale delle Ricerche, Palermo, Italy
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