Child and youth mental health: Integrated health care using contemporary competency-based teams
- PMID: 20436824
- PMCID: PMC2706634
- DOI: 10.1093/pch/14.5.315
Child and youth mental health: Integrated health care using contemporary competency-based teams
Abstract
Mental health teams have long been the foundation for mental health services provided to children and youth. Changes in professional practices, the emergence of evidence-based care, the importance of integrating mental health into primary health care delivery, the decrease in professional 'ownership' of mental health care competencies and other factors now challenge the traditional structure and function of these teams. New and novel frameworks will be needed to address mental health care needs for problems that do not require 'traditional' mental health service interventions, to enable integration of mental health care into usual health services, to promote specialist mental health care delivery for those in need, and to facilitate the development and translation of mental health research into practice. In all of these new team structures, the active participation of young people and their families will be necessary.
Les équipes de santé mentale ont longtemps constitué la base des services de santé mentale dispensés aux enfants et aux adolescents. Des modifications aux pratiques professionnelles, l’émergence de soins probants, l’importance d’intégrer la santé mentale à la prestation des soins primaires, la diminution de « l’appropriation » professionnelle des compétences de soins en santé mentale et d’autres facteurs remettent en question les structures et fonctions traditionnelles de ces équipes. Il faudra établir des cadres nouveaux et novateurs pour répondre aux besoins de santé mentale en cas de troubles qui n’exigent pas d’interventions liées aux services de santé mentale classiques, pour intégrer les soins de santé mentale aux services de santé habituels, pour promouvoir la prestation de soins de santé mentale spécialisés à ceux qui en ont besoin et pour favoriser le développement et le transfert des recherches en santé mentale dans la pratique. Dans toutes ces nouvelles structures d’équipes, il faudra compter sur la participation active des jeunes et de leur famille.
Keywords: Child; Integrated health care; Mental health; Multidisciplinary teams; Youth.
References
-
- Rutter M, Stevenson J. Developments in child and adolescent psychiatry over the last 50 years. In: Rutter M, Bishop D, Pine D, et al., editors. Rutter’s Child and Adolescent Psychiatry. 5th edn. Oxford: Blackwell-Wiley; 2008. pp. 3–17.
-
- World Health Organization . Caring for children and adolescents with mental disorders. Geneva: WHO; 2003.
-
- Kessler RC, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:593–602. - PubMed
-
- Leitch K. Reaching For the Top: A report by the advisor on healthy children and youth. Ottawa: Health Canada; 2008.
-
- Cavanagh K, Shapiro DA, Van Den Berg S, et al. The effectiveness of computerized cognitive behavioural therapy in routine care. Br J Clin Psychol. 2006;45:499–514. - PubMed
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