Bulletin 9. Bulletin 8. Bulletin 6. Bulletin 5. Bulletins for to are available in the archive. Dr Daniel Fung is married to Joyce and the father of 5 grown up children. Dr Fung is interested in the treatment of emotional and behavioural disorders in children and he has advocated for the development of child mental health services and strategies through his research. He has co-authored over peer reviewed research papers , books 32 and book chapters She is a trained child and adolescent psychotherapist specification behavior therapy and a trained supervisor.
Her research interests comprise selective mutism, conduct disorder, and children of parents with mental illness. She has published 56 articles in peer-reviewed journals and several book chapters on childhood mental health.
In her free time, she follows her passion for photography around the globe. Her vision is to strengthen training and promotion of child and adolescent mental health professionals, particularly in low- and middle-income countries, including long-term mentorships for early career scientists and clinicians in this important field.
Furthermore, she aims at alluring allied professions for IACAPAP to enhance active collaboration between professions in order to provide optimal supply for children and adolescents with mental health problems. Cohen Mentorship Program in Berlin. For the next ten years he co-led the Program with Dr. Together with Drs. After receiving B. Kim BN received both M.
Since returning to Korea, he has actively engaged himself in several social acts. He has served as the chairperson of the Korean Association for Persons with Autism, and he has collaborated with the Korean government including the Ministry of Health and Welfare, the Ministry of Education, and the Ministry of Justice. After some initial training in mathematics and fundamental physics Ecole Polytechnique, Paris , Bruno Falissard engaged in medical studies and specialized in Child and Adolescent Psychiatry in His PhD was in biostatistics and his post doc in psychometrics and exploratory multimensional methods.
He was assistant professor in child and adolescent psychiatry in and full professor in Public health from He is co-author of about papers and author of 4 books. He has a clinical activity in child and adolescent psychiatry. His personal areas of research are about methodology and epistemology of mental health research. Anatomy Anesthesia, intensive care, pain management Cardiology Dermatology Emergency medicine Endocrinology Epidemiology, public health and medical statistics Gastroenterology Geriatrics.
Research Monographs in Adolescence Series - Routledge
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Please fill in the required fields in your feedback submission. Many of the youth in those sectors are high-end or high-cost service users, and the research base for treating this critical subpopulation is more limited than for youth with single disorders. Additional questions that arise out of the relationship between resources and the services provided include:. Such information can offer a gauge for considering policies governing fiscal and clinical practices relative to unmet need, including access to care and appropriate provision of care.
The service utilization data constitute a measure of access, and that rate, when contrasted with epidemiological estimates of mental health need, creates a measure of unmet need.
Nonetheless, cost and utilization information about the resources used for interventions that lack evidence i. Key findings from this report include the following:. Observations about these data are both encouraging and discouraging. This rate is still, however, well below the estimated need for care; only 5 to 7 percent of children receive some specialty mental health services, in contrast to an estimated 20 percent with a diagnosable mental disorder U.
There has been a significant decrease in the proportion of mental health dollars spent on institutional care since the last national estimate of costs and service use Burns, , but the rate of hospital use has changed little since The reduction in the percentage of institutional care costs is largely attributable to reductions in length of stay, second to discounting inpatient rates, and third to other factors such as the rise in outpatient treatment.
The finding here is that of a reduced proportion of the mental health dollar being spent on institutional care. In absolute value, the cost of institutional care has actually doubled not adjusted for inflation since the estimate Burns, The question of how to redirect both hospital and outpatient resources when not evidence-based into more effective care is both a research and policy issue.
Further, studies to identify the necessary and appropriate use of inpatient care are needed, as are studies to examine the relationship between the availability of comprehensive community-based services and the use of inpatient treatment. Stronger evidence of cost-effectiveness of community-based interventions could also be of use to policymakers considering changes in reimbursement and treatment strategies.
Access to any type of mental health service appears to be a problem for the multiple groups identified above. Medicaid coverage is clearly instrumental in creating access to services; of note is that uninsured youth receive care at half the rate of their Medicaid counterparts. Preschool-age children rarely receive any care, and racial disparities in service use persist despite higher rates of need. The preceding access issues require attention to understand their origins e. The variation in the number of specialty mental health visits based on type of insurance raises an appropriateness of care question.
Although the adequacy of care cannot be fully determined without more information about the specific type and amount of care per treated child, it is clear that uninsured and privately insured youth are at a disadvantage compared with Medicaid-insured youth. To illustrate the potential of the science base for improving mental health care for children, adolescents, and their families, this section systematically highlights progress from key scientific areas, including basic neuroscience, behavioral science, prevention, treatments, and services. Each subsection delineates opportunities for crossing the boundaries to link knowledge bases, identifies obstacles that present research challenges, and outlines specific recommendations for knowledge development within each area that can facilitate interdisciplinary efforts to solve targeted problems in child and adolescent mental health.
The major goal of such research is to translate and integrate findings from basic neuroscience into clinical investigations in order to develop and test specific hypotheses about the neurobiological substrates and etiologies of complex mental disorders. Such investigations include early-life neural antecedents of disorders that are expressed later in life, neural substrates of disorders that appear during childhood, neural circuitry activity, and genomic manipulations.
The deficiencies in the latter are frequently so staggering that even the brightest scenarios for solutions from basic neuroscience research seem likely to make only small contributions toward the alleviation of the problems. However, research into the environmental and genetic interactions that bring about brain and behavioral development must run in parallel with psychological and sociological solutions to the problems faced by children in our society if lasting solutions to these problems are to be achieved. Knowledge pertaining to the natural history and organic nature of mental illness and to its etiology during childhood will be fundamentally important in establishing credible milestones of improvement as a result of behavioral intervention.
Such knowledge is also vitally important for accurately diagnosing mental illness and developing early interventions. In addition, the identification of the biological bases of emotional and cognitive dysfunction should help to alleviate the social stigma associated with poor mental health. This stigma curbs societal efforts to provide both adequate child-care and medical coverage, and also keeps families from seeking professional help even when medical coverage is available.www.modernylekarnik.sk/modules
Blueprint for Change: Research on Child and Adolescent Mental Health
Poor nutrition, physical or emotional abuse, neglect that produces prolonged stress, substance abuse, and environments that do not evoke active participation have been shown to produce detrimental effects on brain cell survival, neuron density, brain vascularization, and the normal development of brain circuitry. For many of these risk factors, there are strong data supporting behavioral correlates of these anatomical and physiological changes.
It is very reasonable to expect that even if, having survived some of these insults, a child matures into a competent adult, there is a high probability that he or she will suffer some emotional or cognitive handicap that prevents optimal function. This is a waste of human resources. It also has been demonstrated that the early plasticity of brain circuitry can play a positive role in optimizing the brain for the environment in which it develops.
This has been most dramatically illustrated in functional imaging studies of individuals born with sensory deficits and therefore forced to use other modalities for the basic skills of reading or speaking. Brain regions not normally utilized in such skills are incorporated into new brain circuits.
However, this adaptation occurs only if the unusual modalities are utilized for these purposes during early childhood. Such findings suggest that a mechanistic understanding, or even a behavioral, time-line keyed map of functional human brain development could help educators and clinicians to develop far more efficient strategies for using brain plasticity to facilitate learning or to aid in recovery from disease or trauma.
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A growing number of linkage studies of families with emotional disorders and breeding studies of animals also make it clear that the genetic makeup of an individual will play a role in the behavioral and cognitive outcome of nongenetic effects on brain development. Genetic manipulation is one of many potential techniques for creating animal models of mental illness, and such work has revealed critically important information about disease processes at the cellular and molecular levels.
Unfortunately, in almost all instances, the way the genetic program of brain development interacts with epigenetic or environmental factors is not understood. Despite the explosion in neuroscience research within the past decade, we are still far from understanding the brain loci that are altered or involved when behaviors involving perception, projection, learning, memory, and emotion are performed, even in adults.
Some animal research has begun to illuminate the interplay between genes and environmental factors.
Life Values and Adolescent Mental Health Research Monographs in Adolescence Series
Francis and colleagues at McGill University have found that normal variations in maternal care predict patterns of maternal care displayed by the adult offspring. In the rat, variations in maternal care measured as frequency and duration of licking and grooming behaviors appear to influence the development of behavioral and endocrine responses to stress in the offspring. Remarkably, they found that if the pups born to low licking and grooming mothers were cross-fostered by high licking and grooming mothers, these pups grew up to be high licking and grooming mothers.
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