Ramaswamy Sheila, Sagar John Vijay, Seshadri Shekhar
SAMVAD, Department of Child & Adolescent Psychiatry, National Institute of Mental Health & Neurosciences, Bangalore, India.
Department of Child & Adolescent Psychiatry, National Institute of Mental Health & Neurosciences, Bangalore, India.
Lancet Reg Health Southeast Asia. 2022 Jun 17;3:100024. doi: 10.1016/j.lansea.2022.100024. eCollection 2022 Aug.
Despite the high burden of child and adolescent mental health problems in LMICs, attributable to poverty and childhood adversity, access to quality mental healthcare services is poor. LMICs, due to paucity of resources, also contend with shortage of trained mental health workers and paucity of standardized intervention modules and materials. In the wake of these challenges, and given that child development and mental health concerns cut across a plethora of disciplines, sectors and services, public health models need to incorporate integrated approaches to responding to the mental health and psychosocial care needs of vulnerable children. This article presents a working model for convergence, and the practice of transdisciplinary Public Health, in order to address the gaps and challenges in child and adolescent mental healthcare in LMICs. Located in a state tertiary mental healthcare institution, this national level model reaches (child care) service providers and stakeholders, duty-bearers, and citizens (namely parents, teachers, protection functionaries, health workers and other interested parties) through capacity building initiatives and tele-mentoring services, public discourse series, developed for a South Asian context and delivered in diverse languages.
The Ministry of Women and Child Development, Government of India, provides financial support to the SAMVAD initiative.
尽管中低收入国家儿童和青少年心理健康问题负担沉重,原因是贫困和童年逆境,但获得优质心理健康服务的机会却很少。由于资源匮乏,中低收入国家还面临训练有素的心理健康工作者短缺以及标准化干预模块和材料匮乏的问题。面对这些挑战,鉴于儿童发展和心理健康问题涉及众多学科、部门和服务领域,公共卫生模式需要采用综合方法来应对弱势儿童的心理健康和社会心理护理需求。本文提出了一种融合工作模式以及跨学科公共卫生实践方法,以解决中低收入国家儿童和青少年心理健康护理方面的差距和挑战。该国家级模式位于一所州立三级精神卫生保健机构,通过能力建设举措和远程指导服务、为南亚背景开发并以多种语言提供的公共话语系列,覆盖(儿童护理)服务提供者和利益相关者、责任承担者以及公民(即家长、教师、保护工作人员、卫生工作者和其他相关方)。
印度政府妇女和儿童发展部为“对话”倡议提供财政支持。