Madrid 2015 Symposium: 'mental health treatment gap' in low and middle income countries

WHO and IACAPAP initiatives in worldwide capacity strengthening in child mental health services

Overview, abstracts, original presentations of the Symposium on strengthening the capacity in child mental health treatment on 24 June 2015 (W1-05) – and TV interview with professor Bruno Falissard, president of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP) and state of the art speaker at the ESCAP 2017 Congress in Geneva.

Julie Chilton (Yale Child Study Center), Chiara Servili (World Health Organization), Bruno Falissard (IACAPAP and Université Paris-sud), Henrikje Klasen (Leiden University Medical Center).

Symposium Overview
Background: Child and adolescent mental health (CAMH) problems are common, serious and treatable. Robust evidence-based treatments have been developed for most CAMH problems in high income settings, but in low and middle income countries (LAMIC) there is a huge “mental health treatment gap”, between those needing treatment and those receiving it. In this symposium we describe some initiatives of IACAPAP and WHO to assist local care providers in addressing CAMH needs worldwide.

W1-05-01 – WHO’s mhGAP: the child modules – Chiara Servili, WHO
WHO’s Mental Health Gap Action Programme (mhGAP) integrates a package of basic interventions for priority mental, neurological, and substance use disorders, including childhood- onset conditions, into primary and secondary care through the adoption of task-sharing and task-shifting approaches and has been successfully implemented in more than 60 countries. Recently updated mhGAP guidelines for assessment and management of emotional disorders, behavioural disorders and developmental disorders in children and adolescents will be presented, along with findings of pilots testing mhGAP capacity building tools in school and primary health care settings in LAMIC. The availability of skilled professionals in secondary and tertiary services, who can support and supervise primary health workers in delivering mhGAP’s interventions for children and adolescents, is critical and has been reported among major barriers encountered in the adoption and scale up of child mental health mhGAP modules in countries.

W1-05-02 – Expansion of the IACAPAP Textbook into a Comprehensive, Customizable, Virtual Curriculum – Julie Chilton, Yale Child Study Center
International organizations such as IACAPAP have recognized the need to assist the capacity building for child mental health professionals worldwide and are developing a range of excellent free on-line training resources. The IACAPAP textbook, already widely used in low and high income settings, is now being expanded to include teaching and learning resources such as downloadable power-point presentations, clinical exercises, patient modules and end of chapter questions. These resources will provide evidence-based tools to teach CAMH with minimal preparation by the lecturer, so less time is spent re-creating the wheel and more time can be devoted to actual class time.

W1-05-03 – Essentials of Child and Adolescent Psychiatry across the world, a MOOC (Massive Open Online Course) proposed by the IACAPAP – Bruno Falissard, Université Paris-Sud
The MOOC is a new IACAPAP initiative and will take place twice a year beginning in 2015. Each session will last approximately five weeks and require about 6 hours of online learning per week. The MOOC will be divided into 20 short video modules (about 10-15 minutes each) covering the whole area of CAMH on an introductory level and can be followed by students around the world. Each video is followed by some questions to emphasize the important content with extra quizzes at the end of the week. There will also be on-line interactions with other students and teachers and peer grading. By the end of the MOOC, it is possible to earn a certificate for completion of the course.
View the original slides (pdf, 12 slides). View all video modules.

W1-05-04 – IACAPAP Certificate of Basic Child Mental Health – Henrikje Klasen, Leiden University Medical Center
This credential is a more advanced diploma than the MOOC certificate, as it includes clinical training to integrate CAMH knowledge into daily practice. The accredited “IACAPAP certificate for basic child mental health” is an additional qualification for pediatricians and psychiatrists, which can be acquired in their own country through a mix of face-to face and on-line teaching as well as practical assignments. The availability of an accredited certificate would guarantee standards.
View the original slides (pdf, 24 slides).

View the symposium hand-outs:
"Become an iCAMH volunteer in a low or middle income country."
"Host the iCAMH Training in your country."

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At the 2017 ESCAP Congress in Geneva, professor Falissard will speak about Public Health in Child and Adolescent Psychiatry.

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