Psychosocial support for adults and children in LMIC

17 important questions on Psychosocial support for adults and children in LMIC

What are important parts of the definition of public health?

population, community

way in which services are organized

policies, plans, budgets

ethical dimensions

evidence

equity

What is the aime of PRIME?

generate world-class research evidence on implementation and scaling up of treatment for mental disorders in primary and maternal health care in LMIC

What are the three subgroups that need to be investigated in Mental Health Care Plan (MHCP)?

Health Organization

Health Facility

Cumminity
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What are the five steps (pyramid) op PRIME of detection and identification?

1. identify population

2. people seeking treatment

3. people attending to facilities

4. people diagnosed

5. people benefiting

What are the four pilars of the evaluation of implementation (PRIME)?

case study

facility survey

cohor study

community survery

What are the four steps of a community case detection tool?

recognition

matching

assessment of need

promote help seeking

What were the results of PRIMA in Nepal?

more cases detected

higher contact coverage (not significant)

better treatment outcomes (depression, AUD, epilepsy, psychosis)

Why study children?

most mental disorders have onset during youth or before

important for prevention!

What is the situation of child and adolescent mental health globally?

large amount of children affected

most don't receive treatment (inadequate policies and lack of professionals)

What is the model with daily stressors?

traumatic exposure

mediator: daily stressors

children's disstress

What factors need to be added to model with daily stressors?

personal traits

family disfunctions

What are two large explanation factors why children that were soldiers compared to non-soldiers have more mental problems?

exposure to trauma

reintegration problems

What are the four pillars of a multi-leveled care approach? (pyramid)

specialized services

focused, non-specialized services

community and family support

basic services and security

What is an ecological approach for children?

also think about child, family, peer/school and community

And which three factors need to be integrated when thinking about an integrated approach?

mental health

child protection

education

What are barriers to mental health care? (8)

human resources

underdetection

stigma

lack of access

lack of political prioritization

no decentralization of services

lack of evidence

funding

What are two places for mental health and psychosocial care programs?

primary health facilities

community-based programs

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