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Early AccessSelf-Help for Children, Young People and Families with Mental Health Difficulties
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
Melissa McKimm, Christopher Gale
Within child and adolescent mental health services (CAMHS) the effectiveness of self-help has many variables for consideration, e.g. the degree of emotional intelligence, motivation to create change, learning style, cognitive ability, available support network, level of priority within the young person’s life and the degree and impact of clinical symptoms on levels of functioning and psychological flexibility.
Pharmacological interventions
Published in Ilana B. Crome, Richard Williams, Roger Bloor, Xenofon Sgouros, Substance Misuse and Young People, 2019
This group of drugs has a diverse presentation. They include naturally occurring sources, such as fungi, to those that are produced in a laboratory, such as LSD. These drugs affect the serotonin receptors: 5HT2A, which cause the user to experience hallucinations, usually visual. The users’ experiences are very dependent on the direct pharmacological effects and the setting (e.g., who is around and what else is happening) and are guided by the mood or emotional state of each user. They can be powerful and are often a distortion of the particular user’s own reality. Thus, the experience can be fun or anxiety-provoking for the majority of users, but, occasionally, users can experience something more emotionally overwhelming. Intense fear and panic states may be triggered, with the drug magnifying these responses. This can result in young people presenting to emergency services. Patients require reassurance and support, but there is no specific pharmacological intervention suitable for this chemically-induced state. Time and a calm safe environment are the best solutions. Follow-up after this sort of experience can be useful because a small number of young people may experience triggering of ongoing mental health conditions and some young people may require assessment and care from the specialist child and adolescent mental health services (Specialist CAMHS).
Reflections of a child and adolescent psychiatrist
Published in Chris Donovan, Heather C Suckling, Zoe Walker, Janet Bell, Tami Kramer, Sheila R Cross, Difficult Consultations with Adolescents, 2018
Chris Donovan, Heather C Suckling, Zoe Walker, Janet Bell, Tami Kramer, Sheila R Cross
Parents will usually present to you, and the adolescent will deny that there is a problem. Conduct disorders are usually preceded by childhood behavioural difficulty. The GP can offer support to the parent and initiate referral to specialist mental health services (which have a role in assessing for treatable comorbidity, such as depression or substance misuse, and may become involved in a network of relevant agencies). The GP can also give parents advice on where else to go for help, particularly if waiting-times for child and adolescent mental health services (CAMHS) are long. Possible relevant agencies include the school or education authority, social services, youth offending team, youth services (e.g. Connexions), parent counselling (either group or individual) or the Young Minds parents’ advice line {seepage 113).
Guidance for clinicians when working with refugees and asylum seekers
Published in International Review of Psychiatry, 2022
Rachel Tribe, Farkhondeh Farsimadan
If an unaccompanied child has applied for asylum, they are usually given the legal status of ‘leave to remain’ within the UK, although the legal framework and language used will vary depending on the new country—but only until they turn 18. Then, or shortly after that, they are considered for asylum—and if it is not granted, they may be sent back to their original country. The anxiety surrounding the wait for this crucial decision is not made any easier by the fact that it coincides with having to take important decisions about continuing education, or seeking employment. They are also being moved from child to adult mental health services. It is particularly important that teenagers who are receiving help from Child and Adolescent Mental Health Services (CAMHS) continue to receive it.
Neurodevelopmental disorders: prevalence and comorbidity in children referred to mental health services
Published in Nordic Journal of Psychiatry, 2018
Berit Hjelde Hansen, Beate Oerbeck, Benedicte Skirbekk, Beáta Éva Petrovski, Hanne Kristensen
Neurodevelopmental disorders (ND) are increasingly being recognized as a leading cause of morbidity in children, causing great suffering for patients and their families and large costs for society [1]. Comorbid disorders may contribute to cognitive impairment [2], reduced quality of life [3,4], and poor long-term prognosis [5,6], and they have implications for choice of treatment [7,8]. Accurate prevalence rates of ND and comorbid conditions in child and adolescent mental health services (CAMHS) are essential for treatment planning and organization of health care [9]. However, valid and reliable prevalence estimates from Nordic CAMHS populations are scarce, and the published findings vary.
Mental health and child refugees
Published in International Review of Psychiatry, 2022
On arrival the children enter a complex and often bewildering system which may involve schools, local authorities (LAs), social workers, the National Health Service’s Child and Adolescent Mental Health Services (CAMHS) and Children and Young People's Services (CYPS), GPs, paediatricians, psychologists and third sector organizations like non-governmental organizations (NGOs) and charities.