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Pediatric Consultation-Liaison Psychiatry pp 387–408Cite as

Pediatric Consultation-Liaison Psychiatry Approach to Optimize Global Access to Child and Adolescent Mental Healthcare

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Abstract

Children and adolescents in many parts of the world are unable to access much-needed mental health services for various reasons, including a general lack of trained personnel, unaffordability of services, a lack of awareness, and sometimes, stigma. Mental health problems in children are often first identified by non-mental health professionals who may be pediatricians, general practitioners, or primary care workers. Children receiving care in medical, surgical or emergency wards, or for chronic physical illnesses, often experience psychiatric symptoms. These facts reveal a potential role for psychiatric liaison services in the care of children with mental health needs where other health problems may have been the original focus of care.

Addressing such mental health needs is challenging. Pediatric psychosomatic or child psychiatric consultation-liaison practitioners work at the interface between primary and mental health, and may work collaboratively to address the child’s needs holistically. In more resource-constrained settings, effective interventions may involve the transfer of essential skills for mental health assessment and management to non-psychiatric personnel, or the development of partnerships between psychiatrists and paediatricians, general practitioners, and other health workers, such as in a collaborative care model. Amidst a variety of challenges to collaboration and effective task shifting, including differences in professional training and approach, communication barriers, funding challenges, and logistical difficulties, there is a need for creativity in working within the challenges of each setting to provide mental health care for children who require it, while addressing their other health problems.

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Authors and Affiliations

  1. Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, UK

    Olurotimi Adejumo

  2. Department of Psychiatry, Harvard Medical School, Boston, MA, USA

    Patricia Ibeziako

  3. Department of Psychiatry, Boston Children’s Hospital/Harvard Medical School, Boston Children’s Hospital, Boston, MA, USA

    Myron Belfer

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  1. Olurotimi Adejumo
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  2. Patricia Ibeziako
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  3. Myron Belfer
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Editors and Affiliations

  1. Department of Psychiatry, University of Hawai‘i John A. Burns School of Medicine, Honolulu, HI, USA

    Anthony P. S. Guerrero

  2. Department of Psychiatry, University of Hawai‘i John A. Burns School of Medicine, Honolulu, HI, USA

    Paul C. Lee

  3. Faculty of Medicine and Health Sciences, NTNU, Department of Centre for Child and Youth Mental Health, Institute of Mental Health, Trondheim, Norway

    Norbert Skokauskas

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Adejumo, O., Ibeziako, P., Belfer, M. (2018). Pediatric Consultation-Liaison Psychiatry Approach to Optimize Global Access to Child and Adolescent Mental Healthcare. In: Guerrero, A., Lee, P., Skokauskas, N. (eds) Pediatric Consultation-Liaison Psychiatry . Springer, Cham. https://doi.org/10.1007/978-3-319-89488-1_22

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  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-89487-4

  • Online ISBN: 978-3-319-89488-1

  • eBook Packages: MedicineMedicine (R0)

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