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The development of the Helping your Anxious Child programme: a parent-mediated group intervention for parents of autistic children in South Asia 制定 "帮助焦虑的孩子 "计划:针对南亚自闭症儿童家长的以家长为中介的小组干预措施
Q2 Medicine Pub Date : 2023-12-11 DOI: 10.1192/bji.2023.37
Caitlin Kittridge, Priyanka Rob, Amy Fisher-Rogers, Tarana Anis, Udena Attygalle, Farzana Islam, A. Sharma, Jacqui Rodgers
Autistic children are at increased risk of experiencing a range of mental health difficulties, including anxiety. A number of intervention programmes are now available in high-income countries to support autistic children. However, to date there are no evidence-based interventions to support families of such children in South Asia. Based on consultations with clinicians, researchers and parents in Bangladesh and Sri Lanka, we developed a culturally tailored two-session skills-based group programme for parents whose autistic children present with anxiety. This paper describes the process of creating this programme, to be delivered by mental health professionals.
自闭症儿童面临焦虑等一系列心理健康问题的风险增加。目前,高收入国家有许多干预计划来支持自闭症儿童。然而,迄今为止,南亚还没有以证据为基础的干预措施来支持这类儿童的家庭。根据与孟加拉和斯里兰卡的临床医生、研究人员和家长的协商,我们为自闭症儿童出现焦虑的家长开发了一个符合当地文化的、以技能为基础的两节小组课程。本文介绍了这一由心理健康专业人员实施的项目的创建过程。
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引用次数: 0
Impact of mhGAP-IG training on primary care physicians’ knowledge of mental, neurological and substance use disorders in Iraq mhGAP-IG 培训对伊拉克初级保健医生有关精神、神经和药物使用失调症知识的影响
Q2 Medicine Pub Date : 2023-12-04 DOI: 10.1192/bji.2023.36
Mohammed Al-Uzri, Hasanen Al-Taiar, E. A. Abdulghani, Yassen Ahmed Abbas, Muhammad Suleman
To address the growing need for good-quality mental health service provision to patients in Iraq, mhGAP-IG 2.0 training in mental, neurological and substance use (MNS) disorders was delivered for primary care physicians in May–June 2022 by the Royal College of Psychiatrists (RCPsych) volunteers scheme. An innovative hybrid model was used to deliver this training to improve engagement compared with virtual training alone. Pre- and post-training assessment tools showed a significant improvement in participants knowledge of MNS disorders. Follow-up fortnightly supervision sessions by RCPsych volunteers were planned to help participants consolidate their learning in managing MNS disorders.
为了满足向伊拉克病人提供高质量精神卫生服务的日益增长的需求,皇家精神病学院(RCPsych)志愿者计划于2022年5月至6月为初级保健医生提供了精神、神经和药物使用障碍mhGAP-IG 2.0培训。与单独的虚拟培训相比,我们采用了一种创新的混合模式来提供这种培训,以提高参与度。训练前和训练后的评估工具显示参与者对MNS疾病的知识有显著改善。RCPsych志愿者计划每两周一次的后续监督会议,以帮助参与者巩固他们在管理MNS障碍方面的学习。
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引用次数: 0
Challenges for setting up psychiatric services in a trauma centre in India 在印度创伤中心设立精神科服务面临的挑战
Q2 Medicine Pub Date : 2023-11-13 DOI: 10.1192/bji.2023.35
Nishtha Chawla, Rakesh K. Chadda
Psychiatric sequelae may occur following traumatic injury irrespective of whether an insult has been caused to the brain. A range of psychiatric illnesses have been either causative of or associated with road traffic accidents and traumatic injuries, including depression, anxiety, post-traumatic stress disorder, substance use disorder and attention-deficit hyperactivity disorder. Despite literature on such associations, psychiatric intervention in the treatment of patients following traumatic injury is limited. The authors share their experience of challenges in addressing mental health problems in a tertiary care trauma centre located in North India. Steps in overcoming those challenges included: developing a semi-structured form to be completed for referrals and consultations, a psychiatrist attending weekly rounds with the surgeons, and initiating a psychiatry out-patient clinic for patients discharged from the trauma centre. It may be worthwhile in the future to set up a trauma psychiatry unit at the centre, involving a clinical psychologist, a psychiatric social worker and an occupational therapist for the comprehensive care of patients.
不论脑部是否受到损伤,创伤性损伤后都可能出现精神后遗症。一系列精神疾病,包括抑郁、焦虑、创伤后应激障碍、物质使用障碍和注意缺陷多动障碍,要么是道路交通事故和创伤性伤害的原因,要么与之相关。尽管有文献报道这种关联,但在创伤性损伤患者的治疗中,精神病学干预是有限的。提交人分享了他们在印度北部的一个三级创伤护理中心处理精神卫生问题时遇到的挑战的经验。克服这些挑战的步骤包括:制定一份半结构化的转诊和会诊表格,一名精神科医生每周与外科医生进行查房,并为从创伤中心出院的病人开设精神科门诊诊所。将来也许值得在该中心设立一个创伤精神科,由一名临床心理学家、一名精神科社会工作者和一名职业治疗师参与,对病人进行全面护理。
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引用次数: 0
Traditional healing in Kisii County, Kenya: a personal narrative. 肯尼亚基西县的传统治疗:一个个人叙事
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.1192/bji.2023.15
Lydia Matoke

This article describes the author's experiences growing up in a family of traditional healers, an account of early guidance by her grandmother, a severe illness that influenced her to become a healer and the values that are central to her own work as a traditional healer who specialises in treatment of mental health problems. The impact of colonisation on traditional healing practices in Africa is highlighted.

这篇文章描述了作者在一个传统治疗师家庭的成长经历,她祖母的早期指导,一种严重的疾病影响了她成为一名治疗师,以及她作为一名专门治疗心理健康问题的传统治疗师的核心价值观。强调了殖民对非洲传统治疗方法的影响。
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引用次数: 0
Mental health reform in Australia - unfinished business. 澳大利亚的心理健康改革——未竟事业
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.1192/bji.2023.19
Sebastian Rosenberg, Luis Salvador Carulla, Alan Rosen

Australia was one of the first countries to develop a national mental health strategy. This article reviews the progress of reform, outlining some strengths, weaknesses and prospective challenges.

澳大利亚是最早制定国家心理健康战略的国家之一。本文回顾了改革的进展,概述了一些优势、劣势和未来的挑战。
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引用次数: 0
Pathways to care for psychosis in Malawi. 马拉维精神病护理途径
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.1192/bji.2023.18
Demoubly Kokota, Robert C Stewart, Chiwoza Bandawe, Genesis Chorwe-Sungani, Olive Liwimbi, Charles Masulani Mwale, Kazione Kulisewa, Michael Udedi, Saulos Gondwe, Anthony Sefasi, Richard Banda, Thandiwe Mkandawire, Stephen M Lawrie

People with psychosis in Malawi have very limited access to timely assessment and evidence-based care, leading to a long duration of untreated psychosis and persistent disability. Most people with psychosis in the country consult traditional or religious healers. Stigmatising attitudes are common and services have limited capacity, particularly in rural areas. This paper, focusing on pathways to care for psychosis in Malawi, is based on the Wellcome Trust Psychosis Flagship Report on the Landscape of Mental Health Services for Psychosis in Malawi. Its purpose is to inform Psychosis Recovery Orientation in Malawi by Improving Services and Engagement (PROMISE), a longitudinal study that aims to build on existing services to develop sustainable psychosis detection systems and management pathways to promote recovery.

马拉维的精神病患者获得及时评估和循证护理的机会非常有限,导致长期未经治疗的精神病和持续的残疾。该国大多数精神病患者都会咨询传统或宗教治疗师。污蔑态度很普遍,服务能力有限,尤其是在农村地区。这篇论文的重点是马拉维精神病的护理途径,基于威康信托精神病旗舰报告《马拉维精神病心理健康服务前景》。其目的是通过改善服务和参与(PROMISE)为马拉维的精神病康复方向提供信息,这是一项纵向研究,旨在在现有服务的基础上发展可持续的精神病检测系统和管理途径,以促进康复。
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引用次数: 0
A world of traditional healing in the Global South. 南半球的传统疗愈世界。
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.1192/bji.2023.30
David Skuse
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引用次数: 0
Mental health services in Norway, 2023. 挪威的心理健康服务,2023年
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.1192/bji.2023.25
Solveig Klæbo Reitan, Lars Lien

Norway has, according to the World Health Organization, more psychiatrists engaged in public health services per head of population than any other country, and the proportionate numbers of psychologists and others engaged in mental healthcare are also among the world's highest. Approximately 10% of Norway's gross domestic product is spent on health, expenditure per capita that is the fourth highest internationally. We discuss how this wealth of expertise translates into the delivery of services to the public.

根据世界卫生组织的数据,挪威人均从事公共卫生服务的精神病学家比任何其他国家都多,从事心理保健的心理学家和其他人的比例也是世界上最高的。挪威国内生产总值的大约10%用于卫生,人均支出在国际上排名第四。我们讨论了这些丰富的专业知识如何转化为向公众提供服务。
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引用次数: 0
Pandora's Box. 潘多拉的盒子。
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.1192/bji.2023.29
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引用次数: 0
Professor David Skuse: a gentleman and a scholar. 大卫·斯库斯教授:一位绅士和学者。
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.1192/bji.2023.31
Gin S Malhi

Stepping down after a decade of service as editor of this journal, this brief testimonial recognises the pivotal contributions made by Professor David Skuse and highlights his stellar career achievements as an academic.

在担任本刊编辑十年之后,我将在此发表简短的感言,以表彰David Skuse教授所做出的重要贡献,并强调他作为一名学者所取得的卓越成就。
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引用次数: 0
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BJPsych International
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