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?
way in which services are organized
policies, plans, budgets
ethical dimensions
evidence
equity
What is the aime of PRIME?
What are the three subgroups that need to be investigated in Mental Health Care Plan (MHCP)?
Health Facility
Cumminity
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What are the five steps (pyramid) op PRIME of detection and identification?
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)?
facility survey
cohor study
community survery
What are the four steps of a community case detection tool?
matching
assessment of need
promote help seeking
What were the results of PRIMA in Nepal?
higher contact coverage (not significant)
better treatment outcomes (depression, AUD, epilepsy, psychosis)
Why study children?
important for prevention!
What is the situation of child and adolescent mental health globally?
most don't receive treatment (inadequate policies and lack of professionals)
What is the model with daily stressors?
mediator: daily stressors
children's disstress
What factors need to be added to model with daily stressors?
family disfunctions
What are two large explanation factors why children that were soldiers compared to non-soldiers have more mental problems?
reintegration problems
What are the four pillars of a multi-leveled care approach? (pyramid)
focused, non-specialized services
community and family support
basic services and security
What is an ecological approach for children?
And which three factors need to be integrated when thinking about an integrated approach?
child protection
education
What are barriers to mental health care? (8)
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?
community-based programs
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