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Training in child and adolescent psychiatry in North Africa
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S64–S126
African youth - fight, flight and exile
S113
gradually being removed in favour of evidence-based approaches, but current trainees often face the challenge of mastering both conceptual frameworks. http://dx.doi.org/10.1016/j.neurenf.2012.05.478
We-S-500
African youth – Fight, flight and exile J. Walter a , S. Melzak a , J. Okello b , B. Efraime c Hamburg, Germany b Gulu, Uganda c Maputo, Mozambique
a
Youth in Africa often means to be confronted with war and persecution and other difficulties not adequate for young development. In Uganda still there is a problem of dealing with reintegration of child soldiers, in Mozambique sexual violence is a consequence of social destruction and Europe young refugees have to deal with racism and post-traumatic disturbances. In the session, we want to highlight the mentioned regional problems from a developmental point of view with a certain aspect on resources, e.g. reconciliation. http://dx.doi.org/10.1016/j.neurenf.2012.05.476
Training for child and adolescent mental health care in Africa: a powerful tool for change We-S-501
We-S-503
The situation of and training needs for child and adolescent mental health (CAMH) in East Africa – The Ugandan perspective J.N.S. Nalugya Psychiatry, Mulago Hospital Complex-Kampala, Kampala, Uganda In Uganda almost half of the population (49.3%) is under 15 years of age yet child and adolescent mental health is a neglected area. Mental health constitutes 0.7% of health spending in Uganda, with few mental health professionals outside the National Referral Hospitals. One third of the population live below the poverty line (WHO, 2005) and the birth rate is very high. Children and adolescents have experienced the effects of war, Poverty, abuse, violence, HIV/AIDS and Malaria that increases the burden of mental disorders. A few children are treated in adult psychiatric clinics in the general hospitals with medication. Psychological treatments and family therapy, the first line treatments for children, are almost unavailable or inaccessible. The development of Uganda CAMHS needs a focus for widespread training and research targeting innovative models which can extend care to the underserved. This article discusses the training needs for child and adolescent mental health service in Uganda.
Child psychiatry training in the southern African region: My personal journey
http://dx.doi.org/10.1016/j.neurenf.2012.05.479
K. Kirimi Psychiatry, Northern Cape Health Department, West End Hospital, Kimberley, South Africa
We-S-504
A large burden of disease is attributed to child and adolescent mental health (CAMH) problems, yet access to services remains very limited across Southern Africa. This descriptive study evaluates availability of training facilities for sub-specialisation in child and adolescent psychiatry (CAP) in Southern Africa. Interviews with officers in the Health Professions Council of the relevant countries and Ministry of Health officials were held as well as a review of training programmes of several universities. Results reveal that South Africa had the largest number of CAP (28) while Zimbabwe had two. Several universities in South Africa offer fulltime 18month training programmes in CAP. The rest of Southern Africa did not have any training programmes. The “scaling up” of mental health services would require a strong CAMH component and initiatives such as the IACAPAP Study Groups. The study groups not only provided training but inspired and opened opportunities for specialization in CAP. http://dx.doi.org/10.1016/j.neurenf.2012.05.477
Training for child and adolescent mental health care in West Africa: Priorities and partnerships O.O. Omigbodun Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria Despite the colossal CAMH burden, there is an acute shortage of CAMH professionals in West Africa due, partly, to the absence of training programmes. We describe the development of two CAMH training programmes in West Africa. The first is a consortium of universities in West Africa, Asia, UK and USA supporting a multidisciplinary training programme based at a CAMH centre recently established in the University of Ibadan, Nigeria with the support of the MacArthur Foundation. The centre will provide a multi-pronged training approach for highly skilled personnel in specialist settings and workers who have contact with children in schools, primary care and other settings, while also offering clinical services and a platform for research. The other is the development of a two-year CAMH Fellowship program approved by the National Postgraduate Medical College of Nigeria for sub-specialist training in Psychiatry. CAMH training needs in West Africa require a multi-pronged approach. http://dx.doi.org/10.1016/j.neurenf.2012.05.480
We-S-502
Training in child and adolescent psychiatry in North Africa N. Gaddour a,∗ , G. Benjelloun b Psychiatry, University Hospital F.-Bourguiba, Monastir, Tunisia b Casablanca, Morocco ∗ Corresponding author.
Psychosocial interventions in children with externalizing behavior problems
There was little awareness of child and adolescent mental health (CAMH) as a distinct medical discipline before 2000. After a first generation of child and adolescent psychiatrists (CAP) sub-specialized in France, CAP becomes an independent specialty. In Tunisia and Morocco, residency in CAP consists of eight to 10 semesters of training, mostly in CAP departments but with mandatory semesters in adult psychiatry and paediatrics. Most CAP residents do additional training in Europe, leading to brain drain. Theoretical references are almost exclusively related to a classic psychodynamic model, with for example a reluctance to accept externalizing disorder diagnoses, a tendency to consider autism as a psychotic disorder, and a preference for approaches that seek “hidden” meanings through symptoms than try to focus on symptom reduction. These are
We-S-505
a
The treatment program for children with aggressive behavior (THAV): Concept and efficacy
A. Goertz-Dorten ∗ , M. Döpfner Department of Child and Adolescent Psychiatry, University Hospital of Cologne, Cologne, Germany ∗ Corresponding author. Objectives.– The German Treatment Program for Children with Aggressive Behaviour (Therapieprogramm für Kinder mit aggressivem Verhalten [THAV]) aims at the therapy of children aged 6 to 12 years with peer-related aggres-
African youth - fight, flight and exile
S113
gradually being removed in favour of evidence-based approaches, but current trainees often face the challenge of mastering both conceptual frameworks. http://dx.doi.org/10.1016/j.neurenf.2012.05.478
We-S-500
African youth – Fight, flight and exile J. Walter a , S. Melzak a , J. Okello b , B. Efraime c Hamburg, Germany b Gulu, Uganda c Maputo, Mozambique
a
Youth in Africa often means to be confronted with war and persecution and other difficulties not adequate for young development. In Uganda still there is a problem of dealing with reintegration of child soldiers, in Mozambique sexual violence is a consequence of social destruction and Europe young refugees have to deal with racism and post-traumatic disturbances. In the session, we want to highlight the mentioned regional problems from a developmental point of view with a certain aspect on resources, e.g. reconciliation. http://dx.doi.org/10.1016/j.neurenf.2012.05.476
Training for child and adolescent mental health care in Africa: a powerful tool for change We-S-501
We-S-503
The situation of and training needs for child and adolescent mental health (CAMH) in East Africa – The Ugandan perspective J.N.S. Nalugya Psychiatry, Mulago Hospital Complex-Kampala, Kampala, Uganda In Uganda almost half of the population (49.3%) is under 15 years of age yet child and adolescent mental health is a neglected area. Mental health constitutes 0.7% of health spending in Uganda, with few mental health professionals outside the National Referral Hospitals. One third of the population live below the poverty line (WHO, 2005) and the birth rate is very high. Children and adolescents have experienced the effects of war, Poverty, abuse, violence, HIV/AIDS and Malaria that increases the burden of mental disorders. A few children are treated in adult psychiatric clinics in the general hospitals with medication. Psychological treatments and family therapy, the first line treatments for children, are almost unavailable or inaccessible. The development of Uganda CAMHS needs a focus for widespread training and research targeting innovative models which can extend care to the underserved. This article discusses the training needs for child and adolescent mental health service in Uganda.
Child psychiatry training in the southern African region: My personal journey
http://dx.doi.org/10.1016/j.neurenf.2012.05.479
K. Kirimi Psychiatry, Northern Cape Health Department, West End Hospital, Kimberley, South Africa
We-S-504
A large burden of disease is attributed to child and adolescent mental health (CAMH) problems, yet access to services remains very limited across Southern Africa. This descriptive study evaluates availability of training facilities for sub-specialisation in child and adolescent psychiatry (CAP) in Southern Africa. Interviews with officers in the Health Professions Council of the relevant countries and Ministry of Health officials were held as well as a review of training programmes of several universities. Results reveal that South Africa had the largest number of CAP (28) while Zimbabwe had two. Several universities in South Africa offer fulltime 18month training programmes in CAP. The rest of Southern Africa did not have any training programmes. The “scaling up” of mental health services would require a strong CAMH component and initiatives such as the IACAPAP Study Groups. The study groups not only provided training but inspired and opened opportunities for specialization in CAP. http://dx.doi.org/10.1016/j.neurenf.2012.05.477
Training for child and adolescent mental health care in West Africa: Priorities and partnerships O.O. Omigbodun Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria Despite the colossal CAMH burden, there is an acute shortage of CAMH professionals in West Africa due, partly, to the absence of training programmes. We describe the development of two CAMH training programmes in West Africa. The first is a consortium of universities in West Africa, Asia, UK and USA supporting a multidisciplinary training programme based at a CAMH centre recently established in the University of Ibadan, Nigeria with the support of the MacArthur Foundation. The centre will provide a multi-pronged training approach for highly skilled personnel in specialist settings and workers who have contact with children in schools, primary care and other settings, while also offering clinical services and a platform for research. The other is the development of a two-year CAMH Fellowship program approved by the National Postgraduate Medical College of Nigeria for sub-specialist training in Psychiatry. CAMH training needs in West Africa require a multi-pronged approach. http://dx.doi.org/10.1016/j.neurenf.2012.05.480
We-S-502
Training in child and adolescent psychiatry in North Africa N. Gaddour a,∗ , G. Benjelloun b Psychiatry, University Hospital F.-Bourguiba, Monastir, Tunisia b Casablanca, Morocco ∗ Corresponding author.
Psychosocial interventions in children with externalizing behavior problems
There was little awareness of child and adolescent mental health (CAMH) as a distinct medical discipline before 2000. After a first generation of child and adolescent psychiatrists (CAP) sub-specialized in France, CAP becomes an independent specialty. In Tunisia and Morocco, residency in CAP consists of eight to 10 semesters of training, mostly in CAP departments but with mandatory semesters in adult psychiatry and paediatrics. Most CAP residents do additional training in Europe, leading to brain drain. Theoretical references are almost exclusively related to a classic psychodynamic model, with for example a reluctance to accept externalizing disorder diagnoses, a tendency to consider autism as a psychotic disorder, and a preference for approaches that seek “hidden” meanings through symptoms than try to focus on symptom reduction. These are
We-S-505
a
The treatment program for children with aggressive behavior (THAV): Concept and efficacy
A. Goertz-Dorten ∗ , M. Döpfner Department of Child and Adolescent Psychiatry, University Hospital of Cologne, Cologne, Germany ∗ Corresponding author. Objectives.– The German Treatment Program for Children with Aggressive Behaviour (Therapieprogramm für Kinder mit aggressivem Verhalten [THAV]) aims at the therapy of children aged 6 to 12 years with peer-related aggres-