Publications by authors named "Ayesha I Mian"

Article Synopsis
  • Many patients initially seek help for health issues in community healthcare settings, which vary significantly in resources and funding across different countries.
  • Nonspecialist healthcare providers, such as general practitioners and nurses, play a crucial role in addressing challenges in Child and Adolescent Mental Health (CAMH) care amid limited resources.
  • To improve CAMH services, stakeholders need to rethink traditional healthcare delivery models and consider integrating nonspecialist care, though they face various ethical, economic, and geopolitical challenges.
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The coronavirus disease 2019 (COVID-19) pandemic and the social distancing procedures have caused disruptions to daily activities. The first preventive procedures by the closing of schools will undoubtedly have short- and long-term consequences for the mental health of school students. The movement restrictions, school closures and stay at home during the COVID-19 pandemic will likely lead to a rise in the rates of domestic violence, loneliness, depression, fear, panic and anxiety, and substance use among school students.

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There is no question that there is a significant burden of mental illness in children and families across the globe. Despite heightened awareness of the significance of global mental health and its determinants on public health, there is an increased need for innovative interventions, research, resources, and efforts devoted to this area. It has been clearly established that culture, in all of its complex dimensions and dynamics, is at the heart of this labor.

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Training programs aim to produce child and adolescent psychiatry professionals who are competent at both clinical work as well as health promotion through teaching and research. Child psychiatry training programs not only offer training in teaching the clinical skills of the discipline of child and adolescent psychiatry but also strive to help with the development of professionalism, ethical behaviors, and leadership skills in their trainees. Ultimately, it is the children of the world who stand to gain by having a skilled work force that adheres to the highest global standards when it comes to the provision of mental health services.

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Much has been written about how we understand, teach and evaluate professionalism in medical training. Less often described are explicit responses to mild or moderate professionalism concerns in medical students. To address this need, Baylor College of Medicine created a mechanism to assess professionalism competency for medical students and policies to address breaches in professional behavior.

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The changing face of the United States urges the field of child and adolescent psychiatry toward more culturally sensitive care. This article gives a comprehensive review of the history of cultural education, empirical findings that speak to its need, and the challenges that may be faced in the conception and implementation of a cultural competency curriculum. The American Academy of Child and Adolescent Psychiatry's model curriculum is presented to help child and adolescent residency programs design one that is specific to their resources and needs.

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The author reviews the risks and benefits of untreated maternal depression during pregnancy and the postnatal period and its effects on the well-being of the mother and infant. She then discusses the significant role psychiatrists can play in detecting and managing maternal depression as a primary measure for preventing future child psychopathology. A literature search was conducted on PubMed to identify both preclinical and clinical studies concerning deleterious effects of maternal depression on offspring.

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Objective: The authors examined clinical differences between divalproex sodium and generic immediate-release valproic acid.

Method: This 6-year prospective, quasi-experimental clinical trial compared the effectiveness and tolerability of divalproex and valproic acid. The dependent variables were length of hospital stay, rehospitalization rate, and adverse drug reactions in 9,260 psychiatric admissions.

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