Family responses to a child with schizophrenia: An Indonesian experience.

Indonesian culture puts a high value on family bonding. Therefore, support and encouragement for each family member is high that any problems are the responsibility of the whole family. This paper explores the implications of the phenomena whether is a schizophrenic child in the family affected the parental relationship in Indonesian family and trying to find out the implication of parental relationship on medication adherence.

Learning Difficulties and Working Memory Deficits among Primary School Students in Jakarta, Indonesia.

Objective: There are multiple possible etiologies for learning difficulties in children. There is growing evidence that many students identified as having learning difficulties have significant working memory deficits. To determine, in a sample of primary school students in Jakarta, Indonesia, the prevalence of learning difficulties and learning difficulties co-morbid with working memory deficits.

The living environment and children's fears following the Indonesian tsunami.

The tsunami that struck South-east Asia on 26 December 2004 left more than 500,000 people in Aceh, Indonesia, homeless and displaced to temporary barracks and other communities. This study examines the associations between prolonged habitation in barracks and the nature of fears reported by school-age children and adolescents. In mid-2007, 30 months after the tsunami, the authors interviewed 155 child and parent dyads.

Challenges in international collaboration in child and adolescent psychiatry.

International collaboration in child and adolescent psychiatry has historically been weak and fragmented. The field has also lagged in developing remedies for improving collaboration. This article identifies barriers to successful collaboration and examines problems in the areas of finance, professional development, knowledge dissemination, professional organisations, public policy and the political environment, priority setting, nomenclature, as well as ethical challenges.

Skills of the surgeon, eye of an artist, mind of the analyst.

Plastic and reconstructive surgery challenges the surgeon in ways often difficult to comprehend. Not only does the surgeon have to perfect the appropriate techniques for the surgical intervention, but he/she also assesses the patient with the eye of the artist and the mind of a psychoanalyst. Working with children and adolescents and their parents requires even more complex skills because it is required to assume the position of the parent to interpret their wishes, hopes, and fears.

Child and adolescent mental health policy worldwide: an update.

Few countries worldwide maintain policies specifically designed to address the mental health needs of children and adolescents. Yet policies are essential to guide the development of systems of care, training programmes for practitioners, and research endeavours. Without policy, there is no clear pathway for programme development, no specific commitment from government, no expression of governance, no guide to support funding, and no clarification of who exactly is responsible for providing services to children and adolescents.

A framework for the economic analysis of child and adolescent mental disorders.

Measuring the burden of disease associated with child and adolescent mental disorders is a challenge. The lack of data on cost and intervention effectiveness has impeded the ability to gain support for expenditures for treatment, training and programme development. A better understanding of economic analysis by researchers, clinicians, and advocates can promote initiatives to gain needed economic data to inform policy and programme development.

Child and adolescent mental disorders: the magnitude of the problem across the globe.

Objective: Describe objectively the global gaps in policy, data gathering capacity, and resources to develop and implement services to support child mental health.

Methods: Report on the World health Organization (WHO) child and adolescent mental health resources Atlas project. The Atlas project utilized key informants and was supplemented by studies that focused on policy.

Critical review of world policies for mental healthcare for children and adolescents.

Purpose Of Review: Policy development is essential for the development of child and adolescent mental health services. The gaps in policy and knowledge on how to develop policy have hindered the development of sustainable services.

Recent Findings: The WHO has now objectively identified gaps in child and adolescent mental health policy and services worldwide through its Atlas project.

Caring for children and adolescents in the aftermath of natural disasters.

The recent Southeast Asia tsunami confronted countries with the challenge to provide mental healthcare to children and adolescents who experienced loss, displacement and disruption of daily lives. The region that was affected is resource poor, however a great deal could be learned about the needed approaches to care, and the cautions that had to be exercised to avoid doing harm. The experience highlights the need to enhance the capacities for appropriate needs assessment, diagnosis, triage and post-disaster support in terms of schooling and employment.

The Global Absence of Child and Adolescent Mental Health Policy.

Background:   Few policies designed specifically to support child and adolescent mental health exist worldwide. The absence of policy is a barrier to the development of coherent systems of mental healthcare for children and adolescents.

Method:   This study collected data on existing policies from international databases, WHO headquarters in Geneva, Switzerland, and in consultation with experts in child and adolescent psychiatry from around the world.

Effects of a child with a craniofacial anomaly on stability of the parental relationship.

The purpose of this study was to determine rates of divorce in parents of children with various types of craniofacial anomalies and to analyze possible confounding factors. A 29-question survey was sent to parents of all children evaluated in the Craniofacial Centre between 1992 and 1997. Parents were questioned regarding pre- and postnatal marital stability, whether the child's facial anomaly contributed to divorce, and involvement in the child's welfare.