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J Child Adolesc Psychopharmacol ; 31(7): 457-463, 2021 09.
Article in English | MEDLINE | ID: covidwho-1317895


Objectives: Our goal was to develop an open access nationally disseminated online curriculum for use in graduate and continuing medical education on the topic of pediatric telepsychiatry to enhance the uptake of telepsychiatry among child psychiatry training programs and improve access to mental health care for youth and families. Methods: Following Kern's 6-stage model of curriculum development, we identified a core problem, conducted a needs assessment, developed broad goals and measurable objectives in a competency-based model, and developed educational content and methods. The curriculum was reviewed by experts and feedback incorporated. Given the urgent need for such a curriculum due to the COVID-19 pandemic, the curriculum was immediately posted on the American Academy of Child and Adolescent Psychiatry and American Association of Directors of Psychiatric Residency Training websites. Further evaluation will be conducted over the next year. Results: The curriculum covers the six areas of core competence adapted for pediatric telepsychiatry and includes teaching content and resources, evaluation tools, and information about other resources. Conclusion: This online curriculum is available online and provides an important resource and set of standards for pediatric telepsychiatry training. Its online format allows for ongoing revision as the telepsychiatry landscape changes.

Adolescent Psychiatry/education , COVID-19 , Child Psychiatry/education , Curriculum/trends , Education, Medical, Continuing , Education, Medical, Graduate , Access to Information , Adolescent , COVID-19/epidemiology , COVID-19/prevention & control , Child , Education/methods , Education/organization & administration , Education, Medical, Continuing/methods , Education, Medical, Continuing/organization & administration , Education, Medical, Graduate/methods , Education, Medical, Graduate/organization & administration , Health Services Accessibility , Humans , Mental Health Services/standards , Mental Health Services/trends , Organizational Innovation , Organizational Objectives , SARS-CoV-2 , Telemedicine/methods
Front Public Health ; 8: 590002, 2020.
Article in English | MEDLINE | ID: covidwho-1094220


Nepal is a low and medium-income country (LMIC), situated in South-east Asia, with a population of 29 million, of which, 40-50% are children and adolescents. The Coronavirus Disease 2019 (COVID-19) pandemic has affected the lives of people around the world, including Nepal. The child and adolescent mental health (CAMH) needs and services in Nepal have a significant gap. CAMH in Nepal suffers from lack of specialized training in this field as well as scarcity of human resources and services. There is only one full-time child and adolescent psychiatry (CAP) out-patient clinic in the country. Some recent activities have focused on CAMH in Nepal but the COVID-19 pandemic has produced new challenges. Access to mental health services for children and adolescents (C&A) across Nepal has been adversely affected. Factors such as closure of schools, confinement at home, lockdown, transportation problems, uncertainty, loss of usual routine and fear of infection have affected the mental health of C&A. This has highlighted a need to build capacity of available local human resources, enhance community support, teach measures of coping with stress and improve CAMH service delivery by strengthening the referral system, but these have to be addressed overcoming problems of travel restrictions and limited resources. To address these needs, online platform can be a suitable approach. With this view, a multi-tier CAMH intervention model was developed, which utilizes online platform for training mental health professionals across Nepal, who would then facilitate sessions for C&A, teachers, parents and caregivers; and link them to CAMH services locally, and remotely through teleconsultation. This started as a pilot from June 2020 and will continue till end of February 2021, with the aim to reach 40,000 C&A, parents, teachers and caregivers. As of Nov 2020, this model has been used to successfully conduct 1,415 sessions, with 28,597 population reached. Among them, 16,571 are C&A and 12,026 are parents, teachers and caregivers, across all 7 provinces of Nepal. In this paper, the multi-tier intervention to address the COVID-19 related CAMH problems has been discussed as a feasible framework for resource limited settings and LMICs like Nepal.

Adolescent Psychiatry/education , COVID-19/psychology , Child Psychiatry/education , Mental Health Services , Adolescent , Adolescent Psychiatry/methods , Child , Child Psychiatry/methods , Health Services Accessibility , Humans , Nepal
Ir J Psychol Med ; 37(3): 243-245, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-259904


As in other European countries, the current COVID-19 pandemic has not only massively restricted normal life in Germany but it is also having a significant effect on medical treatment, particularly in the areas of child and adolescent psychiatric care, as well as on university teaching. The federal structure of Germany and epidemiological differences between individual federal states have had a crucial impact on the regulations issued and their success. During the last number of weeks, tele-child-psychiatry and psychotherapy have increased, and outpatient services have been used cautiously and sparingly. Medical staff numbers will be augmented by doctors and nurses returning from retirement and also by medical students on a voluntary basis. The federal government has warned that discrepancies in education will increase due to the closure of schools. Questions of child protection are currently of particular importance in the context of such closures and the non-availability of day-care centers.

Adolescent Psychiatry/education , Betacoronavirus , Child Psychiatry/education , Coronavirus Infections/psychology , Mental Disorders/therapy , Pneumonia, Viral/psychology , Adolescent , Adolescent Psychiatry/methods , COVID-19 , Child , Child Psychiatry/methods , Germany , Humans , Mental Disorders/psychology , Pandemics , SARS-CoV-2