[The treatment of depression in adolescents, a multi-layered challenge]. / Behandeling van depressie bij adolescenten; een veelgelaagde uitdaging.

BACKGROUND: It is generally accepted that the clinical-psychotherapeutic treatment of severely depressed adolescents is a difficult and complicated undertaking. AIM: To gain insight into the various factors, often present simultaneously, which block or undermine the adolescent development phase of separation-individuation and lead to depression, and to find out how the situation can be remedied. METHOD: The multi-layered hypothesis is developed with the help of case-material and takes exogenous as well as endogenous factors into account. RESULTS: The investigation has demonstrated that in the treatment of depressed adolescents every possible factor needs to be taken into account if a long-lasting result is to be achieved. CONCLUSION: This result is not surprising in view of the crucial developmental stage involved which is focused on the formation of identity. This developmental process cannot be consolidated until all the necessary elements have fallen into place.

Knowledge mapping as a technique to support knowledge translation.

This paper explores the possibility of integrating knowledge mapping into a conceptual framework that could serve as a tool for understanding the many complex processes, resources and people involved in a health system, and for identifying potential gaps within knowledge translation processes in order to address them. After defining knowledge mapping, this paper presents various examples of the application of this process in health, before looking at the steps that need to be taken to identify potential gaps, to determine to what extent these gaps affect the knowledge translation process and to establish their cause. This is followed by proposals for interventions aimed at strengthening the overall process. Finally, potential limitations on the application of this framework at the country level are addressed.