Mapping mental health care services for children and youth population in Colombia's Pacific: potential for boundary spanning between community and formal services.

BACKGROUND: Conflict and violence can impact on the mental health of children and young people, who are in a crucial stage of their personal growth. Not much is known about the provision of mental health care to young people in conflict-affected areas. Community-based care can be essential, as state-led services are often scarce in conflict contexts, like Colombia's Pacific region where this research was conducted. According to the WHO, such care is ideally provided in the form of a network of interconnected services, offered by different actors beyond the formal health sector. This article describes the relationship between the formal and community mental health systems in Colombia's Pacific region, and identifies ways of improving their interaction. METHODS: Qualitative data were collected through 98 semi-structured interviews with community organisations, schools, international organisations and state institutions. These interviews aimed to identify the strategies used to promote young people's mental health and the interactions between the different providers. Boundary spanning theory was used to analyse how different actors and forms of mental health care provision could coordinate better. RESULTS: Community organisations and schools use a wide array of strategies to attend to the mental health of children and young people, often of a collective and psychosocial nature. State institutions offer more clinically focused strategies, which are however limited in terms of accessibility and continuity. International organisations aim to strengthen state capacity, but often struggle due to high staff turnover. Although mental health care pathways exist, their effectiveness is limited due to ineffective coordination between actors. CONCLUSIONS: To make sure that the variety of strategies to improve young people's mental health effectively reach their beneficiaries, better coordination is needed between the different actors. Mental health care pathways should therefore integrate community organisations, while community connectors can help to manage the coordination between different actors and forms of clinical and psychosocial support.

Predicting Critical Loads in Fused Deposition Modeling Graphene-Reinforced PLA Plates Containing Notches Using the Point Method.

The use of 3D-printed composites in structural applications beyond current prototyping applications requires the definition of safe and robust methodologies for the determination of critical loads. Taking into account that notches (corners, holes, grooves, etc.) are unavoidable in structural components, the presence of these types of stress risers affects the corresponding load-carrying capacity. This work applies the point method (PM) to the estimation of the critical (fracture) loads of graphene-reinforced polylactic acid (PLA-Gr) plates obtained via fused deposition modeling (FDM) with a fixed raster orientation at 45/-45. Additionally, the plates contain three different notch types (U-notches, V-notches, and circular holes) and comprise various thicknesses (from 5 mm up to 20 mm) and ratios of notch length to plate width (a/W= 0.25 and a/W = 0.50). The comparison between the obtained experimental critical loads and the corresponding estimations derived from the application of the PM reveals that this approach generates reasonable accuracy in this particular material that is comparable to the accuracy obtained in other structural materials obtained via traditional manufacturing processes.

Fracture Load Predictions in Additively Manufactured ABS U-Notched Specimens Using Average Strain Energy Density Criteria.

This paper provides a methodology for the prediction of fracture loads in additively manufactured ABS material containing U-notches. The approach is based on the Average Strain Energy Density (ASED) criterion, which assumes that the material being analysed develops fully linear-elastic behaviour. Thus, in those cases where the material has a certain (non-negligible) amount of non-linear behaviour, the ASED criterion needs to be corrected. In this sense, in this paper, the ASED criterion is also combined with the Equivalent Material Concept (EMC) and the Fictitious Material Concept (FMC), both being corrections in which the non-linear real material is substituted by a linear equivalent or fictitious material, respectively. The resulting methodologies have been applied to additively manufactured ABS U-notched single-edge-notched bending (SENB) specimens combining five different notch radii (0, 0.25, 0.5, 1 and 2 mm) and three different raster orientations (0/90, 45/-45 and 30/-60). The results obtained demonstrate that both the ASED-EMC and the ASED-FMC combined criteria provide more accurate predictions than those obtained directly through the ASED criterion, with the ASED-EMC criterion generally providing safe more accurate predictions, with an average deviation from the experimental fracture loads between +1.0% (predicted loads higher than experimental loads) and -7.6% (predicted loads lower than experimental loads).