3 results
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2. Pre-pubertal paediatric bipolar disorder: a controversy from America.
- Author
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Parry, Peter and Allison, Stephen
- Subjects
BIPOLAR disorder ,PEDIATRICS ,CHILD psychology ,PEDIATRIC diagnosis ,CHILD psychiatry ,MENTAL health - Abstract
Objective: The aim of this paper was to explore the rapid rise in the diagnosis of bipolar disorder (BD) in the paediatric, particularly pre-pubertal, age group, in the USA over the past decade and to look at associated controversies. Conclusions: There has been a very marked rise in the diagnosis of BD among pre-pubertal children, and to a lesser extent adolescents, in the USA since the mid 1990s. The rise appears to have been driven by a reconceptualizing of clusters of emotional and behavioural symptoms in the paediatric age group by some academic child psychiatry departments, most notably in St Louis, Boston and Cincinnati. There is controversy in both the academic literature and public media centring on diagnostic methods, epidemiological studies, adverse effects of medication including media-reported fatalities, and pharmaceutical company influence. With some exceptions, the traditional view of BD as being very rare prior to puberty and uncommon in adolescence appears accepted beyond the USA, though whether this is changing is as yet uncertain, and thus there are implications for Australian and New Zealand child and adolescent psychiatry. [ABSTRACT FROM AUTHOR]
- Published
- 2008
- Full Text
- View/download PDF
3. Australia needs a mental health commission.
- Author
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Rosen, Alan, McGorry, Patrick, Groom, Grace, Hickie, Ian, Gurr, Roger, Hocking, Barbara, Leggatt, Margaret, Deveson, Anne, Wilson, Keith, Holmes, Douglas, Miller, Vivienne, Dunbar, Lynne, and Stanley, Fiona
- Subjects
MENTAL health ,GOVERNMENTAL investigations ,HEALTH care reform ,MEDICAL care ,AWARENESS ,ASSOCIATIONS, institutions, etc. ,MEDICAL needs assessment ,MENTAL health services ,POLICY sciences ,MENTAL health services administration - Abstract
Objectives: The present paper aims to: (i) describe how the Mental Health Commission in New Zealand works and has contributed to the substantial enhancement of mental health resources and services; (ii) determine whether mental health reform policies will ever be implemented properly without an independent monitor with official influence at the highest levels of government; and (iii) demonstrate how variants on this model work in other Western countries and how it can be adapted to the Federated system in Australia.Conclusions: It is recommended that the Australian National Mental Health Plan 2003-2008 should be complemented by a long-standing national mental health commission (or similarly constituted body), which is also able to report independently from and to the government, with direct access to the Prime Minister, Premiers and Australian Health Ministers. Its aims would be to monitor service effectiveness and identify gaps in service provision, training and performance of the work force, management and government. It would be informed by consumer, carer and provider experience, and by reviews of evidence-based research regarding health needs and cost-effective services. It should accurately cost such service gaps, and advise government on a strategy for implementing them. It could also promote and advise formally on enhancing community awareness, decreasing stigma and discrimination and improving workforce recruitment and retention. [ABSTRACT FROM AUTHOR]- Published
- 2004
- Full Text
- View/download PDF
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