Diffusion of efficacious interventions for children and adolescents with mental health problems.
BACKGROUND
Child and adolescent mental health problems are prevalent and require adequate interventions. Despite several evidence-based interventions for these problems described in the literature, few studies addressed strategies to diffuse efficacious interventions for child mental disorders especially in developing countries.


METHODS
An extensive but not systematic review of the literature was performed aiming to identify evidence-based interventions for children and adolescents with mental disorders, professionals to target in disseminating these interventions, and the available strategies to diffuse information.


RESULTS
Substantial evidence-based information is available to guide preventive, psychosocial and psychopharmacological interventions. The effectiveness of treatments in real-world settings and the cost-effectiveness of interventions are rarely tested. Professionals at different levels (teachers, school counselors, social workers, general practitioners, pediatricians, child psychologists and psychiatrists) should be targeted in diffusing efficacious interventions for child mental health problems worldwide. Telepsychiatry and the internet seem to be the most promising strategies to diffuse knowledge with lower costs.


CONCLUSIONS
Medical and allied professionals must incorporate child and adolescent mental health issues in their under- and postgraduate curricula, and be better prepared to critically evaluate available information. Professionals need to disseminate evidence-based programs to guide parents and teachers in developing countries to deal with child and adolescent difficulties. Countries need to explore internet solutions for dissemination of medical information.
Graeff-Martins
Ana Soledade
AS
Child and Adolescent Psychiatric Division, Department of Psychiatry, Federal University of São Paulo, Brazil.
Flament
Martine F
MF
Fayyad
John
J
Tyano
Sam
S
Jensen
Peter
P
Rohde
Luis Augusto
LA
D000293:Adolescent; D002648:Child; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D011314:Preventive Health Services / Q000458:organization & administration