Journal of Child and Adolescent Behavior
Open Access

Medical services; Developmental disorders

Introduction

Given the significant lack of data for many geographical regions and cultural variations in presentation and measurement, determining the global epidemiology of mental disorders is challenging. These issues are exacerbated while exploring mental problems in kids, especially in LMICs where other wellbeing concerns, like irresistible illnesses, are needs. The Global Burden of Disease Study of 2010 brought attention to the problem of insufficient data.

In terms of the epidemiology, the 21 global regions identified by GBD 2010 showed relatively consistent rates of childhood mental disorders. However, these estimates of prevalence were based on insufficient data; In some places, like Sub-Saharan Africa, there are no data at all for some disorders or for particular childhood disorders. Despite the possibility of regional differences, it is difficult to determine these due to a lack of data. depicts the worldwide prevalence of mental disorders in children over the course of a year in 2010. Males were more likely to suffer from autism, ADHD, and conduct disorders; Anxiety disorders were more frequent in females. Adolescents had more anxiety disorders and ADHD than children did [1-3].

Discussion

According to Murray and others (2012), the majority of children and adolescents with mental and developmental disorders lived in South Asia due to the region’s large population and lower infant and young child mortality. Compared to high-income countries (HICs), the proportion of children and adolescents in LMIC populations tends to be higher. According to the United Nations (2011), 40% of the population in the least developed countries is under the age of 15 compared to 17% in more developed regions. As a result of their high fertility rates, some low-income countries are predicted to have the youngest populations by 2050, indicating that population aging is occurring more slowly in LMICs. Because of these trends, mental and developmental disorders in children will become more common in LMICs. In addition, a growing number of children will reach adolescence, where the prevalence of mental disorders rises and the onset of adult mental disorders occur, as infectious diseases continue to reduce infant mortality. These nations already lack adequate mental health services, so this will be a challenge [4].

These disorders have an impact on children and cause mental illness to last into adulthood as consequences. The impact is extensive during childhood, encompassing not only the personal suffering of children but also the detrimental effects on their families and peers.

Aggression toward other children and peer distraction from learning are two examples of this impact. In adulthood, children with mental and developmental disorders are more likely to have mental and physical health issues, be unemployed, interact with law enforcement, and require disability support. According to Erskine and others (2015), the prevalence and burden of childhood mental disorders remained constant between 1990 and 2010 when GBD (2010) estimated the burden across five times points-in 1990, 1995, 2000, 2005, and 2010. Despite the fact that rates may not have changed, the burden of childhood mental illness-related diseases is affected by population growth and aging. The prevalence of diseases associated with mental disorders in children will rise as the global population of children grows.

Endeavours have been made to foster local area and essential consideration based administrations in LMICs. In a study of 156 12-month-old infants in four Brazilian towns, Eichmann and others (2003) provided mothers with a community-based psychosocial stimulation intervention. The intervention consisted of 14 contactsthree workshops and 11 home visits-in which mothers were instructed on the significance of play for children’s development, how to make toys from common household items, and how to play with their children in a positive way. The intervention significantly improved the cognitive and motor development of the mothers’ children; Infants with mild delays in development experienced the greatest effects. The authors suggested that neighbourhood groups run by mothers could provide the intervention [5].

In a cluster randomized control trial involving 139 mother-infant dyads in which the infants were malnourished, Powell and others (2004) demonstrate that community health aid workers could deliver a psychosocial stimulation intervention to infants in Jamaica. Infants in the intervention group had improved overall development as well as improved hearing, speech, and hand-eye coordination as a result of the weekly home visits supporting maternal play with children. As part of an existing home visitation program for malnourished children, health aid workers received two weeks of additional training to deliver the intervention. A 25-year follow-up study found that Jamaican children who received early psychosocial stimulation had an average increase in earnings of 25%, indicating that infants who received this intervention would benefit financially in the long run. Although mental health outcomes were not assessed, these studies demonstrate that psychosocial stimulation is an effective intervention for supporting cognitive, language, and motor development in young children [6-8].

In areas with limited resources, manuals were created that made it possible for non-mental health professionals to deliver the interventions. The manuals covered education, child training, cognitive and behavioural therapy, and instruction in parenting skills. These were adapted for the local communities with an emphasis on culturally acceptable parenting techniques, modifications to reduce stigma, and attention to terminology. According to the feedback from these locations, the interventions helped children with internalizing and externalizing issues. Investments in gatekeepers like parents, teachers, and general practitioners are necessary if strategies to increase access to community-based interventions are to be successful. No specialist primary care manuals and guides with culturally adapted strategies for managing childhood mental disorders can be useful resources for practitioners looking to expand services in these settings [9,10].

Conclusion

In LMICs, the majority of early childhood preventive interventions focus on child development in general rather than child mental health in particular. However, there is growing evidence that some of these early interventions can improve children’s mental health and continue to do so into adolescence and adulthood. In Jamaica, an early excitement program for exceptionally undernourished youngsters, which included home visits more than two years, diminished tension, gloom, and a lack of ability to concentrate consistently jumble, and upgraded confidence at ages 17-18 years? In Mauritius, children who attended high-quality preschool for two years from the age of three had fewer schizotypal and conduct disorder symptoms at the age of 17 and fewer crimes at the age of 23. Children underweight as young as three years old received the greatest benefit from these improvements. In LMICs, such interventions should be prioritized and can be incorporated into community-based programs for maternal and child health.

1. Spear KL, Auinger P, Simone R, Dorsey ER, Francis J (2019) Patient views on telemedicine for Parkinson’s disease. J Parkinsons Dis 9: 401- 404.

             Indexed at, Google Scholar, Crossref

2. Chirra M, Marsili L, Wattley L, Soko  LL, Keeling E, et al. (2019) Telemedicine in neurological disorders: opportunities and challenges. Telemed J E Health 25: 541-550.  

Indexed at, Google Scholar, Crossref

3. Elias WJ, Shah BB (2014) Tremor. JAMA Neuro 311: 948-954.  

Indexed at, Google Scholar, Crossref

4. Zesiewicz T, Chari A, Jahan I, Miller AM, Sullivan KL (2010) Overview of essential tremor. Neuropsychiatr Dis Treat 6: 401.

             Indexed at, Google Scholar, Crossref

5. Abdolahi A, Scoglio N, Killoran A (2013) Potential reliability and validity of a modified version of the unified Parkinson’s disease rating scale that could be administered remotely. Parkinsonism Relat Disord 19: 218- 221.  

             Indexed at, Google Scholar, Crossref

6. Schoffer KL, Patterson V, Read SJ, Henderson RD, Pandian JD, et al. (2005) Guidelines for filming digital camera video clips for the assessment of gait and movement disorders by teleneurology. J Telemed Telecare 11: 368- 371.  

Indexed at, Google Scholar, Crossref

7.  Michalec M, Hernandez N, Clarke LN, Louis ED (2014) The spiral axis as a clinical tool to distinguish essential tremor from dystonia cases. Parkinsonism Relat Disord 20: 541-544.  

              Indexed at, Google Scholar, Crossref

8.  Louis E, Levy G, Côte L. (2002) Diagnosing Parkinson’s disease using videotaped neurological examinations: validity and factors that contribute to incorrect diagnoses. Mov Disord17: 513- 517.    

             Indexed at, Google Scholar, Crossref

9. Samotus O, Lee J, Jog M (2017) Long-term tremor therapy for Parkinson’s and essential tremor with sensor-guided botulinum toxin type A injections. PLoS One 12: 19.  

Indexed at, Google Scholar, Crossref

10. Van Uem J, Maier KS, Hucker S, Scheck O, Hobert MA, et al. (2016) Twelve-week sensor assessment in Parkinson’s disease: impact on quality of life. Mov Disord 31: 1337- 1338.  

       Indexed at, Google Scholar, Crossref