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Objective: This study was aimed at assessing the perception of parents about psychiatric illness of children and adolescents and their
preferred treatment options in Jimma, Ethiopia.
Method: A cross-sectional study was conducted among 532 parents in Jimma City, Ethiopia from April to May 2013. Parents were
invited to assess their knowledge on manifestations and causes of psychiatric illness in children and adolescents as well as their
preferred treatment options if their children exhibited signs and symptoms of mental illness.
Results: Externalizing behavioral symptoms like â??stealing from home, school or elsewhereâ? and internalizing symptoms like â??being
nervous in new situations and easily loses confidenceâ? were perceived by 60.9 and 38.2% of the parents, respectively. Magic, curse and
sin were mentioned as causes of mental health problems by 93.2%, 81.8% and 73.9% of the parents, respectively. Nearly three quarters
of the parents identified genetic factors while approximately 20 % of them mentioned neuro-chemical disturbance as possible causes
of their childrenâ??s mental health problems. The majority (92.7 %) of parents agreed that they would seek treatment either from
religious or spiritual healers if their children developed mental illness.
Conclusions: The level of awareness about externalizing symptoms is high. Treatment options are at best developed within the
context of classrooms. Preference for traditional treatment options might present significant challenges to utilization of child and
adolescent mental health services in this population. Public health intervention programs targeting parental understanding of child
and adolescent mental health problems need to be designed and evaluated for their effectiveness in low-income settings. Cooperation
with religious and spiritual leaders should also be established.