From the laboratory to the office: Implementation and sequencing of evidence-based treatment components for newly diagnosed childhood psychiatric disorders in a large health system.

2021 ◽  
Vol 52 (2) ◽  
pp. 156-164
Author(s):  
Stephen P. H. Whiteside ◽  
Sean M. O'Dell ◽  
Anna M. Baker ◽  
Jarrod M. Leffler ◽  
Leslie A. Sim ◽  
...  
Keyword(s):  
Health System ◽  
Psychiatric Disorders ◽  
Evidence Based ◽  
Newly Diagnosed ◽  
Evidence Based Treatment ◽  
Childhood Psychiatric Disorders

Dissemination of Evidence-Based Treatment for Pediatric Obsessive-Compulsive Disorder in the Southern Region of Brazil: Challenges and Future Directions

2014 ◽  
Vol 28 (3) ◽  
pp. 198-210
Author(s):  
Andrea Stachon ◽  
Isabela Machado da Silva
Keyword(s):  
Mental Health ◽  
Health System ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Therapy ◽  
Current System ◽  
Public Mental Health ◽  
Evidence Based ◽  
Obsessive Compulsive ◽  
Evidence Based Treatment ◽  
Compulsive Disorder

Pediatric obsessive-compulsive disorder (OCD) is a prevalent condition that responds well to specialized treatment including cognitive behavioral therapy (CBT) or serotonin reuptake inhibitors or their combination. In Brazil, the dissemination of evidence-based treatment for pediatric OCD is hindered because of the peculiarities of the health system. The presence of a multitiered health system (public, insured, and private) with insufficient investment in public mental health and relative inaccessibility of insured/private care for most of the Brazilian population make the implementation of specialized OCD treatment centers largely unavailable in Brazil. Furthermore, lack of appropriate training in child mental health, CBT, and evidence-based approaches to OCD in current psychiatry and psychology training programs further impede improvement in diagnosis and treatment. The challenges faced in the current system in Brazil will be discussed and also strategies and programs that are currently being implemented in the south of Brazil to help address the gaps in treatment for pediatric patients with OCD.

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