Primary care treatment for child and adolescent neuropsychiatric conditions in remote rural Punjab, Pakistan -- a cross-sectional survey.

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Title: Primary care treatment for child and adolescent neuropsychiatric conditions in remote rural Punjab, Pakistan -- a cross-sectional survey.
Authors: Tareen A (AUTHOR), Mirza I (AUTHOR), Mujtaba M (AUTHOR), Chaudhry HR (AUTHOR), Jenkins R (AUTHOR)
Source: Child: Care, Health & Development. Nov2008, Vol. 34 Issue 6, p801-805. 5p.
Abstract: Background Pakistan is one of the most populous regions of the world. Previous work has demonstrated that there is reliance on traditional healthcare systems when seeking psychiatric care; however, there is a lack of information on help seeking for child and adolescent population. The aim of this study was to describe types of treatments and families' perceptions of the effectiveness of those treatments for childhood neuropsychiatric disorders in remote rural Punjab. Method Cross-sectional survey of consecutive attendees at an advertised mental health consultation day in a remote rural area. Results The effectiveness of these treatments, as rated by patients and their families, was variable, with highest reported effectiveness for general practitioner treatments. In families with a past history of care from a general practitioner, those who had epilepsy reported treatments to be more effective than those with mental retardation. Carers and users described consulting five different types of primary healthcare practitioners that used both physical and psychotherapeutic treatments. Conclusions There is considerable variation in treatments available for child and adolescent neuropsychiatric disorders in remote rural areas of Punjab, a large proportion of which are considered ineffective by the users and carers. This highlights the need to develop effective interventions for child and adolescent neuropsychiatric conditions that can be administered by primary health workers. Our data suggest that the need for this is greatest for mental retardation. [ABSTRACT FROM AUTHOR]
Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Primary care treatment for child and adolescent neuropsychiatric conditions in remote rural Punjab, Pakistan -- a cross-sectional survey.
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  Data: <searchLink fieldCode="AR" term="%22Tareen+A%22">Tareen A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mirza+I%22">Mirza I</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mujtaba+M%22">Mujtaba M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chaudhry+HR%22">Chaudhry HR</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jenkins+R%22">Jenkins R</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Child%3A+Care%2C+Health+%26+Development%22">Child: Care, Health & Development</searchLink>. Nov2008, Vol. 34 Issue 6, p801-805. 5p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background Pakistan is one of the most populous regions of the world. Previous work has demonstrated that there is reliance on traditional healthcare systems when seeking psychiatric care; however, there is a lack of information on help seeking for child and adolescent population. The aim of this study was to describe types of treatments and families' perceptions of the effectiveness of those treatments for childhood neuropsychiatric disorders in remote rural Punjab. Method Cross-sectional survey of consecutive attendees at an advertised mental health consultation day in a remote rural area. Results The effectiveness of these treatments, as rated by patients and their families, was variable, with highest reported effectiveness for general practitioner treatments. In families with a past history of care from a general practitioner, those who had epilepsy reported treatments to be more effective than those with mental retardation. Carers and users described consulting five different types of primary healthcare practitioners that used both physical and psychotherapeutic treatments. Conclusions There is considerable variation in treatments available for child and adolescent neuropsychiatric disorders in remote rural areas of Punjab, a large proportion of which are considered ineffective by the users and carers. This highlights the need to develop effective interventions for child and adolescent neuropsychiatric conditions that can be administered by primary health workers. Our data suggest that the need for this is greatest for mental retardation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/j.1365-2214.2008.00859.x
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              Text: Nov2008
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