TAILIEUCHUNG - Third Annual Child & Adolescent Mental Health Service Report 2010 - 2011

The lack of human resource capacity is by far the greatest barrier to overall health sector delivery and has been recognized as a major constraint in attaining the health-related Millennium Development Goals. With doctors and nurses per 1000 inhabitants, 8 Mozambique has one of the lowest health worker densities in Africa. This is as a result of low pre-service training and recruitment, increased attrition, and rapidly-changing health needs. Health staff distribution around the country still shows considerable regional asymmetries. The output of training institutions is insufficient to respond to the growing demand for a larger and better-trained workforce. Performance of health workers is affected by low motivation. | Third Annual Child Adolescent Mental Health Service Report 2010 2011 Feidhmeannacht na Seirbhíse Sláinte Health Service Executive AVision for Change ADVANCING MENTAL HEALTH IN IRELAND Third Annual Child Adolescent Mental Health Service Report 2010 - 2011 Contents Executive Summary 4 Section 1 Introduction Children in the population. 7 Prevalence of childhood psychiatric disorders. 7 Child and adolescent mental health services CAMHS . 8 Department of Health Children Policy - Vision for Change 2006 . 8 Community child and adolescent mental health teams. 10 Section 2 Workforce Staffing of child and adolescent mental health services. 11 Community child and adolescent mental health teams . 12 Section 3 Access to community CAMHS teams Numbers waiting to be seen . 16 New cases seen by community CAMHS teams October 2010 to September 2011 . 18 Breakdown of new cases New vs. Re-referred cases . 18 Waiting times for new cases seen . 19 Community CAMHS caseload. 20 Community CAMHS caseload per clinical whole time equivalent WTE . 21 Cases discharged . 21 Section 4 Audit of clinical activity November 2010 Source of referral . 22 Case profile. 22 Number of appointments offered . 22 Location of appointments . 23 Clinical inputs. 24 Age profile of cases seen. 24 Ethnicity . 25 Children in the care of the HSE or in contact with social services . 26 Primary presentation . 26 Suicidal ideation deliberate self harm . 30 Gender profile of cases and primary presentations. 30 Length of treatment. 31 Day services . 32 Paediatric hospital liaison services. 33 Section 5 Inpatient child and adolescent mental health services Inpatient servies child and adolescent mental health services . 35 Admission of children and adolescents to inpatient units. 36 Age and gender of admissions 2010 . 36

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• antiretroviral treatment
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• antiretroviral drugs
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• Opportunistic infections
• morbidity and mortality