Child and adolescent mental health
The World Health Organization (WHO) conceptualizes mental health as a
‘State of well-being in which the individual realizes his or her own
abilities, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to his or
her community’.
Presented by
Dr Pradeep sharma poudel
Medical officer
• General principles
1. Use of effective communication skill
• Create an environment eg private space, various medium, maintain eye
contact ,confidential
• Involve the C and A
• Start by listening
• Be emphatic
• Be friendly respectful non judgmental
• Use of simple language
• Response with sensitivity
Promote respect Dignity
Assessment of physical health
• Detailed history
• Physical examination
• Consider differential diagnosis
• Identify comorbidities eg infection
Management of physical health
• Treat existing comorbidities
• Provide education on modifiable risk factors
• Provide education on healthy diet, substance abuses risky behavior,
vaccination , contraception.
Conduct a CAMH assessment
• History taking
Assess the home enviroment
• Do caregiver have any mental or physical health problems
• Is child getting adequate opportunities for play and social interaction
at home?
Assess of school enviroment
Assess the community enviroment
• Treatment planning
• Psychosocial intervention
• Psycoeducation eg about condition, treatment , importance, side effect of
drugs, community involvement.
• Reduce stress and strengthen social support
• Promote functioning in daily activites
• Pharmacological intervention
• Referral
• Followup