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Child & Youth Mental Health Algorithm - GPSC

Child & Youth Mental Health Algorithm - GPSC

ChildandYouthMentalHealthPSPModule about one-third of the GLOBAL burden of disease. This proportion is higher inCanada, because other illnesses, commonly found in low-income or “southern”countries either do not exist in Canada (e.g.. malaria; dengue fever) or are muchless common here (e.g., HIV/AIDS; TB).ChildandAdolescentHealth:GLOBALComparativeBurdenofIllnessforMentalIllnessTable:World:DALYSin2000attributabletoselectedcausesbyageAges 0-9 Ages 10-19Neuro-psychiatric conditions(including self-inflictedinjuries)12 29Malignant Neoplasms 3 5Cardiovascular Diseases 2 4Adaptedfrom:WorldHealthOrganization(2003).Caringforchildrenandadolescentswithmentaldisorders.SettingWHOdirections.Page3,Figure1.World:DALYsin2000attributabletoselectedcauses,byageandsex.Although not commonly appreciated, the vast majority of mental disorders beginprior to age 25 years, with the bulk of these being able to be diagnosed betweenthe ages of 12 and 25 years. These mental disorders can be diagnosed early in thelife span and include but are not limited to the following:Prior to age 5: pervasive developmental disorders; ADHD; separationanxiety disorderThose that tend to onset after puberty: depression; obsessivecompulsive disorder; social anxiety disorder; panic disorder; schizophrenia;bipolar disorder; anorexia nervosa; bulimia nervosa; substance abuse; etc.This pattern of illness onset is found globally and is relatively consistent across allProvinces and Territories of Canada. Although numbers vary somewhat dependingon location, approximately 15 – 20 percent of young people (ages 1 to 25) willexperience a mental disorder requiring professional intervention. The most commondisorders over this span of years are the anxiety disorders followed by depressionResources - Lifespan of Mental Illnesses192of

ChildandYouthMentalHealthPSPModule and ADHD. Disorders of conduct are also common but are not addressed in thisoverview, as they require interventions that are difficult to adequately provide inprimary care settings by primary care providers. The other common disorders (suchas anxiety, depression, and ADHD) are not only highly prevalent but are themajority (approximately 60 – 70 percent) and can be properly diagnosed andeffectively treated in primary health care settings.PDD/ AutismAge of Onset of Major Mental DisordersADHDAnxiety DisorderObsessive Compulsive DisorderSubstance AbuseAnorexia NervosaMajor Depressive DisorderBipolar DisorderBulimia NervosaSchizophrenia0 10 20 30AgeSource: DSM-IV, 2000Know your settingIt is important to know what the population prevalence rates for mental disorders inyour area are. In most cases, these will be largely similar across Canada; however,in specific situations (such as some isolated communities and inner city low socioeconomicneighborhoods) there may be higher rates of specific mental disordersthan usual. This is important to know because it will give you an idea of what youshould be looking to see in your practice.Generally, anxiety disorders are the most common mental disorders in Canada(about 10% of the population) followed by depression (about 5 percent) and ADHD(about 4 percent). Taken together, these are the three most common mentaldisorders that can be effectively addressed in primary care and these will be thefocus of the training program.Resources - Lifespan of Mental Illnesses193of

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