Dječija I Adolescentna Psihijatrija I Psihologija U Bosni I Hercegovini – Stanje I Perspektive
Child and Adolescent Psychiatry and Psychology in Bosnia and Herzegovina – State and Perspectives
Contributor(s): Slobodan Loga (Editor)
Subject(s): Social psychology and group interaction, Cognitive Psychology, Comparative Psychology, Developmental Psychology, Neuropsychology, Psychology of Self, Clinical psychology, Behaviorism, Psychoanalysis, Substance abuse and addiction, Health and medicine and law
Published by: Akademija Nauka i Umjetnosti Bosne i Hercegovine
Keywords: Child and adolescent psychiatry and psychology in Bosnia and Herzegovina; Child development; Health policy; Mental health services; Autism; Autistic spectrum disorder; Diabetes; Depression;
Summary/Abstract: Cilj: Prikazati sadašnji model funkcioniranja i analizirati buduće perspektive Odjela za dječiju i adolescentnu Psihijatriju pri Psihijatrijskoj klinici, Univerzitetskog kliničkog centra Sarajevo. Pozadina: Odjel za dječiju i adolescentnu psihijatriju Psihijatrijske klinike postoji preko 50 godina. Funkcioniše kao jedini odjel za dječiju i adolescentnu psihijatriju u Federaciji Bosne I Hercegovine. Ciljna grupa odjela su djeca i adolescenti u dobi od 3 do 18 godina koji imaju određene psihičke poteškoće. Pacijentima se usluge pružaju kroz ambulantu, dnevnu bolnicu i zatvoreno odjeljenje. Osim toga, postoji i savjetovalište za djecu i roditelje. Zbog ekonomskih razloga i profesionalnih razmjena smatramo da je bolje da Odjel funkcioniše u okviru Psihijatrijske klinike za odrasle. Glavni nedostatak ovog modela funkcionisanja se ogleda u kasnom početku tretmana zbog straha od stigmatizacije. Metode: Uporediti model funkcionisanja Odjela za dječiju i adolescentnu psihijatriju u Sarajevu sa drugim klinikama za liječenje djece i adolescenata sa psihičkim smetnjama. Diskusija: U većini zemalja liječenje djece i adolescenata sa psihičkim poremećajima se organizira u okviru samostalnih klinika. Poredeći rad Odjela u sklopu UKC Sarajevo sa radom Zavod u sklopu KBC Zagreb vidimo da se radi o dva veoma slična modela organizacije, ali da je osnovna razlika u dostupnosti adekvatno obrazovanog kadra bez obzira što se tretira otprilike jednak broj djece i adolescenata sa različitim smetnjama. Još veću razliku uočavamo ako poredimo rad Odjela za dječiju i adolescentnu psihijatriju Sarajevo sa radom samostalnih klinika, na primjer, Psihijatrijska bolnica za djecu i mladež Zagreb ima 78 zaposlenih različitih edukativnih profila. Naš Odjel ima samo 10 zaposlenih, iako liječimo približno isti broj pacijenata. Zaključak: Cilj nam je u budućnosti uspostaviti samostalnu kliniku za djecu i adolescente. Za ovaj koncept potrebna su finansijska sredstva, multidisciplinarni profesionalni tim, oprema i prostorije čija raspoloživost zavisi od interesovanja vlasti.
Series: Posebna izdanja ANUBiH
- E-ISBN-13: 978-9926-410-28-5
- Page Count: 112
- Publication Year: 2017
- Language: Bosnian, English, Croatian, Serbian
DJEČIJA I ADOLESCENTNA PSIHIJATRIJA KAO SAMOSTALNA USTANOVA ILI U SKLOPU ODRASLE PSIHIJATRIJE
DJEČIJA I ADOLESCENTNA PSIHIJATRIJA KAO SAMOSTALNA USTANOVA ILI U SKLOPU ODRASLE PSIHIJATRIJE
(CHILD AND ADOLESCENT PSYCHIATRY AS AN INDEPENDENT INSTITUTION OR AS A PART OF ADULT PSYCHIATRY)
- Author(s):Sabina Kučukalić, Nermina Čurčić-Hadžagić, Alma Mehmedbašić-Bravo, Abdulah Kučukalić
- Language:Bosnian, Croatian, Serbian
- Subject(s):Clinical psychology, Management and complex organizations, Health and medicine and law
- Page Range:7-15
- No. of Pages:9
- Keywords:child and adolescent psychiatry; perspectives; organization models;
- Summary/Abstract:Objectives: To describe the current organisational model and to analyze future perspectives of the Child and Adolescent Psychiatry Division at the Psychiatric hospital University clinical centre Sarajevo. Background: The Division for Child and Adolescent Psychiatry at the Psychiatric hospital exists over fifty years. It is the only Child and Adolescent Psychiatry Division in the Federation of Bosnia and Herzegovina. Patients aged between 3-18 years are treated through inpatient, ambulant care and a day hospital. A counselling centre for children and parents is a part as well. For economical reasons and professional exchanges it is better for the Division to exist as a part of the Psychiatric hospital. The main disadvantages are the delayed start of treatment onset because of stigma. Methods: Compare the functioning model of our division with other hospitals for children and adolescents with psychiatric disorders. Discussion: In most countries the treatment is organized through independent clinics. If we compare the organization of the Division UKC Sarajevo with the DivisionKC BC Zagreb we can conclude that they have similar work concepts. The most prominent and basic difference is seen in the number of the available workforce although UKC Sarajevo treat almost the same numbers of children and adolescents with a range of disorders. An even greater difference is seen if we compare the Division for child and adolescent psychiatry Sarajevo with an independent clinic, for example, the Psychiatric hospital for children and adolescents in Zagreb has 78 employees with different educational profiles. The Division in Sarajevo has only ten employees, although we treat the same number of patients. Conclusion: We can conclude that in future we should try to establish an independent hospital for children and adolescents. For this concept it is necessary to provide financial resources, a multidisciplinary professional team, equipment and space which depends on the competent government institutions.
CURRENT STATE AND PERSPECTIVES OF CHILD AND ADOLESCENT PSYCHIATRY AND PSYCHOLOGY IN BOSNIA AND HERZEGOVINA
CURRENT STATE AND PERSPECTIVES OF CHILD AND ADOLESCENT PSYCHIATRY AND PSYCHOLOGY IN BOSNIA AND HERZEGOVINA
(CURRENT STATE AND PERSPECTIVES OF CHILD AND ADOLESCENT PSYCHIATRY AND PSYCHOLOGY IN BOSNIA AND HERZEGOVINA)
- Author(s):Slobodan Loga, Nirvana Pištoljević, Emira Švraka, Vera Daneš, Bojan Šošić
- Contributor(s):Adnan Arnautlija (Translator)
- Language:English
- Subject(s):Developmental Psychology, Neuropsychology, Clinical psychology, Health and medicine and law
- Page Range:16-30
- No. of Pages:15
- Keywords:child psychology; child psychiatry; Bosnia and Herzegovina; adolescent psychiatry;
- Summary/Abstract:The goal of this research was to determine the current state of child and adolescent psychiatry and psychology in Bosnia and Herzegovina, and based on the findings, point out some possible future prospects in these fields. For this purpose, a questionnaire regarding the existing state of services provided in the child and adolescent psychiatry and psychology in the county was designed and disseminated across the country. The representatives of 18 different governmental institutions (Psychiatric Clinics, Mental Health Centers, Health Clinics and Centers for Early Childhood Development) across Bosnia and Herzegovina completed the questionnaire. The data were collected from a total of 143 professionals and focused on minors, children ranging in age from birth through 18 years old. Professionals reported that 47.47% of their applied work with patients was with typically developing children, compared to working with children with special needs, where the average percentage across the institutions was 52.53%. A total of 143 experts who worked with the preschool children and minors reported that 35 of them (24.47%) worked directly with the children over 50% of their work-time, and 34 of them (23.77%) worked exclusively with children and minors. Based on the data collected and a descriptive analysis conducted, some recommendations were made for the future.
DEVELOPMENT OF CHILD AND ADOLESCENT PSYCHIATRIC SERVICES IN CENTRAL EUROPE: HEALTH POLICY IMPLICATIONS OF THE SITUATION IN SWITZERLAND, GERMANY AND THE NETHERLANDS
DEVELOPMENT OF CHILD AND ADOLESCENT PSYCHIATRIC SERVICES IN CENTRAL EUROPE: HEALTH POLICY IMPLICATIONS OF THE SITUATION IN SWITZERLAND, GERMANY AND THE NETHERLANDS
(DEVELOPMENT OF CHILD AND ADOLESCENT PSYCHIATRIC SERVICES IN CENTRAL EUROPE: HEALTH POLICY IMPLICATIONS OF THE SITUATION IN SWITZERLAND, GERMANY AND THE NETHERLANDS)
- Author(s):Klaus Schmeck, Susanne Schlüter-Müller
- Contributor(s):Adnan Arnautlija (Translator)
- Language:English
- Subject(s):Social psychology and group interaction, Comparative Psychology, Developmental Psychology, Clinical psychology, Behaviorism, Health and medicine and law, Pedagogy
- Page Range:31-40
- No. of Pages:10
- Keywords:child and adolescent psychiatry; social psychiatry; developmental psychopathology;
- Summary/Abstract:Child and adolescent psychiatry is a young medical specialty that is in charge of mentally disturbed children and adolescents and their families. The discipline is in close contact with pediatrics and general psychiatry as well as with psychology, educational sciences and social work. In the core of child and adolescent psychiatry are the developmental perspective and the social psychiatric approach that integrates the family system and other relevant psychosocial systems like school or peer-groups. Developmental psychopathology approaches are the basis of all etiological explanations of child psychiatric disorders. In central Europe, child and adolescent psychiatry has evolved in different ways. Switzerland has the highest concentration of child and adolescent psychiatrists worldwide and, as a consequence, is focused mainly on individual psychotherapeutic approaches. In Germany, the number of child and adolescent psychiatrists has been insufficient for a long period of time so that the approach is more focused on social psychiatry where a child and adolescent psychiatrist leads a team of psychologists, social pedagogues and social workers. In the Netherlands child and adolescent psychiatry is clearly focused on evidenced based medicine, but has been taken out of the medical system in 2015 and has become part of community care together with social work and therapeutic pedagogy. In many Balkan countries child and adolescent psychiatry has a long tradition but the number of child and adolescent psychiatrists is low in comparison to western and central European countries. Currently there are many threats that endanger child and adolescent psychiatry as an independent and powerful medical specialty that is of high relevance to compete the various challenges for children and adolescents in modern societies and especially in societies in transition.
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES CLINICAL ACADEMIC GROUP AT THE MAUDSLEY HOSPITAL IN LONDON
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES CLINICAL ACADEMIC GROUP AT THE MAUDSLEY HOSPITAL IN LONDON
(CHILD AND ADOLESCENT MENTAL HEALTH SERVICES CLINICAL ACADEMIC GROUP AT THE MAUDSLEY HOSPITAL IN LONDON)
- Author(s):Gordana Milavić
- Language:English
- Subject(s):Clinical psychology, Health and medicine and law
- Page Range:41-49
- No. of Pages:9
- Keywords:mental health services; children; adolescents;
- Summary/Abstract:Objective: This article is based on the lecture delivered at the scientific meeting of the Academy of Sciences and Arts of Bosnia and Herzegovina, Department of Medical Sciences and UNICEF meeting on ‘Child and Adolescent Psychiatry and Psychology in Bosnia and Hercegovina – current status and perspectives’ held in Sarajevo from 5 - 7th April 2014. Materials and methods: The focus is on the need to prioritise the provision of mental health services for children and young people. Results: A brief history and description of the development of Child and Adolescent Mental Health Services in the UK, and specifically in England is provided. National Policy and clinical Guidelines are highlighted. A model of Child and Adolescent Mental Health Services (CAMHS) at the South London and Maudsley NHS Foundation Trust is described as an example of good practice. Conclusions: Evidence based interventions and proven service models should inform all planning. Collaborative decision making in clinical practice, an emphasis on quality standards and outcomes are at the core of well run services. The views of children, young people and their families are crucial in establishing new services. Transition to adult mental health services will require clear pathways and protocols.
MENTAL HEALTH CARE IN SERBIA – CHILD AND ADOLESCENT MENTAL HEALTH (CAMH)
MENTAL HEALTH CARE IN SERBIA – CHILD AND ADOLESCENT MENTAL HEALTH (CAMH)
(MENTAL HEALTH CARE IN SERBIA – CHILD AND ADOLESCENT MENTAL HEALTH (CAMH))
- Author(s):Milica Pejović Milovančević, Vladimir Miletić
- Language:English
- Subject(s):Cognitive Psychology, Developmental Psychology, Neuropsychology, Clinical psychology, Behaviorism, Health and medicine and law
- Page Range:50-62
- No. of Pages:13
- Keywords:child and adolescent psychiatry; public health; Serbia;
- Summary/Abstract:Child and adolescent psychiatry (developmental psychiatry) is a relatively young branch of psychiatry and a very young discipline in Serbia. With the advancement of clinical knowledge, research, education and professional activities, new challenges are constantly arising in the field. It had been developing in Serbia for the past fifty years and now represents a separate professional discipline which encompasses specific diagnostic procedures, treatment, prevention, rehabilitation and research of disorders of emotional, social and cognitive development of children and adolescents. In this article we discuss historical perspectives of child psychiatry in Serbia, its current states, challenges and we outline further possibilities of development.
RANI SKRINING NA AUTIZAM U PRIMARNOJ PEDIJATRIJSKOJ SLUŽBI
RANI SKRINING NA AUTIZAM U PRIMARNOJ PEDIJATRIJSKOJ SLUŽBI
(EARLY SCREENING FOR AUTISM IN PRIMARY CARE SETTING)
- Author(s):Mirjana Remetić, Mirzada Kurbašić
- Language:Bosnian, Croatian, Serbian
- Subject(s):Developmental Psychology, Neuropsychology, Behaviorism, Health and medicine and law
- Page Range:63-71
- No. of Pages:9
- Keywords:autism; education; early screening;
- Summary/Abstract:Autism spectrum disorder (ASD), a condition classified in the group of neurodevelopmental disorders, is characterized by persistent deficit in communication and social interactions, and presence of restricted, repetitive patterns of behavior, interests, or activities. Early diagnosis and interventions are imperative for better outcomes. The American Academy of Pediatrics (AAP) supported the project “Autism Education and Early screening”, with the goal to raise public awareness of autism in Bosnia and Herzegovina by educating the public about early signs and symptoms, determine the incidence and increase early detection of ASD by introduction of autism screening at the age 18-30 month. Methods and material: Educational brochures about typical child development and early signs of autism have been developed and distributed to parents; posters have been displayed at kindergartens, schools and health institutions. Extensive media coverage and numerous professional presentations have been aimed at educating both public and health care workers. The Modified Checklist for Autism in Toddlers (M-CHAT) has been cross translated according to the rules and copy- rights. Results: From January 2009 trough 2012, 611 children (55% of boys), aged 21±3 months, were subject to the screening. The initial screening was passed by 298 boys (89%) and 256 girls (92%). Four boys and one girl were immediately referred to a further evaluation and early treatment. Conclusion: This overall project contributed to raising autism awearness by linking health, social and educational resources. The preliminary early screening confirmed that estimated incidence of ASD in Bosnia and Herzegovina is similar as reported elswere. Knowledge (public and professional), as well as the early screening, are required for timely diagnosis and interventions.
NEGATIVE EMOTIONAL STATES AND QUALITY OF LIFE IN PARENTS OF CHILDREN WITH AUTSTIC SPECTRUM DISORDER
NEGATIVE EMOTIONAL STATES AND QUALITY OF LIFE IN PARENTS OF CHILDREN WITH AUTSTIC SPECTRUM DISORDER
(NEGATIVE EMOTIONAL STATES AND QUALITY OF LIFE IN PARENTS OF CHILDREN WITH AUTSTIC SPECTRUM DISORDER)
- Author(s):Mira Spremo, Tatjana Marković, Nada Vaselić, Slobodan Spremo
- Language:English
- Subject(s):Developmental Psychology, Neuropsychology, Behaviorism, Health and medicine and law, Family and social welfare
- Page Range:72-81
- No. of Pages:10
- Keywords:autistic spectrum disorder; parents; stress; anxiety; depression; quality of life;
- Summary/Abstract:Prevalence of autistic spectrum disorders is constantly increasing. Considering the lack of institutionalized support for guardians, it has been noticed that parents of children with ASD more often experience negative emotional states, such as depression, anxiety and stress, and perceive their quality of life to be lower than the parents of typically developing children. The aim of our research was to compare the level of depression, anxiety, stress and quality of life in parents of children with ASD and parents of children without developmental difficulties. The research was quantitative, a socio-demographic questionnaire was used, as well as DASS-21 and WHOQOL scales. There were 78 participants, of which 39 parents of children with ASD (members of „Djeca svjetlosti“ Banja Luka and EDUS Sarajevo), and 39 parents of children without developmental difficulties. F-test was used for comparison of results in the depression, anxiety, stress and quality of life scales between the two groups. It was found that there were statistically significant differences in the level of depression (F=3.72, p<.01), anxiety (F=4.51, p<.01) and stress (F=3.47, p<.01), in a way that negative emotion levels were higher in parents of children with autistic spectrum disorder. As far as the perceived quality of life is concerned, the only statistically significant difference was found in the domain of psychological health (F=-3.22, p<.01), in the way that the parents of typically developing children had higher level of perceived satisfaction in this domain.
DEPRESSION OF CHILDREN WITH DIABETES
DEPRESSION OF CHILDREN WITH DIABETES
(DEPRESSION OF CHILDREN WITH DIABETES)
- Author(s):Nada Vaselić, Gordana Bukara-Radujković, Mira Spremo
- Contributor(s):Sanja Malić (Translator)
- Language:English
- Subject(s):Psychology of Self, Clinical psychology, Behaviorism, Health and medicine and law
- Page Range:82-93
- No. of Pages:12
- Keywords:diabetes Type 1; children; depression; prevention; metabolic control;
- Summary/Abstract:Diabetes is chronic condition of children with increase of incidence in our area. The aim of this paper is to examine depression of children with diabetes in relation to their healthy peers. The sample includes 104 participants, from 10 to 15 years of age. Clinical sample includes 52 children with diabetes type 1, and comparative sample of 52 children without diabetes. Data was collected using general information questionnaire and CDI (Children’s Depression Inventory) (1). Data analysis was performed by means of descriptive statistics, parametric and non-paramatric statistical techniques. Results indicate that there is no statistically significant difference between the degrees of depression in clinical and control group (Factorial Analysis of Variance, F=2.78, p=.10). Within the clinical sample, no difference was found neither between depression and metabolic regulation of glycaemia through the value of hemoglobin HbA1c (Mann-Whitney U test, Mdn=291, p=.56), nor between depression and the period of duration of diabetes (Kruskal-Wallis test, c2=1.97, p=.37). Conclusion: children with diabetes do not differ in degree of depression from their peers in general population. Especially vulnerable period for occurrence of depression is time interval between 3 and 5 years from the diabetes diagnosis, thus this period should be in focus of targeted and more intensive psychological intervention aimed at prevention of depression and other mental disorders.
RAZLIKOVANJE PREDIKTORA RAZLIČITIH STADIJA KORIŠTENJA MARIHUANE
RAZLIKOVANJE PREDIKTORA RAZLIČITIH STADIJA KORIŠTENJA MARIHUANE
(DISTINCTION OF PREDICTORS FOR DIFFERENT CANNABIS USE STAGES)
- Author(s):Tea Vučina
- Contributor(s):Jelena Vojčić (Translator)
- Language:Bosnian, Croatian, Serbian
- Subject(s):Behaviorism, Substance abuse and addiction
- Page Range:94-111
- No. of Pages:18
- Keywords:risk factors; protective factors; abstinents; cannabis use stages;
- Summary/Abstract:Mechanisms that influence the formation of stages in the use of addictive substances are not sufficiently explained yet. Aim: This research tries to clarify which factors have a role of predictors for transition on certain cannabis use stages. Multistage social learning model have been used as theoretical base. Material and methods: This research includes 834 students of third and fourth grade of secondary schools in Mostar. The sample is stratified concerning religious orientation, type of school and age. Battery tests have been formed for the needs of this research, predictor variables are expressed by shorter scales, and use of cannabis by adapted scale from the research “Monitoring the Future”. Results: By implementation of stepwise discriminant analysis it is confirmed that predictors for transition from one cannabis use stage to the other are different. Predictors for transition from abstinence to experimental consummation are: peer pressure for cannabis use, cannabis used by friends and unjustified absences. Predictors for transition from experimental to recreational use are: friends who use cannabis, commitment to school and planning of the activities. Friends who use cannabis and self-control are predictors for transition from recreational use to abuse. Conclusion: Distinction in factors, which best discriminate different cannabis use stages, has been confirmed. Findings concerning the distinction of predictors for recreational consummation and cannabis abuse are preliminary and further model development is possible.
