Promoting the Emotional Well-being of Children and Adolescents and Preventing Their Mental Ill Health of relatedinterest MeetingtheNeedsofEthnicMinorityChildren–Including Refugee,BlackandMixedParentageChildren AHandbookforProfessionals,SecondEdition EditedbyKedarNathDwivedi ISBN1853029599 GroupWorkwithChildrenandAdolescents AHandbook EditedbyDrKedarNathDwivedi ISBN1853021571 AMultidisciplinaryHandbookof ChildandAdolescentMental HealthforFront-lineProfessionals NishaDogra,AndrewParkin,FionaGaleandClayFrake ISBN1853029297 MentalHealthServicesforMinorityEthnicChildrenandAdolescents EditedbyMhemoodaMalekandCarolJoughin ChildandAdolescentMentalHealthSeries ISBN1843102366 Self-HarminAdolescence ClaudineFoxandProfessorKeithHawton ChildandAdolescentMentalHealthSeries ISBN1843102374 Students’MentalHealthNeeds ProblemsandResponses EditedbyNickyStanleyandJillManthorpe ISBN1853029831 TheChild’sWorld AssessingChildreninNeed EditedbyJanHorwath ISBN1853029572 TheDevelopingWorldoftheChild EditedbyJaneAldgate,DavidJones,WendyRoseandCaroleJeffery ISBN1843102447 Promoting the Emotional Well-being of Children and Adolescents and Preventing Their Mental Ill Health A Handbook Edited by Kedar Nath Dwivedi and Peter Brinley Harper Foreword by Caroline Lindsey Jessica Kingsley Publishers London and Philadelphia Extract on p.17 from Mental Health Foundation (MHF) (1999)Bright Futures. Reproduced with permisssion ofthe Mental Health Foundation. All rights reserved. No part ofthis publication may be reproduced in any material form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use ofthis publication) without the written permission ofthe copyright owner except in accordance with the provisions ofthe Copy- right, Designs and Patents Act 1988 or under the terms ofa licence issued by the Copy- right Licensing Agency Ltd, 90 Tottenham Court Road, London, England W1T 4LP. Applications for the copyright owner’s written permission to reproduce any part ofthis publication should be addressed to the publisher. Warning: The doing ofan unauthorised act in relation to a copyright work may result in both a civil claim for damages and criminal prosecution. The right ofthe contributors to be identified as authors ofthis work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988. First published in 2004 by Jessica Kingsley Publishers 116 Pentonville Road London N1 9JB, UK and 400 Market Street, Suite 400 Philadelphia, PA 19106, USA www.jkp.com Copyright © Jessica Kingsley Publishers 2004 Library ofCongress Cataloging in Publication Data Promotingemotionalwell-beingofchildrenandadolescentsandpreventingtheirmentalill health:ahandbook/editedbyKedarNathDwivediandPeterBrinleyHarper;forewordby Caroline Lindsey. p. cm. Includes bibliographical references and index. ISBN 1-84310-153-X (pbk.) 1. Children--Mental health services--Handbooks, manuals, etc. 2. Teenagers--Mental healthservices--Handbooks,manuals,etc.3. Childpsychopathology--Prevention--Handbooks, manuals,etc.4. Adolescentpsychopathology--Prevention--Handbooks,manuals,etc.5. Mental healthpromotion--Handbooks,manuals,etc. I.Dwivedi,KedarNath.II.Harper,PeterBrinley, 1955- RJ499.3.P76 2004 618.92'89--dc22 2004007511 British Library Cataloguing in Publication Data A CIP catalogue record for this book is available from the British Library ISBN-13: 978 1 84310 153 6 ISBN-10: 1 84310 153 X ISBN pdfeBook: 1 84642 011 3 Printed and Bound in Great Britain by Athenaeum Press, Gateshead, Tyne and Wear With warm affection and esteem, this book is dedicated by the editors to their beloved families, including Radha, Amitabh, Amrita, Rajaneesh and Siddharth Dwivedi and Glynis, Katherine and Matt Harper Contents Foreword 9 CarolineLindsey,Co-Chair,CAMHSmodule,Children’s NationalServiceFramework Preface 11 Acknowledgements 13 1. Introduction 15 KedarNathDwivedi,ConsultantChildandAdolescentPsychiatrist, NorthamptonandPeterBrinleyHarper, ConsultantCinicalPsychologist,Northampton 2. Developmental Perspective 29 EzraLohandJillianWragg,Birmingham Children’sHospitalNHSTrust 3. Attachment Theory and Mental Health 49 DawnBailham,ClinicalPsychologist,Northampton, andPeterBrinleyHarper 4. Emotion Regulation and Mental Health 69 KedarNathDwivedi 5. Attention and Mental Health 85 RajeevBanhatti,ConsultantChild andAdolescentPsychiatrist,Northampton 6. Addiction as a Mark of Adulthood: The enduring fascination of drugs and alcohol among adolescents 101 AllanGuggenbühl,InstituteforConflictManagement andMythodrama,Zurich 7. Parenting 113 AnnieWaldsax,SeniorChildMentalHealthWorker,Northampton 8. Life Skills Education through Schools 132 JudithColey,EducationalConsultant, andKedarNathDwivedi 9. Prevention of Depression and Anxiety in Children and Adolescents 149 ClaireHayes,NationalUniversityof Ireland 10. Prevention of Eating Disorders 173 AnneStewart,ConsultantAdolescentPsychiatrist,Oxford 11. Promotion of Prosocial Development and Prevention of Conduct Disorders 198 KedarNathDwivediandSachinSankar,ConsultantChild andAdolescentPsychiatrist,Northampton 12. Prevention of Mental Health Problems in Socially Excluded Children and Young People: A model for mental health service provision 219 JaneCallaghan,LecturerinPsychology,UniversityCollegeNorthampton, andPanosVostanis,Professorof ChildandAdolescentPsychiatry, Universityof Leicester 13. Developing Culturally Sensitive Services to meet the Men- tal Health Needs of Ethnic Minority Children 234 PeterBrinleyHarperandRadhaDwivedi,formerOutreachWorker forEthnicMinorities,ChildandFamilyServices,Northampton 14. Ethnic Minority Children and Families and Mental Health: Preventive approaches 255 PhilipMessent,ChildandAdolescentMentalHealthService, LondonBoroughof TowerHamlets 15. The Mental Health Europe Projects and the Greek Perspective 267 G.Kolaitis,andJohnTsiantis, Departmentof ChildPsychiatry,AthensUniversityMedicalSchool TheContributors 278 SubjectIndex 281 AuthorIndex 286 Foreword Thisbookmakesacontributiontothefieldofchildandadolescentmen- tal health in a timely and thought-provoking way. It brings together a widespectrumofthinkingandpracticeinthefieldofmentalhealthpro- motionandpreventioninareadilyaccessibleway.Itisanexcitingerafor professionalswhoareseekingtocontributetotheemotionalwell-being ofchildrenandyoungpeopleintheUK.Inallfourcountries,thereisa growing recognition of the importance of good mental health for the overallhealthandsuccessof individualswithintheircommunitiesand for the achievement of a thriving society. The need for a significant increase in child mental health services has not until recently been reflected in policies for investment in re- sources,trainingandworkforce.However,therearenowsignsthatthe need for this is being taken seriously at last. Both in England and in Wales, there is a commitment to the development and publication of a Children’sNationalServiceFramework,basedonexpertadvice,which will set standards for the delivery of health and social care services to children, young people and their families. The fundamental principle which is being proposed is that ‘children’smentalhealthiseveryone’sbusiness’.Bythisitismeantthat all professionals who come into contact with children in their day-to-day work should be capable of taking action to promote their emotional well-being and to prevent mental ill health. This means un- derstandinghowtocommunicatewithchildren,recognisingthesignifi- canceofwhattheyaresayingandknowinghowtointerveneortorefer on to appropriate services. It also entails whole school preventive and early intervention programmes being put in place with support from specialistservices,andorganisingprimaryhealthcareservicestointer- veneearlywithmothersantenatallyandpostnatally,toanticipatetheir mental health needs and to offer parent training to promote good parenting. Makingchildren’smentalhealththeconcernofallprofessionalswill potentiallyincludethosewhoareworkinginuniversalandprimarycare services,inhealthcare,socialservices,earlyyears,schoolandfurthered- 9 10 PromotingtheEmotionalWell-beingofChildrenandAdolescents ucation, youth offending and police, leisure and play services and the whole range of voluntary organisations. Ofcourse,thisproposalhasenormoustrainingandeducationalim- plications, starting with the curriculum for children and young people themselves,andwiththeirparents,carersandteachers.Specialistchild mental health services are never going to be in a position to meet the mental health needs of a population in which one in five children has mentalhealthdifficultiesand10percenthavediagnosablechildpsychi- atricdisorders.Theimplicationsareclear–societymuststrivetocreate environmentsinwhichthewaysthatchildrenarebroughtupandedu- cated take account of our evidence-based knowledge of the optimal ways to do so. This book will help those interested in this work to consider how they might themselves contribute to this important field. CarolineLindsey Co-Chair,CAMHSmodule,Children’sNationalServiceFramework
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