INTERNATIONAL ASSOCIATION FOR CHILD AND ADOLESCENT PSYCHIATRY AND ALLIED PROFESSIONS • ASSOCIATION INTERNATIONALE DE PSYCHIATRIE DE L’ENFANT, DE L’ADOLESCENT, ET DES PROFESSIONS ASSOCIEES • ASOCIACIÓN INTERNACIONAL DE PSIQUIATRÍA DEL NIÑO Y EL ADOLESCENTE Y PROFESIONES AFINES • 国际儿童青少年精神医学及 相关学科协会 • ASSOCIAÇÃO INTERNACIONAL DE PSIQUIATRIA DA INFÂNCIA E ADOLESCÊNCIA E PROFISSÕES AFINS • IACAPAP JUNE 2015 • BULLETIN • NUMBER 41 www.iacapap.org

Meet and exchange views, experiences and new research findings with other child and adolescent mental health professionals from all over the world IACAPAP World Congress, , 18-22 September 2016

IACAPAP Bulletin. June 2015 1 Editor Joseph M Rey (, ) Deputy Editors CONTENTS Maite Ferrin (, UK) Hesham Hamoda (, USA) Correspondents • Andrea Abadi (, ) President’s Column 3 • Bibi Alamiri (Kuwait, Gulf States) • Birke Anbesse Hurrissa (Addis Ababa, The 2015 edition of the eTextbook 5 Ethiopia) • Tolu Bella-Awusah (Ibadan, Nigeria) IACAPAP 2016, Calgary, Canada 6 • Caroline S. Biskup (Aachen, ) Translating the e-textbook into Portuguese 7 • Füsun Çuhadaroğlu Çetin (Ankara, Turkey) The global promise of wearable technology • Francisco Rafael de la Peña Olvera in children’s mental health 8 ( DF, Mexico) • Nafia Farzana Chowdhury (Dhaka, The National Days of the French Society for Child and Bangladesh) Adolescent Psychiatry & Allied Disciplines • John Fayyad (Beirut, Lebanon) • Ana Figueroa-Quintana (Las Palmas, (SFPEADA), Dijon 9 ) Building child and adolescent mental health capacity • Daniel Fung (, Singapore) • Naoufel Gaddour (Monastir, Tunisia) in Africa 10 • Jingliu (Beijing, China) Ukraine. Methodological and legal aspects of diagnosis, • Sigita Lesinskiene (Vilnius, Lithuania) • Manju Mehta (New Delhi, India) treatment and social care of mental and • Dmytro Martsenkovskyi (Kiev, behavioral disorders in different age groups 13 Ukraine) • Monique Mocheru (Nairobi, Kenya) Egypt’s Autism Awareness Month 2015 16 • Cecilia Montiel (Maracaibo, Global empowerment in autism 17 Venezuela) • Stephanie Moor (Christchurch, New History and structure of the Helmut Remschmidt Zealand) Research Seminar 18 • Yoshiro Ono (Wakayama, ) • Thiago Gatti Pianca (Porto Alegre, Baku. A window to central Asia 23 ) IACAPAP 2016. Save the date! 26 • Anne-Catherine Rolland (Reims, ) Publishing in CAPMH: FAQs 29 • Norbert Skokauskas (Dublin, Ireland) Member organizations 30 • Cesar Soutullo (Pamplona, Spain) • Olga Rusakovskaya (Moscow, Russia) IACAPAP officers 31 • Dejan Stevanovic (Belgrade, Serbia) • Runa Uslu (Ankara, Turkey) • Laura Viola (Montevideo, Uruguay) • Chris Wilkes (Calgary, Canada) The articles in this bulletin reflect the views and are the responsibility of their authors. They do not represent the policy or opinion of IACAPAP unless specifically stated. This is an open-access publication under the Creative Commons Attribution Non-commercial License. Use, distribution, and reproduction in any medium is allowed provided the original work is properly cited and the use is non-commercial.

IACAPAP Bulletin. June 2015 2 President’s column

WHY CHILD AND ADOLESCENT MENTAL HEALTH IS OFTEN NOT CONSIDERED A POLITICAL PRIORITY?

We are all highly motivated to promote child and adolescent mental health. We are all convinced that our specialty is obviously a public health priority and, often, we are frustrated to see that not everybody shares our views. Why such a discrepancy? Does it come from us? Because we are involved, are we likely to be biased? Or does it come from society itself? Is child and adolescent mental health being unfairly neglected? When one looks at the scientific literature on the burden of child and adolescent mental diseases it is striking to see that there are very few good research studies. There are several explanations for this: classifications and epidemiological tools are not stable, transcultural issues are often not considered, impairment is a notion difficult to operationalize… The result is that prevalence of children’s mental health disorders vary a lot with time and place. This is particularly the case with autism at the moment. But the strange thing is that, even if you consider all these technical difficulties, the results are clear: mental health problems are one of the major sources of burden for the young. This is well demonstrated by the 2008 seminal paper by Myron Belfer* and in the work of the WHO**. They also show that child and adolescent mental health problems are often not considered a public health priority. Why? I put forward three lines of thought for discussion. Firstly, because for a long time there has been an irrational attitude in many societies about mental illness in general and child and adolescent mental illness in particular. Since Jean-Jacques Rousseau and even earlier it was considered that children were “pure”, not corrupted by society, and thus they could not suffer from mental illnesses. Only adults, because of the heavy burden of living, could suffer from these problems. Hence, for example, depression cannot exist in children and ADHD is just a fantasy created by overzealous professionals. Secondly, because unfortunately many child and adolescent psychiatric patients do not elicit empathy—opposite to what happens with most somatic diseases. This is particularly true for patients with externalized disorders who are just perceived as badly behaved children or evolving delinquents, rarely as children who suffer from overwhelming impulsivity and mood dysregulation. Lastly, because of the “curse of care”. More than any other medical speciality child and adolescent psychiatry relies on caring, and most societies consider that caring is valueless. Caring is for women, families or even religion, but not for professionals—and society should not pay for it. And this is basically the same for those psychological treatments that are often considered as nothing more than caring. Of course, these attitudes are not explicitly and publicly stated but nevertheless they are deeply rooted in the collective psyche. When political or economic decisions have to be made between high-tech treatments or psychotherapies, rationality is not alone: people are fascinated by technologies, which often take the place of magic in our materialist societies. What can we do to counteract these attitudes? We need to think of solutions to this crucial problem. I will be back in the next issue of the Bulletin with my own proposals.

Bruno Falissard *Belfer ML. Child and adolescent mental disorders: the magnitude of the problem across the globe. J Child Psychol Psychiatry. 2008;49(3):226-36. **WHO. Caring for Children and Adolescents with Mental Disorders: Setting WHO directions. World Health Organization. Geneva, 2003.

IACAPAP Bulletin. June 2015 3 CLICK HERE TO ACCESS THE FREE TEXTBOOK

The 2015 French, edition Portuguese Russian, and with chapters in self-assessment questions & PowerPoint presentations for teaching is now available

IACAPAP Bulletin. June 2015 4 The 2015 Edition of the eTextbook

Three years have elapsed since the publication Thanks to their effort the 2015 edition includes many of the eTextbook. During this period the eBook has chapters in French, Portuguese and some in Russian. gone a long way to achieving the objective of placing More are to follow in these and other languages. For a “comprehensive textbook for CAMH [child and example, versions in Spanish and Japanese are also in adolescent mental health] in the palm of every CAMH progress; they will be published gradually as they are professional around the world”—in the words of ready. This is particularly heartening since all this work Olayinka Omigbodun. The fact that many people is being done without funding from the IACAPAP. from all corners of the globe access the textbook every In this line, the support of the Dutch SOFT Tulip day supports this assumption. The eBook is now being Foundation (for the version in Russian), the French used to teach child and adolescent mental health from Society of Child and Adolescent Psychiatry and Allied Addis Ababa to Vilnius and from the Universidade Disciplines (SFPEADA, for the version in French), as Federal do Tocantins in Brazil to Yale well as the generosity and dedication University in the US. The eBook has of the respective language editors recently been evaluated as an example (David Cohen, Flávio Dias Silva, of global health projects operating Olga Dolenko, Priscille Gérardin, outside academia: “This form of Dmytro Martsenkovskyi), the team online knowledge-sharing appears to of translators they have assembled, offer huge advantages to the health/ and Nicolas Bodeau’s contribution are public health sector, especially when much appreciated. conducted in the open, at a time The 2015 edition includes when there is a huge global shortfall additional features for students and of healthcare workers and a need for teachers for a growing number of cost-effective, high quality training” chapters: self-directed exercises, (Coughlan & Perryman, 2015). self-assessment questions, and Many barriers remain, the PowerPoint presentations. The last are main one in low income countries incorporated to assist teachers who do being inadequate Internet access. “If not have enough time to prepare them the goals of the draft declaration and themselves or for those who need an action plan of the African Higher off-the-shelf presentation for teaching Education Summit [Dakar, 10-12 March 2015] are in settings where there are few trained professionals to be achieved, there should be less focus on building in this field. The ideas and work of Julie Chilton and traditional universities and more on expanding high- Henrikje Klasen in preparing extra resources and speed broadband internet that will enable global PowerPoint presentations for the eBook as well as Bruno cutting-edge knowledge to be delivered to students Falissard’s support are valued very much. These resources cost-effectively” (Abeles, 2015). will complement other training initiatives of IACAPAP The eBook has been enriched during these three and the WHO such as a Massive Open Online Course years by updating four of the original chapters and by (MOOC) being prepared by IACAPAP, the WHO adding 11 new chapters. The text is in English and Mental Health Gap Action Programme (mhGAP), and this is a big plus given the large audience that can be iCAMH (supported by IACAPAP and the WHO). reached—many medical professionals speak or read Joseph M Rey English well enough even if it is not their mother tongue. However, language remains a barrier for many Abeles TP. Quality HE via high-speed internet is Africa’s future. University World News, 363:17 April 2015. http://www.universityworldnews.com/ professionals who do not read English, particularly article.php?story=20150416161443524 in low income countries where it is most needed. Coughlan T, Perryman L (2015). Learning from the innovative open practices of three international health projects: IACAPAP, VCPH and Aware of this, several individuals have taken on the Physiopedia. Open Praxis, 7(2), 173-189. task of translating the Textbook into other languages. IACAPAP Bulletin. June 2015 5 IACAPAP 2016 FIGHTING STIGMA, PROMOTING ReSILIeNCy AND POSITIVe MeNTAL HeALTH

The 22nd International Association for Child 36th Annual Conference for the and Adolescent Psychiatry and Allied Canadian Academy of Child and Professions World Congress (IACAPAP) Adolescent Psychiatry (CACAP)

SePTeMBeR 18-22, 2016 Save the Date! Calgary TeLUS Convention Centre | Calgary, Alberta, Canada

Join us in Calgary, Canada for IACAPAP 2016! v Scientific Program v More than 20 Keynote featuring over 200 Speakers: sessions, institutes • Keli Anderson, Canada • Tony Boeckh, Canada and workshops • Anne Duffy, Canada v 800+ posters presented • Dr Bruno Falissard, France • Sheldon Kennedy, Canada over four days • Michael Kirby, Canada v exhibit Hall • Dr Stanley Kutcher, Canada • Dr Alain Lesage, Canada v Opening Ceremony, • Dr Connie Lillas, USA Welcome Reception, • Lt. Col. Chris Linford, Canada • Dr Ashok Malla, Canada Congress Dinner • Rod McCormick, Canada v Once in a lifetime • Prof. Patrick McGorry, Australia vacation opportunities • Olayinka Omigbodun, Nigeria • Bruce Perry, USA including a train trip • Prof. Helmut Remschmidt, Germany through the Rocky • Prof. Heather Stuart, Canada • Dr Stephen Suomi, USA Mountains and Alaska • Dr Peter Szatmari, Canada Cruises (departing from • Dr Richard Tremblay, Canada ) • Tracy Vaillancourt, Canada • Hon. Michael Wilson, Canada • Dr Ken Winters, USA • Dr Charles Zeanah, USA IACAPAP Bulletin. June 2015 6 TRANSLATING THE e-TEXTBOOK INTO PORTUGUESE

Dr Flávio Dias Silva (fourth from right) My association with IACAPAP began during 2013 AACAP Annual Meeting in Orlando, and his team of students-translators, the Florida, where I met professors Norbert Skokauskas and Daniel Fung at a meeting about “Neuroliga UFT” international cooperation, where I was invited to help with the translation of the IACAPAP Textbook. My clinical practice is mainly with adults but the shortage of child and adolescent psychiatry professionals in Brazil compels general psychiatrists to see children and adolescents almost every day. The invitation provided an opportunity to learn more about the field on a very attractive way. I am aware also that translations can be of great help to Brazilian professionals— recent studies demonstrate that only about 10-15% of our medical practitioners read English. Here I tell you a little about how we are responding to this exciting challenge. Back in Brazil, I discussed this with a group of students at the Universidade Federal do Tocantins (UFT), in the city of Palmas, where I teach. In 2012, a group of medical students created an “academic league of neurosciences” (Neuroliga UFT). This group has done an excellent work conducting community and academic education about neurologic and psychiatric problems. The students enthusiastically embraced the proposal of translating the eBook, dividing the chapters into groups of two or three students. The translated chapter was then revised by other group members and, finally, I revised and edited to get rid of minor errors. In the students’ words “child and adolescent psychiatry literature in Portuguese is scarce and the IACAPAP Textbook makes an important addition to the resources in this field”. Additionally, students said “we had the opportunity of learning medical English and about terms and expressions used in the international child and adolescent psychiatry field”. As the only editor, I found my job challenging because I had to revise each chapter; this was made more arduous by my obsessionality. However, colleagues from Brazil and Portugal came to my assistance. Dr Alexandre de Aquino Câmara, a child and adolescent psychiatrist from Fortaleza, state of Ceará (Brazil) and Dr Ana Moscoso, from Lisbon (Portugal), agreed to help with the translation. I thank these two new friends whose assistance will continue by reviewing some of the many chapters not yet finished. Typesetting—using Adobe InDesign—was a particular challenge. At the end this turned out to be easier than initially anticipated by using the template for the original chapters provided by professor Rey, although I had to purchase a copy of the program. The students who performed the translation replaced the English for the Portuguese text and I conducted a final checkup. Through this process we familiarized ourselves with software that many of us did not even know it existed. Finally, I would like to say something about the challenges and opportunities of this project—considering that probably some colleagues are working elsewhere in translations into other languages and may learn from our experience. First, it is important to seek help. I have learned that almost all our colleagues would like to help with the development of our specialty, particularly if they are given the opportunity. Second, there is no need to worry about not doing things perfectly. Many practitioners (and medical students) who read English can help making an initial translation. Peer review and the work of the final editor make an excellent final product possible—professional translators are not necessary. Finally, being in touch with international experiences on child and adolescent psychiatry is essential to empower local development of mental health services. We know that we have a lot of work to do in Brazil in terms of translating and validating rating scales and questionnaires, for example. Above all, we learned that there is much creative thinking around the world about child and adolescent psychiatry that we can use to get better mental health care for our children. Flávio Dias Silva MD, MSc Universidade Federal do Tocantins – Brazil

IACAPAP Bulletin. June 2015 7 The Global Promise of Wearable Technology in Children’s Mental Health

A digital revolution is coming to mental is immense potential for these technologies health, having already established a foothold to create mental health solutions that can in business, education, and other areas overcome geographic boundaries, and create in healthcare. This revolution is, however, global solutions. not led by angry citizens, but is fueled How can wearable technologies transform by the rapid emergence of “exponential pediatric mental health? technologies”. Exponential technologies are those that are growing swiftly in power and Quantitative data availability and are opening up entirely novel Most of our information about a child fields, such as 3-D printing of body organs. comes from a combination of parental These technologies have immense potential reports, clinician’s observation, and collateral to disruptively change how we live our lives information. Most of this information is and how we manage our health. Exponential subjective and reliability may vary a great technologies include “wearable” sensors, or in educational settings. Many healthcare deal. We often ask parents to give us feedback systems assess the mental health needs of artificial intelligence (AI), robotics (including regarding how a child has been doing for the drones), synthetic biology, 3-D printing children outside these settings, only seeing preceding week, month or more. This is not children during “snapshot” assessments. (including the printing of body parts), and an easy task; we are asking a parent to be human-computer interfaces. Good clinicians routinely use collateral an objective human data collector, complier, history sources, e.g., parental and teachers’ We may already have exponential analyzer, and reporter. We should therefore reports, to understand the broader picture. technology in our pockets—even basic not be surprised if the “recency effect” (people Wearable devices can, by virtue of their smartphones contain considerable computing recall the most recent events best) leads to portability, quantitatively and continuously power, and integrate the functionality of many bias. Wearable technologies can objectively monitor children 24 hours a day. Such data other historically separate devices. We are and quantitatively monitor many aspects of can be summarized in reports such as on the cusp of an explosion in the number a child’s behavior, sleep patterns, arousal activity monitoring, physiologic markers of of people using wearables, interactive digital levels, and other physiologic markers. The stress, sleep quality and quantity, attention devices that can monitor our behavior and data that these devices collect can be used to and concentration. These reports may offer physiology. There are many examples of inform the clinician and, with the development a supplemental, yet powerful, means of wearables, including smartwatches (e.g., of appropriate analytic tools, help monitor and understanding how the child is functioning in Apple watch), smartglasses (e.g., Google guide treatment. different settings. glass), and activity trackers (e.g., Fitbit). Scalable and affordable solutions The Future When we assess a children’s mental Worldwide, there are considerable mental health, we often consider their sleep, We still are a number of years away health challenges, and many communities from this vision of a digitally-guided mental appetite, activity level, and relationships with are highly under resourced. Children’s others. These are all areas where wearable health future, but it is coming. However, mental health is an area of extreme need, barriers exist. Firstly, our understanding sensor-rich devices can collect data and, in with a substantial lack of trained clinicians. some cases, potentially offer some type of of the physiologic/behavioral correlates of Technology has the potential to be a scalable children’s mental health problems is poor. intervention. In order for the data to be useful, solution, allowing for a digital means not it must lead to actionable change. The data Secondly, the cost of these technologies is only of communication, but also to help with at present prohibitive for many people. The must give us insights into a child’s functioning assessment, treatment, and monitoring. and must therefore undergo an analytic globalization of these technologies can only New technology almost always is expensive, happen if the cost for use and maintenance process. Historically, data analysis was at least initially, putting it out of reach of largely a human task, but the development is affordable across geographic boundaries. many potential users. One of the common Another barrier is the lack of children’s of predictive algorithms in many industries attributes of exponential technology is it is has largely automated data analytics. These mental health content experts to help build the rapidly falling price, especially per unit of such tools. Additionally, the mental health analytic algorithms are not based on a single performance/power. Training a mental health person but on subtle associations that are needs of children are rarely prioritized clinician may take months or years, while for innovative projects compared to other discovered from the analysis of thousands of learning to use a wearable may only take individuals. aspects of healthcare. We need politicians, a few hours, and downloading an app may healthcare leaders, and businesses, including In the US, wearable devices, in addition only take a few minutes. There are already technology companies, to realize the to other exponential technologies, are a number of companies who are leveraging enormous benefit to be gained. already transforming people from passive technological solutions to deliver healthcare health seeking patients to actively engaged and education to the most disadvantaged Arshya Vahabzadeh, MD healthcare consumers. These consumers parts of the world. Fellow in Child and Adolescent Psychiatry, use technology to generate data, monitor Monitoring in normative environments Massachusetts General Hospital/ Harvard Medical School. IACAPAP DJC Fellow 2014 their chronic health conditions, and shape Children spend most of their time at home the healthcare systems of the future. There IACAPAP Bulletin. June 2015 8 In June 2015 the city of Dijon is hosting the National Days of the French Society for Child and Adolescent Psychiatry & Allied Disciplines (SFPEADA). The theme this year is “Sensations and Emotions’’. The main organisers are Jean-Michel Pinoit (child psychiatrist) and Fabien Joly (psychologist, psychoanalyst and psychomotor therapist), who agreed to answer our questions.

Why have you chosen this topic? qualifications and roles. What does The national congress of the this “co-responsibility” bring to the SFPEADA focuses on “interdisciplinary” program? themes that may be of interest to all In this way, we are faithful to the practitioners from all the clinical and spirit of this society (SFPEA & Allied psychopathological fields dealing Disciplines). This partnership highlights with children and adolescents. Better a real, complementary approach at explored in plenary sessions and in still, themes are included that allow work, as well as the diversity in the more focused workshops and symposia. all theoretical contributions—drawing ways of treating suffering children The topics of emotion, sensation, and upon anthropology, philosophy, the and their families and a therapeutic their fertile connections or pathologic artistic world, and from all therapeutic perspective that is always personalised. avatars—the most serious in the child perspectives. With our different qualifications and the and adolescent psychiatric clinic—will be The topic of sensations and emotions professional diversity of participants addressed in a multi-dimensional way. (in development, on adolescent issues, we highlight the cross-disciplinary The city of Dijon, the ancient capital on becoming adult, in the therapeutic characteristics, which are more valid of the Dukes of Bourgogne, is hosting and support clinic of mental health in the understanding of psychic these two national days. Is there a teams) is central and ever-present. phenomena. cultural program for the participants? Moreover, the strong connection In relation to the program, what are For the accompanying guests and between ‘’sensitive starting material” the main topics that will be addressed those not participating in the meeting (towards perceptions and feelings, from and by whom? the most archaic to the most complex) the historical city of Dijon offers a Topics vary, from neurobiology and the psycho-affective domain of the wealth of discoveries; it is the capital (J.P. Tassin from Collège de France) emotions (in a wide range of subjective of the “good life” (future international to psychoanalysis (B. Golse et A. and/or shared emotions) will be the first city of gastronomy) and culture (with Konicheckis), through philosophy area of our psychopathological and child all its free museums) and its proximity (M. Richez), social anthropology (D. psychiatric reflexions: The ‘’tensioning” to the route des vins (wine route) and Le Breton), basic research (Le Centre between sensation and emotion, like a the climate of Bourgogne create many Européen du Gout [The European crossroad of the relationship between tempting options. Centre for Taste]), neurosciences subject and his environment, the Even within the congress, culture and cognition (O. Houdé), infant and subjective and emotional sensory bond, will have a significant impact on developmental psychiatry (F. Muratori), will constitute the guideline of our work. our reflexions regarding the cross- psychomotricity and sensitive motricity disciplinary matter of feelings and You have organized these days (D. Chadzynski et A. Kloeckner), and emotions. The Evening Gala will take together, and you have different adult psychiatry (B. Bonin); all will be place at The Grand Théâtre de l’Opéra de Dijon, after a cocktail offered by the mayor in the Palace of the Dukes of Bourgogne, accompanied by a musical piece from Janacek (Carnet d’un Disparu) with the opportunity to meet the director after the show as well as actors and musicians, around the topic of emotion and the transmission of feelings in the musical piece. Beyond the traditional organisation of a congress, we want to offer “the feeling” to those who wish. Anne-Catherine Rolland Jean-Michel Pinoit Fabien Joly

IACAPAP Bulletin. June 2015 9 THE CENTRE FOR CHILD AND ADOLESCENT MENTAL HEALTH, UNIVERSITY OF IBADAN, NIGERIA (CCAMH) Building Child and Adolescent Mental Health Capacity in Africa

Despite the predominantly young practitioners, providers and recipients Sierra-Leone and Liberia started the MSc population in most of the sub-Saharan to work together to improve child and CAMH programme and on the 16th of June region and the vital mental health needs adolescent mental health in this continent. 2014, the “day of the African child”, they of this population, up until recently there completed their training and returned to their With faculty from four continents (Africa, were no formal training programs for respective services. Asia, America and Europe), the centre child and adolescent mental health. The offers several short CAMH courses, and Almost a year after graduation, this exception was South Africa, which had clinical internships for child health students pioneer group of CAMH professionals are a 2-year postgraduate training in child and professionals around the world. It involved in several CAMH activities. Jibril and adolescent psychiatry for general delivers an 18-month multidisciplinary Abdulmalik, a psychiatrist at the University psychiatrists since 1983. master’s programme in child and adolescent of Ibadan is developing services for doubly Most health professionals who wanted to mental health (MSc CAMH), designed for disadvantaged children who not only suffer train in child and adolescent mental health professionals such as nurses, physicians, from mental health challenges but also find (CAMH) had to travel to better resourced psychologists, social workers, occupational themselves in trouble with the law. He also regions of the world to acquire this much therapists and educators. This program teaches undergraduate and postgraduate needed training—many times failing to aims to train leaders for CAMH in the African students at the University of Ibadan and return to work on the African continent. In continent and consists of two semesters has joined the Faculty at CCAMH where he addition, learning was taking place in a of intense course work, seminars, clinical teaches leadership and policy. cultural context quite different from where exposure and one semester for research Rotimi Adejumo, a psychiatrist, with they would eventually be returning to and the writing up of a dissertation. Ibadan’s University College Hospital is practice. Courses include clinical assessments, developing mental health services for CAMH disorders, the interface of physical In 2010, the John D. and Catherine T. children with HIV/AIDS in collaboration and mental health, psychosocial and MacArthur Foundation awarded a grant to with the Department of Paediatrics. After pharmacological treatments, leadership, the University of Ibadan, Nigeria to establish completing the MSc CAMH programme, service development, and ethics in child and a Centre to “build up child and adolescent he was selected for a mentored research adolescent mental health, child protection mental health capacity in the African region”. fellowship at the Centre for Global Health, and legal considerations, as well as Thus the Centre for Child and Adolescent Northwestern University, where he epidemiology and research methodology. Mental Health (C-CAMH) was born. studied Paediatric NeuroAIDS. He recently The Centre provides a forum for a multi- On the 8th of January 2013, after a long returned to Ibadan and is also faculty at the professional, multidisciplinary, multi-agency period of preparation, the pioneer group of CCAMH where he teaches mental health team of trainers, researchers, policy makers, 15 students from various parts of Nigeria, aspects of HIV/AIDS.

Members of the pioneer CAMH class with the Vice Chancellor, Director of the Centre, and other members of faculty on graduation day (16th June 2014) IACAPAP Bulletin. June 2015 10 Victoria Onilemo, a senior nurse at Augustus Quiah during a home visit in Monrovia, Liberia the University College Hospital and the methods with other first nurse in Nigeria to receive training in members of the CAMH, is now the nurse in charge of the multidisciplinary child and adolescent mental health facilities team, a credit to the in the hospital. She trains and supervises multidisciplinary training other nurses in CAMH care and works she received. with patients and their relatives in various Yetunde Adeniyi, a activities such as group therapy, individual psychiatrist with special counselling and therapeutic games. She is skills and an interest in currently pioneering a parent support group. neurodevelopmental disorders, has also Tolulope Bella- Awusah a psychiatrist joined the faculty at at the University of Ibadan has joined the CCAMH and teaches faculty at CCAMH where she teaches courses on intellectual psychological interventions, service disability. She also development and disorders. Her MSc CAMH runs the mental health research work titled “Effectiveness of brief outreach clinic at the school-based, group cognitive behavioural University of Ibadan health services, therapy for depressed adolescents in helping several young Southwest Nigeria” has been published in adolescents adapt to college life. on infection control measures and stress the Journal of Child and Adolescent Mental management techniques for nurses. Health. She is looking into ways of scaling Other countries in the West African sub- Together with Massa Mambu, also from up this intervention within a school mental region have not been left out. Augustus Freetown, Sierra Leone, they both have health programme. Quiah, a physician from Monrovia, Liberia, been involved in psychosocial interventions had to join the Ebola Treatment Unit at during the Ebola epidemic. Mary Akpobi-Madu and Aishatu Monrovia’s Island Clinic soon after returning Abubakar-Abdullateef, both psychiatric to his home base. He has been involved in With just one group of trained CAMH trainees in Zaria, a city in Northwest Nigeria assessing patients and family members for professionals having graduated, CAMH are providing mental health care services mental health symptoms, having regular capacity on the African continent is on the for children and adolescents. They are now psychotherapy sessions with patients, rise. The second cohort of students from able to carry out family interventions for the health workers and family members, Kenya, Ghana, Sierra Leone and parts of children and adolescents they see. providing home visits for discharged patients Nigeria will complete their training shortly and return to their home bases to start the Grace Ijarogbe, a psychiatrist at the to assess their psychological wellbeing, and CAMH work thus further building up CAMH Yaba Psychiatric Hospital in Lagos, helping those quarantined. capacity in Africa. For more details see reports markedly improved services at the Bomposseh Kamara, a nurse from www.ccamh.ui.edu.ng and https://www. child facility where she works. With the Freetown, Sierra Leone, has been involved facebook.com/CCAMHUnibadan?fref=ts knowledge acquired from her training she in psycho-education and stress reduction carries out comprehensive assessments protocols for patients and relatives with Tolulope Bella-Awusah & Olayinka for referred children, adolescents, and their Ebola. She has also conducted training Omigbodun families and now has better communication

IACAPAP Bulletin. June 2015 11 THE NEW IACAPAP BOOK IS NOW AVAILABLE

CONTENTS Editorial Introduction Jean-Philippe Raynaud, Susan Shur-Fen Gau and Matthew Hodes

Part I: Mental Health Services EDITORS Perspectives and Epidemiology 1. Mental Health and the Global Agenda • Jean-Philippe Raynaud, MD, is professor of child and adolescent Anne E. Becker and Arthur Kleinman psychiatry, Toulouse University and head of the Department of 2. Epidemiology of Mental Disorders in Child and Adolescent Psychiatry, Toulouse University Hospital. Children and Adolescents: Background and US Studies • Matthew Hodes, PhD, is senior lecturer in child & adolescent Kathleen Ries Merikangas and Jianping psychiatry at Imperial College London. He • Susan Shur-Fen Gau, PhD, is chair of the Department of Part II: Problems and Disorders Psychiatry at National Taiwan University Hospital and College of 3. Findings and Concepts from Children at Genetic Risk that May Transform Medicine. Prevention Research and Practice in Schizophrenia and Mood Disorders From Research to Practice in Child and Adolescent Mental Health has been Maziade M., Gilbert E., Berthelot N. and shaped to reflect the mental health needs of children and adolescents in Paccalet T. low and middle income countries. It also includes chapters on topics based 4. Sleep Schedule, Patterns and Problems of Children and Adolescents Seen in on research and practice in high income countries which may have global Child Mental Health Practice implications. The first section of the book takes a child and adolescent mental Susan Shur-Fen Gau and Huey-Ling health services perspective encompassing epidemiology, mental health Chiang needs, and relevant policy issues. The second section summarises research Part III: Interventions and Practice findings into the mechanisms for problems frequently encountered in child 5. Child and Adolescent Mental Health and adolescent psychiatric practice: schizophrenia, mood disorders, and sleep Services in Low and Middle Income problems. The third and last section is about interventions and practice. It Countries: the Role of Task Shifting Marguerite Marlow and Mark Tomlinson describes the treatment gap between low and middle income countries in 6. What works where? A Systematic relation to child and adolescent mental health and shows how professionals Review of Child and Adolescent Mental or lay people may be trained to effectively deliver interventions. Health Interventions for Low and Middle Income Countries This monograph has been produced for the 21st congress of the International Henrikje Klasen, Anne-Claire Crombag Association for Child and Adolescent Psychiatry and Allied Professions and Koen Stolk (IACAPAP) to be held in Durban, South Africa, in August 2014. This is the 7. Addressing the Consequences first congress of IACAPAP in Africa and it takes place at an appropriate time of Violence and Adversity: The in view of the continent’s burgeoning child population, significant economic Development of a Group Mental Health growth and wish to improve the populations’ health. Intervention for War-Affected Youth in Sierra Leone Theresa S. Betancourt, Elizabeth A. Newnham, Katrina Hann, Ryan K. McBain, Adeyinka M. Akinsulure-Smith, John Weisz, Grace M. Lilienthal and The world population balance is shifting. Rich, developed countries’ Nathan Hansen inhabitants are becoming older while people in low and middle income 8. Present Status of ASD from Childhood to countries are becoming younger, so much so that a large proportion of the Adulthood and an Intervention Initiative world’s youth now lives in these countries. Another shift is also taking place for Adults with ASD in Japan in youth-rich countries: their leaders are increasingly concerned about Hideki Yokoi, Soo-Yung Kim, Miki improving the mental health of their people and realize the need to train Igarashi, Yoko Komine and Nobumasa Kato more and better professionals to deal with these problems. This book is a 9. Why Should Cultural Factors Be Taken key source of information for policy and practice that would be useful for into Account in Child and Adolescent professionals in training and leaders when addressing these issues. Development and Mental Health Care? Marie-Rose Moro, Jordan Sibeoni and Joseph M Rey, University of Notre Dame Sydney & University of Sydney Rahmethnissah Radjack 10. Digital Horizons: Using Information Technology Based Interventions in Preventing and Managing Mental Health Rowman & Littlefiel Publishers, May 2014 Disorders in Childhood and Adolescence James Woollard and Tami Kramer IACAPAP Bulletin. June 2015 12 In times of war the need for child and adolescent mental health care becomes even more important than usual. This congress, organized by Igor Martsenkovsky and sponsored by the Ministry of Health of METHODOLOGICAL Ukraine, The Ukrainian Research Institute of Social and Forensic Psychiatry and Drug Abuse, The Association of Psychiatrists of AND LEGAL ASPECTS OF Ukraine, and The Charitable Foundation Research Innovations in Medicine (RIMON) DIAGNOSIS, TREATMENT was thus of particular rlevance. During the congress we discussed options for the reform of psychiatric AND SOCIAL CARE OF care in Ukraine in terms of the European and transatlantic integration of Ukraine. MENTAL AND BEHAVIORAL The main topics were cooperation and interaction with international professional associations, mental health consumers DISORDERS IN DIFFERENT associations, institutions of the European Union, specialist training, rights of consumers, organization of services for AGE GROUPS children and young people and the elderly, medical and social assistance to people with addictions, and the organization of psychological and psychiatric support 23-24 April 2015 for people affected by the conflict and occupation of Crimea and parts of Eastern Ukraine. More important, however, were Kyiv, Ukraine the more clinically relevant topics such as epilepsy, depression, first episode psychosis, autism, substance abuse, and PTSD. The congress brought together 285 specialists in mental health from all regions of Ukraine: child and adolescent psychiatrists, forensic psychiatrists, psychologists, social workers, correctional educators, and speech therapists. Non- Ukrainian experts also contributed. All the presentations were translated into English and Ukrainian and broadcast online. Among the speakers it is worth mentioning Liausedas Algimantas From leftt: Iryna Pinchuk (Director of the Ukrainian Research Institute of Social, Forensic Psychiatry and Drug Abuse), Igor Martsenkovsky (Head of the Department of Mental Disorders of Children and Adolescents of the Ukrainian Research Institute of Social , Forensic Psychiatry and Drug Abuse), Norbert Skokauskas (Secretary of the Section for Child and Adolescent Psychiatry of the WPA), Bruno Falissard (President of IACAPAP), Giovanni De Girolamo (Head, Unit of Epidemiological and Evaluation Psychiatry IRCCS St John of God Clinical Research Centre)

IACAPAP Bulletin. June 2015 13 (Lithuania), Hartmut Berger (Germany), Giovanni De Girolama (), Bruno Falissard (France), Albert Feldman (Israel), Igor Koutsenok (USA), Norbert Skokauskas () and, from the Ukraine, Olga Bogomolets, Dmitry Lebedev, Yurieva Ludmila, Valeria Lutkovska, Igor Martsenkovsky, Levada Oleg, Olexandr Minko, Irina Pinchuk, Malyarov Sergiy and Sergiy Shum. Bruno Falissard drew attention to the fact that mental health problems of children and adolescents should be a political priority for every country and spoke about ways of achieving this. Norbert Skokauskas devoted his presentation to autism, answering questions about the organization of medical and social services for patients with tis condition. Giovani de Girolamo spoke about the organization of psychiatric care for children and psychiatric care; developing services in situation is particularly difficult in the adolescents based on the results of a the community; creating psychiatric areas held by separatists. Starvation, European multicentre study. Albert departments within multidisciplinary lack of medical care, and displacement Feldman, spoke about helping services children’s hospitals; bringing care are common. Ukraine was poorly personnel who participated in combat. to the levels expected by current prepared to assist traumatised children scientific evidence; ensuring children’s and families. When trying to provide Igor Martsenkovsky spoke about the access to medicines and psychological such assistance many children have implementation of current therapeutic treatments; and protecting children been unnecessarily separated from their strategies for autism spectrum disorders and detecting child abuse. He families in an effort to keep them safe. in Ukraine. He also spoke about highlighted that military conflict directions for reforming children’s Other aspects of the program around the Donetsk and Lugansk mental health services, emphasizing included a symposium devoted to regions has resulted in a significant that service provision for this age addiction in which Irina Pinchuk loss of resources: children’s general group has not been a priority; services described the problems associated with hospitals, psychiatric hospitals (e.g., have been chronically underfunded misuse of psychoactive substances. Igor the psychiatric hospital in Slavyansk), and are now in urgent need of reform. Koutsenok spoke about the peculiarities orphanages, and pharmacies have been He highlighted areas in particular and problems of amphetamine use, destroyed and looted. More than half need of attention: changing the organization of substance misuse of the mental health experts have left emphasis from biological treatment services and specialist training in this the region. A large number of refugees to psychosocial care; redistributing field. have materialized in all regions of the resources between emergency, primary, country, many of them children. There Igor Martsenkovsky specialized and highly specialized is an enormous lack of medicines. The

The young faces of the Ukrainian conflict (photo Louise Turner)

IACAPAP Bulletin. June 2015 14 DO YOU USE THE IACAPAP TEXTBOOK?

NOW YOU HAVE THE FACILITY TO INTERACT WITH OTHER READERS ABOUT THE TEXTBOOK, ASK QUESTIONS TO AUTHORS AND MAKE COMMENTS

To facilitate readers’ interaction and involvement, a Facebook page exclusively dedicated to the Textbook has been created. It is hoped that such a facility will enable readers to interact with each other, the editor and contributors as well as making comments and suggestions, and receive Textbook-related news. To access this facility click on the figure.

IACAPAP Bulletin. June 2015 15 Egypt’s Autism Awareness Month 2015

For the fifth consecutive year the Egyptian Autistic Society in collaboration with the Mental Health and Addiction Secretariat of the Ministry of Health held a campaign to help raise awareness about autism as a growing public health problem. The campaign involved multiple dimensions including lighting up the pyramids in blue, and campaigns at schools, hospitals, in the media as well as scientific activities and awareness weekends.

“With this campaign and its multi-faceted events we are hoping that a new era in autism care and inclusion has started in Egypt”

Dr Eman Gaber Head of Child & Adolescent Administration in the Mental Health Secretariat, Egyptian Ministry of Heath. DJC Fellow 2014

“Light it up Blue” on Autism Day for Autism In partnership with Universal, Egypt joined Scientific Activities the worldwide campaign of “Light it up Blue”; A workshop was held on the 5th of April we proudly lit up the Pyramids and Sphinx at Al Ahram Scientific Club discussing the in blue in a symbolic gesture of solidarity inclusion of children with autism spectrum with this initiative, gaining worldwide media disorders in schools as well as the national attention. In addition, the American University curriculum that has been developed for in Cairo, the Italian Cultural Institute, the autism by the Egyptian Autistic Society Cairo Opera and several places in the city of and the Ministry of Health. The workshop Hurghada were lit up blue on April 2nd. was also presented with a prototype of the Schools Campaign classrooms that the Ministry is opening in This campaign started in March 2015; different Egyptian locations. An evidence- the team “Autism Awareness Egypt” went to based medicine workshop was held on the nurseries, schools and universities to spread 30th of April at El Mamoura Mental Health awareness about autism and encourage them Hospital in Alexandria. Finally, during to initiate their own activities. the closing ceremony of the Autism Best Hospitals Campaign Practices Conference held in Cairo on May 25th, a session was held entitled “Widening The team visited several paediatric the scope of assessment and treatment in hospitals in Cairo and Alexandria, the 2 ASD”. largest cities, targeting medical staff to raise awareness. On the 21th of April, the Autism Other Achievements at the national Day Care Centre at Elabbassia Mental Health level so far include: Hospital celebrated 2 years of success of the • Military service exemption procedures first centre dedicated to autism care in the are now in place for children with ASD Ministry of Health. • The Ministry of Communications is Media Campaign willing to employ adults with ASD Most TV and radio stations covered the • The Ministry of Health launches activities of the autism awareness month in “Together We Can” initiative for Egypt especially the “Lighting up Blue” of the children with special needs Pyramids. • Admission of students with ASD at Autism Awareness Weekends the American University in Cairo Several activities took place including a • Provision of on site training in bike ride, a run by the group “Cairo Runners” computer graphics for students with as well as a Harley Davidson Motorcycle ride ASD. IACAPAP Bulletin. June 2015 16 Ten Tips to Support Me is GLOBAL EMPOWERMENT available in the following languages: • Arabic IN AUTISM • Afrikaans • Basque An article published recently in the As of early May 2015, the article and its • Bengali Journal of the American Academy of Child many translations have been accessed and • Catalan and Adolescent Psychiatry (JAACAP, downloaded over 15,000 times and it is Volume 53, number 11, November 2014), listed as the #1 “most read” JAACAP article. • Chinese provides a framework for clinical practice According to Altmetric (http://www.altmetric. • Croatian and global advocacy with a set of ten com), a service that monitors social media • Dutch practical, evidence-based tips to provide sites, newspapers, blogs, and other public • English holistic support to individuals with autism online sources for mentions of scholarly • English Pictograms spectrum disorders. The article, Autism articles, Ten Tips is in the top 5% of all articles • Estonian Spectrum Disorders: Ten Tips to Support Me, scored by Altmetric and is among the highest- was authored by Dr. Joaquin Fuentes, of scoring articles from JAACAP. Altmetric • Farsi Spain, who collaborated with numerous estimates that 92% of the Twitter activity • French local stakeholders to write the “tips” in related to this article has been from members • Galician a friendly and approachable style. The of the public. Although these statistics may • German article was originally published in English, indicate worldwide interest in material of • Greek with online translations in Basque, French, this kind, they represent only one way of • Hausa and Spanish. measuring the impact of an article. The true value in this material will come from its • Hebrew Through the volunteer efforts of friendly colleagues around the world, the readers around the world, who we hope will • Hindi article has now been translated into 38 use the “tips” to improve their communities • Hungarian other languages, in an effort to make this and the lives of their family members and • Igbo valuable content available to a truly global friends. • Indonesian audience. With the support of JAACAP and Joaquin Fuentes (below, left), as the • Italian its publisher, Elsevier, the translations are author, and Mary Billingsley, on behalf of • Japanese freely accessible to anyone who wishes to JAACAP, wish to express their deep gratitude read them. The release of the additional to the international community of volunteer • Korean translations in early April 2015 coincided supporters whose efforts made this project • Latvian with celebrations of World Autism possible. • Lithuanian Awareness Day. • Malay • Norwegian • Polish • Portuguese • Romanian • Russian • Serbian • Slovak • Slovene • Spanish Example of pictogram (Tip # 2) • Spanish Pictograms Translators: JM Marcos & D Romero, Department of Education, Government of Aragon, Spain. The pictographic ARASAAC symbols have been produced under the Creative Commons Attribution (BY-NC-SA). Author of the pictograms: Sergio Palao. • Swedish Created with AraWord. • Turkish • Ukrainian • Urdu Click here to read the article and find the translations in the Supplemental Materials For a more in-depth look at the Altmetric information about this article, including a geographical breakdown of social media activity, click here.

IACAPAP Bulletin. June 2015 17 HISTORY AND STRUCTURE OF THE HELMUT REMSCHMIDT RESEARCH SEMINAR (HRRS)

Helmut Remschmidt

The HRRS started as “The European the participants are split into small were held in Italy—a joint venture with Research Seminar” in 1998 in groups in which their research projects the European Society for Child and Heidelberg, following a model that had are presented and discussed with one Adolescent Psychiatry (ESCAP) and the already been used before in Germany or two of the mentors. Before dinner, Foundation Child (chaired by Professor by Martin Schmidt and Helmut one participants from each group gives Ernesto Caffo from the University of Remschmidt. The aim of the seminars a summary of the discussions in the Modena, Italy). was to help young researchers in the respective small group for the plenum. When Helmut Remschmidt was field of child and adolescent mental After dinner, informal discussions elected President of IACAPAP in 1998, health (CAMH) pursue a scientific career. and social activities take place. So the he transferred the Research Seminars The following activities were considered whole group (mentors and mentees) to an international level. From 2001 to to be helpful and were implemented: stay together and have a chance to 2006 the Seminars were co-sponsored • Experienced mentors talking know each other very well. Because by ESCAP, IACAPAP and the Foundation about their own research: role of this, we always use meeting places Child in Italy. In 2006 IACAPAP resolved models. outside big cities, giving participants the to name the Research Seminars after opportunity to remain together for the • Mentors becoming consultants Helmut Remschmidt. The first of the duration. for the projects that participants HRRSs took place in Istanbul (2008), want to complete. One afternoon (usually a Wednesday) followed by Beijing (2010), (2012) is reserved for an excursion or a social and Stellenbosch, South Africa (2013). • Participants preparing and event. In recent years, a workshop on The next HRRS will take place in presenting their research plans “how to write a paper” has become a Calgary, Canada, in September 2016. as a basis for small group—no feature of the seminar. This was very more than 6 participants— Every seminar try to focus on a much appreciated by the participants. discussions. specific topic relevant for both research The first European Research Seminar as well as for clinical practice. The This strategy had been successful started 1998 in Heidelberg, supported themes of the 4 HRRS were: over the years and it was believed there by the Volkswagen Foundation, and was was no need to change it. Participants— • Istanbul (2008): How to integrate devoted to the topic “Research fields mostly child psychiatrists and research into clinical practice and strategies in child and adolescents psychologists in training—were selected • Beijing (2010): How to integrate psychiatry”. The following seminars by a committee of three experts basic and clinical research into according to the following criteria; participants should: 1st European Research Seminar. Heidelberg,1998 • have carried out some research already and preferably published some papers • have been recommended from their national society • not be older than 35 years and • have prepared a plan for a research project as part of their application. The seminars usually started on a Sunday with a get together and introduction of participants and mentors. From Monday to Friday there usually are 2 lectures given in the morning by the mentors and followed by an intensive discussion. After lunch IACAPAP Bulletin. June 2015 18 child and adolescent mental but also people from outside Every seminar always concludes with health the mental health field, parents an evaluation and the participants are • Paris (2012): How to evaluate and members of self-help given a certificate of attendance. effects of treatment strategies in organizations. The next HRRS will take place in child and adolescent psychiatry Social events at the Stellenbosch Kananaskis, Canada, from September 13 • Stellenbosch (2013): Developing meeting included an excursion to a to September 19, 2015 (see details in the research on child and adolescent mountain near the small and intimate next pages). mental health in Africa. guesthouse of the University of Cape Town where the seminar took place and It was intended that participants a wine tasting competition in a vineyard would network with each other after the nearby. seminars via the internet. Many of them have remained in contact and have qualified themselves as researchers. The most recent HRRS that took place in Stellenbosch, South Africa, in December 2013, incorporated two new features in the program: • Professor Petrus de Fries, coordinator of the seminar together with P-A Rydelius (), produced a booklet with the CV´s of the mentors and the participants as well as a short description of the participants’ projects to be discussed • He also organized a public lecture at the University of Cape Town delivered by Helmut Remschmidt on “Asperger Syndrome: from clinical observation to neurobiology and genetics”. The lecture was well attended; the audience comprised not only professionals

Top: Faculty and participants, HRRS in Paris (2012), and (bottom), Stellenbosch, South Africa (2013). Side: Faculty of the HRRS in Istanbul (2008)

IACAPAP Bulletin. June 2015 19 IACAPAP Bulletin. June 2015 20 IACAPAP Bulletin. June 2015 21 IACAPAP Bulletin. June 2015 22 A WINDOW TO CENTRAL ASIA

1st Fogarty/NIH International Symposium on Non-Communicable Diseases, Global Mental Health, and Neurodevelopmental Disorders across the Lifespan, Baku, Azerbaijan

Kerim Munir, Ikram Rustamov & Beverley Gilligan

The 1st International Symposium on Non- in collaboration with scholars in mental health NIH and IACAPAP in the region. The FIC Communicable Diseases on Global Mental and public health fields in Ankara, Turkey. / NIH program has a record of support Health and Neurodevelopmental Disorders The FIC / NIH program home is the Boston from senior officers of IACAPAP that have was held in Baku, Azerbaijan, hosted by the Children’s Hospital Division of Developmental included Dr Myron Belfer, President Emeritus Azerbaijan Medical University on March 16- Medicine and the University Center for and Dr Harper, who participated in training 17, 2015. The symposium was an activity of Excellence in Developmental Disabilities. The activities in Turkey dating back to 2001. the Fogarty International Center / National program director is Dr Kerim Munir, a current Dr Nese Erol, Professor of Developmental Institutes of Health (FIC / NIH) at the Boston Vice President of IACACAP. Representing Psychology in the Department of Child and Children’s Hospital and Harvard Medical IACAPAP in an official capacity was Dr Adolescent Psychiatry, Ankara University School, targeting postdoctoral trainees in the Gordon Harper, Treasurer, and Director of School of Medicine was the first major foreign newly independent states in Central Asia, Child and Adolescent Mental Health Services collaborator and IACAPAP Vice President. and in particular, Azerbaijan, Kazakhstan and in the Massachusetts Department of Mental Finally, Dr Fusun Cuhadaroglu, Professor Kyrgyz Republic. The program was organized Health. The symposium is a first for FIC / of Child Psychiatry and former Chair of the

Panel discussion with Dr Munir (podium) with Dr Geray Geraybeyli, Chief of Psychiatry (center, sitting) flanked by the Fogarty Fellows Drs Nigar Sadiyeva and Ikram Rustamov.

IACAPAP Bulletin. June 2015 23 Department of Child Psychiatry at Hacettepe University School of Medicine in Ankara, and current IACAPAP Secretary, was among the first group of FIC / NIH scholars to visit Boston in the summer of 2002. Beverley Gilligan is the Program Administrative Coordinator at Boston Children’s Hospital. This FIC / NIH program therefore is a progression of the program in Turkey. The symposium was an important next step in linking FIC / NIH and IACAPAP training missions in central Asia. It is hoped that it will lead to the development of corresponding national societies in child and adolescent psychiatry and allied child mental health professionals. The opening ceremony included remarks presentation on ADHD across the Lifespan; and a memorable evening commemorating by Professor Ahliman Amiraslanov, the Dr. Bora Baskak (Director of the Psychiatric the patients and their families in the “Fight Rector of Azerbaijan Medical University, Day Hospital, Ankara University School of Against Stigma”. This was a truly unique and Professor Nadir Ismayilov, President of Medicine) for his presentation on psychotic occasion that included a theatrical mime the Azerbaijan Psychiatric Association. This spectrum conditions; Dr Tuncay Ergene performance, as well as traditional dancing was followed by presentations by national (Professor of Counselling Psychology, and singing by current and former patients. leaders Professor Geray Geraybeyli, Chief Hacettepe University) for his presentation The evening was organized by the State Psychiatrist, Azerbaijan Republic and Chair, on special education. In addition the Psychiatric Institute with the sponsorship Azerbaijan Medical University Department of program director, Dr Munir, gave overarching of the Azerbaijan Psychiatric Association Psychiatry, and by Professor Fuad Ismayilov, presentations on the relationship between and the Embassy of the Federal Republic Director of the National Center for Mental NCD and global mental health, and on of Germany. The ceremony ended in a Health. neurodevelopmental disorders. We were reception with soft drinks and food offered by The symposium had a broad impact on delighted to listen to a presentation on child the families that gave us further opportuniy to mental health awareness, research capacity development in Azerbaijan by Dr Nigar witness the exhibition of the patients’ artwork development, as well as building a knowledge Sadiyeva, Fogarty Fellow and Azerbaijan displayed in the conference hall. It was base on neurodevelopmental disorders Medical University Department of Pediatrics. altogether a deeply inspiring experience and including autism spectrum disorders, The program would not be possible we feel privileged to share conversations with attention deficit and hyperactivity disorders, without the organizational skills of our in- staff, volunteers, patients, families, the larger and psychosis spectrum conditions. More country coordinator Dr Ikram Rustamov, community, and the international leadership than 150 postdoctoral physicians in child and Fogarty Fellow and Azerbaijan Medical during such a meaningful occasion. adolescent psychiatry, general psychiatry, University Assistant Professor of Child Acknowledgments: The symposium was developmental pediatrics, pediatric neurology, Psychiatry and who introduced the speakers supported by the Fogarty International Center and as well as clinical psychology, counseling/ and tirelessly coordinated the panels. the National Institute of Mental Health co-funded guidance and special education were in The event was a major step forward in the NIH grant under award number D43TW009680 at attendance. The FIC / NIH program also the Boston Children’s Hospital (PD/PI, Dr Kerim recognition of child and adolescent mental Munir). sponsored the international travel and health in the region and we are particularly lodging of 9 special guests from Kazakhstan pleased by the enthusiasm of the Azerbaijani, and the Kyrgyz Republic that included child Kazakh and Kyrgyz participants. The next and adolescent psychiatrists and general conference will be scheduled in the spring psychiatrists. Simultaneous translations were of 2016. The Journal of the Azerbaijan Top: opening ceremony address by Dr Fuad offered to participants in English-Azeri and Psychiatric Association will publish an Ismayilov, Director, National Center for Mental Health and Department of Psychiatry, Azerbaijan English-Russian languages throughout the abridged version of the presentations before meeting. Medical University. Below: exhibits of patient the end of 2015. We offer our thanks to artworks on the occasion of the “Fight Against We are very grateful to all the colleagues the Azerbaijan Medical University and the Stigma” special evening event on March 18, who travelled long hours to reach Baku Azerbaijan Psychiatric Association for their 2015. and share their academic experiences. support and Heydar In particular, we thank: Dr Sarah Spence Aliyev Center for their (Boston Children’s Hospital Pediatric endorsement. Baku Neurology) for her presentations on seizure served as a worthy disorders and ASD across the Lifespan; Dr capital of global mental Fedik Rahimov (Boston Children’s Hospital health over three exciting Genetics/Genomics), for his presentation days. on ASD genetics and genomics; Dr Harper Last, but not least, (IACAPAP Treasurer) for his presentations the conference activities on community care, Dr Ozgur Oner (Chair, were capped the next day Department of Child Psychiatry, Ankara with a visit to the National University School of Medicine) for his Center for Mental Health IACAPAP Bulletin. June 2015 24 ARE YOU A ‘FRIEND’ OF IACAPAP?

If not, click on the picture and become a friend of IACAPAP in Facebook to receive the latest: JOIN TO BE INFORMED • International news about child and adolescent mental MORE THAN 4000 health • Research findings • News about grants, fellowships and PROFESSIONALS WORLDWIDE conferences FOLLOW OUR NEWS! • IACAPAP news.

The History of IACAPAP By Kari Schleimer MD, PhD

This book, with many illustrations, describes the history of the association from its foundation and early times highlighting the many people who contributed to the development of IACAPAP, the congresses, publications, teaching activities and much more. To obtain a copy (20 €) email Kari Schleimer [email protected]

IACAPAP Bulletin. June 2015 25 SAVE THE DATE! The IACAPAP 2016 Congress will take place in Calgary, Canada, 18-22 September, 2016 in conjunction with the 36th Annual Conference for the Canadian Academy of Child and Adolescent Psychiatry (CACAP). The Congress theme is Fighting Stigma, Promoting Resiliency and Positive Mental Health.

Knowledge transfer and networking will be the core theme Sites - Canadian Rocky Mountain Parks, Dinosaur of the Congress scientific program, featuring thought- Provincial Park, Head-Smashed-in Buffalo Jump and provoking keynote presentations, oral and poster sessions, Waterton-Glacier International Peace Park - making it the symposia, institutes and workshops. You’ll have access to perfect starting point for vacation adventures. There are the foremost speakers in the field, including more than 20 also numerous day trips to take, including the Cowboy keynote presentations (see the preliminary speakers list Trail and the Royal Tyrrell Museum, offering one of the at the end of this article), and the opportunity to immerse world’s largest displays of dinosaurs a great family day out. themselves in a classroom-like environment alongside Vancouver and British Columbia, just a short distance from colleagues in Congress institutes and workshops. Calgary, also offer unique vacation opportunities, including At the end of each day, attendees can discover Calgary, an Alaskan cruise and a train ride through the Rockies. a safe, vibrant, and cosmopolitan city. The Congress The challenge is not figuring out what to do, but how to do venue and hotel are right downtown, within easy walking it all! For more pre- and post-Congress vacation ideas see distance of restaurants, bars, and shopping. Attractions the list at the end of this article. not to be missed include the Glenbow Museum (next to Visit www.iacapap2016.org and sign up for the IACAPAP the Congress venue), featuring a tremendous collection of 2016 e-newsletter to be notified of congress developments Canadian art, or you can reach for the skies at the top of as details are confirmed, including abstract submissions, the Calgary Tower. registration, sightseeing opportunities, program details Calgary is centered around four UNESCO World Heritage and more.

IACAPAP Bulletin. June 2015 26 IACAPAP 2016 keynote • Dr Connie Lillas, Interdisciplinary • Prof. Helmut Remschmidt, speakers Training Institute, USA Philipps-University Marburg, Building Resilience Through Germany More than 20 keynote speakers Community Partnerships: Longitudinal Studies in Child have been confirmed and will cover A Short Intro to the and Adolescent Delinquency: a diverse range of topics to appeal Neurorelational Framework Continuities, Discontinuities to a wide audience. The following list (NRF) and Resiliency of keynote speakers and their topics • Lt. Col. Chris Linford, Retired, • Prof. Heather Stuart, Queen’s have been confirmed: Canada University, Canada • Keli Anderson, Institute of The Impact of PTSD Upon the Stigma and its Consequences Families for Child and Youth Military Family- A Personal for Youth Mental Health, Canada Journey • Dr Stephen Suomi, National Rising Above the Stigma, • Dr Ashok Malla, McGill Institutes of Health, USA Blame and the Wait and University, Canada The determinants of mental See…A Family and Advocate’s Youth Mental Health: The New disorders, including resilience Journey Frontier to the social ecology • Tony Boeckh, Graham Boeckh • Dr Rod McCormick, Thompson • Dr Peter Szatmari, Centre for Foundation, Canada Rivers University, Canada, Addiction and Mental Health, Innovative Approaches to Mental Health Challenges for Canada Improve the Access, Support Indigenous people Stigma in ASD: Lest History and Treatment for Youth in the • Repeat Itself? Community Prof. Patrick McGorry, University of , Australia • Dr Richard Tremblay, University • Dr Anne Duffy, University of Youth Mental Health: College Dublin, University of Calgary, Canada Strengthening Psychiatry , Canada Child and Adolescent and Society through Reform Unraveling the Developmental Psychiatry: a Critical and Investment in the Mental Origins of Behaviour Opportunity to Recognize Health, Well-being and Problems: from Social Trajectories into Psychiatric Productivity of Young People Learning to Epigenetics Disorders and to Differentiate • • this from Normative Dr Olayinka Omigbodun, Dr Tracy Vaillancourt, University Development University College Hospital, of Ottawa, Canada Ibadan, Nigeria Understanding the • Dr Bruno Falissard, Université Child Mental Health Challenges Heterogeneity in Mental Paris-Sud, France in Africa Health Outcomes Among The disappearance of the • Bullied Youth: Genetic, subject in psychiatric research Dr Bruce Perry, Child Trauma Neurophysiological, and clinical practice Academy, USA The Impact of Trauma and and Neuroendocrine • Sheldon Kennedy, Sheldon Neglect on the Developing Considerations Kennedy Child Advocacy Centre, Child Canada Systems Collaboration • Michael Kirby, Partners for Mental Health, Canada Out of the Shadows Forever • Dr Stanley Kutcher, IWK Health Centre, Canada Integrated Youth Mental Health: an African Odyssey • Dr Alain Lesage, University of Montreal, Canada Perspectives de santé publique sur les déterminants du suicide et actions sociétales pour les enfants et adolescents (Public Health Perspective on the Determinants of Suicide and Social Actions for Children and Adolescents)

IACAPAP Bulletin. June 2015 27 • Hon. Michael Wilson, Barclays Pre-and post-Congress one of the country’s top tourist Capital Canada, Inc., Canada vacation experiences attractions. Visit the resort town Mental Health: A Social and of Banff and see some of the • Rocky Mountaineer - Economic Imperative for Our most beautiful and picturesque Experience the Rockies in style Kids and Our Country scenery in the world, including aboard the world renowned emerald lakes with snow-capped • Dr Ken Winters, University of Rocky Mountaineer train, you will mountains in the background. Minnesota Medical School, USA follow an historic train route from Drugs, Neuro-development, Calgary to Vancouver, enjoying • Cowboy Country Tour - Cognitive Functioning and the mountains, valleys, lakes, Experience the real west from a Mental Illness: Intersections and rivers of Alberta and British saddle. on the Adolescent Highway Columbia. Your Western adventure will take • Dr Charles Zeanah, Tulane • Banff National Park - you into the heart of Alberta’s University School of Medicine, Experience the awe-inspiring high country, home to legendary USA mountain peaks. ranches, rich grasslands, and Infant Mental Health Meets Cell friendly small towns, where Banff is approximately 90 and Molecular Biology: Models cowboys still tip their hats and minutes from Calgary and is of Risk and Recovery Western culture flourishes at rodeos, powwows, farmers’ markets and cowboy poetry festivals. • Kananaskis Country Tour - Experience the rugged countryside. Kananaskis Country is a 4,000 square kilometer network of three provincial parks within the Canadian Rockies that will captivate and invigorate you. Adventure and beautiful vistas await your visit. Activities include kayaking, canoeing, hiking, mountain biking, golfing, fishing, horseback riding, climbing and camping. • Alaska Cruise - Experience the majestic Glacier Bay. Onboard a luxurious cruise liner sailing from Vancouver to Alaska, you will tour the Inside Passage and open waters of the Pacific, popular for spectacular scenery, abundant wildlife, majestic glaciers, and First Nation cultures. • Badlands Tour (Drumheller) - Experience the valley of discovery and opportunity. Sculpted by ancient rivers, the moon-like Badlands were once the domain of dinosaurs. Echoes of Alberta’s rich history are whispered on prairie winds and mountain breezes. Beyond grassy plains and aspen groves, stately spruce and pine forests guard the gateway to the Rocky Mountains.

IACAPAP Bulletin. June 2015 28 PUBLISHING IN CAPMH FAQs

• What are the aims and • How can manuscripts be • Will I have to pay APC if my scope of CAPMH? submitted to CAPMH? institution is a Member? Child and Adolescent Psychiatry Please submit your manuscript Generally, if the submitting author’s and Mental Health is an open via our online submitting system at organization is a Full Member, the access, online journal that provides http://www.capmh.com/manuscript/; cost of the article-processing charge an international platform for rapid make sure that your manuscript is covered by the Membership. In the and comprehensive scientific conforms to the journal style (http:// case of authors whose institutions communication on child and www.capmh.com/info/instructions/) are Supporter Members of BioMed adolescent mental health across How are manuscripts processed? Central, however, a discounted different cultural backgrounds. The All articles submitted undergo article-processing charge is payable journal is aimed at clinicians and independent peer-reviewing by the author. Please check if your researchers focused on improving (sometimes several rounds; depending institution is a Member. BioMed Central now has 508 Members in the knowledge base for the diagnosis, on the authors’ responsiveness). 54 countries. Browse the Members prognosis and treatment of mental Independent reviewers are asked and their pages by country via the health conditions in children and to return their report within 3 weeks. following link www.biomedcentral. adolescents. In addition, aspects The average review time depends com/inst. which are still underrepresented on the speediness of the authors’ in the traditional journals such as in revising their article according to • Do authors from low-income neurobiology and neuropsychology the reviewers’ comments. The final countries have to pay APCs? of psychiatric disorders in childhood decision, acceptance or rejection, Authors from more than 90 low- and adolescence or international is made by the handling editor. The income countries receive automatic perspectives on child and adolescent average acceptance rate is 65%. All waivers on submission and do psychiatry are considered as well. articles are immediately published not have to pay article-processing upon formal acceptance (only few • Why publish your article in charges. This policy is supported by formatting checks are necessary BioMed Central open access waiver CAPMH? taking between 5 days and 3 weeks fund. BioMed Central provides an 1. High visibility: open access at most). The average time from automatic waiver to authors based policy allows maximum initial submission to final publication in any of the countries listed in the visibility of articles published is 19 weeks, much shorter than the website: www.biomedcentral.com/ (all articles are freely available average journal. authors/oawaiverfund/ on the journal website) • Why CAPMH does have an • Can charges be waived if the 2. Speed of publication: article processing charge? author cannot pay? fast publication schedule whilst maintaining rigorous Open access publishing is not Individual waiver requests will be peer review; publication without costs. BioMed Central, the considered on a case-by-case basis immediately on acceptance publisher of the journal, defrays these and may be granted in cases of lack costs through article-processing of funds. To apply for a waiver please 3. Flexibility: opportunity to charges (APC) because it does not request one during the submission publish large datasets, large have subscription charges. process. numbers of color illustrations and moving pictures, to • How much is CAPMH display data charging? 4. Copyright: authors retain the CAPMH levies an article-processing copyright of their articles and charge of £1170/$1990/€1480 for are free to reproduce and each article accepted for publication. disseminate their work IACAPAP Bulletin. June 2015 29 MEMBER ORGANIZATIONS Full members • Iraqi Association for Child Mental Health (IACMH) • Israel Society of Child and Adolescent Psychiatry • American Academy of Child and Adolescent Psychiatry (AACAP) • Japanese Society of Child and Adolescent Psychiatry • Associação Brasileira de Neurologia e Psiquiatria Infantil e Profissões • Korean Academy of Child and Adolescent Psychiatry (KACAP) Afins (ABENEPI) • Kuwait Association for Child and Adolescent Mental Health • Asociación Argentina de Psiquiatría Infantil y Profesiones Afines (AAPI) (KACAMH) • Asociación Argentina de Psiquiatría y Psicologia de la Infancia y la • Latvian Association for Child and Adolescent Psychiatry (LACAP) Adolescencia (ASAPPIA) • Lithuanian Society of Child and Adolescent Psychiatry • Asociación de Psiquiatría y Psicopatológica de la Infancia y la Adolescencia, Uruguay (APPIA) • Norwegian Association for Child and Adolescent Psychiatric Institutions • Asociación Española de Psiquiatría del Niño y del Adolescente (AEPNYA) • Österreichische Gesellschaft für Kinder- und Jugendneuropsychiatrie • Association for Child and Adolescent Psychiatry and Allied Professions in Nigeria (ACAPAN) • Polish Psychiatric Association - Scientific Section for Child and Adolescent Psychiatry • Asociación Mexicana de Psiquiatría Infantil AC (AMPI) • Romanian Society of Neurology and Psychiatry for Children and • Association for Child and Adolescent Mental Health, Adolescents (SNPCAR) (ACAMH) • Russian Association for Child Psychiatrists and Psychologists • Association for Child and Adolescent Psychiatry and Allied Professions (ACPP) of Serbia (DEAPS) • Section of Child and Adolescent Psychiatry of the College of • Australian Infant, Child, Adolescent and Family Mental Health Psychiatrists, Academy of Medicine, Singapore Association (AICAFMHA) • Section of Child Psychiatry of the Scientific Society of • Bangladesh Association For Child & Adolescent Mental Health Neurologists, Psychiatrists and Narcologists of Ukraine (BACAMH) • Slovenian Association for Child and Adolescent Psychiatry • Bulgarian Association of Child and Adolescent Psychiatry and Allied Professions (BACAPAP) • Sociedad Española de Psiquiatría y Psicoterapia del Niño y del Adolescente (SEPYPNA) • Canadian Academy of Child and Adolescent Psychiatry (CACAP) • Sociedad Mexicana de Paidopsiquiatría y Profesiones Afines AC • Child Mental Health Association of Egypt • Sociedad Uruguaya de Psiquiatría de la Infancia y de la • Chilean Society of Child and Adolescent Psychiatry and Neurology Adolescencia (SUPIA) (SOPNIA) • Società Italiana di Neuropsichiatria dell’Infanzia e • Chinese Association for Child Mental Health (CACMH) dell’Adolescenza (SINPIA) • Chinese Society of Child and Adolescent Psychiatry (CSCAP) • Société Belge Francophone de Psychiatrie de l’Enfant et de • Croatian Society of Child and Adolescent Psychiatry (CROSIPAP) l’Adolescent et des Disciplines Associées • Czech Association of Child and Adolescent Psychiatry • Société Française de Psychiatrie de l’Enfant et de l’Adolescent & • Danish Association for Child Psychiatry, Clinical Child Psychology and Disciplines Associées (SFPEADA) Allied Professions (BÖPS) • South African Association for Child and Adolescent Psychiatry • Deutsche Gesellschaft für Kinder- und Jugendpsychiatrie, and Allied Professions (SAACAPAP) Psychosomatik und Psychotherapie • Swedish Association for Child and Adolescent Psychiatry • Dutch Association of Psychiatry – Department of Child and Adolescent • Swiss Society for Child and Adolescent Psychiatry and Psychiatry Psychotherapy (SSCAPP) • Egyptian Child and Adolescent Psychiatry Association (ECAPA) • Taiwanese Society of Child and Adolescent Psychiatry (TSCAP) • Estonian Child and Adolescent Psychiatry Section of the Estonian • Turkish Association of Child and Adolescent Mental Health Psychiatric Association • Faculty of Child and Adolescent Psychiatry of the Royal Australian and Affiliated organizations New Zealand College of Psychiatrists (RANZCP) • Asociación Mexicana para la Práctica, Investigación y Enseñanza • Finnish Society for Child and Adolescent Psychiatry del Psicoanálisis, AC (AMPIEP) • Flemish Association of Child and Adolescent Psychiatry • Association for Child Psychoanalysis, USA • Hellenic Society of Child and Adolescent Psychiatry (HSCAP) • European Federation of Psychiatric Trainees (EFPT) • Hungarian Association for Paediatric Neurology and Child and • KCHAMHA, Kosovo Adolescent Psychiatry • Pakistan Psychiatric Society (PPS) • Icelandic Association for Child and Adolescent Psychiatry • Romanian Association for Child and Adolescent Psychiatry and Allied Professions (RACAPAP) • Indian Association for Child and Adolescent Mental Health • Section of Child and Adolescent Psychiatry - Slovak Psychiatric • Iranian Academy of Child and Adolescent Psychiatry (IACAP) Society IACAPAP Bulletin. June 2015 30 IACAPAP OFFICERS www.iacapap.org

President Honorary Presidents Monograph Editors Bruno Falissard MD, PhD E. James Anthony MD (USA) Matthew Hodes MBBS, BSc, Professor of Public Health, [email protected] MSc, PhD, FRCPsych (UK) Université Paris-Sud. Paris, France. Myron L. Belfer MD, MPA [email protected] [email protected] (USA) Susan Shur-Fen Gau MD, [email protected] PhD (Taiwan) [email protected] Secretary General Colette Chiland MD, PhD Füsun Çuhadaroğlu Çetin MD (France) Bulletin & eTextook Professor of Child and Adolescent [email protected] Psychiatry, Hacettepe University Helmut Remschmidt, MD, Editor School of Medicine, Ankara, Turkey. PhD (Germany) Joseph M. Rey MD, PhD [email protected] [email protected] (Australia) [email protected] Treasurer Honorary Member Gordon Harper MD (Archivist) Donald F. Cohen Associate Professor of Psychiatry, Fellowship Program Kari Schleimer MD, PhD Harvard Medical School, Medical () Naoufel Gaddour MD (Tunisia) Director Child &Adolescent [email protected] Services, Massachusetts [email protected] Department of Mental Health. 128 Ayesha Mian. MD (Pakistan) Crafts Road, Chestnut Hill, MA Vice Presidents [email protected] 02467, USA. Daniel Fung MD (Singapore) [email protected] Helmut Remschmidt [email protected] Research Seminar Past President Susan Shur-Fen Gau MD, PhD (Taiwan) Per-Anders Rydelius MD, Olayinka Omigbodun MBBS, [email protected] PhD (Sweden) MPH [email protected] Hesham Hamoda MD, MPH Professor of Psychiatry, Centre for Petrus J de Vries MBChB, Child & Adolescent Mental Health (USA) Hesham.Hamoda@childrens. PhD(South Africa) (CCAMH), University of Ibadan; [email protected] College of Medicine, University of harvard.edu Ibadan; University College Hospital. Sigita Lesinskiene MD, PhD Ibadan, 200010, Nigeria. (Lithuania) Liaison with CAPMH [email protected] [email protected] Journal Kerim Munir MD (USA) Christian Kieling MD (Brazil) [email protected] [email protected] Christina Schwenck Dr Phil Andres Martin MD, MPH (Germany) (USA) [email protected] [email protected] Laura Viola MD, PhD (Uruguay) Counsellors [email protected] Joaquin Fuentes MD (Spain) Chris Wilkes BSc, MB, ChB, [email protected] MPhil (Canada) Patrick Haemmerle chris.wilkes@albertahealthservices. MD, MPH (Switzerland) ca [email protected] Yi Zheng MD (People’s Bung Nyun Kim MD, PhD Republic of China) (South Korea) [email protected] [email protected]

IACAPAP Bulletin. June 2015 31