Taking adolescent mental health care global

Youth depression program for Central America

Kate Rogers - April 16, 2012

Dr. Jorge Rodriguez, Dr. Stan Kutcher and Dr. Iliana Garcia-Ortega, with Dr. Victor Aparicion (sub-regional director for Central America, PAHO) and Dr. Amarlis Amador (head of mental health Caja del Seguro, Panama). (Stella Ducklow photo)
Dr. Jorge Rodriguez, Dr. Stan Kutcher and Dr. Iliana Garcia-Ortega, with Dr. Victor Aparicion (sub-regional director for Central America, PAHO) and Dr. Amarlis Amador (head of mental health Caja del Seguro, Panama). (Stella Ducklow photo)

Youth depression is a global problem that needs global solutions.

A program developed by Dalhousie’s Dr. Stan Kutcher that aims to help primary health care providers identify, diagnose and treat adolescent depression recently received rave reviews during a three-day workshop in Panama City.

Dr. Kutcher, the Sun Life Financial Chair in Adolescent Mental Health, has been working to make the program available to countries in Central America. The course, titled “Identification, Diagnosis and Treatment of Adolescent Depression for Primary Health Care Providers,” was developed by the Sun Life Financial Chair team in Halifax to include information to help first contact health providers address major depressive disorders in adolescents and provide resources for assessing suicide risks and youth.

The program was enhanced and translated into Spanish by Dr. Iliana Garcia-Ortega, a native Spanish-speaking psychiatrist with the Sun Life Financial Chair, as part of collaborative work with WHO/PAHO. Drs. Kutcher and Garcia-Ortega then received funding from Health Canada under the International Health Grant Program to host a workshop in Panama City to present the program to government mental health decision makers, key mental health and primary care providers from Central America and senior PAHO representatives.

Success through collaboration


The workshop, which took place March 6-9, not only trained participants in the program, but laid the groundwork for a Central America child and youth mental health collaborative network.

“We are very, very pleased so far,” says Dr. Kutcher, who is also director of the World Health Organization/Pan American Health Organization Collaborating Center in Mental Health Policy and Training at Dalhousie University and the IWK Health Centre. “The program has been a huge success and we have received tremendous support.”

Dr. Jorge J. Rodriguez, senior advisor in mental health for PAHO/WHO was also very happy with the results of the event.

“The workshop was an example of successful joint effort between PAHO and WHO/PAHO Collaborating Center on Mental Health of the Dalhousie University,” he said. “The participants established a clear and strong commitment to continue working on this proposal in their respective countries.”

Representatives from Guatemala, El Salvador, Nicaragua, Honduras, Costa Rica and Panama all committed to moving the project forward and implementing the program in their respective countries.

Readers Say

I applaud your efforts in working globally with health care providers to identify and treat adolescent depression and assess the risk for harmful behaviour. The existing resources and treatment plans are sorely lacking in Nova Scotia and I would hope that your work will help those working in the mental health system to improve upon that. When we put adolescents into the mental health system, they should not be warehoused, but resources should be available to help them develop behaviours and attitudes to manage future bouts of depression. The depression does not take a break during the evening hours and unfortunately, that is when these young people are most alone and vulnerable. Let's look at developing the kinds of facilities that have trained, professional help available round the clock. Expensive? Yes - but is it more expensive than the long-term care often necessary for those adolescents who will carry depression with them, off and on, for life? I have, unfortunately, seen young people institutionalized who have come out more troubled than they were when they went in. It pains my heart. Let's fix this.

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