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Targeting Children's Mental Health

WASHINGTON (Reuters Health) - US Surgeon General Dr. David Satcher unveiled an action plan yesterday aimed to improve services for children and adolescents with mental health problems, which the Clinton administration calls a ``health crisis.''

``Growing numbers of children are suffering needlessly because their emotional, behavioral and developmental needs are not being met by the very institutions and systems that were created to take care of them,'' Satcher said in a statement.

One in 10 US children and adolescents suffer from mental illness severe enough to cause impairment, according to the report, titled ``National Action Agenda on Children's Mental Health.'' But less than one in five of these children receive needed treatment in any given year.

The report identifies eight goals with strategies to improve mental health services for young people and their families. These include promoting public awareness of children's mental health issues, reducing the stigma surrounding mental illness, and enhancing the assessment and recognition of mental health needs in children.

Only when primary care physicians, pediatricians and other front-line clinicians recognize a mental health problem can a child or adolescent receive the appropriate care, he said, adding that physicians need to keep up with the latest research and treatment protocols in this area.

``Frequently, the signs go unrecognized by pediatricians, teachers and by others,'' Dwyer told Reuters Health. In fact, depression and anxiety disorders are twice as prevalent among younger people than is the widely recognized attention-deficient disorder, he added. ``The toll is quite dramatic, both socially and developmentally.''

The Surgeon General's report is significant, Dwyer noted, in that it is addressing a wider audience than normal on these issues. The report is also geared toward educators, justice and law enforcement officials as well as insurance companies.

``We must educate all persons who are involved in the care of children on how to identify early indicators for potential mental health problems,'' Satcher said. ``This begins with families. We need to help families understand that these problems are real, that they often can be prevented, and that effective treatments are available.''

Reference Source 89

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