Family Work in the Community and CAMH Care System

  • Bhoomikumar JegannathanEmail author
Living reference work entry
Part of the Mental Health and Illness Worldwide book series (MHIW)


Engaging with the families is of paramount importance in CAMH care settings. The families bear the burden of care due to dearth of professionals and meager resource allocation to CAMH services, particularly in the LMICs. The global mental health movement and the health policy advocates propose the Western model of distress and mental illness as a dominant paradigm to the neglect of the family that is deeply rooted to the society, religion, and culture. New ways of helping and evidence-based solutions could be offered by giving voice to the families through research, policy, and practice that reflects the sociocultural milieu in which children and families live. Improved knowledge and understanding of child rearing practices and belief systems of families across diverse ethnic communities, faiths, traditions, and cultural beliefs will enrich the field of child and adolescent mental health.


Empowering Prevention Integration Resource allocation Displaced persons Grandparents 


  1. Alfredsson M, San Sebastian M, Jegannathan B (2017) Attitudes towards mental health and the integration of mental health services into primary health care: a cross-sectional survey among health-care workers in Lvea Em District, Cambodia. Glob Health Action 10(1):1331579PubMedPubMedCentralGoogle Scholar
  2. Aryal N, Regmi PR, van Teijlingen E, Simkhada P, Mahat P (2019) Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South-East Asia J Public Health 8:38–41PubMedGoogle Scholar
  3. Betancourt TS, Ng LC, Kirk CM, Munyanah M, Mushashi C, Ingabire C et al (2014) Family-based prevention of mental health problems in children affected by HIV and AIDS: an open trial. AIDS 28:S358–S368Google Scholar
  4. Bhana A, Bachoo S (2011) The determinants of family resilience among families in low- and middle-income contexts: a systematic literature review. S Afr J Psychol 41(2):131–139Google Scholar
  5. Bögels SM, Lehtonen A, Restifo K (2010) Mindful parenting in mental health care. Mindfulness 1(2):107–120PubMedPubMedCentralGoogle Scholar
  6. Breuer E, De Silva M, Lund C (2018) Theory of change for complex mental health interventions: 10 lessons from the programme for improving mental healthcare. Global Mental Health 5:e24PubMedPubMedCentralGoogle Scholar
  7. Charles H, Manoranjitham S, Jacob K (2007) Stigma and explanatory models among people with schizophrenia and their relatives in Vellore, South India. Int J Soc Psychiatry 53(4):325–332PubMedGoogle Scholar
  8. Dykens EM (2015) Family adjustment and interventions in neurodevelopmental disorders. Curr Opin Psychiatry 28(2):121–126PubMedPubMedCentralGoogle Scholar
  9. Hailemariam M, Fekadu A, Selamu M, Alem A, Medhin G, Giorgis TW et al (2015) Developing a mental health care plan in a low resource setting: the theory of change approach. BMC Health Serv Res 15:429PubMedPubMedCentralGoogle Scholar
  10. Heflinger CA, Hinshaw SP (2010) Stigma in child and adolescent mental health services research: understanding professional and institutional stigmatization of youth with mental health problems and their families. Admin Pol Ment Health 37(1–2):61–70Google Scholar
  11. Hernandez M, Hodges S (2006) Applying a theory of change approach to interagency planning in child mental health. Am J Community Psychol 38(3–4):165–173PubMedGoogle Scholar
  12. Houtrow AJ, Okumura MJ (2011) Pediatric mental health problems and associated burden on families. Vulnerable Child Youth Stud 6(3):222–233PubMedPubMedCentralGoogle Scholar
  13. Keynejad RC, Dua T, Barbui C, Thornicroft G (2018) WHO mental health gap action Programme (mhGAP) intervention guide: a systematic review of evidence from low and middle-income countries. Evid Based Ment Health 21(1):30–34PubMedGoogle Scholar
  14. Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O et al (2011) Child and adolescent mental health worldwide: evidence for action. Lancet 378(9801):1515–1525PubMedGoogle Scholar
  15. Lu C, Li Z, Patel V (2018) Global child and adolescent mental health: the orphan of development assistance for health. PLoS Med 15(3):e1002524PubMedPubMedCentralGoogle Scholar
  16. McDermott BM, Cobham VE (2014) A stepped-care model of post-disaster child and adolescent mental health service provision. Eur J Psychotraumatol 5:1–10. Scholar
  17. Mukolo A, Heflinger CA, Wallston KA (2010) The stigma of childhood mental disorders: a conceptual framework. J Am Acad Child Adolesc Psychiatry 49(2):92–198PubMedPubMedCentralGoogle Scholar
  18. Murthy RS (2003) Family interventions and empowerment as an approach to enhance mental health resources in developing countries. World Psychiatry 2(1):35–37PubMedPubMedCentralGoogle Scholar
  19. Nikapota A (2009) Cultural issues in child assessment. Child Adolesc Mental Health 14(4):200–206Google Scholar
  20. Odegård A, Bjørkly S (2012) The family as partner in child mental health care: problem perceptions and challenges to collaboration. J Can Acad Child Adolesc Psychiatry 21(2):98–104PubMedPubMedCentralGoogle Scholar
  21. Olin SS, Hoagwood KE, Rodriguez J, Ramos B, Burton G, Penn M et al (2010) The application of behavior change theory to family-based services: improving parent empowerment in children’s mental health. J Child Fam Stud 19(4):462–470PubMedPubMedCentralGoogle Scholar
  22. Patel V, Flisher AJ, Hetrick S, McGorry P (2007) Mental health of young people: a global public-health challenge. Lancet 369:1302–1313PubMedGoogle Scholar
  23. Patole J (2018) The impact of globalization on the new middle class family in India. IOSR J Humanit Soc Sci 23(1):6, 14–26Google Scholar
  24. Paton K, Hiscock H (2019) Strengthening care for children with complex mental health conditions: views of Australian clinicians. PLoS One 14(4):e0214821PubMedPubMedCentralGoogle Scholar
  25. Patterson JE, Abu-Hassan HH, Vakili S, King A (2018a) Family focused care for refugees and displaced populations: global opportunities for family therapists. J Marital Fam Ther 44(2):193–205PubMedGoogle Scholar
  26. Patterson JE, Edwards TM, Vakili S (2018b) Global mental health: a call for increased awareness and action for family therapists. Fam Process 57(1):70–82PubMedGoogle Scholar
  27. Pfefferbaum RL, Jacobs AK, Noffsinger MA, Pfefferbaum B, Sherrieb K, Norris FH (2012) The burden of disaster: part II. Applying interventions across the child’s social ecology. Int J Emerg Ment Health 14(3):175–187PubMedPubMedCentralGoogle Scholar
  28. Quinet A, Shelmerdine S, Dessel PV, Unger JP (2015) Family therapy in developing countries primary care. J Fam Med Dis Prev 1:006Google Scholar
  29. Rousseau C, Pontbriand A, Nadeau L, Johnson-Lafleur J (2017) Perception of interprofessional collaboration and co-location of specialists and primary care teams in youth mental health. J Can Acad Child Adolesc Psychiatry 26(3):198–204PubMedPubMedCentralGoogle Scholar
  30. Sok D, Kao S, Jegannathan B (2018) Burden of care and mental health impact on caregivers of children with autism spectrum disorder and developmental delay. Thesis for the degree of master of arts in clinical and counselling psychology (unpublished), Department of psychology, Royal University of Phnom PenhGoogle Scholar
  31. Timimi S (2005) Effect of globalisation on children’s mental health. Br Med J 331(7507):37–39Google Scholar
  32. van de Put WACM, Eisenbruch M (2004) Internally displaced Cambodians: healing trauma in communities. In: Miller KE, Rasco LM (eds) The mental health of refugees: ecological approaches to healing and adaptation. Lawrence Erlbaum Associates Publishers, Mahwah, pp 133–159Google Scholar
  33. Wang F, Lin L, Xu M, Li L, Lu J, Zhou X (2019) Mental health among left-behind children in rural China in relation to parent-child communication. Int J Environ Res Public Health 16(10):1855PubMedCentralGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.The Child and Adolescent Mental Health (Caritas-CCAMH)Caritas-CCAMHTakhmauCambodia

Section editors and affiliations

  • Eric Taylor
    • 1
  • John CM Wong
    • 2
  1. 1.Child and Adolescent Psychiatry Department, Institute of PsychiatryKing's College LondonLondonUK
  2. 2.Department of Psychological MedicineNational University Health SystemSingaporeSingapore

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