DOI: 10.13056/acamh.18898



In this podcast, we are joined by Consultant Child and Adolescent Psychiatrist Dr. Aisha Sanober Chachar, who is co-founder and Director of Synapse, Pakistan Neuroscience Institute. Aisha has a special interest in transcultural child and adolescent psychiatry.



Having worked as a clinician in Pakistan, and having had her clinical rotations as a trainee in Nigeria and the UK, Aisha sets the scene by talking us through her journey from academia, to not-for-profit, to mental health entrepreneurship.



Aisha provides insight into the global dearth in CAMH specialists, deficits in health training around the world, the impact that COVID has had in terms of global child mental health inequality; and how do these health disparities affect children and families.



Aisha talks us through, in her view, the difference between adult and child mental health in an unequal world, and how we can foster a more global approach to address disparities and inequalities within child and adolescent mental health.



Furthermore, Aisha also discusses what child and adolescent mental health professionals can do to highlight or alleviate health inequalities; as well as what parents, schools, and other stakeholders can do too.






Mental Health Inequality, and Disparity, in an Unequal World

We focus on bridging the gap between rigorous research and best practice relating to children's mental health. We hold a body of knowledge and act as information hub for sharing best practice to benefit all of those who work with children. Visit our website (https://www.acamh.org/) for a host of free evidence-based mental health resources.

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DOI: 10.13056/acamh.30077



In this In Conversation podcast, Dr. Seonaid Anderson is joined by Dr. Maddie Groom, Dr. Holan Liang, Dr. Camilla Babbage, Emma McNally, and Dr. Andrew Curran for a round table discussion on Tics and Tic Disorders, such as Tourette Syndrome.



Discussion points include:






The build-up of momentum and awareness raising around Tics and Tic Disorders.
The lack of clear clinical pathways in many parts of the UK for how referrals for Tics and Tourette’s are dealt with.
The importance of patient and family voices in service development and the challenges people with Tourette Syndrome are facing in accessing services.
What can be done in terms of getting the attention of Commissioners or changing the structure.
How NICE guidelines for Tourette Syndrome could change the field.
How best to support healthcare professionals in their work regarding Tics and Tourette Syndrome.

This episode is part of The Association for Child and Adolescent Mental Health’s series on Tourette Syndrome and Tic Disorders. The series explores the evidence-based research on Tourette Syndrome, and other Tic Disorders, as well as the education, treatments, and research in this area.



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Ready for Change? The Changing Picture of Tourette Syndrome in the UK

DOI: 10.13056/acamh.27660



In this In Conversation podcast, Dr. Seonaid Anderson is joined by Dr. Charlotte Hall, Dr. Tammy Hedderly, Joe Kilgariff, and Lisa Rudge for a round table discussion on Tics and Tic Disorders, such as Tourette Syndrome.



Discussion points include:






The prevalence of Tics and Tic Disorders and to what extent are Tics and Tic Disorders still a misunderstood condition.
Diagnosis as a gateway to getting support and the difficulty of receiving a diagnosis.
The importance of increasing a general understanding of what Tics are.
The impact of labelling and the language used and the surrounding discourse.
The two main strands of treatment – the medication strand and the Behavioural Therapy strand – and the challenges of accessing treatment.
Importance of collaboration between patient community, the associations and health professionals and how to get more patients involved in research.
Overview of some current research projects, including the INTEND project and the ORBIT-UK study.
The need for NICE guidelines on Tic Disorders to improve diagnosis, treatment, and management, and the impact of the lack of NICE guidelines on equity of services.

This episode is part of The Association for Child and Adolescent Mental Health’s series on Tourette Syndrome and Tic Disorders. The series explores the evidence-based research on Tourette Syndrome, and other Tic Disorders, as well as the education, treatments, and research in this area.



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Understanding Tic Disorders: A Round Table on Diagnosis, Treatment, and Research

DOI: 10.13056/acamh.28954



In this Papers Podcast, Dr. Matti Cervin discusses his JCPP paper ‘Efficacy and acceptability of cognitive-behavioral therapy and serotonin reuptake inhibitors for pediatric obsessive-compulsive disorder: a network meta-analysis’ (https://doi.org/10.1111/jcpp.13934). Matti is the lead author of the paper.



There is an overview of the paper, methodology, key findings, and implications for practice.



Discussion points include:






The importance of examining efficacy and acceptability of cognitive-behavioural therapy and serotonin reuptake inhibitors in the context of the pediatric population.
The two domains of treatments that have an evidence base for paediatric obsessive-compulsive disorder (OCD) – cognitive-behavioural therapy and medication.
The difference between different forms of cognitive-behavioural therapy (CBT) delivery – traditional in-person, remote CBT, and internet-delivered CBT.
Difference between in-person CBT and internet-delivered CBT.
Implications for policymakers and child and adolescent mental health professionals.

In this series, we speak to authors of papers published in one of ACAMH’s three journals. These are The Journal of Child Psychology and Psychiatry (JCPP); The Child and Adolescent Mental Health (CAMH) journal; and JCPP Advances.



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Which Treatments Work for Pediatric OCD? Efficacy and Acceptability of CBT and Serotonin Reuptake Inhibitors

DOI: 10.13056/acamh.27597



In this Papers Podcast, Maria Palma and Associate Professor Alice Goisis discuss their co-authored JCPP paper ‘Medically assisted reproduction and mental health in adolescence: evidence from the UK Millennium Cohort Study’ (https://doi.org/10.1111/jcpp.13877).



There is an overview of the paper, methodology, key findings, and implications for practice.



Discussion points include:






What the UK Millennium Cohort Study is.
The differences in parental reports on adolescent mental health between MAR (medically assisted reproduction) adolescents and naturally conceived adolescents.
The differences between adolescent self-reports and parental reports on adolescent mental health.
The association between MAR conception and mental health outcomes in adolescents.
Implications for clinical practice and researchers.

In this series, we speak to authors of papers published in one of ACAMH’s three journals. These are The Journal of Child Psychology and Psychiatry (JCPP); The Child and Adolescent Mental Health (CAMH) journal; and JCPP Advances.



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Medically Assisted Reproduction and Mental Health in Adolescence

DOI: 10.13056/acamh.27603



In this In Conversation podcast, Dr. Seonaid Anderson is joined by Professor Chris Hollis, who is leading a research team working on a research project about ADHD medication and Tics. The focus of this podcast is on this research project, called The SATURN Trial.



The full name of the trial is the ‘Stimulant Medication for ADHD and Tics – Understanding Response versus Non-stimulants (SATURN): a randomised trial of the clinical and cost-effectiveness of methylphenidate versus Guanfacine for ADHD in children and young people with a co-existing tic disorder’.



Discussion points include:






Definition of Tics and ADHD.
Potential challenges of differentiating between tics from a Tic Disorder, such as Tourette Syndrome, from other movements from conditions such as chorea dystonia myoclonus.
Differentiating between stimming movements and tics.
The reason behind The SATURN Trial and how it is funded.
The effectiveness of non-stimulant medication in treating the symptoms of ADHD.
Co-morbidity and Tic Disorders.
Impact of the ongoing shortage of ADHD medication on patients.
Why people should be encouraged to get involved in this research and the clinical implications from this research.

This episode is part of The Association for Child and Adolescent Mental Health’s series on Tourette Syndrome and Tic Disorders. The series explores the evidence-based research on Tourette Syndrome, and other Tic Disorders, as well as the education, treatments, and research in this area.



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Mental Health Inequality, and Disparity, in an Unequal World

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