Journal of the American Academy of Child & Adolescent Psychiatry
American Journal of Psychiatry
Child and Adolescent Psychiatry and Mental Health
NOTE: chapters in different languages may vary slightly in content because the core materials of the Textbook, which are initially published in English, are updated continuously. For logistic reasons, translations to other languages are not updated at the same time but only when resources are available. Not all chapters are available in all languages for the same reason.
Editors: Joseph M. Rey, MD, PhD, FRANZCP & Andrés Martin MD, MPH
The opinions expressed are those of the authors and do not necessarily represent the views of the Editors or of IACAPAP.
This publication seeks to describe the best treatments and practices based on the scientific evidence available at the time of writing as evaluated by the authors and may change as a result of new research findings. Readers need to apply this knowledge to patients in accordance with the guidelines and laws of their country of practice. Some medications may not be available in some countries and readers should consult information about the specific drug since not all dosages and unwanted effects are mentioned.
Organizations, publications and websites are cited or linked to illustrate issues or as a source of further information. This does not mean that authors, the editors or IACAPAP endorse their content or recommendations, which should be critically assessed by the reader. Websites may also change or cease to exist.
©IACAPAP 2019. This is an open-access publication under the Creative Commons Attribution Non-commercial License. Use, distribution and reproduction in any medium are allowed without prior permission provided the original work is properly cited and the use is non-commercial.
Suggested citation: JM Rey’s IACAPAP e-Textbook of Child and Adolescent Mental Health. Rey JM & Martin A (eds). Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions, 2019
Dr Daniel Fung is married to Joyce and the father of 5 grown up children. He is currently the Chairman Medical Board of Singapore’s Institute of Mental Health since 2011. Dr Fung is an Adjunct Associate Professor at all 3 medical schools in Singapore.
Dr Fung is currently the President of the International Association for Child and Adolescent Psychiatry and Allied Professions. He was awarded the National Day (Public Service Administration (Bronze)) Award in 2017 and the National Medical Excellence Award (Team) in 2018 for his work on community and school based mental health.
Dr Fung is interested in the treatment of emotional and behavioural disorders in children and he has advocated for the development of child mental health services and strategies through his research
Dr Fung’s research is supported by the National Medical Research Council and other agencies. He has co-authored over 160 peer reviewed research papers (118), books (32) and book chapters(18).
Dr. Christina Schwenck is professor for Special Needs Educational and Clinical Child and Adolescent Psychology at the University of Giessen, Germany. She is a trained child and adolescent psychotherapist (specification behavior therapy) and a trained supervisor. Her research interests comprise selective mutism, conduct disorder, and children of parents with mental illness. She has published 56 articles in peer-reviewed journals and several book chapters on childhood mental health. She is editor of three book series on child and adolescent psychotherapy, psychology in school and psychotherapeutic children´s books. In her free time, she follows her passion for photography around the globe.
Dr. Schwenck is currently the Secretary General of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP). Her vision is to strengthen training and promotion of child and adolescent mental health professionals, particularly in low- and middle-income countries, including long-term mentorships for early career scientists and clinicians in this important field. Furthermore, she aims at alluring allied professions for IACAPAP to enhance active collaboration between professions in order to provide optimal supply for children and adolescents with mental health problems.
Dr. Andrés Martin is the Riva Ariella Ritvo Professor at the Child Study Center, Yale School of Medicine, in New Haven, CT, USA. A native of Mexico City, he obtained his MD from the Universidad Nacional Autónoma de México, and trained in psychiatry and child and adolescent psychiatry at Harvard Medical School-affiliated hospitals. He obtained his MPH in chronic disease epidemiology from the Yale School of Public Health, and is currently a PhD candidate in medical education at the University of Groningen, in the Netherlands.
Dr. Martin has been affiliated with IACAPAP since 2004, when he helped coordinate the first Donald J. Cohen Mentorship Program in Berlin. For the next ten years he co-led the Program with Dr. Joaquín Fuentes from Spain, before passing on the leadership responsibility to younger colleagues (and Program alumni) Ayesha Mian from Pakistan and Naoufel Gaddour from Tunisia.
Dr. Martin is editor emeritus of the Journal of the American Academy of Child and Adolescent Psychiatry, past editor of the IACAPAP Bulletin, and since 2018, co-editor of J.M. Rey’s IACAPAP e-Textbook of Child and Adolescent Mental Health. Together with Drs. Matías Irarrázabal from Chile and Joaquín Fuentes from Spain, he coordinated the first complete translation of the e-Textbook, into Spanish.
Currently a Vice-president of IACAPAP (for North and Latin America), Dr. Martin also serves as the Association’s liaison to its flagship scholarly outlet, Child and Adolescent Psychiatry and Mental Health.
After receiving B.A. at College of Medicine, Seoul National University, Dr. Kim BN received both M.A. and Ph.D. at Graduate School of Medicine, Seoul National University.
Since 2002, he has been a Professor at College of Medicine, Seoul National University and has been working as the division director of the Child and Adolescent Psychiatry, Seoul National University Hospital.
His main fields of research include brain imaging, genetic & environmental studies of Neurodevelopmental Disorders including ADHD, ASD and Tic disorders. He has published 157 peer reviewed articles in SCI-International Journals & 62 articles in Korean Journals. He has also taken charge of some public mental heath research & educational programs for governmental mental health system and policy development for children & adolescents.
From 2009 to 2011, he spent 2 years in Queensland Brain Institute & Child Trauma Center, Kids in Mind, University of Queensland, Brisbane, Australia as a visiting professor, and he extended his sincere interest to the psychiatry community, school based mental health & social psychiatry for youngsters. Since returning to Korea, he has actively engaged himself in several social acts. He has served as the chairperson of the Korean Association for Persons with Autism, and he has collaborated with the Korean government including the Ministry of Health and Welfare, the Ministry of Education, and the Ministry of Justice.
He also participates actively in the KACAP and is working as a director of academic affairs, a director of international affairs, and he is contributing to international associations as a full member of Executive Committee member of IACAPAP & ASCAPAP.
– Professor, Department of Psychiatry (Child & Adolescent) College of Medicine, Seoul National University
– Director, Division of Child & Adolescent Psychiatry, Seoul National University Hospital
– Director, ADHD and Neurodevelopmental Disorders Translational Research Center
– Director, Emotion & Quality of Life Center, Seoul National University Children’s Hospital.
– Vice President, IACAPAP
After some initial training in mathematics and fundamental physics (Ecole Polytechnique, Paris), Bruno Falissard engaged in medical studies and specialized in Child and Adolescent Psychiatry in 1991. His PhD was in biostatistics and his post doc in psychometrics and exploratory multimensional methods. He was assistant professor in child and adolescent psychiatry in 1996-1997 and full professor in Public health from 2002.
He is at the head of the “Center of research in Epidemiology and Population Health” (500 members). He is co-author of about 400 papers and author of 4 books. He has a clinical activity in child and adolescent psychiatry. His personal areas of research are about methodology and epistemology of mental health research. He was president of IACAPAP (International Association of Child and Adolescent Psychiatry and Allied Professions) from 2015 to 2018, and he is a member of the French Academy of Medicine.
Joseph M. Rey, a consultant child and adolescent psychiatrist, has worked helping children, teenagers and their families for more than 30 years. As director of Sydney’s Rivendell Unit, he contributed to the introduction of systematic assessment and the delivery of treatment packages for specific disorders in Australian child psychiatric practice.
As director of child and adolescent mental health services in Northern Sydney, he established a comprehensive and integrated child and adolescent mental health service. He has been conjoint professor of child and adolescent psychiatry at the University of Sydney and professor of psychiatry at Notre Dame University Medical School Sydney.
Dr Rey has published more than 200 research and educational papers as well as several books in areas as disparate as depression, alternative treatments, epidemiology, diagnosis, disruptive behaviour disorders, marijuana use, and ECT, to name a few. For his contribution to the IACAPAP Bulletin and the IACAPAP e-Textbook of Child and Adolescent Mental Health, he was presented the IACAPAP Medal in 2012 and the International Contribution Award in 2014.
Kaija Puura, M.D., Ph.D is Professor of Child Psychiatry in Tampere University, Finland, and Chief of Child Psychiatry in Tampere University Hospital. She has authored or co-authored over 80 peer reviewed articles, and chapters in both national and international books on assessment and treatment of young children, and is an Associate Editor of the Infant Mental Health Journal.
Her research interests cut across the following areas: gene-environment interplay in social and emotional development of young children; emotion regulation and shared pleasure and joy in parent-child interaction; development of digitalized services for families with young children and use of virtual reality as a part of child psychiatric treatment. She is a member of the Finnish Child Psychiatric Association, and of the World Association for Infant Mental Health.
She received the WAIMH New Investigator Award (2002), was appointed Associate Executive Director of the WAIMH 2009, and Executive Director of WAIMH 2018. In July 2018 Professor Puura became Vice President of the International Association for Child and Adolescent Psychiatry and Allied Professions.
Dr Maite Ferrin obtained her medical degree at the University of Navarra, Spain, before completing her MSc (Child and Adolescent Mental Health) and PhD (Neuroscience) research at King’s College London and the University of Granada respectively.
Dr Ferrin has been a full-time Consultant Psychiatrist since 2006, specialising in child and adolescent psychiatry and with a special interest in neurodevelopmental conditions.
She has lead psychoeducation projects for patients with ADHD and ASC, their families and their teachers in both Spain and London. She has sat on the European ADHD Guidelines Group (EAGG, Eunethydis) and is part of the Steering Committee for the ADHD Continuum European project since 2010.
Dr Ferrin is also active in research, with more than 40 international peer-reviewed publications and book chapters on ADHD, ASD and Early Onset Psychosis to her name. She is a peer reviewer for several international child and adolescent psychiatry journals, Deputy Editor of the IACAPAP Bulletin, and Vice President of IACAPAP.
Myron L. Belfer, MD, MPA is Professor of Psychiatry in the Department of Psychiatry, Children’s Hospital Boston, Harvard Medical School. He is on the Affiliated Faculty of the Harvard Center for the Developing Child. Dr. Belfer led the child mental health program at the WHO from 2000 to 2005 where he developed the child mental health Atlas. He is past-President of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP).
He founded Boston Children’s Hospital Global Child Mental Health Observership Program and directed for the Harvard Center on the Developing Child a comprehensive child mental health needs assessment in schools in Shanghai with Chinese colleagues. He was a consultant to the Temasek Foundation (Singapore) project on child mental health capacity building for disaster response in Indonesia. For the IOM and WHO he worked in Thailand and Indonesia after the tsunami.
His current interest is in building global mental health capacity. The latter currently involves the development of a comprehensive child mental health program in Shenzhen, China. As a clinician he worked closely with plastic and reconstructive surgeons on understanding the development of body image in children.
“I am a child and adolescent psychiatrist, my pre and post graduate training (1966-1973) was in the University of Chile. Later I did short post graduate training visits at the Institute of Psychiatry, Maudsley and Bethlem Royal hospitals in London and North Shore University and Bellevue hospitals in New York.
I am now retired from my clinical practice after seeing patients and their families for 50 years, 18 of which were in the public health sector and 31 in a private hospital where I founded the child and adolescent psychiatric unit.
I have always been interested in public health, and formed part of the staff in the Mental Health Department of the Ministry of Health when we recovered democracy, in charge of designing and implementing the Child and Adolescent Mental Health and the Child Maltreatment programs.
I am adjunct professor at the Eastern Medical Faculty of the University of Chile since 1975, where I have been involved mainly in postgraduate teaching in mental health, but also of paediatricians, teachers and professionals working with children, as well as psychoeducation for parents and the community in every opportunity available. My line of research has been child psychiatric epidemiology in schoolchildren and in the community as well as child abuse. I have published more than 80 papers and book chapters.
I belong to the Chilean scientific associations of Child and Adolescent Neurology and Psychiatry and of Psychiatry, Neurology and Neurosurgery, which have awarded me the utmost distinctions a professional can receive, that is from the peers. I also belong to the Pediatrics and Mental Health Chilean associations, The AACAP from USA and ACAMH from the UK. I am very grateful for all the information I receive and use permanently from all the institutions I have mentioned.
I have always admired IACAPAP´s work in disseminating knowledge about mental health and helping to train specialists in the field. However, living so far away at the southern end of Latin America, I have not been able to attend meetings in a regular basis.
I see my role in IACAPAP in two areas:
1.- further connecting Chilean and Latin American professionals with opportunities for continuous training and professionals from different parts of the world and
2.- Enhancing visibility of the contributions that this region of the world can do for global child and adolescent mental health.
In that direction I suggest that, if any member of IACAPAP wants to know about mental health in Chile, he or she can open the link de la Barra F, Irarrazaval M, Valdes A, Soto-Brandt G. Evolving child and adolescent mental health and development programs
in Chile. Rev Panam Salud Publica. 2019; 43: e33. https://doi.org/10.26633/RPSP.2019.33.”
“My main scientific activities and interests are: Developmental Psychopathology, Forensic Psychiatry, Eating Disorders, Schizophrenia Research, Psychiatric Genetics, Treatment- and Evaluation Research.
I invested plenty of time and energy in measures for the qualification of young researchers and founded together with Martin Schmidt (Mannheim) Research Seminars, that I consecutively transferred to the European and International level. The international Association of Child and Adolescent Psychiatry and Allied Professions (IACAPAP) has named them now as Helmut-Remschmidt-Research-Seminars.
In 2004 I founded the Donald Cohen Fellowship Program for young researchers, a biannual program integrated into the IACAPAP World Congresses.
Another important engagement was devoted to therapeutic training and education of physicians and psychologists working in the field of Child- and Adolescent Mental Health. In 1981 I founded a training seminar for Child- and Family Therapy at the Philipps University Marburg, continued now as the “Institute for Behaviour Therapy and Behavioral Medicine”. Together with my co-workers I carried out several treatment projects and developed quite a number of instruments for treatment evaluation, now widely used in Germany and in Europe.
Finally, it was always my intention to internationalize German Child- and Adolescent-Psychiatry. Through my engagement in international Research Societies I was able to organize the Congress of the European Society for Child- and Adolescent-Psychiatry (ESCAP) in Germany (Hamburg 1999) as well as the World Congress of the International Association for Child- and Adolescent Psychiatry and Allied Professions (IACAPAP) (Berlin 2004).” – Helmut Remschmidt, MD, PhD
Editor and former Editor of several scientific Journals in the field of Child Mental Health, Psychiatry and Criminology. More than 400 article in peer reviewed Journals and books. Member of the Editorial Board of more than 30 Journals.