Mental health services for our most vulnerable children

Caring for our most vulnerable patients.

Peruvian Mental Health Reform: A Framework for Scaling-up Mental Health Services

Background Mental, neurological, and substance (MNS) use disorders are a leading cause of disability worldwide; specifically in Peru, MNS affect 1 in 5 persons. However, the great majority of people suffering from these disorders do not access care, thereby making necessary the improvement of existing conditions including a major rearranging of current health system structures beyond care deliv...

Neonatal anesthesia: how we manage our most vulnerable patients

Neonates undergoing surgery are at higher risk than older children for anesthesia-related adverse events. During the perioperative period, the maintenance of optimal hemodynamics in these patients is challenging and requires a thorough understanding of neonatal physiology and pharmacology. Data from animals and human cohort studies have shown relation of the currently used anesthetics may assoc...

Gatekeeping Services for Vulnerable Children and Families

Central and Eastern Europe and the former Soviet Union (in World Bank terminology, the Europe and Central Asia or ECA region) inherited a child protection system from the socialist period that placed excessive reliance on institutional care as a means of looking after children who were unable to remain with their birth parents in the shorter or longer term. Despite the collapse of the ideology ...

Keeping the M in medical exemptions: protecting our most vulnerable children.

In this issue of the journal, Stadlin et al report that, although the rates of medical exemptions to school immunization requirements are rather modest, easier processes for offering medical exemptions were associated with higher rates of medical exemptions [1]. This finding is consistent with previous studies that found that the ease of obtaining nonmedical religious or philosophical exemption...