Jamaica Gleaner

Problems faced by children with mental health issues and learning disorders

- Source – Dr Ganesh Shetty – consultant child and adolescent psychiatri­st.

There are only 20 child guidance clinics spread across the country that provides counsellin­g for potentiall­y tens of thousands of children who need the service.

Some clinics, especially those in rural Jamaica, only see children once per month due to a severe shortage of staff, which includes child psychiatri­sts, social workers and psychologi­sts.

Loose collaborat­ion between the responsibl­e agencies, ministries and department­s of government, including the ministries of justice; health and wellness; education, youth and informatio­n; and labour and social security.

Poor families are forced to join a long waiting list in their quest to get counsellin­g or other interventi­ons for their children.

Child service agencies and ministries need to work better in the system of care – clinicians have to go into the field, more mental health teams are needed.

Gang violence sometimes prevent children from attending counsellin­g sessions, which are sometimes held in the nearest community centre to allow them to attend.

Children who are counselled, especially those with PTSD, are often traumatise­d again as they go back to the gunfire and gang violence in their communitie­s. These children are often kept awake at nights and fall asleep in class during the day. They are called lazy by teachers who do not understand.

Children with mental health issues are often teased by their peers.

They find solace with their buddies.

They are sometimes neglected and abandoned by their parents.

Those with PTSD relive the trauma daily.

They are often recruited by drug lords and area dons.

They frequently become fullfledge­d gang members, especially those who express that they are emotionall­y dead.

 ?? IAN ALLEN/PHOTOGRAPH­ER ?? Dr Ganesh Shetty
IAN ALLEN/PHOTOGRAPH­ER Dr Ganesh Shetty

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