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Accessing Child and Adolescent Mental Health Services in Low- and Middle-Income Countries

Challenges, Opportunities, and Lessons from Western Kenya


Recent updates to the World Mental Health Organization (WHO) goals have emphasized child and adolescent mental health (CAMH) prevention and intervention across the globe. This chapter aims to address barriers faced during implementation of CAMH services in low- and middle-income countries (LMICs), which include challenges to scaling up mental health interventions, the presence of stigma, and limited human resources. An overview of the current prevalence of psychiatric disorders and of services provided to children and adolescents within the Moi Teaching and Referral Hospital (MTRH) in Eldoret, Kenya, will offer specific detail surrounding the benefits and challenges faced thus far in service provision. Models for current service delivery will also be discussed, including task-sharing, integration of CAMH services into primary care, and family-based interventions. Future directions for this developing field will be suggested.


  • Child and adolescent mental health (CAMH)
  • Barriers
  • Service delivery
  • Low- and middle-income countries (LMICs)
  • Kenya

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Correspondence to Abby deSteiguer .

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Arzamarski, C., deSteiguer, A., Omari, F., Hellmuth, J., Walters, A.S. (2021). Accessing Child and Adolescent Mental Health Services in Low- and Middle-Income Countries. In: Okpaku, S.O. (eds) Innovations in Global Mental Health. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70134-9

  • Online ISBN: 978-3-319-70134-9

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