1. Pille Soome Department of Children and Families
Developing a concept for integrated services to improve children's mental health
Pille Soome
Department of Children and Families

2. Background:
No child mental health concept, strategy or other regulation in Estonia;
The prevalence of mental health problems among young people is increasing;
Health, social and educational systems are fragmented and with low service integration;
Insufficient national coordination and disperssed responsibility.

3. Objectives of project:
Develop a concept paper to build up a system of early detection and intervention to support children`s mental health;
Improve evidence based interventions and provide trainigs for specialists to gain better results in early detection;
Secure regional coverage and cooperation with integrated health, educational and social care services to reduce mental health problems;

4. Project activities (2014) Mapping the current situation:
Resources (specialists, services, financial resources)
Shortcomings and main challenges
Development needs (legal restrictions, services)
Comparative analysis of children menthal health strategies with other countries

5. The current situation Information, who needs help, is not available
Legal restrictions are unclear
Databases are fragmented
Awareness in society is low
Quality of services is not ensured
Mental health specialists are overloaded
Competencies are not sufficent
The guidelines are missing or incomplete
The availability of services are not equal
Services are not integrated and don´t base on the childrens needs
Project based services are not sustainable
The majority of services are not located in municipality level.

6. Project activities (2014) Developing assessment tools
In cooperation with:
Tallinn University – field of social work
Tartu University – psychology
Tartu Health care College – nurses and midwives
Overview of instruments used by primary level specialists;
Raport of valid and evidenced- based assessment tools and selection of tools

7. The First Selections: Developmental needs Parenting capacity
Family and environmental factors
IDI – infant develpoment Inventory
PSI-4 – parenting Stress Index
PFS – family empowerment scale
ASQ – Ages and Stages
PCQ – parent Concerns Questionnare
FFSS – family functioning style scale
CSHQ – Childrens Sleep Habits questionnare
ECBI – Eyberg Child Behavior Inventory
FES – family empowerment scale
CRS- R – Conners Rating Scales - revised
PSOC – parenting sense of competence scale
FAD – family assessment Device
PSC - Pediatric Symptom Checklist
KIDSCREEN - 52
SES – Self esteem Scale
ChEAT Eating Attitudes Test
DUDIT – Drug use Disorders identification test
PAQ – physical activities questionnare

8. 2015 plans
Analysis of different possible children menthal health strategies (March)
Analysis of specialists competencies and additional training needs
Final concept (August)
Lobby and communication to rise the awareness the society and specific interest groups

9. Thank you!