Reactive Attachment Disorder

Several factors (barriers) may hinder the effective implementation and scale-up of the recommendations in this guideline. These factors may be related to the negative attitude of families, cultural beliefs towards mental disorders, inadequate resources, lack of trained mental healthcare professionals and limited financial resources. By addressing these challenges and implementing targeted strategies, Egypt can improve the implementation of treatment guidelines, ultimately enhancing the quality and equity of healthcare services for all children. 

These factors were identified from case studies and systematic reviews exploring factors affecting the implementation of interventions to prevent /reduce complications rates. Additional barriers were identified from qualitative reviews undertaken for this guideline and Cochrane overviews of reviews of health system implementation, care delivery arrangements and financial strategies.