Psychiatric collaboration in a paediatric department.
To review the impact of integrating child psychiatry services into a paediatric department.
Following the arrival of a new head of paediatrics, a mandatory multidisciplinary meeting was set up to review, diagnose and manage selected patients under the care of the paediatricians and/or a child psychiatrist.
A prospective audit was undertaken of the patients discussed with a brief review of their outcome.
The educational value of the meetings and their overall impact on the department was reviewed.
Over an 8-month period 30 patients were discussed in some detail with diagnoses ranging from a psychiatric disorder to a chronic organic illness, each subjected to the deliberations of the multidisciplinary team of the attending paediatrican, resident staff, child psychiatrist/psychologists, nurses, social worker, etc.
Recommendations included further assessment by the psychiatric team, or management by the paediatricans with or without guidance of the former, involvement of an outside agency, etc.
Such interventions generally had positive outcomes : at times dramatic, although early discharge often resulted in limited goals.
There was also an overall increased awareness within the department of the psychological needs of the child and family and the importance of serious physical illness ; this awareness is essential in the training of paediatricians and psychiatric staff. (...)
Mots-clés Pascal : Psychiatrie liaison, Service hospitalier, Pédiatrie, Travail équipe, Coopération, Pédopsychiatrie, Enfant, Homme, Adolescent
Mots-clés Pascal anglais : Liaison psychiatry, Hospital ward, Pediatrics, Team work, Cooperation, Child psychiatry, Child, Human, Adolescent
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0363830
Code Inist : 002B18H05B. Création : 12/09/1997.