- Email: [email protected]
Translational research controversies: A model integrating research and clinical practice
S292
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S254–S309
although even in the absence of such medical specialty in Spain. After more than 15 years of existence of such a network, this awareness has been reflected even in the development of two mental health plans specific to this population. However, are these sensitivity and specificity reflected in diary health care in Andalusia? To answer this question in our area, we studied the number of referrals under 18 years during a year in our unit of Mental Health, which should initially receive all cases to decide after its derivation (or not) to Child and Adolescent Mental Health. We will show the very low number of patients referred as well as their distribution according gender and age, and the criteria used to send them. We will also discuss the implications of these ratios in Mental Health policies and Continuing Medical Education. http://dx.doi.org/10.1016/j.neurenf.2012.04.824 We-P-3179
Correlates of dropout from a Nigerian child and adolescent mental health service
I.I. Adeosun , O.A. Otesile ∗ , O. Ogun , T. Ijarogbe , A. Bello , O. Akinjola , O. Jeje Clinical Services, Federal Neuropsychiatric Hospital, Lagos, Nigeria ∗ Corresponding author.
Background.– Despite the availability of effective treatment for childhood psychiatric disorders, the successful treatment of children and adolescents (C&A) who access mental health services is undermined by high rates of dropout from these services. Aim.– To determine the correlates of dropout from the C&A clinic of the Federal Neuro-Psychiatric Hospital, Yaba, Nigeria. Method.– A retrospective study of all patients (n = 450) registered at the clinic within a period of one year. Results.– Patients who missed their first appointment were more likely to dropout from treatment (P < 0.001). Children with seizure disorder (P = 0.001), stable mental state (P = 0.00) and those accompanied by both parents to the clinic at their index visit (P = 0.02) were less likely to dropout. Conclusion.– Efforts to improve retention of C&A in psychiatric treatment may need to target certain categories of children, including those who miss their first appointment and those unaccompanied by both parents at index visit. http://dx.doi.org/10.1016/j.neurenf.2012.04.825 We-P-3180
N.V. Semenova Department of Science-medical Information, V.M.-Bekhterev Psychoneurological Research Institute, Saint Petersburg, Russia Leningradskaya Oblast’ is a region of Russia with the population of 1.6 million people including 200 thousand children under the age of 14 years old (12.5% of the population) and 50 thousand adolescents aged between 15 to 17 years old (3%). The prevalence of mental disorders in children decreased over the period of 2000–2009 from 3741.9 to 2618.3 per 100 thousand of child population (by 30%) and in adolescents it increased from 2631.5 per 100 thousand of adolescent population in the year 2000 up to 4319.3 in 2009 (by 64.1%). The mental retardation (F70-F79) is responsible for 44%, non-psychotic childhood and adolescence disorders (F50-F59, F80-F83, F84.5, F90-F98) for 28%, organic non-psychotic disorders (F06.3-F06.9; F07) for 11%, organic psychoses and (or) dementia (F00-F05, F06.0-F06.2, F09) for 8%, neurotic, stress-related, and somatoform disorders (F40-F48) for 7%, schizophrenia (F20) for 0.4%. http://dx.doi.org/10.1016/j.neurenf.2012.04.827 We-P-3182
Developing a structured approach to individual care and treatment planning F.T. Ademola a,∗ , D. Sheerin b Child and Adolescent Mental Health Service, Linn Dara, Dublin, Ireland b Louth Child and Adolescent Psychiatry Service, Drogheda, Ireland ∗ Corresponding author.
a
Individual Care and Treatment Planning is a regulatory and quality requirement by the Irish Mental Health Commission. Following an in-service audit, a pilot project to develop a structured approach to planning and documenting care plans for service-users was implemented, in a community Child and Adolescent Mental Health Service in Ireland. A template was designed for documentation of care plans, completed by the keyworker following clinical assessment. Focus group evaluation of 12 of 15 staff (80%) revealed benefits including clarity of treatment plans, ease of prioritization of goals and involvement of clients in the management plan. Challenges include time constraints, interference with therapeutic engagement, and aligning differing goals between the client and their parent. Based on findings, the initial template was re-designed and adopted. The process is now included in the service policy. Recommendations for the future include service-user survey and audit of the template for rate of completion and content.
Translational research controversies: A model integrating research and clinical practice
http://dx.doi.org/10.1016/j.neurenf.2012.04.828
G. Milavic Camhs Maudsley Hospital, South London and Maudsley NHS Foundation Trust, London, UK
We-P-3183
Basic science, genetics and neuroscience are growing at an exponential rate. What will be applicable to clinical practice? The importance of translation of scientific findings into therapeutic interventions is well recognized but the use of clinical observations and findings to inform research is undervalued. New experimental models are essential to increasing our understanding of disease mechanisms and securing clear health benefits for patients and the population at large. This presentation will set out some of the controversies related to translational research. A model integrating clinical work and research, as developed in the Child and Adolescent Mental Health Services at the Maudsley Hospital, is described. Practice data will illustrate how the use of electronic medical records and search tools underpin the pathways between research and clinical practice. Further reading Rutter M, Plomin R. Pathways from science findings to health benefits, Psychol Med 2009;39:529–542. http://dx.doi.org/10.1016/j.neurenf.2012.04.826 We-P-3181
The prevalence of mental disorders in children and adolescents in Leningradskaya Oblast’ Russian Federation, 2000–2009
Child psychiatry in Ivory Coast, from yesterday to today A.E.L. Bissouma a,∗ , M.A.P.N. Anoumatacky b , L.B. Moke a , M. Te Bonle a , M. Fourment c , D. Kone b , R.C.J. Delafosse d a Institut national de santé publique, centre de guidance infantile, Abidjan, Ivory Coast b Bingerville, hôpital psychiatrique, Abidjan 20, Ivory Coast c EA 4403, ED Erasme, UP13, Labo UTRPP, Seine Saint-Denis, Villetaneuse, France d Programme national de santé mentale, Abidjan, Ivory Coast ∗ Corresponding author. Born in its modern sense in the twentieth century, the Ivorian psychiatry and its corollary child psychiatry are still searching for their identity. Ivorian child psychiatry suffers from an unfavorable situation structurally in terms of personal (1 psychiatrist for 1,446,204 children), of means and infrastructure, both public and private. There is only one state structure of child psychiatric care, the Child Guidance Center, established in 1974, and all the trades necessary to the practice are not represented. On average 477 new children are received each year. Think child psychiatry so that it fits the current challenges marked by the postconflict requires the historicization of this discipline as the foundation of a new era.
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S254–S309
although even in the absence of such medical specialty in Spain. After more than 15 years of existence of such a network, this awareness has been reflected even in the development of two mental health plans specific to this population. However, are these sensitivity and specificity reflected in diary health care in Andalusia? To answer this question in our area, we studied the number of referrals under 18 years during a year in our unit of Mental Health, which should initially receive all cases to decide after its derivation (or not) to Child and Adolescent Mental Health. We will show the very low number of patients referred as well as their distribution according gender and age, and the criteria used to send them. We will also discuss the implications of these ratios in Mental Health policies and Continuing Medical Education. http://dx.doi.org/10.1016/j.neurenf.2012.04.824 We-P-3179
Correlates of dropout from a Nigerian child and adolescent mental health service
I.I. Adeosun , O.A. Otesile ∗ , O. Ogun , T. Ijarogbe , A. Bello , O. Akinjola , O. Jeje Clinical Services, Federal Neuropsychiatric Hospital, Lagos, Nigeria ∗ Corresponding author.
Background.– Despite the availability of effective treatment for childhood psychiatric disorders, the successful treatment of children and adolescents (C&A) who access mental health services is undermined by high rates of dropout from these services. Aim.– To determine the correlates of dropout from the C&A clinic of the Federal Neuro-Psychiatric Hospital, Yaba, Nigeria. Method.– A retrospective study of all patients (n = 450) registered at the clinic within a period of one year. Results.– Patients who missed their first appointment were more likely to dropout from treatment (P < 0.001). Children with seizure disorder (P = 0.001), stable mental state (P = 0.00) and those accompanied by both parents to the clinic at their index visit (P = 0.02) were less likely to dropout. Conclusion.– Efforts to improve retention of C&A in psychiatric treatment may need to target certain categories of children, including those who miss their first appointment and those unaccompanied by both parents at index visit. http://dx.doi.org/10.1016/j.neurenf.2012.04.825 We-P-3180
N.V. Semenova Department of Science-medical Information, V.M.-Bekhterev Psychoneurological Research Institute, Saint Petersburg, Russia Leningradskaya Oblast’ is a region of Russia with the population of 1.6 million people including 200 thousand children under the age of 14 years old (12.5% of the population) and 50 thousand adolescents aged between 15 to 17 years old (3%). The prevalence of mental disorders in children decreased over the period of 2000–2009 from 3741.9 to 2618.3 per 100 thousand of child population (by 30%) and in adolescents it increased from 2631.5 per 100 thousand of adolescent population in the year 2000 up to 4319.3 in 2009 (by 64.1%). The mental retardation (F70-F79) is responsible for 44%, non-psychotic childhood and adolescence disorders (F50-F59, F80-F83, F84.5, F90-F98) for 28%, organic non-psychotic disorders (F06.3-F06.9; F07) for 11%, organic psychoses and (or) dementia (F00-F05, F06.0-F06.2, F09) for 8%, neurotic, stress-related, and somatoform disorders (F40-F48) for 7%, schizophrenia (F20) for 0.4%. http://dx.doi.org/10.1016/j.neurenf.2012.04.827 We-P-3182
Developing a structured approach to individual care and treatment planning F.T. Ademola a,∗ , D. Sheerin b Child and Adolescent Mental Health Service, Linn Dara, Dublin, Ireland b Louth Child and Adolescent Psychiatry Service, Drogheda, Ireland ∗ Corresponding author.
a
Individual Care and Treatment Planning is a regulatory and quality requirement by the Irish Mental Health Commission. Following an in-service audit, a pilot project to develop a structured approach to planning and documenting care plans for service-users was implemented, in a community Child and Adolescent Mental Health Service in Ireland. A template was designed for documentation of care plans, completed by the keyworker following clinical assessment. Focus group evaluation of 12 of 15 staff (80%) revealed benefits including clarity of treatment plans, ease of prioritization of goals and involvement of clients in the management plan. Challenges include time constraints, interference with therapeutic engagement, and aligning differing goals between the client and their parent. Based on findings, the initial template was re-designed and adopted. The process is now included in the service policy. Recommendations for the future include service-user survey and audit of the template for rate of completion and content.
Translational research controversies: A model integrating research and clinical practice
http://dx.doi.org/10.1016/j.neurenf.2012.04.828
G. Milavic Camhs Maudsley Hospital, South London and Maudsley NHS Foundation Trust, London, UK
We-P-3183
Basic science, genetics and neuroscience are growing at an exponential rate. What will be applicable to clinical practice? The importance of translation of scientific findings into therapeutic interventions is well recognized but the use of clinical observations and findings to inform research is undervalued. New experimental models are essential to increasing our understanding of disease mechanisms and securing clear health benefits for patients and the population at large. This presentation will set out some of the controversies related to translational research. A model integrating clinical work and research, as developed in the Child and Adolescent Mental Health Services at the Maudsley Hospital, is described. Practice data will illustrate how the use of electronic medical records and search tools underpin the pathways between research and clinical practice. Further reading Rutter M, Plomin R. Pathways from science findings to health benefits, Psychol Med 2009;39:529–542. http://dx.doi.org/10.1016/j.neurenf.2012.04.826 We-P-3181
The prevalence of mental disorders in children and adolescents in Leningradskaya Oblast’ Russian Federation, 2000–2009
Child psychiatry in Ivory Coast, from yesterday to today A.E.L. Bissouma a,∗ , M.A.P.N. Anoumatacky b , L.B. Moke a , M. Te Bonle a , M. Fourment c , D. Kone b , R.C.J. Delafosse d a Institut national de santé publique, centre de guidance infantile, Abidjan, Ivory Coast b Bingerville, hôpital psychiatrique, Abidjan 20, Ivory Coast c EA 4403, ED Erasme, UP13, Labo UTRPP, Seine Saint-Denis, Villetaneuse, France d Programme national de santé mentale, Abidjan, Ivory Coast ∗ Corresponding author. Born in its modern sense in the twentieth century, the Ivorian psychiatry and its corollary child psychiatry are still searching for their identity. Ivorian child psychiatry suffers from an unfavorable situation structurally in terms of personal (1 psychiatrist for 1,446,204 children), of means and infrastructure, both public and private. There is only one state structure of child psychiatric care, the Child Guidance Center, established in 1974, and all the trades necessary to the practice are not represented. On average 477 new children are received each year. Think child psychiatry so that it fits the current challenges marked by the postconflict requires the historicization of this discipline as the foundation of a new era.