Child Psych

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CHILD PSYCH FIRST DRAFT FINAL AND LAST ONE AND ITS EFFECTS ON CHILD'S AND THEIR PARENTS ACCORDINGLY PATTERN OF CHILD PSCYHIATRY EMERGENCIES AND CONSULTS Global prevalence of mental disorders in Child and Adolescent (C&A) is about 20%. Approximately 85% of them reside in developing countries. There is an increase in presentation of C&A with mental health disorders to emergency department and as consultations from other departments. The aim of our study is to report pattern of referrals from emergency and other departments for C&A mental health problems. TITLE PAGE:

PATTERN OF CHILD PSCYHIATRY EMERGENCIES AND CONSULTS

AUTHORS:

01. FAHEEM KHAN, FCPS (PSYCHIATRY), PGD (BIOETHICS). CONSULTANT PSYCHIATRIST AND SENIOR INSTRUCTOR, DEPT OF PSYCHIATRY, AGA KHAN UNIVERSITY HOSPITAL KARACHI. TEL NO: Tel No. 0092-21-3493 0051 Ext: 4694, faheemkhan.psychiatrist@gmail.com (corresponding author)

02. TAYYAB ARFEEN, TRAINING COMPLETED OF FELLOWSHIP, CONSULTANT PSYCHIATRIST AND INSTRUCTOR, DEPT OF PSYCHIATRY, AGA KHAN UNIVERSITY HOSPITAL KARACHI. TEL NO: Tel No. 0092-21-3493 0051 Ext: 4396, tayyab.arfeen@aku.edu

03. MUKESH BHIMANI, FCPS (PSYCHIATRY). CONSULTANT PSYCHIATRIST AND SENIOR INSTRUCTOR, DEPT OF PSYCHIATRY, AGA KHAN UNIVERSITY HOSPITAL KARACHI. TEL NO: Tel No. 0092-21-3493 0051 Ext: 4695, mukesh.bhimani@aku.edu

04. MOHAMMAD ZAMAN, MA (SOCIOLOGY), SENIOR RESEARCH OFFICER, DEPT OF PSYCHIATRY, AGA KHAN UNIVERSITY HOSPITAL KARACHI. TEL NO: Tel No. 0092-21-3493 0051 Ext: 4618, mohammad.zaman@aku.edu

05. TANIA NADEEM, DABPN, DABCAP, CONSULTANT PSYCHIATRIST AND ASSISTANT PROFESSOR, DEPT OF PSYCHIATRY, AGA KHAN UNIVERSITY HOSPITAL KARACHI. TEL NO: Tel No. 0092-21-3493 0051 Ext: 4691, tania.nadeem@aku.edu

ABSTRACT:

INTRODUCTION:

Global prevalence of mental disorders in Child and Adolescent (C&A) is about 20%. Approximately 85% of them reside in developing countries. There is an increase in presentation of C&A with mental health disorders to emergency department and as consultations from other departments. The aim of our study is to report pattern of referrals from emergency and other departments for C&A mental health problems.

METHOD:

We did a case note review of all cases below 18 years of age referred for mental health problems from Emergency and other departments of Aga Khan University hospital during June 2010 to December 2012. We extracted medical record numbers from consults. Data was entered and analyzed using SPSS 16. Chi square was used for categorical variables and t-test was applied for continuous variables. P value of less than 0.05 was taken as statistically significant. Exemption from research Ethics review committee was also taken.

RESULTS:

Among 160 consults generated during this time 90 were girls. Majority presented with Suicidal behavior (26%) followed by Behavioral symptoms (16.9%). Psychiatry team made a diagnosis of Mood disorder in 61 (38.8) cases followed by Conversion and adjustment disorders in 28 (17.5). Family conflict was the main stressor. In 43% of cases no Psychotropic was prescribed.

CONCLUSION:

C&A with mental health problems can presents with varying issues and stressors. Physicians who are expected to assess them at ED and other departments should be trained enough to identify common mental health problems. There is a need to develop effective consultation liaison services and community based research to ascertain burden of mental health problems in C&A in Pakistan.

INTRODUCTION:

Prevalence of mental health problems in Child and Adolescent (C&A) is on rise across the globe. At present prevalence is approximately 20%, of which around 4-6% is in need of clinical intervention.[i] Child and adolescent mental health service (CAMHS) is an essential component of a tertiary care hospital. Its domain ranges from outpatient & inpatient...
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