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The Long-stay Paediatric Inpatient and Consultation-liaison Psychiatry

Learn about long-stay patients in child psychiatry, the models of interaction, risk factors for emotional problems, and the importance of parental support. Discover why assessing emotional responses is crucial for providing effective care.

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The Long-stay Paediatric Inpatient and Consultation-liaison Psychiatry

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  1. The Long-stay Paediatric Inpatient and Consultation-liaison Psychiatry Dr Zanda Jaquire MBChB FCPsych Senior Registrar Child Psychiatry Dept. Child Psychiatry, UCT & Red Cross Hospital

  2. What is a Long-stay Patient? • Definition: 6 days or more = long stay • Every hospitalised child: psychological reaction • Degree varies - developmental level - pre-morbid emotional - chronic / serious condition - reaction of the family

  3. Models of Interaction with Paediatrics • Emergency response • Anticipatory • Case finding • Continuous care and collaboration • Education and support

  4. Risk-factors for Emotional Problems: Childyounger age pre-morbid emotionally vulnerable sudden / unprepared admission prolonged hospitalisation Physical factorschronic / more severe conditions invasive / painful procedure immobilisation, disfigurement Parents emotions (understanding, expectations, guilt…) marital stress / disruption financial drain

  5. Why you become concerned: • Anxiety • Depression • Behaviour problems • Parent

  6. Psychiatry Assessment: • Time and flexibility • Knowledge of normal development Emotional defence or regression • Child as an individual in current context • Relationships: parent-staff-outside • Knowledge of medical illness and potential role of neuro-active medication

  7. Abigail and Guillian-Barrè S. • Physically extremely ill, urban ? clinically depressed • Regular assessment impossible • Focus on support structure identity autonomy • Input from everyone associated • Medication

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