Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza
de l’Adolescence
Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques
FRIDAY, May 6 POSTER SESSIONS
Poster session 8 Taking care and follow up in cases of severe sickness
and mouring - severe disabilities
4 - CHILDREN´S TREATMENT OUTCOME IN A PARTIAL TIME CARE UNIT
Arlete Correia, I.Cabral, R. Caeiro Clinica Do Parque/ Hospital Dna Estefânia, Lisboa (Lisboa - PT)
Introduction: Área de Dia is a partial time care
unit created in October 2000 at the Department
of Child and Adolescent Psychiatry of Hospital
Dona Estefânia for children aged 6 to 12 with
disruptive behaviour disorders. This unit provides
long-term care (foreseen duration of treatment
= two years) and multimodal intervention
for the child, family and school.
Objectives: The purpose of this study is to evaluate
the evolution of the children who attend this
unit. We aim to test the following hypothesis:
children who attend Área de Dia show a favourable
evolution at the end of he treatment.
Methods: This is a prospective study that compares
data collected at admission and at the end
of the treatment. The study’s population consisted
of children who attended and completed the
second year of the treatment program, between
2004 and 2008 (N=25).
Treatment outcome was assessed from the
parents´, teachers´ and clinicians´ perspectives.
Multiple questionnaires and rating scales were
used, including the Functioning Global Assessment
Scale (FGA) and a Signs and Symptoms
Checklist for the clinicians and the Strengths and
Difficulties Questionnaire (SDQ- Por) for parents
and teachers. Parental satisfaction and parental
cooperation were also evaluated, using two
questionnaires developed by the authors.
Results: There is a significant positive change in
the children’s behaviours both in the clinicians’
reports (Signs and Symptoms Checklist and
373
FGA) and in the Conduct Problems subscale reported
by parents. No other change is reported
by parents. Nevertheless, the results show a
high degree of parental satisfaction and a high
level of cooperation with this intervention.
Results in teachers’ reported scores show a
significant positive change in Hyperactivity. Even
if there isn’t a statistical correlation between
scores in the remaining of the questionnaire’s
subscales, one can perceive a positive shift towards
normality, except in the “Problems with
Peers Relations” subscale. In this subscale the
items are mainly behaviour that involves isolation
or social restrictions, affecting socialization
and peer relations.
As a result the negative tendency for peer relations
can result in behaviour such as social retraction,
with a lesser ability to establish relationships,
and this can be seen by adults as a sign
that the clinical situation is worsening. However,
these results appear to us to correspond to the
emergence of the depressive aspects of children,
initially masked by agitation and very aggressive
behaviour. In this sense, they reflect a
positive evolution, potentially preparing the children
for a higher therapeutic level and making
possible a new relational model.
Conclusions: The results of the study partially
confirm our hypothesis. Furthermore, we noticed
that the major strength of the program seems to
rely on the support provided to parents. We aim
to continue this study in the following years of
our treatment program.