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
SATURDAY, May 7 PLENARY SESSIONS
Plenary Session 6 Psychopharmacological, treatment in childhood
and adolescence: when, what, why & where
THE RATIONAL USE OF PSYCO-MEDICINE IN THE DEVELOPMENTAL AGE
Maurizio Bonati Laboratory for Mother and Child Health. Public Health Department - IRFMN, Milan (Milan - IT)
No pharmacological interventions (%) in children and
adolescents with ADHD
Counseling 60,2
Parent training 52,3
Child training 25,6
Cognitive-behavioral therapy 21,6
Other (speech therapy, psychomotility, hippotherapy,…) 26,7
Psycodinamic psychoterapy 19,3
Family therapy 10,8
… and, moreover, for children
Didoni A, et.al. EJCP in press
Lack of affordable and appropriate drugs and
formulations for children
As in most areas of medicine availability of treatments for
children lags behind that for adults
- Lack of incentives to manufacture pediatric formulations
- Difficulties (perceived and real) in undertaking research in children
- Practical difficulties in making and testing appropriate formulations
drugs for children
393
Rational use of drugs – definition
The rational use of drugs requires that
patients receive medications appropriate to
their clinical needs, in does that meet their
own individual requirements for an adequate
period of time, and at the lowest cost to
them and their community
WHO conference of experts, Nairobi 1985
The majority of drugs on the
market, old or new, are not
licensed for paediatric use