do we need specific inteventions for attachment problems? We still don’t know

Parenting interventions for children with severe attachment problems

This is a good, thoughtful blog about attachment problems, but it’s unclear what work the category of ‘attachment problems’ is doing here, as parenting seems to have the same impact on this group as on other children.

As the review asks: do we need to develop interventions that specifically address attachment problems, or are the established interventions enough?

New project for psych/paed joint training in London

Dear all,

As a paediatric trainee do you find it challenging to deal with medically unexplained symptoms, to manage the behavioural aspect of paediatrics or to form working relationships with CAMHS?

As a CAMHS trainee do you find the medical aspects of paediatrics challenging, do you want to develop a better relationship with your paediatric colleagues?

This is an invitation to all trainees from paediatrics and psychiatry and all Consultants across CAMHS, Community Paediatrics and General Paediatircs to attend a launch evening for an exciting collaboration between paediatrics and psychiatry.

The plan is to match a paediatric trainee with a CAMHS trainee for a variety of shared learning opportunities, including visiting each other’s clinics.

The project aims to:

Facilitate achieving mental health and paediatric competencies, respectively.
Encourage paediatric-CAMHS liaison.
Provide a greater understanding of what our colleagues do and how they manage cases.

We strongly encourage trainees who are interested in the scheme to bring along a champion Consultant in their organisation who will be keen to support this venture.

Details of the launch:

Monday 14th March
6-8pm, Stewart House
Drinks and nibbles provided!

We hope to gather a cohort of enthusiastic trainees to launch this exciting project – ideally paediatric registrars in level 2/3 training who are currently in a community placement and psychiatry registrars, undertaking their higher level CAMHS training. However for this pilot our aim is to match enthusiastic trainees, so if you are in general paediatrics you are definitely welcome to be involved.

The launch and being involved in the programme is totally free but places for the launch will be allocated on a first come first served basis so please confirm your attendance promptly to the following email address:

Jocryer@doctors.org.uk

If you can’t attend but are still interested in being involved in the matching scheme please email with your name, role, stage of training and email address to the above address.

We’re really excited about this venture – please come and be a part of it.

Best wishes,

Jo Cryer and Rory Conn

On behalf of The Paediatric-Psychiatry Collaboration Working Group

Putting Methylphenidate in its place for ADHD

There was a recent systematic review into Methylphenidate use in ADHD. It’s reviewed in this NHS choices article.

The authors conclude “we cannot say for sure whether taking methylphenidate will improve the lives of children and adolescents with ADHD”

It’s important to be clear what this means: because the evidence is not of a very good quality, when considering starting this medication, it’s important not to be too optimistic about response- some kids just don’t do well on it, and we don’t know why. Some really do though, so we mustn’t dismiss it either.

The results do raise a question, however. If drug companies spent the money they lavish on marketing ADHD drugs on research, maybe the evidence wouldn’t be poor?

Mental Health Research at the Institute of Child Health and Great Ormond Street Hospital – Research into Practice

Monday 14th March 2016, 1 – 5 pm

Kennedy Lecture Theatre, Institute of Child Health

30 Guilford Street, London, WC1N 1EH

  • Mental ill-health affects 1 in 10 children and 80% of adult mental illness starts before age 18.
  • In the population of children with physical illness, rates of mental illness are up to seven-times higher.

Chair: Professor Roz Shafran

 

1.00 Otto Wolff Lecture: Professor Michael Sharpe

Integrating physical and mental health care: evidence-into-practice across the lifespan

2.00 Dr Isobel Heyman

Child mental health in a specialist children’s hospital – complex or simple?

 

2.25 Professor David Skuse

A step-change in Intellectual Disabilities research? The IMAGINE-ID project

 

2.50 Dr Naomi Dale

Cognitive and behavioural development in children with visual impairment: from identifying early multi-factorial risks to improving outcome

 

3.15 Tea break

3.40 Dr Penny Titman

Psychological outcomes following stem cell transplantation: understanding and managing the impact on children and their families

 

4.05 Dr Rachel Bryant-Waugh

Feeding and eating disorders: working towards improved patient pathways

4.30 Professor Peter Fonagy

From bench to bedside; can science help transform mental health services for children and young people?

 

5.00 Drinks in the Winter Garden

 

Pre-registration is required for this symposium. Please register your attendance via the doodle link http://doodle.com/poll/4darezu4g7ayity6  or email ICH.DN.Programme@ucl.ac.uk to reserve your place at this unique event.