Journal Article: Care for children and young people with eating disorders

This article was published in the journal ‘Clinical Child Psychology and Psychiatry’ (June 2020) and may be of interest:

Paediatric medical care for children and young people with eating disorders: Achievements and where to next

Lee D Hudson and Simon Chapman

No other diagnoses epitomise the need for dual consideration of mental and physical health more than eating disorders. Anorexia Nervosa (AN) for example has the highest mortality rate of any mental health disorder, and half of deaths are thought to be due to physical complications (Sullivan, 1995). For this reason it is crucial for acute paediatrics and eating disorder teams to work closely over the assessment and management of these disorders, particularly in the early stages when physical risks are often highest.

This is not as easy as it sounds: mental health and physical health teams are often geographical distant from each other, have different ways of working, and may even view and speak of risk in different ways. Despite this, as for many countries, in the United Kingdom (UK), the journey to provide better paediatric care for children and young people (CYP) with eating disorders has been a gradual one, albeit with a number of recent victories. As two paediatricians working with CYP with eating disorders and eating disorder teams in the UK, we summarise the important developments of the past 10 years in the UK, and look to future steps…

To read the full article, click on the link below:

https://journals.sagepub.com/doi/pdf/10.1177/1359104520931573

RCPCH: State of Child Health 2020

In March, the RCPCH published its ‘State of Child Health 2020’ report. This landmark report provides a snapshot of infant, children and young people’s physical and mental health. 

The RCPCH say: “On 4 March 2020, RCPCH launched our new State of Child Health. The update provides the latest data from our 2017 indicators, alongside evidence for new indicators, including: looked after children, mental health, youth violence, young carers and the child health workforce. Alongside this, we’ve spoken to 2,000 children and young people to find out what makes them feel “healthy, happy and well”.

We’ve outlined our key asks for each of the UK Governments, which we hope will ensure delivery of key policy decisions to improve child health outcomes.

The State of Child Health 2020 Report utilises comparable UK data across 27 child health and wellbeing indicators to produce a range of associated recommendations aimed at improving outcomes. It builds on the 2017 Report which provided an unprecedented snapshot of how infant, children and young people’s physical and mental health was faring across the UK.  

Click below to read the report:

http://www.rcpch.ac.uk/state-of-child-health

The Importance of Human Contact Today

During the interval of a recent concert by the Orchestra of the Age of Enlightenment, Dr Dickon Bevington, Consultant Child and Adolescent Psychiatrist, gave a thought provoking, and topical talk:

The Importance of Human Contact today, about Mentalization, Attachment and Kindness.

About Dr Dickon Bevington:

Dr Bevington is the Medical Director at the Anna Freud National Centre for Children and Families and a Consultant Child and Adolescent Psychiatrist in Cambridgeshire and Peterborough NHS FT where he leads CASUS, an outreach service for complex substance using youth. He is also a Fellow of the Cambridge and Peterborough CLARHC, a collaboration based in Cambridge University dedicated to developing leadership and research in health and social care.

Dr Bevington’s consultant career started in adolescent in-patient psychiatry, but he now concentrates on developing and delivering innovative home-based or street-level out-reach interventions for complex, co-morbidly burdened young people who are socially excluded, using mentalization to underpin both the therapeutic and the organisational approach to this work. In this respect, together with Dr Peter Fuggle, he is the co-lead for the Adolescent Mentalization-Based Integrative Treatment (AMBIT) project.

Dr Bevington trains and lectures internationally on MBT and AMBIT, and has published a number of papers and chapters in the eld of mentalization and multimodal outreach approaches, most recently with Dr Fuggle. He is also co-author of “ What works for whom: a critical review of treatments for children and adolescents” which is a review of all treatment trials in the past 10-15 years across the world.

Take a look at the Anna Freud Centre website for more information about this field of Child Mental Health.

For a great resource for on-line learning, click on link below: https://www.annafreud.org/mental-health-professionals/anna-freud-learning-network/

You-COPE: Youth COVID-19 Experience Survey

Request from Dr Lee Hudson: Clinical Associate Professor, UCL GOSH Institute of Child Health, London

“My colleagues and I (including the President of the Royal College of Paediatrics and Child Health) are conducting an online study looking at how COVID-19 is affecting the lives, mental health and wellbeing of young people aged 16-24. It’s an academic study, not commercial and results will be used for academic research only. It is a joint project between UCL and Imperial College in London, but is covering the whole of the UK.

  • This is going to be really important to understand what the needs are now and moving forward for policy and healthcare
  • They are a particularly vulnerable group as they tend to fall between the cracks in terms of health provision but also having a voice

Please share this survey with young people aged between 16 and 24

To share the survey – copy the below link into an email:

https://uclpsych.eu.qualtrics.com/jfe/form/SV_5hjERUS4yP1xiTz?

For more information about the survey, click on the UCL logo below:

Lockdown learning and play

Opportunities for unstructured play in the early years
are really important, says Ramchandani

A while back, The Guardian published this interesting article discussing learning at home through play in the context of the Coronavirus crisis…

“Learning at home does not have to look like school and probably shouldn’t, says Britain’s first play professor. With coronavirus closures offering opportunities for home learning, and many parents more on hand during the lockdown, play can come into its own, says Paul Ramchandani, Lego professor of play at the University of Cambridge…

https://www.theguardian.com/education/2020/apr/21/dont-turn-your-home-into-school-lego-prof-of-play-on-lockdown-learning

Attachment Matters Survey

Request for contributors to a Survey of Routinely Used Interventions for Improving Attachment in Infants and Children

Please could you pass this link on to all your team members and colleagues who work with children and / or their caregivers therapeutically.

A team of researchers at UCL and the University of York are conducting an important survey of current practice in the UK for 0-13 year old children with, or who are at risk of, attachment problems, and / or their caregivers.

We are  contacting as many teams and individual practitioners as possible across the UK. 

Our aim is to build a picture of the availability of different kinds of support for those children and families as this information is currently not known. The results will be essential for setting priorities for clinical practice and establishing the availability of attachment interventions in different areas for this group of children. 

We hope to find out about face-to-face working, and not online provision. This work will also play an important role in strengthening the evidence base underpinning those interventions. Survey responses will be anonymous, no individuals will be identified in any published materials arising from this  project.

The survey should take no more than 20 minutes to complete and can be completed on desktop computer or on mobile phones or tablets.

To read the information sheet and to take part, all you have to do is click the link below, which will take you to a secure online survey:

https://redcap.slms.ucl.ac.uk/surveys/?s=FJRL7A9EHX

Core Topics in Community Paediatrics Symposium

Date: Thursday 13th February (9.30am – 5pm)
Venue: YMCA, 41 Fitzroy Square, Fitzrovia, London, W1T 6AQ

The programme:

9.30 – 9.45 am
Registration & Welcome:
Our Chair, Dr Sukanta Banerjee

09.45 – 10.30 am
Management of Paediatric Dysphagia – The Role of the Specialist
Speech and Language Therapist

Sonja Jacobs, Highly Specialist Speech and Language Therapist,
Bart’s Health NHS Trust

10.30 – 11.30 am
Management of Sleep Difficulties in Children
with Neurodevelopmental Disorders

Dr Desaline Joseph, Sleep Consultant,
Evelina London Children’s Healthcare

11.30 – 11.45 am
Refreshment Break

11.45 – 12.45 pm
Management of Spasticity and Dystonia
in Children with Cerebral Palsy

Dr Lucinda Carr, Consultant Paediatric Neurologist,
Great Ormond Street Hospital

12.45 – 1.30pm
Lunch Break

1.30 – 2.30 pm
Overview of behaviour and emotional difficulties
in preschool children

Dr Chinnaiah Yemula,
Consultant Community Paediatrician, Bedford

2.30 – 3.30 pm
Assessment and management of sensory
difficulties in children with ASD

Maria O’Malley, Clinical Lead Paediatric OT and Mairead Fergus,
Specialist OT, Child Development Service, ELFT

3.30 – 3.45 pm
Refreshment Break

3.45 – 4.45 pm
Diagnosis and management of ADD/ADHD and
interpreting the SNAP IV questionnaire

Dr Giovanni Giaroli, CAMHS Consultant, London

4.45 – 5.00 pm
Closing Remarks

To book, go to https://thepaediatriccommunity.com/product/core-topics-in-community-paediatrics-symposium/

IACAPAP 2020 (Singapore): Call for abstracts for Poster Presentations

The 24th World Congress of the International Association of Child & Adolescent Psychiatry and Allied Professions (IACAPAP), which will be held in Singapore between the 20th and 23rd July, has issued a call for abstracts for poster presentations. They say:

Submit an abstract and be selected as a Poster Presenter at the 24th World Congress…. Submission is open to all health care professionals, academics and researchers from all fields of applications and backgrounds with an interest in mental health.

ABSTRACT TOPICS INCLUDE:
– Addictive Disorders
– Attention Deficit Hyperactivity Disorder
– Autism Spectrum and Developmental Disorders
– Mood and Anxiety Disorders
– Basic Science and Imaging
– Bipolar DisorderEducation and Learning
– Epidemiology

To view the full list of abstract topics and submission guidelines, click here

You can submit an abstract here. The deadline for submitting abstracts has been extended until February 10.

To read more about the conference, click here. Early booking rates are available for the conference until March 11.