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Published on: June 12, 2020

[Outpatient neuropsychiatric consultation in a pediatric hospital. Clinical considerations]

S Bargagna1, S Millepiedi, C Floriani

  • 1Istituto di Neuropsichiatria dell'Infanzia e dell'Adolescenza, Università degli Studi, Pisa.

Minerva Pediatrica
|November 2, 1999
PubMed

Insights

Pediatric neuropsychiatric consultants evaluated 327 children, finding mental disorders in 95%. Early outpatient evaluations effectively screen and manage these conditions, reducing healthcare costs.

Area of Science:

  • Pediatric Neurology
  • Child Psychiatry
  • Developmental Pediatrics

Context:

  • This study reports on the experience of neuropsychiatric consultants within a pediatric hospital setting.
  • The common goal of pediatricians and neuropsychiatrists is the comprehensive evaluation and protection of a child's physical and mental health.
  • The study involved 327 patients aged 0–18 years referred by pediatricians between 1993 and 1998.

Purpose:

  • To evaluate the role of outpatient neuropsychiatric consultations in diagnosing and managing mental disorders in children.
  • To analyze the distribution of mental disorders by age and sex.
  • To discuss therapeutic approaches for pediatric neuropsychiatric conditions.

Summary:

  • A high prevalence of mental disorders (95%) was diagnosed according to DSM IV criteria.
  • Conduct and pervasive developmental disorders were more common in males, while somatic, anxiety, and mood disorders were more prevalent in children over 6 years.
  • Developmental and neurological disorders were more frequently observed in younger children.

Impact:

  • Outpatient consultations serve as a valuable tool for screening pediatric neuropsychiatric disorders.
  • These consultations facilitate brief, effective evaluations and follow-up, leading to significant cost reductions in medical assistance.
  • The findings highlight the importance of integrated care between pediatricians and neuropsychiatrists for early intervention.
Abstract

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