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Interdisciplinary Approaches Suggested for Children With Multiple Hospital Referrals Presenting With Non-specific
Irene Elgen1,2, Ragnhild Lygre1, Gottfried Greve3,4
1Division of Psychiatry, Department of Child and Adolescent Psychiatry, Haukeland University Hospital, Bergen, Norway.
Children with repeated mental and somatic healthcare referrals exhibit complex care patterns. This highlights the need for interdisciplinary approaches to improve diagnosis and reduce healthcare system navigation challenges.
Area of Science:
- Pediatric Healthcare
- Mental Health Services
- Somatic Healthcare
Background:
- Complex care needs in children referred to both mental and somatic specialist healthcare.
- Previous studies identified a significant population requiring cross-disciplinary services.
Purpose of the Study:
- To describe care patterns for children with repeated referrals to mental and somatic specialist healthcare.
- To investigate the diagnostic processes for this patient group.
Main Methods:
- Retrospective register study of children aged 6-12 years referred to Haukeland University Hospital (2013-2015).
- Random selection of 250 children with at least three combined mental and somatic referrals.
- Data collection from hospital records on referral patterns and diagnostics from first hospital episode until July 2017.
Main Results:
- Patients had a mean of 6.5 referrals before inclusion and 4.2 during follow-up.
- 15% of patients retained non-specific diagnoses by study end.
- Over half of children were re-referred across somatic and mental healthcare boundaries during follow-up.
Conclusions:
- Identified highly complex care patterns with frequent "cross-over" referrals between mental and somatic healthcare.
- Emphasized the need for interdisciplinary specialist care and improved coordination between care levels.
- Advocated for broader perspectives to shorten diagnostic timelines for these children.
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