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The treatment of intractable encopresis: a team intervention approach
Child: Care, Health and Development
|November 1, 1980
Insights
Childhood encopresis management requires a consistent team approach. Intensive intervention programs, led by a key worker, improve treatment efficacy for intractable cases.
Area of Science:
- Pediatrics
- Gastroenterology
- Child Psychology
Background:
- Childhood encopresis presents diagnostic and therapeutic challenges.
- Understanding underlying mechanisms is crucial for effective management.
- Treatment efficacy for encopresis remains a significant concern.
Observation:
- Examined six intractable childhood encopresis cases.
- Described an intensive, multidisciplinary team intervention program.
- Highlighted difficulties in implementing consistent treatment plans.
Findings:
- A key worker role is essential for motivating staff, parents, and the child.
- Consistent application of intervention strategies is vital for success.
- Multidisciplinary team approach demonstrated potential in managing complex encopresis.
Implications:
- Suggests a need for structured, team-based approaches in pediatric continence care.
- Emphasizes the importance of a dedicated key worker in overcoming implementation barriers.
- Provides a model for addressing challenging childhood encopresis cases effectively.
Abstract:
Childhood encopresis is discussed in terms of problems of definition, approaches to management in relation to symptoms and underlying mechanisms, and efficacy of treatment. Case histories of six intractable clinic cases are examined and an intensive team intervention programme described. Difficulties in carrying through a consistent plan are outlined: the key worker providing an essential motivational role towards participant staff, parents and child.