THE PLANET OF PEDIATRIC PSYCHOLOGY; BEYOND THE PSYCHOLOGY AT PEDIATRICS November 25th 26th 27th, 2011
opportunities of early recognition of dysfunctional family interaction patterns in Primary Pediatric Practice. An Italian experience
Angelo Alongi, MD Alessia Alongi
Bilanci di Salute:
Programmed healthcheck visits 5 in the 1 year Building a trusting physician-family relationship
Longitudinal relationship with the family
Home Visits
Observing the in their natural environment
Pediatricians are the professionals most frequently consulted by caregivers of children with emotional or behaviural problems 21
Supporting the developing parent-child relationship: Multi-levels interventions
3) Detecting Risk Factors 2) Child behavioral health surveillance 1) Guidance on critical child development issues
Prematurity Chronic Medical Conditions
Milestones Helping parents understand their childs needs and behaviour
Newborn care Crying Sleep difficulties Toilet training Discipline Feeding difficulties
Preventing instauration of dysphunctional family interaction patterns
31
Aims
Methods
Results
Counseling aand challenges for early network that collects To highlight opportunities a mean consultations of 7170,6 epidemiological data for detection and intervention onresearchper year represented clinical dysfunctional 1467 visits purposes Counseling relationships from computerised clinical 22,8% parent 100% parent-child offered by routine of visits 10% of totalchildren 80% files filleddelivered care. out by from counseling activities in primary pediatric to 300 encounters wasof age under 2 years pediatricians during their 60% devoted exclusively daily activities since 1998.to 40% 6% of visits counseling delivered 20% to concerns on (parentalpatients between Records of the daily practice of a FPand 14 years, 0% 3 Visits Visits fordevelopmental issues with a statistically from 2006 tofor 2011 (5 years) 3-14 years 0-2 years represented the reason significant involving olds a total visits children between difference of 894 olds Other for consultation, which (P<0,001, chi-square Other visitsyears of age. 27286 8547 0-14 test) between required a purely Parental demand for counseling the two Counseling 1948 1650 Included information about: relational age classes. approach);
-motives for consultation is increased for infants -provided services
& toddlers
Child Neurologist
Social Assistant
Family Pediatrician
Pediatric Psycologist
Other professional figures