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MD Anne-Frederique Naviaux

consultant Psychiatrist and Child Psychiatrist

Title: Emergencies and Interventions in an out of hours Child and Adolescent Mental Health Service based in a General Hospital

Biography

Biography: MD Anne-Frederique Naviaux

Abstract

Having 25% of the total population aged under 18y old, Ireland struggles to provide appropriate Child and Adolescent Mental Health Services (CAMHS); this is directly connected to the lack of CAMHS consultants to lead these services.  Accessing the existing CAMHS, especially in emergency, is particularly difficult as the waiting lists are ever growing, and therefore delaying the possibility of an early first appointment.

To palliate this, in Wexford and Waterford, we decided to be creative and to develop a new type of service: an out-of-hours Emergency Mental Health Service for young people, which provide assessments and interventions for under 18y old patients with Mental Health issues presenting in Emergency Department (ED) and/or hospitalised on a Ward. This new service functions with extremely limited resources (one consultant Psychiatrist and one Psychiatrist in training) and operates between 3 sites. 

Aim & Objectives: To explain this global trend is to examine how the type of the youth mental health problems addressed in EDs has changed over time

Material & Methods: The Child and Adolescent Psychiatric Department of the Pitié-Salpêtrière Hospital (CAPD-PSH) is a tertiary care referral center providing care to children and youths up to 18 years of age. 

Results: A total of 675 interventions were delivered by the consultant responsible for that new Service over a period of 7 months (between February and August 2018).  59% of these interventions were made by phone while 41% required a face to face consultation.

Conclusion: Following this study, not only has this new service been maintained but it will developed and might also serve as a model for the other regions of Ireland which might want to develop a similar service.