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KMID : 0378019820250010139
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New Medical Journal
1982 Volume.25 No. 1 p.139 ~ p.145
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A Clinical Experience at Outpatient Department of Child Psychiatry in National Mental Hospital
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Abstract
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The author reports a clinical study on 193 new child cases through two year´s experiences at Outpatient department of Child Psychiatry of National Mental Hospital (from May 1, 1979 to April 30, 1981) The Findings are as follows;
1) The most of sources of the referral of the Datients was from their parents and/or relatives (90.7%). The referral from other hospitals (department of neuropsychiatry or child psychiatry): 4. Hol. There was no referral from paediatricians.
2) In the age and the sex distribution 13-15 age group was the largest (38.9%) and the patient group under two years of age was the smallest.
3) The author divided clinical symptoms into eight categories: i. e., symptoms manifested in behaviours, convulsive symptoms, somatic symptoms, language disturbances, the developmental delay, sleep disturbances, learning problems, and others.Among them the symptoms manifested in behaviours were most frequently found (38.4%). The convulsive symptoms were the next frequent (24.3%) and somatic symptoms were 14.5%. In symptoms manifested by behaviours the bizarre and the aggressive symptoms were predominant. The headache was the most common single symptom among somatic symptoms.
4) In the distribution of diagnose the convulsive disorder was the most frequent (26.4%), the psychoses (17.6%), the mental retardations (14. 5%), and the neuroses was 11.4%.
5) There appeared the tendency of the increase of patients´ number as their ages get higher in general. In the age distribution of each disease 6-15 age group dominated in convulsive disorders, in mental retardations 3-12 age group predominant, 13-15 age group was the most common in psychoses while 9-15 age group was the most frequent in neuroses.
6) The outpatient approaches were the main treatment and the pharmacotherapy,the counseling for parents, and the individual psychotherapy were more commonly used than others while the inpatient treatment and the referrals were not active due to the limited facilities and resources.
The author feels that we urgently need to work with related professionals (psychiatric social workers, child psychologists, and also trained child workers etc.) as a team since we know that multidisciplinary team approaches are sine qua non in terms of doing the proper work in the field of child psychiatry. Furthermore, the author looks forward to set up the inpatient facilities as soon as possible for the short and the long term treatment.
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