Mental problems, social problems, psychosocial problems, psycho-somatic problems, interdisciplinary collaboration Dutch: Mentale problematiek, sociale problematiek, psychosociale problematiek, psychosomatische problematiek, interdisciplinaire samenwerking
Conditions
Interventions
The intervention comprises the procedure that started in 2015 at the Amphia hospital, Breda, The Netherlands. In this procedure, pediatric nurses act as the linking pin between pediatrics, Dutch Youth
Sponsors
GGD West-Brabant
Eligibility
Inclusion criteria
Inclusion criteria: All children, aged 0-19 years, who visit the outpatient clinic of the Amphia hospital from June 2017 to February 2018, and suffer from psycho(social) problems are eligible for the study: During the consultation, the pediatrician checks whether the child is eligible for inclusion in the study. If a child is eligible, the pediatrician explains the study and hands over an informed consent form. At the moment a parent of the child or the child itself (age 16 and over) has signed the informed consent, the child is included in the study.
Exclusion criteria
Exclusion criteria: Whenever, at the moment of inclusion, the child is suffering from serious psychiatric problems or (complex) medical problems for which acute care is required, the child will not be included. There are two forms of urgency: - Acute care concerning another form of specialized medical care - Acute care which needs extra assistance from the social domain Whenever these problems reveal themselves during the study, the child will be excluded from the study. It will be documented how many and for what reason children will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Parental and children’s satisfaction with the care provided (Exit questionnaire) Parental and children’s satisfaction with the care provided is measured by use of the validated Youthand parental help questionnaire, Exit. The Exit questionnaire contains a parental and children’s (12 years and over version. Throughput The timespan between the first consultation with the pediatrician and the first contact with follow-up care, after the child is referred by the pediatric nurse | — |
Secondary
| Measure | Time frame |
|---|---|
| Parenting stress Parenting stress and changes in parenting stress are measured by use of the parenting stress questionnaire. Severity Problem severity is measured from the parental and professional perspective. Parental perspective Parents complete a ‘Visual Analogue Scale’(VAS) for the subjects: crying, sleeping, eating and development for children aged 0-2 years. For children aged 2-19 years they complete a ‘Strengths and Difficulties Questionnaire’ (SDQ). Professional perspective To get an impression of the perspective of the professional on (changes) in problem severity, pediatricians complete a VAS. With this instrument they give an overall score for problem severity. Other study parameters Evaluation new working method The professionals experiences with the intervention are valued to measure the program integrity, the efficiency and effectivity of the new working method, the collaboration process and the total approach. Intervention costs and structural funding To give an indication of the costs involved with the new working method qualitative analysis of a few cases are performed. Where possible, the costs of the different activities will be documented. During interviews with experts from the health insurance company and youth healthcare it will be discussed how the new working method can be funded structurally and which factors have to be taken into account | — |
Contacts
Public ContactS Kuiper
GGD West-Brabant
Outcome results
None listed