Detailed contribution information
| Contribution title | 2785 - Initial Clinical Assessment |
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| Contribution code | PS02-18 (P) |
| Authors | |
| Form of presentation | Poster |
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| Abstract |
Introduction In 2011 the Psychiatric Services Aargau (PDAG) implemented a new intake system for outpatient mental health care in children and adolescents. Due to highly limited human and financial resources, all referrals to the PDAG firstly undergo a clinical assessment which encompasses a telephone-interview by clinical staff, the web-based «Development and Well-Being Assessment» (DAWBA), containing the Strength and Difficulties Questionnaire (SDQ), and the study of pre-existing reports. The least invasive and best professional and cost-effective method (outpatient before inpatient programs) should be used for diagnostic and treatment processes. Therefore we expanded the intake system since November 2016 to the whole Department of Child and Adolescent Psychiatry and Psychotherapy, containing the new psychiatric hospital for children and adolescents and the sectorized care in four ambulatories. Methods and Results In an article presented in 2016 we analyzed patient paths (flows), acceptance and staff costs in the implemented outpatient care model: One third of the cases referred to the PDAG in 2012 turned out not or not to be primarily in need of psychiatric treatment. These cases were closed and – if needed – referred to other psycho-social services. In the new hospital for children and adolescents we included all referrals to the care system (in- and outpatient settings). Furthermore, we evaluate the clinical outcomes with SDQ six months after referral, including those referred to other services. Preliminary path, acceptance and outcome data will be presented. Conclusions The new intake system in outpatient clinic is very well accepted by the respondents with a DAWBA response rate of 92%. The data for new child and adolescent psychiatry intake care model of the whole department should be discussed: How can we provide an effective, efficient and broadly accepted health care system for children and adolescent given the fact, that human and financial resources are strictly limited? |