Table of Contents
Advances in Critical Care
Volume 2014, Article ID 897627, 5 pages
http://dx.doi.org/10.1155/2014/897627
Research Article

Joint Paediatric and Psychiatric Follow-Up for Families following Paediatric Intensive Care Unit Admission: An Exploratory Study

1Central and North West London NHS Trust and the Academic Unit of Child and Adolescent Psychiatry, Imperial College London, St Mary’s Campus, Norfolk Place, London W2 1PG, UK
2Barnet, Enfield and Haringey Mental Health Trust, London N2 8LT, UK
3Department of Paediatric Intensive Care, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London W2 1NY, UK
4Academic Unit of Child and Adolescent Psychiatry, Imperial College London, London W2 1PG, UK

Received 23 April 2014; Accepted 25 May 2014; Published 4 June 2014

Academic Editor: Rosalind Elliott

Copyright © 2014 Julia Gledhill et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Psychopathology in parents and children is increased after Paediatric Intensive Care Unit (PICU) admission; few studies have evaluated interventions to reduce this. Objective. Evaluation of the feasibility of setting up a joint paediatric and psychiatric follow-up clinic for families after PICU discharge. Design. Feasibility study offering joint follow-up with a consultant paediatric intensivist and child and adolescent psychiatrist. Setting. Paediatric outpatient clinic in a university teaching hospital with a PICU. Patients. Children and their families discharged from PICU. Interventions. Outpatient appointment focussing on physical and psychological health; psychoeducation about emotional and behavioural difficulties occurring after PICU discharge, advice for parents about supporting their child’s psychological recovery, screening for more severe psychiatric disorders, and provision of a leaflet outlining possible difficulties and management strategies. Measurements. Attendance, content of discussion, psychiatric questionnaires, and family feedback. Main Results. It proved feasible to set up follow-up appointments to address physical and psychological health concerns; 4/12(33%) eligible families attended. Children and mothers who attended all reported child difficulties including sleep disturbance, increased anxiety, and PTSD symptoms in children and parents. Conclusions. Follow-up clinics after PICU discharge are feasible to set up; take-up is poor but families attending report psychopathology which may be addressed through the intervention.