| Popis: |
Background 1 in 10 children and adolescent suffer from mental illness associated with considerable distress , this audit is done to focus on CAMHS inpatient admissions having suicidal ideation, eating disorder (anorexia nervosa/bulimia nervosa) ,anxiety disorder prevailing in Ireland in Cavan Monaghan community over 5 years and lack of dedicated pediatric liaison psychiatric team nationally that should be considered to be more active due to increasing ratio of CAMHS inpatient admissions in pediatric wards in local hospitals. Study by National suicide Research Foundation shows deliberate self harm rose by 22% over 10 yrs to the end of 2016, more pronounced in female of age 10 to 14 yrs, 70 children of school going age died by suicide in 2017 Aims Over many years pediatric services has supported Cavan and Monaghan community based CAMHS services in the inpatient care of patients with various mental illness ,this audit aims to assess the resources given to the care of these inpatients and the changes of workload over recent years Standards National model of care in pediatric health care services in Ireland. Survey of inpatient admission of children and adolescent with mental health RCPSYCH 2015 Quality Improvement network for multi agency CAMHS(QINMAC) Difficulties of high risk patient in pediatric ward with reported self harm incidents on wards, the need of restraint , security staff and properly trained staff and police Long waiting lists should be eliminated , should provide supportive and comfortable environment to patients with mental illness by trained staff. Methodology Literature review of most recent Irish or International consensus guidelines on inpatient care of CAMHS patient. Audit of number of patients under CAMHS admitted over 5 yrs (2013 till 2017) Pull charts Data collection : Name D.O.B MRN Age at admission Date of admission Diagnosis Length of inpatient stay Result of 2018 audit. Recommendation for improvement Results 125 inpatient admission with the diagnosis of suicidal ideation, eating and anxiety disorder (jan 2013 till dec 2017) 49 female (68%) and 23 male (32%) Average age 14 yrs. Average Length of stay 6 days, median 3 days Over 5 yrs 54% diagnosed suicidal ideation,24% eating disorder,15.16% anxiety disorder. Conclusion 2017 peak of new admissions of all the three mental illness. Female predominance in suicidal ideation and eating disorder Male predominance in anxiety disorder Recommendation To assess number of beds need for future. Meet CAMHS for future service planning. Re audit. safeguarding . Additional staff training. |
