Child and adolescent psychiatry Flashcards
how many children are affected by psychiatric conditions
10%
what are some modulators of risk for childhood psychiatric conditiosn
child as a carer sibling mental illness family difficulties adversity/poverty domestic violence abuse
what are some examples of neurodevelopmental disorder
ADHS
dyslexia
autism spectrum disorder
what are the normal attachment stages for children
newborn - lack of selective attachment + stranger anxiety
9 months - stranger anxiety, selective attachments
18 months - peak of proximity seeking w/anxious behavior
3-4 years - separates more easily from parents
5 years - stable internal representations of parents relationships
adolescent - culturally dependent
what is the legal definition of a child
younger children lacking maturity and understanding to make decisions for themselves
what is the legal definition of a young person
older/more experienced children able to make important decisions themselves
what is the legal definition of an adult
> 18
what legal ability do 16-year-olds have regarding medical care
they have the ability to make decisions about their own care
when can the details of medical care be divulged if a child/young person does not consent to it
1) there is an overriding public interest in the info
2) there is a best interest decision made
3) its required by law
what happens if a patient tells you information, says they don’t want their parents to know - but they do not have the capacity to consent.
try to convince them to tell them themselves -but if they refuse info can only be disclosed if its in their best interests
what do you do with <16 year old (without capacity)who required MCA detention but parents do not consent
get legal/professional advice (i.e. too complicated for an F1)
what do you do with a 16-17 year old (has capacity) but is refusing treatment, and parents won’t consent to MHA detainment
legal/professional help
