TRANSITION TO THE SPECIAL NEEDS REPORT FOR CHILDREN (SNRC): AN ANALYSIS OF REFERRALS TO CHILD AND ADOLESCENT PSYCHIATRY OVER THE LAST THREE YEARS

Duygu Kaba; Rahime Duygu Temeltürk

Makale detayları

TRANSITION TO THE SPECIAL NEEDS REPORT FOR CHILDREN (SNRC): AN ANALYSIS OF REFERRALS TO CHILD AND ADOLESCENT PSYCHIATRY OVER THE LAST THREE YEARS

Yazarlar:

Duygu Kaba | Rahime Duygu Temeltürk

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.26 Issue 2, pp.180-186

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325262

pISSN:

2148-9645

Anahtar kelimeler:

Özet:

 Objective: Following the enactment of the Special Needs Report for Children SNRC regulation on February 20, 2019, several changes were made to the reporting system. The field of child psychiatry is among the leading specialties issuing SNRC reports. This study aimed to evaluate the psychiatric and other medical diagnoses of cases referred to pediatric and adolescent psychiatry for SNRC, determine their level of needs, and discuss the new regulation in the context of existing literature. Material and Methods: Demographic and clinical characteristics, as well as levels of needs and relevant areas, were retrospectively analyzed for cases aged 0-18 who presented to a university hospitals pediatric and adolescent psychiatry clinic between January 2021 and January 2024. Results: A total of 986 children and adolescents, comprising 331 33.6 females and 655 66.4 males, with a mean age of 10.273.77 years, were included in the study. The most common reason for SNRC referral in the 0-4 age group was speech delay n32, 45.1 while learning difficulties were predominant in other age groups. Analysis of psychiatric diagnoses under SNRC revealed delayed milestone diagnosis as the most common at 45.7 n451, followed by specific learning disorder n312, 31.6 and autism spectrum disorder n154, 15.6. Non-psychiatric diagnoses showed that 28.8 n284 of cases had at least one accompanying medical disease, including cerebral palsy n65, 6.5, sensorineural hearing loss n47, 4.8, epilepsy n37, 3.8, and Down syndrome n21, 2.1. Additionally, 20 n198 of cases exhibited special needs in at least one non-psychiatric area, with motor development being the most common domain n125, 63.1. Conclusion: These findings highlight the diversity of needs among children and adolescents receiving SNRC reports. Accurate evaluation and reporting of special needs in child and adolescent psychiatry are crucial for enhancing individuals quality of life and providing necessary support.

 Objective: Following the enactment of the Special Needs Report for Children SNRC regulation on February 20, 2019, several changes were made to the reporting system. The field of child psychiatry is among the leading specialties issuing SNRC reports. This study aimed to evaluate the psychiatric and other medical diagnoses of cases referred to pediatric and adolescent psychiatry for SNRC, determine their level of needs, and discuss the new regulation in the context of existing literature. Material and Methods: Demographic and clinical characteristics, as well as levels of needs and relevant areas, were retrospectively analyzed for cases aged 0-18 who presented to a university hospitals pediatric and adolescent psychiatry clinic between January 2021 and January 2024. Results: A total of 986 children and adolescents, comprising 331 33.6 females and 655 66.4 males, with a mean age of 10.273.77 years, were included in the study. The most common reason for SNRC referral in the 0-4 age group was speech delay n32, 45.1 while learning difficulties were predominant in other age groups. Analysis of psychiatric diagnoses under SNRC revealed delayed milestone diagnosis as the most common at 45.7 n451, followed by specific learning disorder n312, 31.6 and autism spectrum disorder n154, 15.6. Non-psychiatric diagnoses showed that 28.8 n284 of cases had at least one accompanying medical disease, including cerebral palsy n65, 6.5, sensorineural hearing loss n47, 4.8, epilepsy n37, 3.8, and Down syndrome n21, 2.1. Additionally, 20 n198 of cases exhibited special needs in at least one non-psychiatric area, with motor development being the most common domain n125, 63.1. Conclusion: These findings highlight the diversity of needs among children and adolescents receiving SNRC reports. Accurate evaluation and reporting of special needs in child and adolescent psychiatry are crucial for enhancing individuals quality of life and providing necessary support.

 Objective: Following the enactment of the Special Needs Report for Children SNRC regulation on February 20, 2019, several changes were made to the reporting system. The field of child psychiatry is among the leading specialties issuing SNRC reports. This study aimed to evaluate the psychiatric and other medical diagnoses of cases referred to pediatric and adolescent psychiatry for SNRC, determine their level of needs, and discuss the new regulation in the context of existing literature. Material and Methods: Demographic and clinical characteristics, as well as levels of needs and relevant areas, were retrospectively analyzed for cases aged 0-18 who presented to a university hospitals pediatric and adolescent psychiatry clinic between January 2021 and January 2024. Results: A total of 986 children and adolescents, comprising 331 33.6 females and 655 66.4 males, with a mean age of 10.273.77 years, were included in the study. The most common reason for SNRC referral in the 0-4 age group was speech delay n32, 45.1 while learning difficulties were predominant in other age groups. Analysis of psychiatric diagnoses under SNRC revealed delayed milestone diagnosis as the most common at 45.7 n451, followed by specific learning disorder n312, 31.6 and autism spectrum disorder n154, 15.6. Non-psychiatric diagnoses showed that 28.8 n284 of cases had at least one accompanying medical disease, including cerebral palsy n65, 6.5, sensorineural hearing loss n47, 4.8, epilepsy n37, 3.8, and Down syndrome n21, 2.1. Additionally, 20 n198 of cases exhibited special needs in at least one non-psychiatric area, with motor development being the most common domain n125, 63.1. Conclusion: These findings highlight the diversity of needs among children and adolescents receiving SNRC reports. Accurate evaluation and reporting of special needs in child and adolescent psychiatry are crucial for enhancing individuals quality of life and providing necessary support.

 Amaç: 20 Şubat 2019 tarihinde yürürlüğe giren Çocuklar İçin Özel Gereksinim Raporu ÇÖZGER ile rapor sisteminde birtakım değişikliklere gidilmiştir. Çocuk psikiyatrisi bölümü en fazla ÇÖZGER raporu çıkaran branşlardan biridir. Bu çalışmada ÇÖZGER için çocuk ve ergen psikiyatrisine başvuran olguların psikiyatrik ve diğer tıbbı tanılarının değerlendirilmesi, gereksinim düzeylerinin belirlenmesi ve yeni yönetmeliğin mevcut literatür eşliğinde tartışılması amaçlanmıştır. Gereç ve Yöntemler: Ocak 2021 ile Ocak 2024 tarihleri arasında bir üniversite hastanesinin çocuk ve ergen psikiyatrisi kliniğine başvuran 0-18 yaş olguların demografik ve klinik özellikleri ile gereksinim düzeyleri ve ilgili alanlar geriye dönük olarak incelenmiştir. Bulgular: Çalışmaya 331i 33.6 kız, 655i 66.4 erkeklerden oluşan ve yaş ortalaması 10.273.77 yıl olan 986 çocuk ve ergen dahil edilmiştir. 0-4 yaş grubunda ÇÖZGERe en sık başvuru nedeni konuşma geriliği iken n32, 45.1, diğer yaş gruplarında öğrenmekte zorluk olmuştur. ÇÖZGER kapsamında psikiyatrik tanılar incelendiğinde, en sık olarak 45.7 n451 ile gecikmiş dönüm noktası tanısının konulduğu bunu sırasıyla özgül öğrenme bozukluğu n312, 31.6 ve otizm spektrum bozukluğu n154, 15.6 tanılarının izlediği belirlenmiştir. Psikiyatri dışındaki tanılar incelendiğinde tüm olguların 28.8 n284inde en az bir tıbbi hastalığın eşlik ettiği saptanmıştır. Bu tanıların sırasıyla serebral palsi n65,6.5, sensörinöral işitme kaybı n47, 4.8, epilepsi n37, 3.8 ve Down Sendromu n21, 2.1 olduğu belirlenmiştir. Olguların 20 n198inde en az bir psikiyatri dışı alanda özel gereksinim ihtiyacı mevcut olup bunun en sık Hareket Gelişimi Alanından n125, 63.1 olduğu saptanmıştır. Sonuç: Bu bulgular, ÇÖZGER raporu alan çocuk ve ergenlerin gereksinimlerinin çeşitliliğini vurgulamaktadır. Çocuk ve ergen psikiyatrisinde özel gereksinimlerin doğru bir şekilde değerlendirilmesi ve raporlanması, bireylerin yaşam kalitesini artırmak ve ihtiyaç duydukları destekleri sağlamak için kritik öneme sahiptir.

Makale detayları

TRANSITION TO THE SPECIAL NEEDS REPORT FOR CHILDREN (SNRC): AN ANALYSIS OF REFERRALS TO CHILD AND ADOLESCENT PSYCHIATRY OVER THE LAST THREE YEARS

Yazarlar:

Duygu Kaba | Rahime Duygu Temeltürk

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.26 Issue 2, pp.180-186

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325262

pISSN:

2148-9645

Disabled children

child psychiatry

children’s healthEngelli çocuklar

çocuk psikiyatrisi

çocuk sağlığı

Sayı

Makale detayları

TRANSITION TO THE SPECIAL NEEDS REPORT FOR CHILDREN (SNRC): AN ANALYSIS OF REFERRALS TO CHILD AND ADOLESCENT PSYCHIATRY OVER THE LAST THREE YEARS

Yazarlar: Duygu Kaba | Rahime Duygu Temeltürk

Yayıncı: Kirikkale University

Ana Başlıklar: Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.26 Issue 2, pp.180-186

Belge Tipi: Makale

Yayın Tarihi: 8/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001325262

pISSN: 2148-9645

Disabled children

child psychiatry

children’s healthEngelli çocuklar

çocuk psikiyatrisi

çocuk sağlığı

Sayı

Yazarlar:

Duygu Kaba | Rahime Duygu Temeltürk

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.26 Issue 2, pp.180-186

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325262

pISSN:

2148-9645