Mental health risk assessments have always been a challenge, even for the most experienced clinicians. Risk assessment involves understanding not just the severity of the reported symptoms but the underlying motivations and the psychosocial circumstances.
The approach and attitude towards Functional Neurological Disorders (FND) has changed over the last decade and anecdotally at least, we seem to be seeing more cases in our day-to-day practice. Patients with functional symptoms present to many disciplines and functional symptoms can co-exist with organic pathology. There is now evidence to show earlier diagnosis and treatment can lead to more positive outcomes.
Meta-analyses show that medication is an effective treatment pathway in children and adolescents diagnosed with ADHD. These medications are also commonly associated with a number of side effects and risk factors for other conditions, which are less well understood by practitioners. This Grand Round intends to balance understanding of the efficacy of ADHD medication with the potential risks, and provide evidence for the safety of ADHD medication prescription in clinical practice.
Sibling sexual abuse is 3-5 times more common than father/step-father abuse. This study looked past the factors that might contribute to the occurrence of sibling sexual abuse with the aim of better understanding the experience of therapists working with families with such experience and collaboratively developing principles to guide practice in this complex area of child sexual abuse.
The Melbourne Children’s Campus is a global leader for longitudinal and life course data. Being one of the few centres worldwide with such extensive longitudinal cohort studies, we are positioned to address an array of questions central to early life health and development and its progression throughout the life span.
The Melbourne Children’s Campus (the Campus) has the culture and expertise to provide our infants, children and young people, and their families with world class mental health care (The RCH), built on sound evidence (MCRI), and workforce training and education (University of Melbourne, Department of Paediatrics). The integration of mental health research, education and care across the Campus underpins the Campus Mental Health Strategy (Strategy), a five-year Strategy that has been funded for the first 2 years by The RCH Foundation. A team of 14 people will lead and implement the Strategy, supported by many leaders and staff from across the Campus.
Mental Health is an issue of growing concern across the community. This has been amplified through the COVID-19 pandemic. Child mental health is also an ongoing priority for the Melbourne Children’s Campus (MCC) and its three partners. The RCH treats many vulnerable patient groups (e.g., children with chronic illness, neurodevelopmental disorders, psychosocial challenges) with elevated risk of psychological and mental health difficulties. This extends across our inpatient and outpatient services and into the community. Despite this, mental health services can be fragmented and difficult to access.
Pain is described as “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage”. This definition from IASP guides clinicians to potential prevention and intervention points for a reduction in the experience of pain for our patients.
Use of the internet and social media is now almost ubiquitous amongst adolescents. Parents express concern about their children’s use of social media and the risk of exposure to both unwanted and sought-after content, especially sexual content. Negotiating the digital world and understanding who their children are communicating with is becoming more difficult for parents.
Many children each year are born with complex congenital colorectal conditions. The most common of these are anorectal malformations (ARM) and Hirschsprung disease (HD), which each affect 1 in 5000 children. These children require multiple operations, and there is increasing recognition that they may require life-long care.
