Which parents dropout from an evidence-based parenting programme (Triple-P) at CAMHS? Comparison of programme-completing and dropout parents

Evidence-based parenting programmes are beneficial for children's behavioural and emotional problems as well as parenting practices. Along with effectiveness, attendance affects the programme outcome and identification of risks associated with dropout may aid in development of special policy to increase engagement. In this study, we aimed to compare sociodemographics, parental attitudes, child behavioural and emotional problems of programme-completing and dropout parents from Level-4 Triple-P parenting programme applied at Child and Adolescent Mental Health Services (CAMHS). We also aimed to determine the attrition rate. In addition, we inquired whether there was a change in parenting styles and child behaviour and emotional problems before and after Level-4 Triple-P for the programme-completing parents at CAMHS. Results displayed that 52% (n = 58) of the parents who were significantly less educated, used hostile rejecting attitudes, and reported more hyperactive/inattentive behaviour in their children compared to the parents who competed the programme (p = 0.022, p = 0.016, p = 0.027, respectively) discontinued the programme. Parents who were able to complete the programme (n = 54) reported a reduction in over-parenting and improvements in children's conduct problems along with overall stress levels before and after Triple-P (p = 0.009, p = 0.040, p = 0.023). Parents at risk of discontinuing parenting programmes may require special policy to be engaged since these programmes may offer significant benefits for parenting practices and, in turn, children's well-being

Factors affecting improvement of children and adolescents who were treated in the child and adolescent psychiatry inpatient unit

Objective This study aimed to assess the correlates and predictors of improvement in general functioning of children and adolescents who are treated in the child and adolescent psychiatry (CAMHS) inpatient unit

Is Triple P effective in childhood anxiety disorder? A randomized controlled study

OBJECTIVES: Considering the role of parenting in the aetiology and maintenance of anxiety disorders, working with parents is a promising treatment strategy. Triple P-positive parenting programme is a parent-focused cognitive behaviour therapy. In this study, we aimed to investigate the effectiveness of Triple P in improvement in childhood anxiety disorders and also to assess its effects on behavioural and emotional problems, general anxiety level, severity of the disorder, and general psychosocial functioning. Parents' mental health and general well-being were also evaluated

Adjunctive olanzapine treatment in bipolar adolescents responding insufficiently to mood stabilizers - Four case reports

This report was aimed to evaluate the efficacy of olanzapine treatment as an adjunct therapy to mood stabilizers in the treatment of four adolescents responding insufficiently to mood stabilizers. All patients were diagnosed with bipolar I disorder according to DSM IV criteria. YMRS (Young mania rating scale) and CGI (Clinical global impression, improvement and therapeutic effectiveness scales) were used to evaluate overall response of the episode to the drugs. All patients with no adequate response to mood stabilizers did respond to adjunctive olanzapine treatment (10-30 mg/per day). It has been suggested that antipsychotics may be useful as an adjunct to mood stabilisers in bipolar disorder. However, further research is warranted regarding the use of atypical antipsychotics in children and adolescents

A comparison of extra and intra-familial sexual abuse of children and adolescents

Objective: The aim of the study is to define and compare individual and family characteristics, occurrence as well as the consequences of the abuse and forensic processes of children who are victims of extra and intra-familial child sexual abuse. Methods: Data was collected by retrospective chart review of 182 cases who had admitted to a child and adolescent psychiatry clinic between 2010 and 2012 for forensic evaluation due to being victims of child sexual abuse. Following data collection cases were grouped into two; 139 children and adolescent as extrafamilial and 43 cases as intra-familial child sexual abuse. Analysis of data was performed accordingly. Results: Girls were more commonly sexually abused in both groups. In the intra-familial group, mean ages of children and their parents were significantly lower. Biological father was the most common offender in the intra-familial sexual abuse group Children in the extra-familial sexual abuse group had significantly lower intelligences quotients and were not attending school. Time between the occurrence of the abuse and the forensic evaluation was significantly longer in the intra-familial group. Withdrawal of the claim was only present in the intrafamilial sexual abuse group. In both groups physical abuse accompanying sexual abuse were significantly more common in male victims. Mean age under 12 years, intelligence level and psychiatric morbidity within the family were found to be the predictors of intrafamilial sexual child abuse. Discussion: This study displays that 1/4 of child sexual abuse is in the form of incest, known to have significantly more detonating effects on the victims. It takes longer to identify the cases of incest and its deleterious effects are more implicit. Extended and expansive research on child sexual abuse, especially incest, necessitates

Is Triple P Positive Parenting Program Effective on Anxious Children and Their Parents? 4th Month Follow up Results

The aim of this study is to evaluate the effectiveness of Triple P Positive Parenting Program, which has been shown to be effective in reducing children's behavior problems in a variety of populations, on childhood anxiety disorders. This is an open-labelled continuation study of the randomized, single-blinded, controlled trial which is done 4 months after the intervention. A total of 50 subjects ages between 8 and 12 diagnosed with anxiety disorder were enrolled to the open-labelled phase of the study. The two groups were compared right before and 4 months after the implementation with various questionnares which measured the children's amotional and behavioral problems and anxiety severity and parental general well being and axiety were also evaluated. Children's general anxiety level and anxiety disorder severity of intervention group were significantly lower than waiting list group. In this study, it is shown that parental anxiety and general well being were also improved. Our results suggest that Triple P may be an effective and useful method of treatment for anxious children. Large sample sized studies are needed

Gestational termination process in sexual abused adolescent: a case report

Sexual abuse is an important public health problem with the prevalence of 7-36% in women and 3-29% in men. While sexual abuse can be seen at all ages, adolescent pregnancy is an important negative result of sexual abuse in adolescence. Considering the risks of psychosocial stress factors influencing adolescents' mental health negatively and causing developmental delays, having a child at adolescent age can not be appropriate for adolescents and adolescents can not take care of a child or can not take on the responsibilities of a parent. Due to item 99/6 of Turkish Criminal Code which came into effect in July of 2005, gestation termination can be in the first 10 weeks of pregnancy as a normal legal procedure but if the gestation is the result of a sexual abuse, gestation termination time is extended to the first twenty weeks of pregnancy. Due to Gestation termination and sterilization employments' implementation and inspection policy guidelines which came into effect as a decision of the Council of Ministers on the 14th of November in 1983; in adolescent pregnant who have mental disorders, gestation termination can be done after first ten weeks because of their mental disorders. This is a case report about the process of gestation termination decision and termination period of a 16 year old pregnant girl with a medication for bipolar disorder and mental retardation, who learnt the pregnancy in its sixteenth week and then consulted to the obstetrics and gynecology clinic for termination of gestation

Assessment for sexual abuse in a case presenting with genital herpes

Assessment for sexual abuse in a case presenting with genital herpes Child sexual abuse is defined as the use of a child by an adult or a significantly older person for the purpose of sexual stimulation. Sexual relations within the family (incest) "particularly involving children"is prohibited in all faiths and societies; hence, incestuous child sexual abuse is the form of abuse most difficult to determine. Prepubertal genital herpes is a presentation that definitely needs to be assessed as a potential indication for sexual abuse. Even though in adults transmission is often by sexual route, it has been pointed out that especially in cases below the age of 5 years, anogenital herpes can be transmitted by non-sexual mechanisms. As paths for a possible non-sexual transmission of genital herpes, autoinoculation, finger contact by an adult changing nappies leading to infection, hand contact between children, or transmission via infected objects (plate, fork, garments, etc.) have been reported. Guidelines helping in the assessment of sexual abuse are insufficient regarding the question how the issue should be confronted in pediatric cases of genital herpes. More evidence is required to solve this problem. In our presentation, we discuss the process of assessment for sexual abuse in the case of a girl aged 2 years 3 months presenting to the emergency department with anogenital herpes

Suspected child abuse among victims of home accidents being admitted to the emergency department - A prospective survey from turkey

Objectives: Association between home injuries and child abuse has received interest in Western countries. Inasmuch as it is now known that cultural differences may have an impact on child-rearing practices and the definition of maltreatment, we aimed to assess the suspected physical abuse in children presenting to the emergency department with home injuries and determine the risk factors associated with suspected child maltreatment in our region

Assessment for Sexual Abuse in A Case Presenting with Genital Herpes

Assessment for sexual abuse in a case presenting with genital herpes Child sexual abuse is defined as the use of a child by an adult or a significantly older person for the purpose of sexual stimulation. Sexual relations within the family (incest) "particularly involving children"is prohibited in all faiths and societies; hence, incestuous child sexual abuse is the form of abuse most difficult to determine. Prepubertal genital herpes is a presentation that definitely needs to be assessed as a potential indication for sexual abuse. Even though in adults transmission is often by sexual route, it has been pointed out that especially in cases below the age of 5 years, anogenital herpes can be transmitted by non-sexual mechanisms. As paths for a possible non-sexual transmission of genital herpes, autoinoculation, finger contact by an adult changing nappies leading to infection, hand contact between children, or transmission via infected objects (plate, fork, garments, etc.) have been reported. Guidelines helping in the assessment of sexual abuse are insufficient regarding the question how the issue should be confronted in pediatric cases of genital herpes. More evidence is required to solve this problem. In our presentation, we discuss the process of assessment for sexual abuse in the case of a girl aged 2 years 3 months presenting to the emergency department with anogenital herpes