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Neuropsychiatry

Our primary mandate is to provide provincial specialized consultation for children and youth age 6-18 years old with complex neurodevelopmental conditions.
About

Who We Treat

Individuals with complex neurodevelopmental conditions that are also challenged by a combination of emotional, social, and cognitive behavioural concerns, and who have not responded to community treatment resources.

In some limited cases, we also provide consultation for children and youth with less complex concerns, in order to meet our multiple mandates of teaching, research, and program development.

Access to the clinic is by physician referral only and requires the following:

  • Ongoing care and support by a health care provider in the community including at discharge
  •  Parent / caregiver involvement

A recent physical exam is recommended.

Services we offer
  • Consultation
  • Assessment
  • Diagnosis
  • Limited treatment
  • Education/Family Support

‎The interdisciplinary team is comprised of physicians, nurses, social workers, psychologists, occupational and speech and language therapists. Involvement of these professionals is determined by the clinic. Patients cannot be referred directly for assessment from / by these disciplines. Our assessment process requires the active participation of the entire family.

 
 

Research into the causation and treatment of neuropsychiatric disorders is an integral aspect of the clinic activities. Research on outcome of group treatment, pharmacological studies, and other new research projects have been integrated into the clinic. All research is done with informed consent and protocols have been reviewed by the University of British Columbia and Hospital Ethics Committees.

Current research projects

TIC Database
Since 1997, this function of the Tourette International Consortium (TIC) has been managed by BC Children’s Hospital. By early 2007, 7,200 cases from 27 countries had been registered. The simple one-page data entry form is filled out by clinicians at member sites for consecutive new persons meeting criteria for TS. The first publication was in 2000. Special projects are looking at other repetitive behaviour patterns, including self-injurious behaviour.
Contact: Dr. Roger Freeman

Stereotypic Movement Disorder
This is an often-forgotten DSM diagnosis. 23 cases have been seen over the past 6 years, are being followed, and a publication is being prepared. The pattern of very early onset of repetitive, stereotyped behaviour that children enjoy when they are fantasizing or use to help their imaginative capacities is often confused with tics or autistic symptoms. There have been only 2 publications on this subject from other centres.
Contact: Dr. Roger Freeman

Learn more about our research at Child & Family Research Institute.
 

Student placements and training opportunities are provided to students at all levels and from multiple disciplines including: social work, nursing, psychology, medicine and psychiatry.



Treatment

During treatment

All the family members living with the child are requested to attend the first appointment. During this appointment the entire family is usually seen at some point, and the child is also interviewed separately. Referral information and questionnaires are reviewed and clarified with the child and family. 

The initial appointment may range in length from 1-1/2 to 2 hours. In some cases, 2 or 3 appointments may be required to complete the basic assessment.

When the assessment is complete, the clinician will discuss the findings with the child or adolescent and family. Generally, this will include a diagnosis and a specific plan for further assessment, or recommendations for further treatment and intervention, with suggestions for where this might take place. A report will be prepared and sent to the appropriate people.

Prepare

When a child / youth has been accepted to the waiting list, questionnaires regarding developmental and family history and symptom checklists are sent to the parents / caregivers to complete. We also will send a questionnaire to you to be completed by the teacher.

For adolescents, we need the same information, plus the adolescent needs to complete a self-report.

A request is also made to the parents / caregivers to bring all relevant previous assessment reports to the first visit.

After assessment

After our assessment and consultation is complete, children / youth and families who require long-term intervention are directed to resources in the community.

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SOURCE: Neuropsychiatry ( )
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