EPA-0612 – Comprehensive Treatment Children and Youth. Unit of Child and Adolescent Inpatient

Abstract

This paper will focus on the treatment in a formed by psychiatrists, clinical psychologists, nurses, nursing assistants, occupational therapist, teacher and social worker, responsible for conducting the therapeutic process.

We talk about of a 17 years old male patient who starts psychological and psychiatric monitoring in 2004. Required a first admission in 2006 and was diagnosed of Tourette's disorder. In 2006 was readmitted, oriented as not specified mood disorder. In 2011, he enters in another unit by psychotic symptoms and was diagnosed of Not Specified Psychotic Disorder. In Day Hospital and CSMIJ was monitored. These diagnostics changes and the differents treatments tested, without getting a clear answer, precipitated a new admission for study and treatment of the case. It was here when he was diagnosed of Disorganized Schizophrenia.

We works the adequate psychopharmacological treatment control, requiring the administration of high-dose Paliperidone (IM, to ensure management, supplemented by oral during admission) accompanied by anxiolitics. We work a stable socio-family situation. We have tried to get awareness of disease and greater linkage Day Hospital as objectives of the treatment plan.

Today, the psychotic clinic has been attenuated. Shows a certain period of clinical stability, monthly to attend to the IM treatment administration and do more regularly the oral treatment. It has adapted better to the dynamics of the center, and was able to contact the family of origin. This improvement has been achieved thanks to clarify diagnosis and multidisciplinary approach made.