RESUMO
A lightly modified version of the basic documentation of the Child and Adolescent Psychiatric Associations was introduced in three different clinics. Relevant items were analysed for about 5300 patients. The data of the 3 clinics were compared. There was a fair amount of agreement in the age structure and the distribution of the diagnoses between the clinics. A regular and detailed comparative analysis of the data will be developed as a measure of quality. The results of these analyses will be discussed in the 3 clinics and implemented in the daily routines.
Assuntos
Psiquiatria do Adolescente , Psiquiatria Infantil , Documentação/métodos , Transtornos Mentais/diagnóstico , Garantia da Qualidade dos Cuidados de Saúde/estatística & dados numéricos , Adolescente , Assistência Ambulatorial/estatística & dados numéricos , Criança , Pré-Escolar , Coleta de Dados , Hospital Dia/estatística & dados numéricos , Feminino , Alemanha , Hospitalização/estatística & dados numéricos , Humanos , Lactente , Masculino , Computação Matemática , Transtornos Mentais/terapia , Avaliação de Processos e Resultados em Cuidados de Saúde/estatística & dados numéricos , Design de SoftwareRESUMO
OBJECTIVE: Within the multiprofessional diagnostic in the psychiatric treatment for children an age-group of in-patients was examined using the coordination test for children (KTK) with regard to physical ability. METHODS: The ascertained results and classifications of the motor skills were related to ICD 10 diagnosis on level 1 (clinical psychiatric syndrom) and level 2 (circumscribed disturbance of the development) as well as to issues of the anamnese- and report-documentation in order to ascertain correlations between child psychiatry disorder and motor development. RESULTS: More than 40 % of the children examined showed motor deficiency. Moreover, it was evident that girls attained significantly lower KTK-results than boys. The statistical results did not show any distinct effects to "diagnosis" and "age". CONCLUSIONS: The high quota of obviously impaired and disturbed children reflects the general decline of motor skills and does not seem to be attributed to the demand for psychiatric treatment for children and youth.
Assuntos
Deficiências do Desenvolvimento/epidemiologia , Transtornos Mentais/epidemiologia , Transtornos Psicomotores/epidemiologia , Adolescente , Criança , Pré-Escolar , Comorbidade , Estudos Transversais , Deficiências do Desenvolvimento/diagnóstico , Deficiências do Desenvolvimento/reabilitação , Feminino , Alemanha , Humanos , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/reabilitação , Transtornos Psicomotores/diagnóstico , Transtornos Psicomotores/reabilitação , Fatores Sexuais , Estatística como AssuntoRESUMO
A lightly modified version of the basic documentation of the Child and Adolescent Psychiatric Associations was introduced in three different clinics. Relevant items were analysed for about 5300 patients. The data of the 3 clinics were compared. There was a fair amount of agreement in the age structure and the distribution of the diagnoses between the clinics. A regular and detailed comparative analysis of the data will be developed as a measure of quality. The results of these analyses will be discussed in the 3 clinics and implemented in the daily routines.