Leventhal: "Children don't know what we can do for them"

The Dublin twitterstream #escap2013

15th International Congress of ESCAP 2013 Dublin

You are about to read an audience generated report of the
15th International Congress of ESCAP 2013 in Dublin. This
story has been put together from a selection of tweets, 
blogs and videos by delegates – the most spontaneous sources
one can imagine.

The future direction of child psychiatry

Dr Eric Taylor (London, UK), 6 July.

13:19 – Prof. Eric Taylor on the future of C & A Psychiatry: it is we who create that future ourselves, in the context of social change.
13:21 – Future CAP: 2nd generation immigrants, children who no longer meet in the street but online, massive increase in knowledge.
13:25 – Professor Eric Taylor (UK): the separation between physical health and mental health is not in the best interests of children.
13:37 – Prof. Taylor: training does not help hitherto for ADHD because we do not distinguish between various forms of attention problems.


Enabling parents to support their children's learning at home

Kathy Silva (Oxford, UK) – 8 July.

12:29 – Sylva: both family and school contribute to school performance of children. To change families is difficult: focus on good nursery education.

Can we improve parenting on a national scale so that children do better?
Stephen Scott (London, UK), 8 July.

14:14 – Scott: if budgets are limited, focus on the most severe cases: that is where we can obtain the biggest improvement and profit. 

The child/adolescent anxiety multimodal trial

John Walkup (New York, USA), 9 July.

12:15 – @walkup Interesting discussion between EU and USA on the diagnosis of bipolar disorder, Why do they see them and we don't?
12:17 – @salpekar The brain is a wonderful organ. It starts working the moment you get up and does not stop until you get into the office.
12:37 – USA psychiatrists say that EU child and adolescent psychiatrists 'don't believe' in mania in children. Goes down badly. #gap 


Child abuse and neglect from an international perspective: What works?
Marie-José van Hoof (Leiden, Netherlands), Gordon Harper (Boston, USA), Alan Apter (Petah Tikva, Israel), Mária Herczog (Budapest, Hungary), 9 July.

15:55 – workshop child abuse: what really works? Important that child psychiatrists worldwide start sharing their knowledge on effective care.
16:06 – And these are the evidence-based elements for child abuse in the Netherlands: CAP-knowledge-centre

AACAP vision for child and adolescent psychiatry 

Paramjit Joshi (Washington, USA), 9 July. 

14:32 – chairwoman of the American Academy for CAP: we have to stand up much more for the interests of our patients. #stigma
14:42 – @joshi Changes in youth mental health care: delivering care in communities AND increasing cooperation with health care.

Disordered, bad or just a victim of circumstances: the debate and quality of care of CD/ODD in three European countries

Henrikje Klasen (Leiden, Netherlands), Jörg Fegert (Ulm, Germany), Stephen Scott (London, UK), Robert Vermeiren (Leiden, Netherlands), Sandra Westgeest (The Hague, Netherlands), 9 July.

16:39 – Scott: treatment of behavioral problems according to guidelines is highly cost-effective.
16:43 – Professor Scott iapt.nhs.uk: Train all basic mental health workers how to treat, using protocols and routine outcome monitoring (ROM) every session.
16:56 – Much evidence for efficacy of structured parent training programs for behavioral problems in children in the Netherlands, Germany and UK.

Leaders forum: the future of child and adolescent psychiatry

Ruud Minderaa (Groningen, Netherlands), Norbert Skokauskas (Dublin, Ireland), Olayinka Omigbodun (Ibadan, Nigeria), Paramjit Joshi (Washington, USA), 10 July.

10:09 – Prof. Joshi, the president-elect of the American Academy of Child and Adolescent Psychiatry, puts it more strongly: we are not going forward.
10:12 – So: mental health is a subject of and FOR children, and we must bring this message into the limelight, unanimously.
10:21 – Prof. Minderaa, chairman of ESCAP explains once more that protocolized diagnosis and treatment improve our profession.
10:26 – Take a look at CAP-knowledge-centre for evidence-based diagnosis and treatment in youth mental health, says Minderaa.

The future of child and adolescent psychiatry

Norbert Stokauskas (Dublin), Bennett Leventhal (New York, USA), 10 July.

09:50 – President of the World Psychiatric Association (WPA): the biggest enemy of psychiatry is us.
09.55 – Leventhal (WPA) lays down a blandness sermon to the assembled child and adolescent psychiatrists in Dublin (1/2).
09:59 – Leventhal: why don't we get the governments to listen to us? We do not speak with one voice.
10:00 – Leventhal: we do not share the knowledge well enough, we do not stick to evidence based treatments, children do not know what we can do for them (1/2).
10:03 – @leventhal again: child psychiatrists, stop doing what other disciplines also do, or even do better. It makes our job irrelevant.
10:03 – @leventhal: we are not easily accessible for children and parents. The message to them is: we are good at treatment.
10:06 – @leventhal: psychological problems are developmental problems. They are not caused by upbringing, but environment plays a role.
10:09 – Bennett Leventhal: child and adolescent psychiatrists should not be afraid of change. It is our job to anticipate.


Breaking down the boundaries: comorbidity of mental & physical disorders

Kathleen Merikangas (Bethesda, USA), 10 July.

11:34 – And now the president of the International Association for Child and Adolescent Psychiatry and Allied Professions: mental health worldwide.
11:47 – In the USA, 25% of youth have both a physical and a mental illness. Only 8% have a mental disorder only.
12:11 – Merikangas shows the research results on co-morbid physical and psychological illnesses where our ministry of health has often asked us for. @NIMH, NCS-R Study

Respond to this subject.

  • By Sue Bailey – Royal College of Psychiatry, London UK

    From Scotland to Ireland

    Sue Bailey: president's blog.


    Professor Sue Bailey, president of the Royal Academy of Psychiatrists (London, UK) and a child and adolescent psychiatrist for 30 years, visited the ESCAP 2013 Congress. She wrote her presidential blog about it.

    Tuesday, 16 July 2013
    The International Congress in Edinburgh was really a great success, followed by a busy, but enjoyable and productive week in Dublin.  This was the first ESCAP Congress hosted by the Irish College of Psychiatrists. Whilst the opening of the Congress was going on, so was a young people's River Dance, but with a modern twist. Outside in the heat, the youth of Dublin jumped from the bridges into the river below - a risk-taking activity which has 

  • been carried out across the world by generations of young people when the hot weather sets in.

    The conference was excellent and the staff and senior members of the Irish College did a fantastic job. 

    Back to London for a packed day at the Academy of Medical Royal Colleges where the 7-day consultant-led report is shaping up well, but cannot be resourced and/or cost neutral.  In the afternoon, we heard from the new chair of NICE, David Haslam.  I have subsequently written to him about our hope that NICE will do an acute mental health care pathway guidance for primary care, A&E mental health and secondary care, and that they will think beyond HTA methodologies.

    I then went back to Dublin for UEMS CAP. I am delighted to have been elected as their next President.  I hope to push the Parity agenda, and in particular working with the psychiatry UEMS, I am determined to push the central European Union of Medical Specialists (UEMS)  to support us in asking all medical schools across Europe to increase the exposure of medical students to psychiatry. The dilemmas are the same across the whole of Europe, 

  • whether in well-resourced countries, or those with sparse resources.  In all European countries, in child psychiatry there is a push towards prevention and in working directly with local communities.

    For this week, a complete diversity of meetings are planned.

    Meanwhile at home, I became the family mobile sun cream application unit, but of course forgot myself. I sponsored my grandson for his school sports day forgetting that, whilst he has a little way to go in his running technique, he more than makes up for this in sheer determination. So at a pound a lap, say no more, but for a good cause. 


    Source: The Royal College of Psychiatrists.