Stockwell, Elizabeth (2022) Child Psychotherapy in a paediatric out-patient setting: How can a Brief Intervention Service contribute to the assessment of Under-Fives? Professional Doctorate thesis, Tavistock and Portman NHS Foundation Trust/University of East London. Full text available

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Abstract

This research study aimed to find out the contribution of a brief parent-child psychoanalytic psychotherapy intervention to the paediatric diagnostic assessment of children aged under-five. Previous literature and research regarding brief under-fives interventions focused on the clinical application of the model. No accounts of what referrers thought of the intervention, as a means to aid their understanding or assessment of a child, had been undertaken. Three referred children and their parents were offered parent-child psychotherapy sessions based on the Tavistock under-fives clinical model. Data was gathered from parents through standardised outcome measures. A clinical formulation report drawing upon clinical process note data of the sessions was shared with the child’s parents, GP and referring community paediatric clinician. This enabled a bridge to be formed between the clinical intervention and the referring paediatric clinician. A semi-structured interview then took place with the referring community paediatric clinician. Findings from the clinical intervention were that parents felt the intervention enabled them to understand their child’s emotional and behavioural needs better. Interviews with the paediatric referring community paediatric clinicians found that the intervention was considered valuable in a range of ways. This included confirming a paediatric clinical view of the child, helping to avoid possible mis-diagnosis of a neuro-developmental disorder and providing an intervention for the child where universal and paediatric interventions had already been offered and difficulties continued to be experienced. Paediatric referrers were able to experience referring to a psychoanalytic child psychotherapy intervention for the first time and consider how this could support them in the future in their diagnostic assessment of young children. The provision of the brief intervention enabled a strengthening in the working relationships between paediatric and CAMHS clinicians.

Item Type:	Thesis (Professional Doctorate)
Additional Information:	Thesis submitted in partial fulfilment of the requirements of the Tavistock and Portman NHS Foundation Trust and the University of East London for the degree of Professional Doctorate in Child and Adolescent Psychoanalytic Psychotherapy.
Uncontrolled Keywords:	Professional Doctorate in Child and Adolescent Psychoanalytic Psychotherapy,University of East London
Subjects:	Children, Young People and Developmental Pyschology > Child Development Children, Young People and Developmental Pyschology > Child Psychotherapy Psychological Therapies, Psychiatry, Counselling > Brief Therapies Research, Tests, Assessments > Assessment/Interviews
Department/People:	Children, Young Adult and Family Services Research
URI:	https://repository.tavistockandportman.ac.uk/id/eprint/2918

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