Health Research, Vol. 2, Issue 1, Mar  2018, Pages 1-15; DOI: 10.31058/j.hr.2018.21001 10.31058/j.hr.2018.21001

A Profile of Common Neurodevelopmental Disorders Presenting in a Scottish Community Child Health Service –a One Year Audit (2016/2017)

Health Research, Vol. 2, Issue 1, Mar  2018, Pages 1-15.

DOI: 10.31058/j.hr.2018.21001

Michael O.Ogundele 1*

1 Community Paediatric Unit, NHS Fife, Glenwood Health Centre, Glenrothes, Scotland

Received: 12 December 2017; Accepted: 18 January 2018; Published: 12 March 2018

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Abstract

Community Child Health (CCH) is the branch of Paediatrics that specialises in childhood Neurodevelopmental and Emotional problems (NDEP), such as Attention Deficit Hyperactivity Disorder (ADHD), developmental delays and common emotional issues. A retrospective review of all patients seen in the local outpatient clinics between June 2016 and May 2017 within an NHS Fife region was carried out. No identifiable patient record was used and no research ethical approval was required. A total of 543 patients were seen in 908 clinic sessions, aged between two months and 18 years 6 months (average of 104 months) and 74% males. The largest age group (47%) was school-aged (5-9 years) children while young people (16–19 years) constituted 6% of the clinical caseload. The largest cases (46%) were seen in summer, but new referrals peaked during winter/spring (66%). The greatest proportion of patients (78%) lived in the most deprived 60% (Quintiles 1 to 3) of the community. The commonest NDEPs were difficulties with behaviour (45%), sleep (30%), social communications (27%), coordination (24.5%), sensory processing (22%), LD (19%), ADHD (17%), and speech/language delay (17%). Over 25 other multi-agency professionals were involved, including the OT (33%), SALT (26%), Health Visitors (18%), CAMHS (17%), Educational (16%) and Clinical Psychologists (15%). This study highlights the significant public health importance of childhood Neurodevelopmental disorders requiring high levels of integrated multi-professional involvement. It has implications for CCH training curriculum. The high risk of future mental health problems in adulthood demands a corresponding long-term follow-up and surveillance of children with NDEPs.

Keywords

Community Child Health, Training, Childhood, Neurodevelopment, Behaviour, Emotional Health, Multi-Professional, Socioeconomic Deprivation, ASD, ADHD, Sleep Disorder

Copyright

© 2017 by the authors. Licensee International Technology and Science Press Limited. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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