Thinking Outside The Box Dr Baldish Chaggar ST5 Forensic/CAMHS Psychiatry

Aims Impact of Kidney Disease on Mental Health What does CAMHS do? What else can be done?

Impact of Kidney Disease on Mental Health Upto 1 in 3 patients with kidney disease will experience depression at some point. This is more common than in the population in general Young people with chronic illness rated as having relatively higher levels of: Anxiety Depression Conduct-related issues (Pinquart & Shen 2011)

CAMHS Liaison Team Consultant Specialist Registrar 2 Mental Health Nurse Practitioners SKILL SET: Assessments Pharmacological Management Psychotherapy: CBT, DBT, Family Therapy, Motivational Interviewing

Biopsychosocial Model Family School Biological Factors Psychological Factors YP Social Factors

Schools: SENCO: Special education needs co-ordinator ELSA: Emotional Literacy Support: recognising emotions, self-esteem, social skills, friendship skills, anger management, loss and bereavement Educational Psychologist Pastoral Support Counselling Support: No limits

Low mood/self-esteem Mild/ early onset: ELSA, SENCO, Pastoral support, Counselling If anonymous support: childline, mindfull, young minds (also have a parent line) Self-help books/ websites: mood juice, kids health If support has been provided and problems persist OR if chronic, severe impacting functioning, suicidality, co-morbidity: REFER TO CAMHS

Anxiety General worries, phobias, panic, anxiety without significant impairment: ELSA, Counselling websites/books: www.youth.anxietybc.com www.moodjuice.scot.nhs.uk www.getselfhelp.co.uk Anxietybc.com “Overcoming’ series of books If prolonged or severe, refer to CAMHS

Behaviour Difficulties Mild difficulties: support from school Southampton family Trust: support for families www.familylives.org.uk No limits: parents support

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