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

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

3. 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)

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

5. Biopsychosocial Model
Family
School
Biological Factors
Psychological Factors YP
Social Factors

6. 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

7. 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

8. Anxiety
General worries, phobias, panic, anxiety without significant impairment:
ELSA, Counselling
websites/books:
Anxietybc.com
“Overcoming’ series of books
If prolonged or severe, refer to CAMHS

9. Behaviour Difficulties
Mild difficulties: support from school
Southampton family Trust: support for families
No limits: parents support

10. Questions & Discussions