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Audit on psychology/psychotherapy support in children with diabetes
  1. P Shah,
  2. A Hoyle,
  3. S Arun,
  4. A Lipscomb
  1. Department of Paediatrics, Mid Essex Hospital NHS Trust, Chelmsford, UK


Introduction In the UK, the prevalence of type 1 diabetes in the under-15s is rising fast, an increase of 80% is expected by 2020 and even higher, 125%, in the under 5 age group. The National Service Framework Standard recommends that all children/young adults with diabetes should receive consistently high quality care and they, with their families, be supported to optimise the control of their blood glucose and all aspects of their subsequent development.

Aim To assess young children/adolescents with diabetes who need psychology support in primary/secondary care. The services currently available in our hospital involve doctors, dietician and nurse specialist. To look for statistical significance between various factors like age, gender, family history, subjective glycaemic control and need for psychology support.

Methods It is a prospective study. A voluntary questionnaire was designed which had mixture of closed, open and multiple choice questions. Those children who attended paediatric outpatient diabetic clinic from March to May 2009 were included.

Results 48 children and families participated in the study. Of them, 52% (n=25) were male. The median age was 12 years (age range 2–16 years). 83% (n=40) of children asked for support in primary and secondary care, out of which 55% (n= 22) asked for psychology support.

Conclusions Requests for psychology support were highest in younger children (<10 years) and their families. Psychologists should be involved along with dietician, nurse and doctors when children are first diagnosed with diabetes. Mental health issues in childhood can persist into early adulthood1 and appear to be prognostic of maladaptive lifestyle practices, and earlier than expected onset of complications.

Abstract G190 Table 1

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