www.bps.org.uk

Keynote Presentation: DECP Survey: Medicalization of Childhood - ADHD strand Vivian Hill and Horatio Turner

www.bps.org.uk

DECP Annual Conference 2015; Applying Creative Psychology to education, children and young people

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Medication as the main solution

!

Pressure in the child’s system

and context

Social understandings of

behaviour and medicalization

Denial of contextual factors

!

EPs’ role in current practice

EPs’ unique contribution Best practice and future directions

Conceptualising behaviour Labelling and medication Quick and easy fix Lack of alternatives

Abdicating responsibility Ignoring contextual issues

families Schools

Communication between health and education EP’s role in diagnosis Power imbalance

Raising awareness of contextual

factors

Providing tailored interventions

Child’s voice

Multi-agency pathway Psychological interventions in

context

Barriers to best practice

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•  83% of EPs felt involvement appropriate

•  EP role key in managing behaviour in school

•  Positive correlation (r=0.52, p<0.001) between how often EPs are consulted and use of psychological interventions

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•  HCPC requirements

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•  Positive correlation (r=0.6, p<0.001) between consideration of systemic factors and use of psychological interventions before medication

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reserved for those with severe symptoms and impairment or for those with moderate levels of impairment who have refused non-drug interventions, or whose symptoms have not responded sufficiently to parent-training/education programmes or group psychological treatment. (NICE, 2013)

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ADHD in pre-school children: “Drug treatment is not recommended”

•  Very limited research on

drug efficacy and side effects in pre-schoolers

•  Interpret with some caution – only 30 responded ‘yes’ – how many children does this translate to?

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•  High number of “not

sure” – reflects lack of involvement?

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•  What data is collected locally and nationally? Question to audience!

•  Ethical implications of medicating certain groups within society?

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•  Offer psychological therapies to families before medication (p<0.05)

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