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THE PLANET OF PEDIATRIC PSYCHOLOGY;

BEYOND THE PSYCHOLOGY AT PEDIATRICS

November 25th 26th 27th, 2011

Angelo Alongi, MD

Alessia Alongi

opportunities of early recognition ofdysfunctional family interaction patterns

in Primary Pediatric Practice.An Italian experience

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Longitudinalrelationship

with the

family

Building a trusting

physician-family

relationship

Observing the in

their natural environment

Pediatricians are the professionals most frequently consulted by

caregivers of children with emotional or behaviural problems

Bilanci di Salute:

Programmed

health

-check

visits

5 in the 1

year

Home

Visits

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2) Child behavioralhealth surveillance

Helping parents understand their

childs needs and behaviour

Newborn care Crying

Sleep difficulties Toilet training

Discipline Feeding difficulties

Milestones

3) Detecting Risk

Factors

Prematurity

Chronic

Medical

Conditions

Supporting the developing parent-child relationship:Multi-levels interventions

Preventing instauration of

dysphunctional family interaction patterns

1) Guidance on critical

child development issues

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Aims

Methods

Results

a network that collectsepidemiological data forclinical research purposesfrom computerised clinicalfiles filled out by from 300pediatricians during theirdaily activities since 1998.

a mean of 7170,6 1467 visits per year

10% of total

encounters wasdevoted exclusively to

counseling(parental concerns ondevelopmental issues

represented the reasonfor consultation, which

required a purelyrelational approach);

Counselingconsultationsrepresented

22,8% of visitsdelivered to children

under 2 years of age

6% of visits deliveredto patients between

3 and 14 years,

with a statisticallysignificant difference(P

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