School Withdrawal in Adolescents

Study Overview
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Brief Summary
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The aim of the study is to evaluate the impact of the outpatient ambulatory child psychiatric care system on the functioning of anxio-depressive adolescents in school retreat by describing the modalities of individual psychic functioning.

Detailed Description
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This research project concerns adolescent patients aged 12 to 17, a period of life towards psychic individualization and autonomy. It is part of an outpatient child psychiatry sector that is concerned with the multidisciplinary and institutional dimension of the care provided. These are part of a long-term patient care dynamic. It is a therapeutic accompaniment of the young person and his entourage, especially parents. The care is integrative and multidisciplinary (psychiatrist, psychologist, educator, psychomotor, nurse). The care project is done after team discussion, several points are taken into account (clinical evaluation, demand analysis, transfer, study of different psychic movements, family dynamics). The eyes are crossed and the various references (psychodynamic, psychoanalytic, systemic). The family consultations that are always present can be associated with the individual care of the young person, and always link with the analysis of the different institutional movements. This takes place especially at the time of the weekly clinical summaries where the clinical situations of concern are evoked to allow a cross reading and multidisciplinary. The reflection, the exchange between the various stakeholders allow to weave an institutional mesh containing. Thanks to this system, young people and their families can experience a continuous and solid relationship. The sector is also part of a very valuable network work with the various partners involved in the daily life of the young person and their family (school institution, social services ...). This research is intended to be as close as possible to the care we provide and is integrated into a global work whose main interest is that of the patient.

Official Title
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School Withdrawal in Adolescents: Impact of the Ambulatory Child Psychiatry Therapeutic Device. Prospective Study

Conditions
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Depression, Anxiety Disorders, Obsessive-Compulsive Disorder, Behavior Disorders, Emotional Disorder, Somatoform Disorders, Neurotic Disorders

Intervention / Treatment
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* Behavioral: school withdrawal teenagers


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: New patients in the sector with a problem of school withdrawal previously educated in ordinary medium without MDPH file (Departmental House of Disabled People). Young people out of school: school attendance less than 50% of school time for one month (absent at least half of school time) Clinical diagnosis according to the International Classification of Diseases 10 (ICD 10): F32 (depressive episodes), F33 (recurrent depressive disorder), F40 (phobic anxiety disorders), F41 (other anxiety disorders), F42 (obsessive-compulsive disorders), F43 (reaction to severe stressor, and adjustment disorders), F45 (somatoform disorder), F48 (other neurotic disorders), F90 to F98 Behavioral and emotional disorders usually occurring during childhood and adolescence Accepting to participate in the clinical research device Exclusion Criteria: Other psychiatric diagnoses (schizophrenia, BDA (acute delirious puff), TED (Invasive Disorder of Development)). Intellectual deficit proved Education in SEGPA (Section of General and Adapted Professional Education) and ULIS (Localized Unit for School Inclusion) Somatic illness preventing attendance at a school Refusal to participate in the study

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| School withdrawal teenagers<br>The study is based on questionnaries, interview with teenagers and/or their familly | Behavioral: school withdrawal teenagers<br>* The teenagers will have 4 interview with medical team alone or with his familly in order to have questionnaries, schools reports, psychological evaluation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| psychological assessment | interview of the teenager with a psychologist | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| school report | change in school level | 18 months | 
| familly questionnary | interview of the family with a psychologist | 18 months |