Child art psychotherapy in CAMHS: Which cases are referred and which cases drop outReportar como inadecuado

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BackgroundThe Vasarhelyi method of child art psychotherapy CAP is offered at certain Child and Adolescent Mental Health Services. Children attend three introductory sessions, and then choose to continue weekly CAP or conclude the sessions.

AimsThis study aims to identify the clinical disorders and characteristics of patients referred to CAP, and to determine who engages with the therapy.

MethodsA retrospective review of the clinical records of 67 children who attended CAP in DNCC-Mater CAMHS over 13 years was performed. The data was analysed using Microsoft Excel 12.0 and SPSS version 20.

Results67 children 57 % male and 43 % female aged 5–17 years participated in CAP with an average age of 10.6 years. Children attended an average of 14 sessions of CAP, with a range of 1–61 sessions mean of 13.8 ± 12.9 sessions. Anxiety disorder 28 %, behaviour disorder-ODD 25 %, and ADHD 21 % are the most common diagnoses referred. These diagnoses along with autism spectrum disorder ASD had the highest overall engagement, while those with depression engaged the least. Children with ADHD and with ASD attended high numbers of sessions with a mean of 23 and 19 respectively. Those who experienced acute life events or difficulties in the home engaged well 60 and 40 % respectively. There was no significant difference found in the percentage of appointments attended by males in comparison to females.

ConclusionCAP is generally acceptable to children, with a high average attendance rate. It was noted that children with ADHD and with ASD engaged well with the therapy for prolonged periods, whereas children with depression did not engage so well. We suggest that CAMHS clinics should consider referring children diagnosed with ADHD and children diagnosed with ASD to CAP as an adjunct to other therapies. We suggest that individuals with depression should be referred initially to other therapeutic services as the engagement with CAP was relatively poor.

KeywordsChild art psychotherapy Psychiatry Child Adolescent Psychotherapeutic modality  Download fulltext PDF

Autor: Leslie Saba - Alison Byrne - Aisling Mulligan


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