Scientific article
Open access

La consultation unique en pédopsychiatrie pour les enfants d’âge préscolaire : intérêts et limites d’un modèle de réponse à des demandes exponentielles

Other titleThe single consultation for pre-school children in child psychiatry: Interests and limits of a model for responding to exponential demands
Published inAnnales médico-psychologiques, vol. 181, no. 5, p. 423-431
Publication date2023-05
First online date2022-09-23

Introduction: In child psychiatry, the classic model of care, which is the therapeutic consultations, implies a continuity of care by the same therapist from the first session. The strong emotional charge which emerges from this first consultation favours the therapeutic alliance. This model requires staff resources which are often no longer available in our care systems. Depending on the area, children have to wait several months to several years to get a first appointment with a specialist. A Geneva outpatient child psychiatric unit for preschool children has experimented a different approach in which families are first seen by an experienced child psychiatrist for a single consultation (SC) with the following objectives: to reduce the waiting time before the first appointment, to relieve parental anxiety, to give initial advice and to refer families to care with another therapist if needed, either within the same unit or to another structure.

Objectives: In this article, we examine, through an observational study, the relevance of this model, its acceptance by families and therapists, as well as its advantages and limitations.

Methods: An observational study was conducted between March 2019 and February 2020 among 79 families who benefited from this model. The data were collected in an outpatient child psychiatry unit for preschool children, the Guidance infantile, which is part of the Geneva University Hospitals. Exclusion criteria were: no French speaking, the presence of a legal third party during the session (minor protection service, lawyer), or a known clinical contraindication to a change of therapist. Four questionnaires were distributed along the study. The first and second were respectively completed by the family and the therapist immediately after the SC. The third was filled out by the family by telephone two months after the SC and the fourth was completed by the second therapist in charge of the therapy after the SC, if therapy took place in the same unit.

  • Pédopsychiatrie
  • Accès aux soins
  • Consultation
  • Enfant
  • Modèle
  • Soin Ambulatoire
  • Child
  • Child psychiatry
  • Consulting
  • Health care access
  • Model
  • Outpatient care
Citation (ISO format)
NANZER, Nathalie, FRACHEBOUD, Lucile, SANCHO P. SOUSA ROSSIGNOL, Ana Cristina. La consultation unique en pédopsychiatrie pour les enfants d’âge préscolaire : intérêts et limites d’un modèle de réponse à des demandes exponentielles. In: Annales médico-psychologiques, 2023, vol. 181, n° 5, p. 423–431. doi: 10.1016/j.amp.2022.09.004
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Article (Published version)
ISSN of the journal0003-4487

Technical informations

Creation11/28/2022 4:52:39 PM
First validation06/29/2023 1:25:21 PM
Update time06/29/2023 1:25:21 PM
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