A multidisciplinary approach for the treatment of children with failure to thrive

Hobbs, Chris; Hanks, Helga

doi:10.1111/j.1365-2214.1996.tb00430.x

Cited by 10 publications

(3 citation statements)

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“…This includes pain (Shapiro, Cohen, Covelman, Howe, & Scott, 1991), headaches (Kabbouche et al, 2005), feeding and swallowing disorders (Miller et al, 2001;S. Williams, Witherspoon, Kavsak, Patterson, & McBlain, 2006), craniofacial anomalies (Robin et al, 2006), failure to thrive (Hobbs & Hanks, 1996), Fragile X syndrome (Alanay et al, 2007), atopic dermatitis (Lebovidge et al, 2007), and obesity (Dao, Frelut, Peres, Bourgeois, & Navarro, 2004). Such interdisciplinary approaches have been associated with increased parent satisfaction (Naar-King, Siegel, & Smyth, 2002), as well as improved follow up (Stores & Wiggs, 1998), parent perceptions of clinic quality, and staff attitudes (J.…”

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confidence: 97%

The Need for Interdisciplinary Pediatric Sleep Clinics

Meltzer

Moore

Mindell

2008

Behavioral Sleep Medicine

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The purpose of this study was to describe the function and structure of an interdisciplinary outpatient pediatric sleep clinic. In addition, the frequency of individual and comorbid sleep diagnoses, the prevalence of comorbid medical or psychiatric disorders, and the types of treatment recommendations and referrals provided to patients at the end of their clinic visits was examined. Over a 4-month period, 265 consecutive patients were evaluated in the sleep clinic by trainees, nurses, and attendings in pulmonary medicine, neurology, and psychology. Obstructive sleep apnea was the most common diagnosis, followed by behavioral insomnia of childhood. Over half of the patients had a comorbid medical diagnosis, and 31% had a comorbid psychiatric diagnosis. Polysomnography was the most common recommendation, with 38% of patients receiving at least one behavioral recommendation. The results of this descriptive study support the need for an interdisciplinary approach to pediatric sleep medicine, providing broad training to trainees of all disciplines while improving the clinical care for children with sleep problems.

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confidence: 97%

The Need for Interdisciplinary Pediatric Sleep Clinics

Meltzer

Moore

Mindell

2008

Behavioral Sleep Medicine

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“…There is a growing body of research we can draw on to inform our 'The Framework can help us all attend to contextual factors' 'Negative interactions around feeding can then become heightened' 'A growing body of research we can draw on to inform our practice' practice in such situations. For example, evidence is available in relation to the effectiveness of home visiting and parenting programmes (Wright et al, 1998;Kendrick et al, 2000;Barrett, 2003) and of multi-disciplinary approaches (Hanks and Hobbs, 1993;Hobbs and Hanks, 1996). Similarly, the effectiveness of interventions addressing feeding difficulties (e.g.…”

Section: Assessment and Planning Interventionmentioning

confidence: 99%

“…It is still the case that few such children receive multi-professional and multi-factorial assessments, with some notable exceptions (e.g. Hobbs and Hanks, 1996;Chatoor et al, 2006). Some may be fully investigated medically but then quickly caught up in a response based on a polarised view of faltering growth-as either organic or the result of neglect.…”

Section: How Can We Contribute To Better Practice?mentioning

confidence: 99%

‘Failure to thrive’ revisited

Batchelor

2008

Child Abuse Review

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The term ‘non‐organic failure to thrive’ (FTT) has long been used in relation to young children with faltering growth for which no organic cause is found. In this paper, problems arising from dichotomised organic/non‐organic responses to FTT are explored and reasons for the assumption that non‐organic FTT was always due to emotional abuse or neglect are presented. The case is made that, except in a minority of cases, children fail to grow because they consume insufficient calories. Research studies on reasons for poor intake, from factors related to the child and their parents to the wider family and environment, are summarised. Following a brief reference to literature on outcomes, I argue that centile charts should be routinely completed for all young children. If faltering growth is identified, a multi‐factorial assessment should be undertaken. Such an assessment reduces the risk of interventions being based on outdated assumptions about non‐organic FTT and maximises the potential for successful resolution of poor growth. After briefly summarising the literature on interventions, I conclude with suggestions for improving practice in this field, including working in partnership with families and with health and social care professionals already known to them. Copyright © 2008 John Wiley & Sons, Ltd.

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An overview of emotional maltreatment and failure-to-thrive

Iwaniec

1997

Child Abuse Rev.

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A multidisciplinary approach for the treatment of children with failure to thrive

Cited by 10 publications

References 1 publication

The Need for Interdisciplinary Pediatric Sleep Clinics

The Need for Interdisciplinary Pediatric Sleep Clinics

‘Failure to thrive’ revisited

An overview of emotional maltreatment and failure-to-thrive

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