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Abstract

第124巻第1号

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The Importance of Parenting Support in Child Psychiatry Outpatient Care: Actual Practice in Aiiku Clinic, Maternal and Child Health Center
Nana HOSOGANE1, Masaki KODAIRA1, Kazuhiko SAITO2
1 Department of Child and Adolescent Mental Health, Aiiku Clinic, Maternal and Child Health Center, Imperial Gift Foundation Boshi-Aiiku-Kai
2 Aiiku Counselling Office, Aiiku Research Institute, Imperial Gift Foundation Boshi-Aiiku-Kai
Psychiatria et Neurologia Japonica 124: 28-35, 2022

 Caregivers of children with developmental disorders tend to have strong emotional stress and higher rates of depression. Since developmental disorders often need various supports for a long period of time, parental supports from mental health professionals are important for the children's development.
 Parenting support includes psychoeducation of the disorder itself and behavioral management techniques, along with supportive help and empathy. The main purpose of parenting support is to help parents understand their child's characteristics and needs and also to decrease the difficulties dealing with problematic behaviors.
 The Department of Child and Adolescent Mental Health is a child psychiatry outpatient unit within Aiiku Clinic. This division opened in 2013 and specializes on children from 3 to 12yo at first visit. Most children are diagnosed as F9 or F8 category in ICD-10 and two-thirds of the children are diagnosed as a developmental disorder at their first visit. We deliver multiple parenting support programs; Circle of Security-Parenting (COS-P), Parent Training, Parent-Child Interaction Therapy (PCIT), Child Adult Relationship Enhancement (CARE). Mothers are often the main participants, but fathers' participations are increasing.
 Fathers' participations in parenting programs are often linked to healthier outcomes of their children. In our Clinic, we have found that when both parents participate, they were able to share the same perspective and consistently interact with their child. This has contributed to a decrease in their child's problematic behaviors. In future, it would be helpful to identify which families might gain most benefit from these programs and also to find ways to help working caregivers to participate.
 Authors' abstract

Keywords:developmental disorders, parenting support, parenting skill, CARE (Child Adult Relationship Enhancement)>
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