Children and adolescents with multiple psychiatric diagnoses often receive prescribed medication for shorter or longer periods of time. Approximately one third of the students at Chrysalis Schools are affiliated with our own in-house psychiatric ambulatory care clinic and of these approx. two-thirds are treated by the schools’ own child and youth psychiatrists. Chrysalis Schools follow the recommendations provided by hospital / psychiatric centers and are always part of a constructive collaboration. If uncertainty arises about a complex medical treatment, we always contact the Capital Region of Denmark, psychiatry and establishes a collaboration – or we refer to the Capital Region’s psychiatry department.
Each student’s medical treatment is assessed by a consultation facilitated by a child and adolescent psychiatrist and / or a nurse. The parent / student, contact educator / teacher and the psychologist responsible for treatment all participate in this consultation. The consultations take place at least every 3 months. More frequently when needed.
The benefit of being treated at the schools’ own psychiatric ambulatory care clinic is the continued daily focus on the student. The close interdisciplinary collaboration as well as the ongoing and rapid adjustment and evaluation of the medical treatment is also a huge benefit to the students and their families. The nurses’ observations and knowledge of medical treatment ensures a timely intervention in case of side effects and that psychiatric symptoms are never confused with somatic symptoms.
When a medical treatment is initiated or changed by a psychiatrist, the school, parents and students are immediately informed about effects and side effects of the medication. All students in medical treatment are monitored according to the National Board of Health’s regulations including measurement of height, weight, heart rate and blood pressure at least every 3 months.
Students undergoing antipsychotic treatment or treatment with 24-hour ADHD medication are also monitored by the recommended blood tests and ECG.
In case of acute deterioration of already known child and adolescent psychiatric problems, or concern regarding newly formed problems, our child and adolescent psychiatrists make an acute assessment. The assessment takes place either through a consultation at the school or at a home visit often supplemented by an observation of the student in class. These assessments and observations are then compared to previous observations conducted by the interdisciplinary team and parents.
Parents and students always have the opportunity to contact the child and adolescent psychiatrist, either by text message, telephone or email. Our psychiatrist can therefore always be reached even between planned consultations.