School Withdrawal in Adolescents

The aim of the study is to evaluate the impact of the outpatient ambulatory child psychiatric care system on the functioning of anxio-depressive adolescents in school retreat by describing the modalities of individual psychic functioning.

This research project concerns adolescent patients aged 12 to 17, a period of life towards psychic individualization and autonomy. It is part of an outpatient child psychiatry sector that is concerned with the multidisciplinary and institutional dimension of the care provided. These are part of a long-term patient care dynamic. It is a therapeutic accompaniment of the young person and his entourage, especially parents. The care is integrative and multidisciplinary (psychiatrist, psychologist, educator, psychomotor, nurse). The care project is done after team discussion, several points are taken into account (clinical evaluation, demand analysis, transfer, study of different psychic movements, family dynamics). The eyes are crossed and the various references (psychodynamic, psychoanalytic, systemic). The family consultations that are always present can be associated with the individual care of the young person, and always link with the analysis of the different institutional movements. This takes place especially at the time of the weekly clinical summaries where the clinical situations of concern are evoked to allow a cross reading and multidisciplinary. The reflection, the exchange between the various stakeholders allow to weave an institutional mesh containing. Thanks to this system, young people and their families can experience a continuous and solid relationship. The sector is also part of a very valuable network work with the various partners involved in the daily life of the young person and their family (school institution, social services ...). This research is intended to be as close as possible to the care we provide and is integrated into a global work whose main interest is that of the patient.