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Many psychiatric disorders have their onset in childhood or adolescence. Our research group in Child and Adolescent Psychiatry is dedicated to a better understanding of the aetiology of psychiatric disorders, to recognition of mental health problems at an early stage and to developing and investigating more effective treatments.
We primarily focus on neurodevelopmental disorders (autism spectrum disorder, intellectual disability, attention deficit hyperactivity disorders, and tic disorders). These disorders typically manifest early in development and are characterised by impairments in personal, social and academic functioning.
Innovative research in tic disorders and ADHD
Our studies in the area of tic disorders and attention deficit hyperactivity disorders are directed at the interplay between genetic and environmental factors. Besides, with functional, neuroimaging, and EEG studies, we examine underlying brain correlates. Treatment studies focus on optimising the behavioural treatment of tics. A new research programme “Bounce Back” will shed more light on how children can most optimally cope with the impact of tic disorders.
Early recognition and treatment in autism spectrum disorders
Early recognition is a key focus of our studies into autism spectrum disorders, more specifically the identification of early motor and sensory signs in infancy. We are part of the academic Workforce Intellectual disability and mental health problems, where we contribute to studies on optimising behavioural and medication treatments for challenging behaviours.
Improving the care for children with ADHD and behavioral problems
A large number of Dutch practical institutes, research institutes and knowledge networks work together, with the aim of improving the care for children with ADHD and hyperactive behaviour. In several subprojects, we are researching the following themes and questions:
The current practice of care and education for children with ADHD and behavioural problems: What does the care in the Netherlands look like at this moment? Is use being made of proven effective interventions? Are guidelines being followed? And which factors influence the choices made in care?
Antecedent and consequent techniques of proven effective interventions are both effective for teachers and parents. Is the combination of both still effective when given at school, by the practice-nurse or by mental health care workers?
Tailored care: for whom does which intervention work best? Are there subgroups of children or parents for whom certain (combinations of) interventions work better or less well?
Cost-effectiveness: what is the balance between the effectiveness and the costs of interventions?
Relevance
Our relevance to society
One in seven of children and adolescents experiences a mental disorder. Children with mental health conditions are particularly vulnerable to social exclusion, discrimination, stigma (affecting readiness to seek help), educational difficulties, risk-taking behaviours, physical ill-health and human rights violations, as highlighted by the World Health Organisation.
The consequences of failing to appropriately address mental health conditions in children and adolescents extend to adulthood, impairing both physical and mental health and limiting opportunities to lead fulfilling lives as adults. The growing numbers of children and adolescents who are being treated for mental health problems urgently ask for effective and cost-effective treatment programs that appeal to the target group. With our Child and Adolescent Psychiatry research group we contribute to the current pressing needs. Most of the studies are being performed as part of the Accare Child Study Centre.