Psychopathology in parents and children is increased after Paediatric Intensive Care Unit (PICU) admission; few studies have evaluated interventions to reduce this. Objective. Evaluation of the feasibility of setting up a joint paediatric and psychiatric follow-up clinic for families after PICU discharge. Design. Feasibility study offering joint follow-up with a consultant paediatric intensivist and child and adolescent psychiatrist. Setting. Paediatric outpatient clinic in a university teaching hospital with a PICU. Patients. Children and their families discharged from PICU. Interventions. Outpatient appointment focussing on physical and psychological health; psychoeducation about emotional and behavioural difficulties occurring after PICU discharge, advice for parents about supporting their child’s psychological recovery, screening for more severe psychiatric disorders, and provision of a leaflet outlining possible difficulties and management strategies. Measurements. Attendance, content of discussion, psychiatric questionnaires, and family feedback. Main Results. It proved feasible to set up follow-up appointments to address physical and psychological health concerns; 4/12(33%) eligible families attended. Children and mothers who attended all reported child difficulties including sleep disturbance, increased anxiety, and PTSD symptoms in children and parents. Conclusions. Follow-up clinics after PICU discharge are feasible to set up; take-up is poor but families attending report psychopathology which may be addressed through the intervention. 1. Introduction There is accumulating evidence of increased risk of psychopathology, particularly but not exclusively posttraumatic stress disorder (PTSD), in children and parents following PICU admission [1–6]. Critical illness impacts on parenting [3, 7] and parental PTSD is associated with poorer psychological recovery in the child . Although National Institute for Clinical Excellence (NICE) Guidelines  advocate continued monitoring and support of patients and families after intensive care treatment, follow-up is infrequent . Mothers favour follow-up by the PICU team to talk through the admission and believe that this may be psychologically beneficial . However, little work has evaluated the effectiveness of psychological interventions. An American randomised controlled study demonstrated the effectiveness of a combination of psychoeducation for mothers during the child’s admission and parental activities with their children to help them make sense of their experience, in improving maternal
G. Rees, J. Gledhill, M. E. Garralda, and S. Nadel, “Psychiatric outcome following paediatric intensive care unit (PICU) admission: a cohort study,” Intensive Care Medicine, vol. 30, no. 8, pp. 1607–1614, 2004.
D. Shears, S. Nadel, J. Gledhill, F. Gordon, and M. E. Garralda, “Psychiatric adjustment in the year after meningococcal disease in childhood,” Journal of the American Academy of Child and Adolescent Psychiatry, vol. 46, no. 1, pp. 76–82, 2007.
D. S. Davydow, L. P. Richardson, D. F. Zatzick, and W. J. Katon, “Psychiatric morbidity in pediatric critical illness survivors: a comprehensive review of the literature,” Archives of Pediatrics and Adolescent Medicine, vol. 164, no. 4, pp. 377–385, 2010.
A. Balluffi, N. Kassam-Adams, A. Kazak, M. Tucker, T. Dominguez, and M. Helfaer, “Traumatic stress in parents of children admitted to the pediatric intensive care unit,” Pediatric Critical Care Medicine, vol. 5, no. 6, pp. 547–553, 2004.
M. E. Garralda, J. Gledhill, S. Nadel, D. Neasham, M. O'Connor, and D. Shears, “Longer-term psychiatric adjustment of children and parents after meningococcal disease,” Pediatric Critical Care Medicine, vol. 10, no. 6, pp. 675–680, 2009.
G. Colville, J. Darkins, J. Hesketh, V. Bennett, J. Alcock, and J. Noyes, “The impact on parents of a child's admission to intensive care: integration of qualitative findings from a cross-sectional study,” Intensive and Critical Care Nursing, vol. 25, no. 2, pp. 72–79, 2009.
M. A. Landolt, E. Ystrom, F. H. Sennhauser, H. E. Gnehm, and M. E. Vollrath, “The mutual prospective influence of child and parental post-traumatic stress symptoms in pediatric patients,” Journal of Child Psychology and Psychiatry, vol. 53, no. 7, pp. 767–774, 2012.
G. A. Colville, P. R. Cream, and S. M. Kerry, “Do parents benefit from the offer of a follow-up appointment after their child's admission to intensive care?: an exploratory randomised controlled trial,” Intensive and Critical Care Nursing, vol. 26, no. 3, pp. 146–153, 2010.
G. A. Colville and D. Gracey, “Mothers' recollections of the Paediatric Intensive Care Unit: associations with psychopathology and views on follow up,” Intensive and Critical Care Nursing, vol. 22, no. 1, pp. 49–55, 2006.
B. M. Melnyk, L. Alpert-Gillis, N. F. Feinstein et al., “Creating opportunities for parent empowerment: program effects on the mental health/coping outcomes of critically ill young children and their mothers,” Pediatrics, vol. 113, no. 6, pp. e597–e607, 2004.
R. E. Knowles and N. Tarrier, “Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors: a randomized controlled trial,” Critical Care Medicine, vol. 37, no. 1, pp. 184–191, 2009.