The object of this paper is to present a useful outline of pediatric-psychiatric teamwork on a pediatric ward, for children suffering from rheumatic fever.
In general, reactions of anxiety, rebelliousness, and depression were displayed by the children under treatment. Upon observation, their negative behavior seemed to be related to feelings of loneliness, guilt, and fear. This created certain difficulties for the children and staff members, and their problems were worked out in joint conferences of pediatric and psychiatric personnel.
Much thought was given to the problems presented by those children who found it most difficult to accept being bedridden. Various suggestions were made and steps taken to solve these difficulties on an individual basis for each child. An entertainment and occupational therapy program was found to be a most valuable aid in easing the situation for both patients and personnel.
Examples are given to illustrate how children, who appear similar at admission, can present very different problems. Case histories cited also show the importance of the family's cooperation for the child's full recovery and rehabilitation, both physically and mentally.
The contribution of each member of the team is discussed, and the value of treating sick and emotionally disturbed children through a pediatric-psychiatric program of care is demonstrated.