Over recent years in the UK, emphasis has been placed on appropriate diagnosis and referral of patients with dementia. In guidelines published by the British Geriatrics Society (BGS) and Faculty of Old Age Psychiatrists consensus group (Forsyth et al., 2006), a cognitive screening algorithm was developed, which consists of initial screening for cognitive impairment with the Mini-Mental State Examination (MMSE) and CLOX1 (an executive clock drawing task). If the scores meet cut-off points indicated in the algorithm (MMSE <24 or CLOX1 <11), further assessments with the Confusion Assessment Method (CAM) and the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) are applied with the aim to differentiate between delirium (CAM positive, IQCODE negative), delirium and chronic impairment (CAM positive, IQCODE positive), or chronic cognitive impairment (CAM negative, IQCODE positive).

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AimIt is difficult for Level 3/GRID CCH (Community Child Health) trainees to obtain mental health competencies in the curriculum. With Community Paediatrics facing increasing mental health challenges due to stretched CAMHS (Child and Adolescent Mental Health Service) services, the aim of our project was to survey the educational value of CAMHS posts for CCH trainees and ask: ‘Are training posts in CAMHS of benefit?’MethodTwo surveys were hosted on Survey Monkey; one for CCH trainees who had completed a training post in CAMHS and a second for those who had not. The surveys were distributed UK-wide via the BACCH Trainee Group and Regional Coordinators.Results18 CCH trainees who had not done CAMHS, and six who had, completed the survey. Four of the six CAMHS posts were split with community paediatrics. Feedback from these trainees suggested that this limited the educational value of the post. The two trainees who did a full-time CAMHS post rated their experience very highly and recommended the post.Trainees who had experienced CAMHS rated themselves as more confident at assessing for anxiety and depression and in risk-assessing for self-harm and suicide compared to trainees who had not. Average self-ratings for behaviour management, managing ADHD medication and recognising reactions to stress and bereavement were not clearly increased following the CAMHS posts.Of the 18 CCH trainees with no experience in CAMHS, 50% reported that they planned to do a post in CAMHS. Of those who did not, 71% stated it was due to a lack of provision and 28% stated they had no interest in doing so.ConclusionMost CCH trainees in the survey wished to have training in CAMHS and those who have, rated the experience highly. The educational value is limited by split posts. It is, therefore, recommended that deaneries develop full-time training posts for CCH trainees.

Introduction: Among the leading health problems in India is malnutrition. Malnutrition results in weak immune system and growth and cognitive delay. A descriptive study was conducted to assess the nutritional status of school going children in the age group of 6 -13 years in a selected school of Delhi. Methodology: A total of 211 children were selected through purposive sampling technique. Structured questionnaire and a record sheet were used to collect the data. Height, weight and Blood Pressure of children were measured by using inch-tape, weighing scale, sphygmomanometer respectively. Descriptive and inferential statistics were employed to interpret the data. Result: Out of 211 school going children, 144 (66.2%) were in the age group 6 to 9 years and 67 (31.8%) were in the 10-13 years age group. In the age group of 6 to 9 years, 140 were underweight and 1 was overweight and rest 3 had normal weight as per Basal Metabolic Index. In 10 to 13 years age group, 60 were underweight and 7 had normal weight. As per Waterlows’s classification, all 211 children had normal weight for age. As per Gomez classification of children, in 6 -9 years age group, 52 and in 10-13 years age group 20 had normal nutritional status respectively whereas rest of the children fell in degree I and II malnutrition. Conclusion: Children and their parents need to be made aware about healthy nutritional practices.