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 <front>
  <journal-meta>
   <journal-id journal-id-type="nlm-ta">Ulutas Med J</journal-id>
   <journal-title-group>
    <journal-title>The Ulutas Medical Journal</journal-title>
    <abbrev-journal-title>Ulutas Med J</abbrev-journal-title>
   </journal-title-group>
   <issn pub-type="ppub">2149-0430</issn>
   <issn pub-type="epub">2149-388X</issn>
   <publisher>
    <publisher-name>Hayriye Zehra Ulutaş</publisher-name>
   </publisher>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="doi">10.5455/umj.20191003030124</article-id>
   <article-id pub-id-type="publisher-id">11028</article-id>
   <article-categories>
    <subj-group subj-group-type="heading">
     <subject>Letter to the Editor</subject>
    </subj-group>
    <subj-group subj-group-type="subject">
     <subject>Child and Adolescent Psychiatry</subject>
    </subj-group>
   </article-categories>
   <title-group>
    <article-title>OSE: A New Education and Treatment Program for Preschool Period</article-title>
   </title-group>
   <contrib-group>
    <contrib contrib-type="author">
     <contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-9318-1044</contrib-id>
     <name name-style="western">
      <surname>Guvenmez</surname>
      <given-names>Oguz</given-names>
     </name>
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     <name name-style="western">
      <surname>Gunes</surname>
      <given-names>Serkan</given-names>
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     <label>1</label>
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      <institution-id institution-id-type="ror">https://ror.org/00pkvys92</institution-id>
      <institution>Department of Internal Medicine, Private Medical Clinic, Adana, Turkey</institution>
     </institution-wrap>
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    <aff id="aff2">
     <label>2</label>
     <institution-wrap>
      <institution-id institution-id-type="ror">https://ror.org/00pkvys92</institution-id>
      <institution>Department of Child and Adolescent Psychiatry, Hatay State Hospital, Hatay, Turkey</institution>
     </institution-wrap>
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   </contrib-group>
   <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2019-03-21">
    <day>21</day>
    <month>03</month>
    <year>2019</year>
   </pub-date>
   <pub-date publication-format="print" date-type="collection">
    <year>2019</year>
   </pub-date>
   <volume>5</volume>
   <issue>1</issue>
   <fpage>97</fpage>
   <lpage>102</lpage>
   <history>
    <date date-type="received" iso-8601-date="2018-11-06">
     <day>06</day>
     <month>11</month>
     <year>2018</year>
    </date>
    <date date-type="rev-recd" iso-8601-date="2018-11-25">
     <day>25</day>
     <month>11</month>
     <year>2018</year>
    </date>
    <date date-type="accepted" iso-8601-date="2018-12-07">
     <day>07</day>
     <month>12</month>
     <year>2018</year>
    </date>
   </history>
   <permissions>
    <copyright-statement>© 2019 The Author(s)</copyright-statement>
    <copyright-year>2019</copyright-year>
    <license>
     <ali:license_ref>https://creativecommons.org/licenses/by-nc/4.0/</ali:license_ref>
     <license-p>This is an open access article distributed under the CC BY-NC 4.0 licence.</license-p>
    </license>
   </permissions>
   <self-uri xlink:href="https://www.ulutasmedicaljournal.com/?mno=11028"/>
   <self-uri content-type="pdf" xlink:href="https://www.ulutasmedicaljournal.com/pdf/11028.pdf"/>
   <abstract>
    <p>The OSE program is of particular importance for young children to be healthy and successful and alleviate their suffering. If necessary, child psychiatrists will be contacted and appropriate medications will be used. Medications can have a positive effect on children's learning skills. In addition, the OSE program will help to determine the frequency of psychiatric problems in children. The OSE program provides a special service for children and adolescents with serious, complex and persistent disorders. Child and adolescent psychiatrists, social workers, clinical psychologists, psychiatry nurses, and child psychotherapists can work as a team. In this way, new generations will grow up healthy.</p>
   </abstract>
   <kwd-group kwd-group-type="author">
    <kwd>Education</kwd>
    <kwd>treatment</kwd>
    <kwd>child psychiatry</kwd>
    <kwd>preschool</kwd>
   </kwd-group>
   <funding-group>
    <funding-statement>Funding information was not reported in the published version of this article.</funding-statement>
   </funding-group>
  </article-meta>
 </front>
 <body>
  <p id="b-1">
   <bold>Dear Editor, </bold>
In order to build societies on healthy basis, a new quality education system should be implemented. It is not possible for children to benefit from old and stereotyped education systems in this time. For this reason, the education system should also be organized in such a way as to meet the needs of the current children.</p>
  <p id="b-2">The OS education and treatment program (OSE) is a new and unique education method that includes basic education skills for children aged 0-18 years. This program argues that education and psychological support should work together. The OSE program shows the highest expectations for education and learning from birth to 18 years of age. This program, together with the follow-up of the pedagogue and child psychiatrists, refers to a sensitive education system that aims to raise the capacity of every child to the highest level of their future and to raise the generations that respect the state, family, culture, identity and language. The OSE program argues that both parents and children should be educated together. It is designed to be the most effective for the development of children around the world. The OSE program has been the product of a long-term work such as 7 years. This program is based on authors’ clinical experience. A new education system has been created that can be most useful for children in today's conditions. The OSE program includes evaluations and clinical opinions of educators, sociologists, pedagogues, child development specialists, child psychiatrists and other physicians. The OSE program is intended for pediatricians, child psychiatrists, educators, parents and children. Early diagnostic monitoring and development of children with psychiatric problems such as inattentiveness, learning disability, mental retardation and autism are emphasized. The OSE program recommends active participation of parents in the educational process. It indicates that parents are parts of children's education and life. Therefore, parents should be made aware of child education and act together with the children. After school, parents should continue to educate their children. Educators should be aware of the psychological problems of children and observe development of children. When there is a problem, educators should contact family and child psychiatrists. Mental health problems are as common as some physical health problems such as flu and should not be underestimated. It should be seen as a global disease in the 21   <sup>st </sup>
century. The OSE program will significantly reduce this burden and contribute to science. Many mental disorders, including oppositional defiant disorder, attention deficit hyperactivity disorder, anxiety disorders, attachment disorders and autistic spectrum disorders are currently known to occur in early childhood. Early diagnosis and treatment of these conditions can be complex and challenging.</p>
  <p id="b-3">The OSE program offers a more convenient way to treat children and adolescents with a clinical psychologist and a child psychiatrist, in combination with therapy and controlled medication. Specifically, it will enable diagnosis, treatment and statistic of many psychiatric disorders in children between 2 and 3 years of age. These disorders include major depressive disorder, oppositional defiant disorder, post traumatic stress disorder, and attention deficit hyperactivity disorder. Autism is well defined in young children and will be diagnosed sooner in the infancy period when the OSE program is followed. Common anxiety disorders and attachment disorders will be easily treated. The late diagnosis of mental health problems of children leads to the deterioration of families and children. This causes children to stay out of school and prolongation of treatment. Child’s relationship with the parents, teacher and friends can be easily observed with the OSE program. In the OSE program, family, children, teachers, pedagogue and child psychiatrist work together. The OSE program is performed by the planning of these experts. Thus, children with psychiatric problems can integrate into the society without disrupting school education. Metabolic diseases have important effects on children's development and behavior. Families and teachers may not be able to detect early metabolic diseases. In the OSE program, urinalysis, complete blood count, thyroid hormones, growth hormone, lactate, pyruvate, cholesterol, lipid, glucose, iron and ferritin levels, hepatit markers are performed. Also, the clinical picture with multiple observations such as family, teacher, psychologist, pediatrician and child psychiatrist can be noticed in the early period. For this reason, an OSE program form has been developed and every observer should have it. This is a very useful form that allows early observation, diagnosis and treatment of problems in children (Figure-1).</p>
  <p id="b-4">The education program begins after the birth of the child. However, the compulsory education begins at age 4. First class starts at 6 years old. Primary education is 8 years and high school education is 4 years. A total of 14 years of education is provided. The compulsory education is 8 years. The academic year starts on 1 September and a break holiday is offered on 1 February. The second period starts on 11 February and ends on July 31   <sup>st</sup>
. There is a 10- day holiday between the periods and 1-month summer holiday. The number of education days is 280. The school will continue for 6 full days. Sunday is a weekend break.</p>
  <p id="b-5">The OSE is a 24-hour program. There is full-time education in the program. The education starts at 8.30 in the morning and 12.30 is lunch time. The afternoon education starts at 13.30 and ends at 15.30. Lessons should continue one hour. The break times should be limited to 5-10 minutes. Out-of-school courses are offered in Life Classes. These courses will start at 18.00 and finish at 20.30 in summer. In winter, they will start at 16.30 and continue until 19.00. Foreign language, mathematics and social sciences should be taught primarily in Life Classes. Other social activities like painting, music, poetry and psychological support can also be performed (Table-1).</p>
  <p id="b-6">The OSE program is based on good, excellent, professional principles that provide the child's emotional care peaceful, integrated with his friends and family and live in a peaceful way in the community. The OSE program consists of 10 principles that reflect current theories and research evidence on children's learning and early childhood pedagogy; stable and respectable relationships, cooperation, high expectations, trust and equality, diversity, learning and demonstrating continuous and different issues, discipline, respect, resolute and hardworking, self-confidence and effective communication and psychiatric support.</p>
  <p id="b-7">1. Stable and respectable relationships Educators should help children learn their responsibilities to others and value of collaboration and teamwork.</p>
  <p id="b-8">2. Cooperation Success is likely to be achieved in situations where childhood educators, parents, child psychiatrists and pedagogues work together. 3. High expectations, trust and equality Childhood educators believe that by focusing on equality, children have the capacity to succeed regardless of their various situations and abilities.</p>
  <p id="b-9">4. Diversity Educators respect family history, culture, gender, race, religion, language, tradition, parenting and lifestyle choices. They do their best to help children without discrimination. 5. Learning and demonstrating continuous and different issues Educators ensure that children receive education on different topics. Children are always motivated by different methods of fun. 6. Discipline The OSE program ensures that children are disciplined. In this program, children acquire self-discipline.</p>
  <p id="b-10">7. Respect One of the most basic principles of the OSE program is to educate children in a respectful manner. Children will be raised as modern and empathic individuals who respect their homeland, nation, parents and others' ideas and rights.</p>
  <p id="b-11">8. Resolute and hardworking It is aimed to educate ambitious and creative individuals who are trying to realize their dreams. Children trained with this program will be more practical, regular and hard working. 9. Self-confidence and effective communication It is aimed to educate individuals who have high self-confidence, express themselves freely and communicate effectively with other people. 10. Psychiatric support In the program, children with psychiatric problems suchas attention deficit, hyperactivity, learning disability, mental retardation, autism, communication disorder, anxiety disorder, mood disorder, conduct disorder, tic disorder, sleep and eating disorders, encopresis, enuresis, child abuse are identified in the early period, providing the necessary psychiatric support and providing them with educational system.</p>
  <p id="b-12">In summary, most of today's education systems are not prepared for children to receive psychiatric support. In this context, psychiatric disorders of early age may be overlooked. Therefore, the diagnosis and treatment of psychological problems in children are delayed. As known, early diagnosis is very important in the treatment of diseases. Delay in the treatment of children is a major problem for both children and families, society and the state. There are large gaps in the field of early education programs for mental illnesses.</p>
  <p id="b-13">The OSE program has provided an excellent opportunity to develop child, family and school mental health program. Children with psychological problems can be diagnosed and treated in early period with the OSE program. Children with domestic problems will also be identified and social service support will be provided. The OSE program enables families and communities to be conscious and sensitive about child care and treatment and child abuse. The OSE program is of particular importance for young children to be healthy and successful and alleviate their suffering. If necessary, child psychiatrists will be contacted and appropriate medications will be used. Medications can have a positive effect on children's learning skills. In addition, the OSE program will help to determine the frequency of psychiatric problems in children.</p>
  <table-wrap id="tbl-1" position="float">
   <label>Table 1</label>
   <caption>
    <title>One day sample program in the OSE.</title>
   </caption>
   <graphic xlink:href="tbl-1.png">
    <alt-text>Table 1: One day sample program in the OSE.</alt-text>
   </graphic>
  </table-wrap>
  <fig id="fig-1" position="float">
   <label>Figure 1</label>
   <caption>
    <p>A sample from the OSE form.</p>
   </caption>
   <graphic xlink:href="fig-1.png">
    <alt-text>Figure 1: A sample from the OSE form.</alt-text>
   </graphic>
  </fig>
  <p id="b-14">The OSE program provides a special service for children and adolescents with serious, complex and persistent disorders. Child and adolescent psychiatrists, social workers, clinical psychologists, psychiatry nurses and child psychotherapists can work as a team. In this way, new generations will grow up healthy.</p>
 </body>
 <back>
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</article>
