Parents in adult psychiatric care and their children: a call for more interagency collaboration with social services and child and adolescent psychiatry

2017 ◽  
Vol 72 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Maria Afzelius ◽  
Margareta Östman ◽  
Maria Råstam ◽  
Gisela Priebe
Author(s):  
Carol L. Kessler ◽  
Mary Lynn Dell

The clinical issues at the interface of ethics, religion/spirituality, and child and adolescent psychiatry are limitless. This chapter seeks to help fill the void in the literature concerning ethics, religion/spirituality, and child mental health in a way that is most helpful to practicing clinicians struggling with these issues in their daily clinical contacts. Three specific areas are addressed that commonly present challenges: (1) religious/spiritual objections to psychiatric care; (2) ethical issues surrounding the clinician’s relationship with children and families; and (3) ethical issues that may arise when mental health clinicians work with religious/spiritual professionals and institutions. Implications of religious and cultural diversity for both patients and clinicians are also discussed throughout the chapter.


2017 ◽  
Vol 24 (1) ◽  
Author(s):  
Hans Ek ◽  
Joakim Isaksson ◽  
Rikard Eriksson

Professions, power and collaboration between authorities: Social Services, schools, and Child and Adolescent Psychiatry Services working with adolescents who do not go to school School non-attendance is often a sign of a complex combination of dierent kinds of problems, which means that these children and young people are often in need of composite help from several dierent types of professions within various authorities. e purpose of the study was to examine how school authorities, the Social Services and Child and Adolescent Psychiatry (BUP) collaborate in their work with young people who do not go to school. e study comprised a thematic analysis of qualitative interviews with managerial representatives of the respective autho- rities. e empirical material consisted of 12 qualitative interviews with heads of units at BUP (5 individuals), section managers from Social Services (3 individuals) and principals from compul- sory schools (4 individuals) in three municipalities in western Sweden. According to the results, it seems problematic to manage the positions of power that may arise in collaboration between the parties. A position of power thus implies the right to make a decision as a profession as well as acti- vities that are related to each other. e right to make a decision means the mandate to determine which measures should be put in place for the young people and their families. is study also shows that the parties should develop a common knowledge base that is a combination of educa- tional, social and psychological perspectives. e common knowledge base can reduce the risk of power imbalance between the parties. 


2021 ◽  
Author(s):  
Stacey Pereira ◽  
Katrina Arcelia Munoz ◽  
Brent Small ◽  
Takahiro Soda ◽  
Laura Nicole Torgerson ◽  
...  

Objective: Psychiatric polygenic risk scores (PRS) have the potential to transform aspects of psychiatric care and prevention, but there are concerns about their implementation. We sought to assess child and adolescent psychiatrists' (CAP) experiences, perspectives, and potential uses of psychiatric PRS. Methods: A survey of 960 US-based practicing CAP. Results: Most respondents (54%) believed psychiatric PRS are currently at least slightly useful and 87% believed they will be so in five years. Yet, 77% rated their knowledge of PRS as poor or very poor. Ten percent have had a patient/family bring PRS to them, and 25% would request PRS if a patient/caregiver asked. Respondents endorsed different actions in response to a hypothetical child with a top 5th percentile psychiatric PRS but no diagnosis: 48% would increase prospective monitoring of symptoms, 42% would evaluate for current symptoms, and 4% would prescribe medications. Most respondents were concerned that high PRS results could lead to overtreatment and negatively impact patients' emotional well-being. Conclusion: Findings indicate emerging use of psychiatric PRS within child and adolescent psychiatry in the US. Thus, it is critical to examine the ethical and clinical challenges that PRS may generate and begin efforts to promote their informed and responsible use.


PsycCRITIQUES ◽  
2007 ◽  
Vol 52 (43) ◽  
Author(s):  
Marios Constantinou ◽  
Margarita Kapsou ◽  
Maria Karekla

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