scholarly journals Managing Transition with Support: Experiences of Transition from Child and Adolescent Psychiatry to General Adult Psychiatry Narrated by Young Adults and Relatives

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Eva Lindgren ◽  
Siv Söderberg ◽  
Lisa Skär
Keyword(s):  
Young Adults ◽  
Adolescent Psychiatry ◽  
Transition Process ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Individual Interviews ◽  
Individual Care ◽  
Core Category ◽  
Adult Psychiatry ◽  
New Situation

Young adults with mental illness who need continuing care when they turn 18 are referred from child and adolescent psychiatry to general adult psychiatry. During this process, young adults are undergoing multiple transitions as they come of age while they transfer to another unit in healthcare. The aim of this study was to explore expectations and experiences of transition from child and adolescent psychiatry to general adult psychiatry as narrated by young adults and relatives. Individual interviews were conducted with three young adults and six relatives and analysed according to grounded theory. The analysis resulted in a core category: managing transition with support, and three categories: being of age but not mature, walking out of security and into uncertainty, and feeling omitted and handling concerns. The young adults’ and relatives' main concerns were that they might be left out and feel uncertainty about the new situation during the transition process. To facilitate the transition process, individual care planning is needed. It is essential that young adults and relatives are participating in the process to be prepared for the changes and achieve a successful transition. Knowledge about the simultaneous processes seems to be an important issue for facilitating transition.

Diagnosis on the way out – personality on the way in? Priorities in treatment in child and adolescent psychiatry

2021 ◽  
pp. 135910452110481
Author(s):  
Simon R. Wilkinson
Keyword(s):  
Precision Medicine ◽  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Good Practice ◽  
Child And Adolescent ◽  
Scientific Basis ◽  
Child And Adolescent Psychiatry ◽  
Adult Psychiatry ◽  
The Way

The scientific basis for practice in child psychiatry has developed apace. And has thrown up several quandries for an accepted paradigm for good practice anchored to the diagnostic schema developed in adult psychiatry. This paper hopes to stimulate discussion about where alternative paradigms might lead us on a path to precision medicine as applied to child psychiatry.

scholarly journals The teaching and training of psychiatry in Thailand

2007 ◽  
Vol 4 (2) ◽  
pp. 41-42 ◽  
Author(s):  
Pichet Udomratn
Keyword(s):  
Residency Training ◽  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Medical Schools ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
The Other ◽  
Adult Psychiatry ◽  
And Training

In Thailand, we have only two programmes for residency training in psychiatry: one is general or adult psychiatry, which takes 3 years to complete; the other is child and adolescent psychiatry, which takes 4 years. There are nine institutes that offer residency training but only three medical schools have the capacity to offer training in both general and child psychiatry (Table 1).

Child and adolescent psychiatry: general aspects of care

Psychiatry ◽  
2019 ◽  
Author(s):  
Rebecca McKnight ◽  
Jonathan Price ◽  
John Geddes
Keyword(s):  
Young People ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Learning Disorders ◽  
Emotional Symptoms ◽  
Normal Behaviour ◽  
Oppositional Defiance Disorder ◽  
Adult Psychiatry ◽  
Psychiatric Conditions

Child and adolescent psychiatry is a broad dis­cipline relevant to any health professional who has regular contact with young people. Childhood emotional, behavioural, and developmental prob­lems are common, especially in children with other medical or social difficulties. This chapter aims to provide an approach to child mental health diffi­culties, while Chapter 32 deals with common and/ or important psychiatric disorders that are specific to childhood. You may find it helpful to revise some basic child development— this can be found in any general paediatrics text (see ‘Further reading’). An overview of the differences between child and adult psychiatry is shown in Box 17.1. As in adult psychiatry, diagnosis of psychiatric dis­orders often relies on the clinician being able to recog­nize variants of and the limits of normal behaviour and emotions. In children, problems should be classified as either a delay in, or a deviation from, the usual pattern of development. Sometimes problems are due to an excess of what is an inherently normal characteristic in young people (e.g. anger in oppositional defiance disorder), rather than a new phenomenon (e.g. hallu­cinations or self- harm) as is frequently seen in adults. There are four types of symptoms that typically pre­sent to child and adolescent psychiatry services: … 1 Emotional symptoms: anxiety, fears, obsessions, mood, sleep, appetite, somatization. 2 Behavioural disorders: defiant behaviour, aggression, antisocial behaviour, eating disorders. 3 Developmental delays: motor, speech, play, attention, bladder/ bowels, reading, writing and maths. 4 Relationship difficulties with other children or adults…. There will also be other presenting complaints which fit the usual presentation of an adult disorder (e.g. mania, psychosis), and these are classified as they would be in an adult. Occasionally, there will also be a situ­ation where the child is healthy, but the problem is ei­ther a parental illness, or abuse of the child by an adult. Learning disorders are covered in Chapter 19. Table 17.1 outlines specific psychiatric conditions diagnosed at less than 18 years, and Box 17.2 lists general psychiatric conditions that are also commonly found in children.

scholarly journals Team working in psychiatry

2005 ◽  
Vol 4 (12) ◽  
pp. 323-325
Author(s):  
Meena Agarwal
Keyword(s):  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Team Working ◽  
Adult Psychiatry

Potential workloads in child and adolescent psychiatry have led to discussions within the professions about 'who does what' and attempts to redefine the role of doctors. Dr Meena Agarwal, consultant in child and adolescent psychiatry, describes how such a model for working might be translated into adult psychiatry practice. It has implications for all consultants.

Child and adolescent psychiatry

2019 ◽  
pp. 645-720
Author(s):  
David Semple ◽  
Roger Smyth
Keyword(s):  
Adolescent Psychiatry ◽  
Management Training ◽  
Child And Adolescent ◽  
Conduct Disorders ◽  
Child And Adolescent Psychiatry ◽  
Parent Management Training ◽  
Special Focus ◽  
Normal Infant ◽  
Hyperactivity Disorder ◽  
Adult Psychiatry

This chapter covers child and adolescent psychiatry. From assessment, develop, resilience, and attachment, normal infant mental health is discussed, followed by an approach to behavioural problems and conduct disorders in the older child. Parent management training is covered, followed by individual disorders and their management in the context of the adolescent and child, from attention-deficit/hyperactivity disorder to psychosis. Special focus is given to children and young people with intellectual disabilities, child maltreatment, and prescribing differences from adult psychiatry.

Child and Adolescent Psychiatry

2014 ◽  
Author(s):  
Louise Morganstein ◽  
Jonathan Hill
Keyword(s):  
Young People ◽  
Adolescent Psychiatry ◽  
Separation Anxiety ◽  
Age Groups ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Emotional Wellbeing ◽  
Children And Young People ◽  
Therapeutic Modalities ◽  
Adult Psychiatry

Child and adolescent psychiatry is the medical specialty that works with children, young people, and families with emotional and behavioural problems. As children and young people are still developing and grow­ing, their emotional wellbeing and functioning needs to be thought about in this context, making it different from adult psychiatry. Communication with people of all ages is vital within the specialty and information from a wide variety of sources, including parents or carers, school, and peers, is used to inform the clinical picture, in addition to history-taking and direct observations of the child’s behaviour. Play is often used to understand younger children’s thoughts and feelings. In theory, the specialty covers children and young people from birth up to the teenage years, although different services cover slightly different age ranges. The spectrum of difficulties covered within the specialty include psy­chiatric disorders also seen in adults (such as psychosis); problems spe­cific to the age group (such as separation anxiety); lifelong conditions which start in childhood (such as ADHD); and conditions that may pre­sent in different ways in childhood or adolescence (such as phobias). Approaches to treatment include psychopharmacological interven­tions, and numerous therapeutic modalities including family therapy and CBT, which can be modified for different age groups. Most work is community based, although there are specialist inpatient units which offer on-going educational opportunities to young people who need the intensive support and risk reduction of a hospital admission. Work tends to be done within MDTs using a range of knowledge and expertise to offer the most appropriate care.

Child and adolescent psychiatry training in Europe: Views of trainee representatives for 2009 – 2010 to the European federation of psychiatric trainees

2011 ◽  
Vol 26 (S2) ◽  
pp. 266-266 ◽  
Author(s):  
E.P. Barrett ◽  
A. Nawka ◽  
A. Malik ◽  
D. Giacco ◽  
M. Rojnic Kuzman ◽  
...  
Keyword(s):  
Adolescent Psychiatry ◽  
Response Rate ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
European Federation ◽  
Psychiatry Training ◽  
Separate Variable ◽  
Industry Standard ◽  
Adult Psychiatry

Background and objectivesThe European Federation of Psychiatric Trainees (EFPT) is an independent federation of psychiatric trainees’ associations. Previous studies have shown that up to 1/3 of countries surveyed did not have separate CAP training We surveyed trainees to gain insights regarding current training within the member countries of the EFPT.MethodsTen item Survey of Trainee representatives from 32 countries- using surveymonkey questionnaire.Industry standard encryption technology utilisied.Results27 respondent countries. Response rate 84.4% In many countries CAP and General Adult Psychiatry training were not separate Variable availability of training posts (surplus posts 23%, no posts/ long waits 19.2%) Duration of training: 3 years (19.2%),4 years (23.1%), 5 years (26.9%). In 35% of countries CAP training was entirely separate from commencement of training. In 40%, entry to CAP training occurred after training in general adult psychiatry. Trainees in 61.5% of respondent countries indicate their intention to specialise in CAP before entering training in psychiatry; 15% of trainees can indicate this at any time.ConclusionsThis is a survey of trainee representatives to the EFPT of ten items related to CAP training experiences. It highlights significant differences in training experiences in 27 respondent countries. From 2010 the EFPT aims to record detailed information on CAP training yearly. CAP trainees are an integral part of EFPT, and there are specific areas of needs in CAP training.

Handbook for Trainees in Child and Adolescent Psychiatry and Psychology

PsycCRITIQUES ◽  
2007 ◽  
Vol 52 (43) ◽  
Author(s):  
Marios Constantinou ◽  
Margarita Kapsou ◽  
Maria Karekla
Keyword(s):  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry
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