scholarly journals Copying letters to families: attitudes and experiences of child and adolescent psychiatrists

2006 ◽  
Vol 30 (11) ◽  
pp. 413-415 ◽  
Author(s):  
Gillian Combe ◽  
Clare Short ◽  
Helen Stephens
Keyword(s):  
Therapeutic Relationship ◽  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Clinical Implications ◽  
National Guidelines ◽  
The Family ◽  
N 93 ◽  
The Impact

Aims and MethodA national survey of consultants in child and adolescent psychiatry was conducted to explore their attitudes to copying correspondence to patients and their families and the impact of recent national guidelines on practice.ResultsOf the 290 respondents, 261 (90%) agreed in principle with copying letters to patients but only two-thirds (n=186) were routinely doing so. Nearly half (n=139, 48%) had changed their practice as a consequence of the guidelines. The majority (n=160, 55%) felt that the guidelines lacked clarity with regard to the complexities of child psychiatry and a third (n=93, 32%) had experienced difficulties when copying letters to patients.Clinical ImplicationsThis survey highlights some of the benefits and risks involved in child and adolescent psychiatry when letters are routinely shared with families. Increased openness and transparency can enhance the therapeutic relationship; however, given the complexities and sensitivities implicit in child psychiatry, there is a risk of jeopardising engagement and alienating the family.

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 Service innovations: second opinions in child and adolescent psychiatry

2003 ◽  
Vol 27 (1) ◽  
pp. 22-24
Author(s):  
Greg Richardson ◽  
David Cottrell
Keyword(s):  
Mental Health ◽  
Young People ◽  
Adolescent Psychiatry ◽  
Best Practice ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Clinical Implications ◽  
Academic Unit ◽  
Diagnosis And Management

AIMS AND METHODSTo devise a protocol, reflecting best practice, for obtaining second opinions in child and adolescent psychiatry through discussion with consultants in child and adolescent psychiatry within the Yorkshire region at their quarterly meetings.ResultsThe major pressure for second opinions falls upon the Academic Unit of Child and Adolescent Mental Health and on the in-patient units. Other consultants who are considered to have specialist expertise in certain areas may also receive referrals for second opinions. Both consultants requesting and offering second opinions considered a protocol for obtaining them would be helpful to their practice.Clinical ImplicationsAn agreed protocol between consultants in child and adolescent psychiatry within a region ensures that young people with complex problems have access to second opinions on their diagnosis and management by consultants who can be recommended to referrers by other consultants. The network of consultants ensures such opinions are not requested excessively and that ‘rogue’ opinions without therapeutic follow-up are avoided.

scholarly journals An ethical dilemma in child and adolescent psychiatry

1995 ◽  
Vol 19 (2) ◽  
pp. 84-86 ◽  
Author(s):  
P. J. Graham ◽  
D. M. Foreman
Keyword(s):  
Mental Disorder ◽  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Ethical Dilemma ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Ethical Concept ◽  
Generic Quality

In this paper the ethical concept of competence is explored in the context of a very challenging child psychiatry case. Both mental disorder and immaturity may impair a child's competence. However, It is emphasised that competence Is not a generic quality but one that should be applied to specific decisions, even when working with children.

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).

scholarly journals A survey of training experiences and attitudes of higher specialist trainees in child and adolescent psychiatry

2000 ◽  
Vol 24 (8) ◽  
pp. 302-304 ◽  
Author(s):  
Siobhan Smart ◽  
David Cottrell
Keyword(s):  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Clinical Implications ◽  
Specialist Training ◽  
Research And Teaching ◽  
The Uk

Aims and MethodChanges in higher specialist training in the UK have led to a revision of training guidelines in child and adolescent psychiatry. This survey studies trainees' experiences and attitudes in the light of these changes. A questionnaire covering training attitudes and experiences was distributed to all higher specialist trainees in child and adolescent psychiatry via their programme directors.ResultsEighty-eight per cent of trainees responded. Although most training experiences are well provided, there are gaps in provision in specific areas, including research and teaching. Dissemination of information about aspects of training requires improvement and clearer feedback on training could be given.Clinical ImplicationsThe implications for training in child and adolescent psychiatry and higher specialist training in general are discussed.

Institute of Psychiatry Department of Child and Adolescent Psychiatry

1976 ◽  
Vol 6 (3) ◽  
pp. 505-516 ◽  
Author(s):  
Michael Rutter
Keyword(s):  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Research Group ◽  
Present Report ◽  
Child And Adolescent ◽  
Research Unit ◽  
Child And Adolescent Psychiatry ◽  
Social Psychiatry ◽  
Psychiatry Department ◽  
Formed Part

There has been a child psychiatry research group within the Institute of Psychiatry since 1952. At first it constituted a section of the Department of Psychiatry and for a while it formed part of the MRC Social Psychiatry Research Unit. However, in 1973 London University established a Chair of Child Psychiatry and since that time there has been a separate Department of Child and Adolescent Psychiatry. The research in this field undertaken up to 1967 has been described previously (Rutter, 1968a) and the present report brings the account up to date with a summary of work carried out during the last eight years.

The Systematic Collection of Patient Data in a Centre for Child and Adolescent Psychiatry

1990 ◽  
Vol 157 (5) ◽  
pp. 744-748 ◽  
Author(s):  
Philip D. A. Treffers ◽  
Arnold W. Goedhart ◽  
Jan W. Waltz ◽  
Els Koudijs
Keyword(s):  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Patient Data ◽  
Patient Age ◽  
Complex Information ◽  
Patient Âgé ◽  
Systematic Collection ◽  
Age Structures

Computerisation of case records has been slow to take place in child psychiatry, partly because of the amount of detailed and sometimes complex information required. A program for storing case records has been developed and it has proved of great value in epidemiological work, for example, regarding patient age structures and family compositions.

Sign in / Sign up

Export Citation Format

Share Document