scholarly journals Professioner, makt och samverkan mellan myndigheter

2017 ◽  
Vol 24 (1) ◽  
Author(s):  
Hans Ek ◽  
Joakim Isaksson ◽  
Rikard Eriksson
Keyword(s):  
Young People ◽  
Knowledge Base ◽  
Social Services ◽  
Adolescent Psychiatry ◽  
Common Knowledge ◽  
Qualitative Interviews ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
The Social ◽  
The Right

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. 

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.

Experience, Knowledge and Attitudes of Child Psychiatrists regarding Electroconvulsive Therapy in the Young

1997 ◽  
Vol 31 (5) ◽  
pp. 676-681 ◽  
Author(s):  
Garry Walter ◽  
Joseph M. Rey ◽  
Jean Starling
Keyword(s):  
New Zealand ◽  
Young People ◽  
Electroconvulsive Therapy ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Knowledge And Attitudes ◽  
Item Questionnaire ◽  
Almost All ◽  
Child Psychiatrists

Objective: To ascertain the experience, knowledge and attitudes of Australian and New Zealand child psychiatrists in relation to electroconvulsive therapy (ECT) in the young in order to determine whether they would be willing and able to provide an opinion if consulted about children or adolescents in whom ECT is proposed. Method: A 28-item questionnaire was posted to all members of the Faculty of Child and Adolescent Psychiatry living in Australia or New Zealand. Results: Eighty-three percent (n = 206) answered the questionnaire. Forty percent rated their knowledge about ECT in the young as nil or negligible. Having had patients treated with ECT was the best predictor of possessing some knowledge. Thirty-nine percent believed that ECT was unsafe in children compared to 17% for adolescents and 3% for adults. Almost all (92%) respondents believed child psychiatrists should be consulted in all cases of persons under 19 in whom ECT was recommended. The vast majority believed the Faculty or College should have guidelines relating to ECT use in this group and that it would be useful to have a national register of young persons treated with ECT. Conclusions: Child and adolescent psychiatrists wish to be involved in the process of ECT treatment in young people. At the same time, there are gaps in their knowledge. This will need to be remedied, particularly if formal guidelines advocating their involvement are introduced.

scholarly journals Oslo

1992 ◽  
Vol 16 (10) ◽  
pp. 655-657
Author(s):  
Simon R. Wilkinson
Keyword(s):  
Knowledge Base ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Marginal Groups ◽  
Staffing Levels ◽  
Privileged Position

It did not take me long to find that I belonged to the ‘marginal’ section of Norwegian society. Both as foreigner and psychiatrist I seemed to be a threat. Nevertheless it is from society's marginal groups that healers have often come (Miller, 1987) and so I continue to work with a necessary and natural cultural naivety and therapeutic optimism! I present here an overview and critique of the services provided for children in Oslo from the privileged position of a migrant. The high staffing levels and the profile of child and adolescent psychiatry appear to have exaggerated the ‘psychologising’ of problems and a search for therapy. These have the potential to inflame both interprofessional conflicts and interdisciplinary conflicts because of the emphasis on therapeutic skills to the relative exclusion of a relevant knowledge base.

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 The Management of Parasuicide in Young People Under Sixteen

1982 ◽  
Vol 6 (10) ◽  
pp. 182-185
Keyword(s):  
Public Policy ◽  
Young People ◽  
Adolescent Psychiatry ◽  
Working Party ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
The Public ◽  
Suicidal Attempts ◽  
Policy Committee

The Child and Adolescent Psychiatry Section has agreed that a view should be formulated about the management of suicidal attempts in young people under sixteen. This report of the Section's Working Party is being published with Council's approval. (Members of the Working Party: Dr M. Black (Convener), Dr J. Erulkar, Mr M. Kerfoot, Professor R. Meadow and Dr H. Baderman.) A Working Party of the Public Policy Committee, which includes representatives of other professions, is continuing discussion of this topic.

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.

scholarly journals Pathological Internet Use—An Important Comorbidity in Child and Adolescent Psychiatry: Prevalence and Correlation Patterns in a Naturalistic Sample of Adolescent Inpatients

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Martin Fuchs ◽  
David Riedl ◽  
Astrid Bock ◽  
Gerhard Rumpold ◽  
Kathrin Sevecke
Keyword(s):  
Young People ◽  
Adolescent Psychiatry ◽  
Internet Use ◽  
Psychiatric Treatment ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Problematic Internet Use ◽  
Control Group ◽  
Pathological Internet Use ◽  
School Sample

Background. Few studies have examined the prevalence of problematic internet use (PIU) in young people undergoing inpatient treatment in child and adolescent psychiatry centers. The aims of our study were thus (a) to assess the frequency of comorbid PIU in a sample of adolescent psychiatric inpatients and compare it with a control group of nonreferred adolescents and (b) to gain insights into correlations between PIU and psychiatric comorbidities. Methods. 111 child and adolescent psychiatry inpatients (CAP-IP, mean age 15.1±1.4 years; female : male 72.4% : 27.6%) undergoing routine psychodiagnostics were screened for the presence of PIU. The widely used Compulsive Internet Use Scale (CIUS) was chosen for this purpose. Prevalence rates of PIU were then compared to matched nonreferred control subjects from a school sample. Additionally, comorbidities of inpatients with PIU were compared to inpatients without PIU. Results. Our inpatient sample showed a much higher prevalence of PIU than that found in previous populational samples of young people. Compared with a matched school sample, addictive internet use was 7.8 times higher and problematic internet use 3.3 times higher among our adolescent sample. PIU was significantly associated with characteristic patterns of psychopathology, that is, suicidality, difficulties in establishing stable and consolidated identity, and peer victimization. Conclusion. PIU among adolescents undergoing inpatient psychiatric treatment is much more frequent than among their peers in the general population and is associated with specific patterns of psychopathology.

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