Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-19T16:56:23.821Z Has data issue: false hasContentIssue false
  • English
  • Français

Child and adolescent psychiatric disorders in general practice

Published online by Cambridge University Press:  02 January 2018

R. G. Jezzard
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

It has been known for some time that the majority of adult mental health problems within any community are seen within general practice, making up a fifth to a quarter of the general practitioner's workload (Shepherd & Clare, 1981). Most patients are not referred to specialist services. It is therefore the primary care team and not the psychiatric specialist who assumes the major burden of responsibility for the care of mental disorder. Hence, more attempts are now being made to improve the quality of psychiatric care within general practice. Most of the research on mental health morbidity within primary care has been in the field of adult mental health and it is only relatively recently that equivalent information on child mental health morbidity has become available. In parallel, an increasing number of studies examining the effectiveness of interventions in primary care have been undertaken and different models of mental health service provision within this context have been described (Strathdee & Williams, 1984). There are few evaluated studies of interventions in primary care focused on child mental health. Most guidance for the development of such services has to be obtained from the adult mental health literature, or from work with other types of childhood disorder, often in non-general practice settings.

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 1 , Issue 7 , September 1995 , pp. 184 - 191
Copyright
Copyright © The Royal College of Psychiatrists 1995 

References

Angold, A. (1988) Childhood and adolescent depression II: research in clinical populations. British Journal of Psychiatry, 153, 476–492.CrossRefGoogle ScholarPubMed
Bailey, V, Graham, P., Boniface, D. et al (1978) How much child psychiatry does a general practitioner do? Journal of the Royal College of General Practitioners, 28, 621–626.Google Scholar
Bailey, D. & Garralda, M. (1989) Referral to child psychiatry: parent and doctor motives and expectations. Journal of Child Psychology and Psychiatry, 30, 449–458.CrossRefGoogle ScholarPubMed
Bellenis, C. & Thompson, M. (1992) A joint assessment and treatment service for the under fives. ACPP Newsletter, 14, 262–266.Google Scholar
Bowman, F. & Garralda, M. (1993) Psychiatric morbidity among children who are frequent attenders in general practice. British Journal of General Practice, 43, 6–9.Google ScholarPubMed
Clement, J. (1985) Update – Training parents of mentally handicapped children. Newsletter of the Association of Child Psychology and Psychiatry, 7, 2–9.Google Scholar
Corney, R. (1987) Marital problems and treatment outcome in depressed women. British Journal of Psychiatry, 151, 652–659.CrossRefGoogle ScholarPubMed
Cox, A. (1993) Preventive aspects of child psychiatry. Archives of Disease in Childhood, 68, 691–701.CrossRefGoogle ScholarPubMed
Darling, C. (1990) Brief encounters in general practice: liaison in general practice psychiatry clinics. Psychiatric Bulletin, 14, 592–594.CrossRefGoogle Scholar
Davis, H. & Rushton, R. (1991) Counselling and supporting parents of children with developmental delay: a research evaluation. Journal of Mental Deficiency Research, 35, 89–112.Google Scholar
Donovan, C. (1988) Is there a place for adolescent screening in general practice? Health Trends, 20, 64.Google Scholar
Evans, S. & Brown, R. (1993) Perception of need for child psychiatry services among parents and general practitioners. Health Trends, 25, 53–56.Google ScholarPubMed
Ferguson, B. (1987) Current comment (vii). Psychiatric clinics in general practice – an asset for primary care. Health Trends, 19, 22.Google ScholarPubMed
Garralda, M. & Bailey, D. (1986) Children with psychiatric disorder in primary care. Journal of Child Psychology and Psychiatry, 27, 611–624.CrossRefGoogle ScholarPubMed
Garralda, M. & Bailey, D. (1988) Child and family factors associated with referral to child psychiatrists. British Journal of Psychiatry, 153, 81–89.CrossRefGoogle ScholarPubMed
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community – The Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Gray, D. (1994) Family and marital relationships. In Psychiatry and General Practice Today (eds Pullen, I., Wilkinson, G., Wright, A. et al), pp. 77–92. London: Gaskell.Google Scholar
Hall, D. (1992) Annotation: child health promotion, screening and surveillance. Journal of Child Psychology and Psychiatry, 33, 649–657.CrossRefGoogle Scholar
Harris, A. (1994) Specialist outreach clinics. British Medical Journal, 30, 1053.CrossRefGoogle Scholar
Holden, J., Sagovsky, R. & Cox, J. (1989) Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression. British Medical Journal, 298, 223–236.CrossRefGoogle Scholar
Horne, J. (1992) Annotation: sleep and its disorders in children. Journal of Child Psychology and Psychiatry, 33, 473–487.CrossRefGoogle Scholar
Hughes, T., Garralda, M. & Tylee, A. (1994) Child Mental Health Problems. London: St. Mary's Hospital.Google Scholar
Jackson, G., Gater, R. & Goldberg, D. (1993) A new community health team based in primary care. A description of the service and its effect on service use in the first year. British Journal of Psychiatry, 162, 375–384.CrossRefGoogle ScholarPubMed
Kendrick, T., Sibbald, B., Addington-Hall, J. et al (1993) Distribution of mental health professionals working on site in English and Welsh general practices. British Medical Journal, 307, 544–546.CrossRefGoogle ScholarPubMed
King, M. (1994) Counselling services in general practice. The need for evaluation. Psychiatric Bulletin, 18, 65–67.CrossRefGoogle Scholar
Kurtz, Z, Thornes, R. & Wolkind, S. (1994) Services for the Mental Health of Children and Young People in England. A National Review. London: Maudsley Hospital and South Thames (West) Regional Health Authority.Google Scholar
MacFarlane, A. (1993) Health promotion and children and teenagers. British Medical Journal, 306, 81.CrossRefGoogle ScholarPubMed
Markantonakis, A. & Mathai, J. (1990) An evaluation of general practitioners' knowledge and satisfaction of a local child and family psychiatric service. Psychiatric Bulletin, 14, 328–329.CrossRefGoogle Scholar
Markus, A., Murray Parkes, C., Tomson, P. et al (1991) Psychological Problems in General Practice. Oxford: Oxford University Press.Google Scholar
McGuire, J. & Earls, F. (1991) Prevention of psychiatric disorders in early childhood. Journal of Child Psychology and Psychiatry, 32, 129–154.CrossRefGoogle ScholarPubMed
Mutale, T. (1994) Links between fund-holding general practices and mental health professionals. Psychiatric Bulletin, 18, 603–605.CrossRefGoogle Scholar
Mutale, T. (1994) Attitudes of general practitioners and child psychiatrists to treatment methods. Psychiatric Bulletin, 18, 668–669.CrossRefGoogle Scholar
Offord, D. (1987) Prevention of behavioural and emotional disorders in children. Journal of Child Psychology and Psychiatry, 28, 9–20.CrossRefGoogle ScholarPubMed
Peter, L. (1993) Services for children: primary care. British Medical Journal, 307, 117–120.CrossRefGoogle ScholarPubMed
Pringle, M. & Laverty, J. (1993) A counsellor in every practice? British Medical Journal, 306, 2–3.CrossRefGoogle ScholarPubMed
Rutter, M., Tizard, J. & Whitmore, K. (1970) Education, Health and Behaviour. London: Longman.Google Scholar
Shepherd, M. & Clare, A. (1981) Psychiatric Illness in General Practice (2nd edn.), Oxford University Press.Google Scholar
Sibbald, B., Addington-Hall, J., Brenneman, D. et al (1993) Counsellors in English and Welsh general practices: their nature and distribution. British Medical Journal, 306, 29–33.CrossRefGoogle ScholarPubMed
Smeeton, N. (1987) Surveys of mental illness in general practice. Professional Statistician, 6, 8–9.Google Scholar
Smeeton, N., Wilkinson, G., Skuse, D. et al (1992) A longitudinal study of general practitioner consultations for psychiatric disorders in adolescence. Psychological Medicine, 22, 709–715.CrossRefGoogle ScholarPubMed
Sternberg, J. (1993) “Applied Psychotherapy?” An account of brief work in a medical centre. ACPP Review and Newsletter, 15, 260–264.Google Scholar
Strathdee, G. & Williams, P. (1984) A survey of psychiatrists in primary care: the silent growth of a new service. Journal of the Royal College of General Practitioners, 34, 615–618.Google ScholarPubMed
Subotsky, F. & Brown, R. (1990) Working alongside the general practitioner: a child psychiatric clinic in the general practice setting. Child: Care, Health and Development, 16, 189–196.CrossRefGoogle ScholarPubMed
Thompson, A. & Place, M. (1995) What influences general practitioners's use of child psychiatry services? Psychiatric Bulletin, 19, 10–12.CrossRefGoogle Scholar
Tyrer, P. (1984) Psychiatric clinics in general practice. An extension of community care. British Journal of Psychiatry, 145, 9–14.CrossRefGoogle ScholarPubMed
Wells, P. & Faragher, B. (1992) Referral rates to a regional adolescent psychiatric service: a comparison of visited and unvisited general practitioners. Health Trends, 24, 53–56.Google Scholar
Westbrook, D. & Hawton, K. (1991) Liaison meetings between a psychiatric team and general practitioners: description and evaluation of a pilot project. Psychiatric Bulletin, 15, 328–329.CrossRefGoogle Scholar
Williams, R. (1993) Psychiatric morbidity in children and adolescents: a suitable cause for concern. British Journal of General Practice, 43, 3–4.Google ScholarPubMed
Wolpert, M. & Fredman, G. (1994) Modelling the referral pathway to mental health services for children. ACPP Review and Newsletter, 16, 283–288.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.