Aims and methodTo discuss the working of a new paediatric liaison service. To review paediatric referrals to a child and adolescent mental health service (CAMHS) 21 months before and 21 months after the establishment of this service.ResultsOne hundred and eighty-three children were discussed in the 21 months after the new service was set up. There was a rise in referral to CAMHS from 72 to 120. Non-attendance rates from paediatric referrals also rose. Likely reasons for these changes are discussed, and include an increase in referrals of children with somatisation.Clinical implicationsInterdisciplinary liaison appears to carry many advantages, but is likely to increase referral rates to the CAMHS. This has both clinical and resource implications.
Aims and methodWithin a mental health service for children and their families a range of treatment options should be offered. We discuss the organisation of family therapy as one mode of treatment within a generic child and adolescent mental health service. It is based upon a review of all referrals during a 12-month period (April 1997–March 1998).ResultsThis review showed a high rate of non-attendance for first appointments, that the family therapy offered an effective forum for assessment and that a brief focused model of intervention could be effective within a generic service.Clinical implicationsThis review has lead us to modify our deployment of family therapy as a treatment option: this modification has implications in terms of resource utilisation and of the clinical use of family therapy.
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