Paediatrics and child psychiatry. The case for collaboration.

Pinkerton, Philip

doi:10.1136/adc.48.12.970

Cited by 5 publications

(1 citation statement)

References 14 publications

(10 reference statements)

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“…The School Problems Clinic was an attempt by the Pediatrics Department to address large numbers of children referred from schools. It was one way of approaching the acknowledged difficulties of Pediatrics-Psychiatric liaison (Pinkerton, 1973). In this clinic, the intern conducted interviews with children and their parents.…”

Section: The Programmentioning

confidence: 99%

Expanding the Base for Child Mental Health Service and Training

Feiner

Tarnow²

1977

J Spec Educ

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A mental health role and professional training situation was developed, spanning the child-related systems of school, pediatric, and mental health clinics. The physician intern's work in the natural setting of the school had three facets, each related to a systems intervention framework, (a) Children were seen for immediate intervention in the school or referred to the intern's pediatric or psychiatric clinic base for specialized evaluation and treatment, (b) Parents, children, and teachers met together in a problem-solving group, (c) Teachers participated in groups encouraging development of support systems. Emphasis was placed on children's pediatric, mental health, and educational needs, stressing early detection, family involvement, and lessening of transactional conflict. Acceptance by school and district personnel was extremely positive. Similar functions can be performed by other pediatric, mental health or educational staff.

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Section: The Programmentioning

confidence: 99%

Expanding the Base for Child Mental Health Service and Training

Feiner

Tarnow²

1977

J Spec Educ

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A Child Psychiatry Consultation Service to Paediatricians

Wrate

Kolvin²

1978

Develop Med Child Neuro

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SUMMARY A review of referrals to the University department of child psychiatry in Newcastle upon Tyne demonstrated active consultation and collaboration between the department and paediatric departments. Important differences in sex, distribution of psychiatric disorders and presence of associated physical and social handicap were found between patients referred from different sources. The presence of some psychological disturbance in those children referred from hospital wards was evident to most paediatricians, and constituted the most frequent reason for referral. Recommendation for psychiatric treament was made for the majority of patients, but subsequent parental co‐operation was often poor. In the authors' view the greatest value of this research is that it highlights atrange of disorders of common concern to paediatricians and children's psychiatrists, using not only the terminology traditional in child psychiatry but also employing a descriptive terminology. They believe it is essential that trainees of both disciplines should have adequate experience in this wide range of disorders. RÉSUMÉ Une consultation de psychiatrie infantile au service des pédiatres Un relevé des motifs de consultation, dans un service universitaire de psychiatrie infantile à Newcastle upon Tyne, a démontré une confrontation active et une collaboration entre ce service et les services de pédiatrie. Des différences importantes dans le sexe, la répartition des troubles psychiatriques, la présence de handicaps physiques et sociaux associés ont été notées entre les groupes de malades adressés par des sources différentes. La présence de perturbations psychologiques chez les enfants pris en charge hospitalière était évidente pour la plupart des pédiatres et constituait la raison la plus fréquente de consultations. Des conseils pour le traitement psychiatrique ont été donnés pour la majorité des malades mais la coopération parentale ultérieure fut souvent pauvre. Selon la vue des auteurs, le plus grand intérêt de cette recherche est de souligner un groupe de troubles préoccupant aussi bien les pédiatres que les psychiatres infantiles, utilisant non seulement la terminologie traditionnelle de la psychiatrie infantile, mais utilisant également une terminologie descriptive. Ils pensent qu'il est essentiel que la formation aux deux disciplines comporte une expérience adéquate dans le large domaine de ces troubles. ZUSAMMENFASSUNG Kinder psychiatrischer Beratungsdienst für Pädiater Eine Übersicht der Überweisungen zu der Abteilung für Kinderpsychiatrie der Universität Newcastle am Tyne zeigte eine aktive Konsultation und Zusammenarbeit zwischen dieser Abteilung und pädiatrischen Abteilungen. Es fanden sich bedeutende Unterschiede hinsichtlich des Geschlechtes, verschiedener psychiatrischer Erkrankungen und begleitender physischer und sozialer Probleme bei den Patienten, die von verschiedenen Stellen über‐wiesen wurden. Das Vorliegen bestimmter psychologischer Probleme bei den Kindern, die aus Kliniken überwiesen wurden, war von den meisten Päd...

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Pediatric Referrals to Psychiatry: I. Comparison of Referrals and Nonreferrals

Froese

1977

Int J Psychiatry Med

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Age, sex and duration of hospital stay of 220 patients consecutively referred to psychiatry (Group I) and of their fellow 2065 nonreferred patients (Group II) were compared. Overall, Group I was significantly older, remained in hospital longer, and included more girls than boys, whereas Group II included slightly more boys than girls. Separation of Group II into those whose primary discharge diagnosis was psychiatric or nonpsychiatric revealed that mean age and duration of hospital stay of the former were almost identical, and the sex distribution was similar, to those of Group I. These findings suggest that children referred for psychiatric evaluation differ from their nonreferred fellows discharged with a nonpsychiatric diagnosis but not from nonreferred fellows discharged with a psychiatric diagnosis.

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Paediatrics and child psychiatry. The case for collaboration.

Cited by 5 publications

References 14 publications

Expanding the Base for Child Mental Health Service and Training

Expanding the Base for Child Mental Health Service and Training

A Child Psychiatry Consultation Service to Paediatricians

Pediatric Referrals to Psychiatry: I. Comparison of Referrals and Nonreferrals

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