scholarly journals Multidisciplinary audit in child and adolescent psychiatry

1992 ◽  
Vol 16 (4) ◽  
pp. 214-215 ◽  
Author(s):  
Andrew Leahy ◽  
M. S. Thambirajah ◽  
Linda M. Winkley
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Multidisciplinary Team ◽  
Clinical Audit ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Team Work ◽  
Medical Audit

Recent guidelines recommend that where appropriate, procedures for the development of audit in medicine and professions allied to medicine can be replaced by comprehensive multidisciplinary audit of services. The Royal College of Psychiatrists (1990) suggests that clinical audit, involving the work of other staff in the multidisciplinary team, is preferable to purely medical audit. Given the importance of team work in child psychiatry, it seems appropriate to establish a system of audit which enables all disciplines to be involved.

Is there a case for ‘unidisciplinary working’ in child psychiatry?

1992 ◽  
Vol 16 (01) ◽  
pp. 34-35 ◽  
Author(s):  
W. R. Silveira ◽  
C. G. Ballard ◽  
R. N. C. Mohan ◽  
L. McGibben ◽  
A. Sheikh ◽  
...  
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Multidisciplinary Team ◽  
Child And Adolescent Psychiatry ◽  
The Other ◽  
Working Model ◽  
Multidisciplinary Working ◽  
History Of ◽  
Model Of Practice

In many parts of the country, child psychiatrists currently provide services on their own. This ‘unidisciplinary’ model of practice is out of step with College recommendations for multidisciplinary working in child and adolescent psychiatry (Royal College of Psychiatrists, 1990). The question arises whether one model is in fact superior to the other. In this article we look briefly at the history of the multidisciplinary team, describe our own experience of providing a unidisciplinary service and suggest a working model for the future.

scholarly journals Medical audit among Scottish child psychiatrists

1992 ◽  
Vol 16 (5) ◽  
pp. 273-274
Author(s):  
H. G. Morton ◽  
R. J. R. McCabe ◽  
W. Parry-Jones ◽  
J. Pickett
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Performance Indicators ◽  
Working Group ◽  
Preliminary Report ◽  
Clinical Audit ◽  
Child And Adolescent ◽  
Medical Audit ◽  
Considerable Variability ◽  
And Performance

Working for Patients (DOH, 1989) has provided considerable impetus to the development of medical audit. The Royal College of Psychiatrists (1989) Preliminary Report on Medical Audit defined and distinguished between clinical audit, peer review and performance indicators, and referred to some of the particular problems affecting the development of audit in psychiatric practice. There are special concerns for child and adolescent psychiatrists developing medical audit programmes because of the wide diversity of child and adolescent practice and the considerable variability of resources in the subspecialty. Nicol (1989) has described the initial concern of the National Child Psychiatry Section's Working Group on audit with the Korner Report (HMSO, 1982) and the proposals on performance indicators outlined by the DHSS in 1987.

scholarly journals Part-time higher training in child and adolescent psychiatry

1993 ◽  
Vol 17 (11) ◽  
pp. 665-666 ◽  
Author(s):  
Ruth Talbot
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Postgraduate Training ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Full Time ◽  
Training Requirements ◽  
Medical Graduates ◽  
Part Time

The rise in the proportion of female medical graduates has led to an examination of the alternatives to full-time continuous postgraduate training. Part-time training has become more common, particularly in psychiatry and non-acute specialties. The means of establishing this type of training have been described in detail (Royal College of Psychiatrists, 1987) and the training requirements are discussed in the JCHPT Handbook. However, when part-time training is written about it is presented as a daunting process, fraught with concerns about a less than optimum training and practical difficulties. The survey by Ann Gath (1988) of supernumerary senior registrars in child and adolescent psychiatry detailed problems such as prejudice, a sense of exploitation, and lack of support and advice. These issues are clearly of great importance to those considering this option but there is also a more positive and optimistic view of part-time training which seems of particular relevance to child psychiatry. At the time of writing I am nearing the end of my higher training on the PM 79(3) scheme and am in a position to describe some of these more positive aspects.

Child Psychiatry: One Nation

1987 ◽  
Vol 32 (7) ◽  
pp. 508-512
Author(s):  
George Maclean
Keyword(s):  
American Academy ◽  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Paediatric Society ◽  
Working Relationship ◽  
Mutual Dependence ◽  
History Of

This essay discusses the position of child psychiatry as a subspecialty in Canada today. Proceeding from a review of a paper written by Dr. Quentin Rae-Grant in 1970 “Adult and Child Psychiatry — One or Two Nations?” the author, using the concept of a nation as a metaphor, explores the evolution of child psychiatry as a subspecialty in Canada. The history of child psychiatry in Canada is reviewed briefly; from its early beginnings to an increased understanding of its uniqueness as a subspecialty, finally through to the formation of the Canadian Academy of Child Psychiatry in 1980. The essay stresses the mutuality of our dependence on the Canadian Psychiatric Association. The author emphasizes our mutual dependence on the greater organizational body of psychiatrists, and encourages a greater participation of child psychiatrists within the Canadian Psychiatric Association. The author also emphasizes the need to have a closer relationship with the Canadian Paediatric Society. In addition, the author discusses in some detail the more complex and controversial relationship between child psychiatry and the Royal College of Physicians and Surgeons of Canada. Finally the author emphasizes the importance of a close working relationship with the American Academy of Child and Adolescent Psychiatry. All of these relationships are emphasized in terms of mutual dependence.

scholarly journals Providing a District Service for Child and Adolescent Psychiatry: Medical Manpower Priority: (Report of the Child and Adolescent Psychiatry Section)

1983 ◽  
Vol 7 (5) ◽  
pp. 94-97
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Adolescent Psychiatrist ◽  
Department Of Health ◽  
Medical Manpower ◽  
Role Responsibilities

This paper considers the possible long-term consultant manpower requirements in England and Wales for child and adolescent psychiatry and its specialties, including psychotherapy and community child and adolescent psychiatry. It is based on papers previously prepared by the College Executive in relation to manpower requirements for child psychiatry (Royal College of Psychiatrists, 1973) and adolescent psychiatry (Royal College of Psychiatrists, 1976), and to the role, responsibilities and work of the child and adolescent psychiatrist (Royal College of Psychiatrists, 1978) and on discussions with the Department of Health and Social Security.

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 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 The use of log-books during senior registrar training in child and adolescent psychiatry

1992 ◽  
Vol 16 (3) ◽  
pp. 153-154
Author(s):  
Diana Cassell ◽  
Elizabeth Fellow-Smith
Keyword(s):  
Annual Meeting ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Professional Training ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Senior Registrar ◽  
Registrar Training

The aim of this paper is to continue a dialogue regarding the possible future use of log-books during training. The Royal College of Psychiatrists has been considering their use at various stages of training in psychiatry. Cole & Scott (1991) rejected log-books as a tool for self-audit during registrar training because they were often not kept up to date. The situation in higher professional training is more complex; there is not the clear focus of studying for the Membership examination and there are many more training components to cover during a four year period. Thus, we feel that a system for self-audit and monitoring could well prove valuable at the senior registrar level. There is a tension for senior registrars with whom we discussed this issue at the last Annual Meeting of the Section and among colleagues on our rotation.

Specialist child and adolescent psychiatry curriculum: The Royal College of Psychiatrists (UK) model

2012 ◽  
Vol 60 (5) ◽  
pp. S307
Author(s):  
M.D.G. Dominguez Barrera ◽  
A. Mayordomo Aranda ◽  
A. Forti Buratti ◽  
S. Taylor ◽  
E. Garralda ◽  
...  
Keyword(s):  
Royal College ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry
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