scholarly journals A local child psychiatric service as viewed by district social workers

1996 ◽  
Vol 20 (10) ◽  
pp. 588-591 ◽  
Author(s):  
S. J. Dover
Keyword(s):  
Social Workers ◽  
General Practitioners ◽  
Child Psychiatry ◽  
Psychiatric Service ◽  
Child Psychiatric ◽  
The Uk

The study examines the knowledge and views among district social workers of a local child psychiatric service and determines whether their views influence decisions to refer to the service. The results are compared with similar studies of general practitioners (GPs) and paediatricians and discussed with reference to recent national reviews of child psychiatry in the UK.

scholarly journals The use of Consultant Time in Child Psychiatry—Seven Years On

1982 ◽  
Vol 6 (7) ◽  
pp. 116-117 ◽  
Author(s):  
Dora Black ◽  
Michael Black
Keyword(s):  
Pilot Study ◽  
Child Psychiatry ◽  
Psychiatric Service ◽  
Child Psychiatric ◽  
Child Psychiatrists ◽  
The Way

In 1974 we published a pilot study on the use of consultant time in child psychiatry, based on detailed timesheets kept by a group of child psychiatrists in and near London (1). The group, which is still meeting, decided to see what changes, if any, have occurred over the last seven years in the way we allocate our time. The primary purpose of the group, now, as then, is ‘the provision of a forum where members can exchange views and compare experiences relating to the problems encountered while engaging in and often being professionally responsible for administering a child psychiatric service.’ A nucleus of about six consultants took part in both studies.

scholarly journals An evaluation of health visitors' and social workers' level of knowledge and satisfaction of a local child and family psychiatric service

1991 ◽  
Vol 15 (3) ◽  
pp. 140-141 ◽  
Author(s):  
Aristos Markantonakis ◽  
John Mathai
Keyword(s):  
General Practice ◽  
Social Workers ◽  
Psychiatric Service ◽  
Psychiatric Services ◽  
Professional Help ◽  
Health Visitors ◽  
Child Psychiatric ◽  
Level Of Knowledge ◽  
Per Se ◽  
Gain Access

Although childhood psychiatric disorders are commonly seen in general practice, only a few children in the community gain access to professional help. Whether a child is referred or not depends on various factors to do with the child and family and others, such as what the GP expects from the referral. Severity per se is not the only referral determinant. Whether GPs know what the child psychiatric services in the area have to offer could also be expected to affect referral (Markantonakis & Mathai, 1990). We are aware of the need for general practitioners to be made more aware of the services that we have to offer.

Attitudes of general practitioners to child psychiatry services

1997 ◽  
Vol 14 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Fiona McNicholas
Keyword(s):  
Social Workers ◽  
General Practitioners ◽  
Child Psychiatry ◽  
Service Provision ◽  
Community Psychiatry ◽  
Professional Staff ◽  
Treatment Modalities ◽  
Planning Service ◽  
Mental Handicap ◽  
The Core

AbstractObjective: To ascertain the views of Irish GPs with regard to local child psychiatry provision.Method: 180 randomly selected general practitioners were sent a questionnaire designed to ascertain their views on child psychiatry services. They were asked to rate service provisions, professional staff and therapies offered in terms of priority.Results: 74 (41%) returned completed questionnaires. Written reports, short waiting list times and emergency inpatient provisions were accorded the highest priority by the largest number of GPs (77%, 64.9%, and 63.5% respectively). Expertise in child sexual abuse, mental handicap and alcohol/drug addiction were also prioritised (77%, 66.2%, & 58.1% respectively). The core staffing required included child psychiatrists, community psychiatry nurses, psychologists and social workers. Family therapy followed by counselling were the most popular treatment modalities. However, more than two thirds (68.6%) of the sample rated their current service as unsatisfactory.Conclusion: In planning service provision it is important to take into account the needs of the community, referrers' views and accessibility in order to provide optimum services for both users and referrers.

Factors influencing general practitioner referral to a child psychiatric service

1993 ◽  
Vol 10 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Ramalingam N Chithiramohan ◽  
Clive G Ballard ◽  
Mark A Baxter ◽  
Linda Jones ◽  
Sumithra Handy ◽  
...  
Keyword(s):  
General Practitioner ◽  
Psychiatric Disorders ◽  
General Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Clinic ◽  
Parental Concern ◽  
Factors Influencing ◽  
Specialist Services ◽  
Child Psychiatric ◽  
Referral Practices

AbstractObjective: To investigate factors influencing general practitioner referrals of children with psychiatric disorders to specialist services. Method: One hundred and sixty seven general practitioners were asked to complete a detailed questionnaire concerning their referral practices. Results: Emotional disorder, conduct disorder, drug abuse and habit disorder were the problems most likely to be referred to the child psychiatric clinic. Parental concern and the severity of the child's illness were considered to be more important than social circumstances in determining referral to specialist services. Conclusions: Many general practitioners indicated that they would have referred children with psychiatric disorders to specialist services other than child psychiatry. Proactive liaison work is needed to increase the awareness and confidence of general practitioners in child psychiatric services.

scholarly journals An evaluation of general practitioners' knowledge and satisfaction of a local child and family psychiatric service

1990 ◽  
Vol 14 (6) ◽  
pp. 328-329 ◽  
Author(s):  
Aristos Markantonakis ◽  
John Mathai
Keyword(s):  
General Practice ◽  
Psychiatric Disorders ◽  
General Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Services ◽  
Written Communication ◽  
Professional Help ◽  
Child Psychiatric ◽  
Childhood Psychiatric Disorders ◽  
Gain Access

Although childhood psychiatric disorders are commonly seen in general practice, only a few children in the community eventually gain access to professional help (Rutter, Cox, Tupling et al, 1975; Bailey, Graham & Boniface, 1978). Whether a child is referred or not depends on various factors connected with the child and family (Garralda & Bailey, 1988) and others such as what the GP expects from the referral. Whether GPs know of what the child psychiatric services in the area have to offer might also be expected to effect referral. We know that there is a general dissatisfaction with written communication between general practitioners and specialists in terms of the quality on the communication and usefulness to both groups (Pullen & Yellowlees, 1985; Kentish, Jenkins & Lask, 1987).

scholarly journals Quality improvement in general practice: what do GPs and practice managers think? Results from a nationally representative survey of UK GPs and practice managers

2021 ◽  
Vol 10 (2) ◽  
pp. e001309
Author(s):  
Jennifer Gosling ◽  
Nicholas Mays ◽  
Bob Erens ◽  
David Reid ◽  
Josephine Exley
Keyword(s):  
General Practice ◽  
Quality Improvement ◽  
General Practitioners ◽  
Service Improvement ◽  
Protected Time ◽  
Routine Work ◽  
Professional Interest ◽  
Quality And Outcomes ◽  
Nationally Representative ◽  
The Uk

BackgroundThis paper presents the results of the first UK-wide survey of National Health Service (NHS) general practitioners (GPs) and practice managers (PMs) designed to explore the service improvement activities being undertaken in practices, and the factors that facilitated or obstructed that work. The research was prompted by growing policy and professional interest in the quality of general practice and its improvement. The analysis compares GP and PM involvement in, and experience of, quality improvement activities.MethodsThis was a mixed-method study comprising 26 semistructured interviews, a focus group and two surveys. The qualitative data supported the design of the surveys, which were sent to all 46 238 GPs on the Royal College of General Practitioners (RCGP) database and the PM at every practice across the UK (n=9153) in July 2017.ResultsResponses from 2377 GPs and 1424 PMs were received and were broadly representative of each group. Ninety-nine per cent reported having planned or undertaken improvement activities in the previous 12 months. The most frequent related to prescribing and access. Key facilitators of improvement included ‘good clinical leadership’. The two main barriers were ‘too many demands from external stakeholders’ and a lack of protected time. Audit and significant event audit were the most common improvement tools used, but respondents were interested in training on other quality improvement tools.ConclusionGPs and PMs are interested in improving service quality. As such, the new quality improvement domain in the Quality and Outcomes Framework used in the payment of practices is likely to be relatively easily accepted by GPs in England. However, if improving quality is to become routine work for practices, it will be important for the NHS in the four UK countries to work with practices to mitigate some of the barriers that they face, in particular the lack of protected time.

Managing patients with hepatitis C

1993 ◽  
Vol 31 (16) ◽  
pp. 61-62 ◽  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
General Practitioners ◽  
Blood Donor ◽  
The Uk

All blood donated in the UK is tested for antibodies to hepatitis C virus (HCV), and 1 in 1800 samples is confirmed positive.1 Blood from anti-HCV positive donors is discarded to avoid transmission of the virus, and in most centres these donors are contacted and advised to see their general practitioners. In this article we discuss the management of patients found to be anti-HCV positive either through the blood donor service or as a result of investigations for other indications.

Building Curriculum for Training in Community Child Psychiatry

1996 ◽  
Vol 41 (6) ◽  
pp. 400-405 ◽  
Author(s):  
John Leverette ◽  
Arthur Froese ◽  
Vincenzo DiNicola
Keyword(s):  
Child Psychiatry ◽  
Curriculum Design ◽  
Training Programs ◽  
Practical Approach ◽  
Psychiatric Training ◽  
Community Based ◽  
Didactic Teaching ◽  
Curriculum Review ◽  
Child Psychiatric

Objective: To present a practical approach to curriculum design for community-based care in child psychiatry. Method: A design template is presented, steps for a curriculum review are derived from it, and as an example, a small academic division's program is reviewed. Results: The division's curriculum was developed according to the template, resulting in an enhanced focus and improved coverage of topics through a combination of experiential and didactic teaching. Conclusion: The suggested format is considered applicable to child psychiatric training programs of all sizes and offers an opportunity to review or initiate the teaching of community child psychiatry.

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