Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-26T01:11:01.009Z Has data issue: false hasContentIssue false

Attitudes of general practitioners to child psychiatry services

Published online by Cambridge University Press:  13 June 2014

Fiona McNicholas*
Affiliation:
Bloomfield Clinic, Guys Hospital, London SE1 9RT, England

Abstract

Objective: 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.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Richman, N, Stevenson, J, Graham, P. Preschool to school: a behaviour study. London: Academic Press, 1982.Google Scholar
2.Rutter, M, Graham, P, Chadwick, O, Yule, W. Adolescent turmoil: fact or fiction. J Child Psychol Psychiatry 1976; 17: 3556.CrossRefGoogle ScholarPubMed
3.Department of Health. Report of a working group on child and adolescent psychiatric services in the Eastern Health Board area. Dublin: Government publications office, 1989; December.Google Scholar
4.Lynch, K, Fitzgerald, M, Fitzgerald, A. The prevalence of child psychiatric disorder in 10 and 11 year old boys in an urban area. In: Fitzgerald, M, ed. Irish Families Under Stress 1991: 513.Google Scholar
5.Fitzgerald, M, Kinsella, A. Behavioural deviance in an Irish urban and rural town sample. In: Fitzgerald, M, ed. Irish Families Under Stress 1991: 2933.Google Scholar
6.Rutter, M, Tizard, J, Whitmore, K. Education, Health and Behaviour. London: Longman, 1970.Google Scholar
7.Knoff, HM, Verhulst, FC. Prediction of childrens referral to mental health and special education services from earlier adjustment. J Child Psychol Psychiatry 1991; 33: 717–29.Google Scholar
8.Williams, R. Psychiatry morbidity in children and adolescents: a suitable cause for concern. Br J Gen Pract 1993; 43: 34.Google Scholar
9.Smeeton, N, Wilkinson, G, Skuse, Det al.A longitudinal study of general practice consultations for psychiatric disorders in adolescence. Psychol Med 1992; 22: 709–15.CrossRefGoogle ScholarPubMed
10.Department of Health. The Irish Psychiatric Services; planning for the future. Dublin: Government publications office, 1984.Google Scholar
11.Williams, P, Wallace, BB. GPs and psychiatrists; do they communicate? BMJ 1974; 1: 505–7.CrossRefGoogle Scholar
12.Waiters, L, Gannon, M, Murphy, D. Attitudes of general practitioners to the psychiatry services. Ir J Psych Med 1994; 11(1): 44–6.CrossRefGoogle Scholar
13.Adamsom, N, Killelea, D. A study of general practitioner needs of a new child psychiatry service. Ir J Psych Med 1996; 13(1): 30–2.CrossRefGoogle Scholar
14.Rawnsley, B, London, JB. Factors influencing the referral of patients to psychiatrists by general practitioners. Br J Preventive and Social Medicine 1962; 16: 174–82.Google ScholarPubMed
15.The Research Team. A research study of incidence - child sexual abuse in Northern Ireland. Antrim, Northern Ireland: Greystones Books, 1990.Google Scholar
16.DHSS Diagnosis of child sexual abuse: guidance for doctors, London: HMSO, 1988.Google Scholar
17.Walford, G, Browne, F, Egan, Set al.The role of the psychiatrist in child sexual abuse. Submitted to the Royal College of Psychiatrists Northern Ireland Section, 1990; October.Google Scholar
18.Together we stand: health advisory service thematic review. London: HMSO, 1995.Google Scholar
19.Mutale, T. Attitudes of general practitioners and child psychiatrists to treatment methods. Br J Psychiatry (Bulletin) 1994; 18: 668–9.Google Scholar
20.Strathdee, G, Williams, P. A survey of psychiatrists in primary care: the silent growth of a new service. J College Gen Pract 1984; 34: 615–8.Google ScholarPubMed
21.Pullen, IM, Yellowlees, AJ. Psychiatrists in primary care in Scotland – a silent majority. Br J Psychiatry 1988: 153: 663–6.CrossRefGoogle Scholar
22.Cooper, SJ, Gilliand, A, McGilloway, S, Doherty, M, Cormac, E. Primary care based psychiatric clinics: observations on a one year cohort of referrals. Ir J Psych Med 1992; 9: 1316.CrossRefGoogle Scholar
23.Malone, K, Campbell, A, Binchy, I, Ryan, J. Primary care liaison psychiatry: selected consultation and periodic group discussion model – evaluation of a pilot scheme. Ir J Psych Med 1992; 9:134–5.CrossRefGoogle Scholar