Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-28T10:51:43.098Z Has data issue: false hasContentIssue false
  • English
  • Français

Survey of a second opinion clinic in child and adolescent psychiatry

Published online by Cambridge University Press:  13 June 2014

Alka S Ahuja
Alka S Ahuja*
Affiliation:
Ty Bryn Unit, St Cadoc's Hospital, Lodge Road, Caerleon, Newport NP18 3XQ, Wales
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives: Second opinion is a medical opinion provided by a second physician/ medical expert after first receiving an opinion by another physician/ medical expert. Little is known about the provision of second opinion in Child and Adolescent Mental Health Services (CAMHS). This study describes the second opinion service provided by the Child and Adolescent Mental Health Services (CAMHS) in the South Wales region.

Methods: We undertook a survey of a second opinion service in Child and Adolescent Mental Health Services (CAMHS). We also assessed whether the recommendations made by the second opinion clinic were implemented by the referrers.

Results: The diagnoses were not changed in 68% of the cases but alternative treatments were suggested. In 90% of the cases the treatment recommended by the clinic was implemented and nearly 70% of the patients showed improvement with the recommended treatment.

Conclusion: A second opinion service can provide valuable support and expertise to CAMHS and the referred families.

Keywords

Second opinionchild and adolescent psychiatryCAMHS.
Type
Audit
Information
Irish Journal of Psychological Medicine , Volume 23 , Issue 3 , September 2006 , pp. 107 - 109
Copyright
Copyright © Cambridge University Press 2006

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.Nirodi, P, Mitchell, AJ, Mindham, RHS. Survey of expert second opinions in a tertiary psychiatric outpatient clinic in the Yorkshire region between 1988 and 2000. Psychiatr Bull R Coll Psychiatr 2003, 27:416–420.CrossRefGoogle Scholar
2.Van Dalen, I, Groothoff, J, Stewart, R, Spreeuwenberg, P, Groenewegen, P, Van Horn, J. Motives for seeking a second opinion in orthopaedic surgery. J Health Serv Res Policy 2001, 6(4): 195–201.CrossRefGoogle ScholarPubMed
3.Mustafa, MK, Bijl, M, Gans, ROB. What is the value of patient-sought second opinions? Eur J Intern Med 2002, 13(7): 445–447.CrossRefGoogle ScholarPubMed
4.Sato, T, Takeichi, M, Hara, T, Kiozumi, S, Second opinion behaviour among Japanese primary care patients. Br J Gen Pract 1999, 49(444): 546–550.Google ScholarPubMed
5.Holmes, J, Lawson, D, Langley, K, Fitzpatrick, H, Trumper, A, Pay, H, Harrington, R, Thapar, A. The Child Attention-Deficit Hyperactivity Disorder Teacher Telephone Interview (CHATTI): reliability and validity. Br J Psychiatry 2004, 184: 74–78.CrossRefGoogle ScholarPubMed
6.Berument, SK, Rutter, M, Lord, C, Pickles, A, Bailey, A. Autism Screening Questionnaire: Diagnostic validity. Br J Psychiatry 1999, 175, 444–451.CrossRefGoogle ScholarPubMed
7.McSherry, CK, Chen, PJ, Worner, TM, Kupferstein, N, McCarthy, EG. Second surgical opinion programs: dead or alive? J Am Coll Surg 1997, 185: 451–456.CrossRefGoogle ScholarPubMed
8.Kronz, JD, Westra, WH, Epstein, JI. Mandatory second opinion surgical pathology at a large referral hospital. Cancer 1999, 86: 2426–2435.3.0.CO;2-3>CrossRefGoogle Scholar