Bailey D, Garralda M E
Department of Child Psychiatry, Booth Hall Children's Hospital, Manchester, U.K.
J Child Psychol Psychiatry. 1989 May;30(3):449-58. doi: 10.1111/j.1469-7610.1989.tb00258.x.
We studied general practitioner and parental attitudes towards the referral to child psychiatric clinics of 65 children aged 7-12 yrs. The doctors gave parental request and anxiety and the seriousness of the child's condition as the most common reasons for the referral. Their expectations of it were well in line with current psychiatric practice. There was a wide variety of parental motivations in attending the surgery, and the expectations of the referral were similarly diverse. Most prominent though were help for the child and a need to know underlying reasons. Although three-quarters of parents were satisfied with the general practitioner intervention, the majority said that they had not been given information about the psychiatric assessment process, nor knew what to expect from it, and three-quarters of the children were referred after only one consultation.
我们研究了全科医生和家长对将65名7至12岁儿童转介至儿童精神科诊所的态度。医生们指出，家长的请求、焦虑以及孩子病情的严重程度是转介的最常见原因。他们对转介的期望与当前的精神科诊疗实践高度一致。家长前来就诊的动机多种多样，对转介的期望也同样各不相同。不过，最突出的动机是帮助孩子以及需要了解潜在原因。尽管四分之三的家长对全科医生的干预感到满意，但大多数家长表示他们没有得到有关精神科评估过程的信息，也不知道评估结果会怎样，并且四分之三的孩子仅经过一次会诊就被转介了。
