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儿童心理健康咨询的需求及儿科医生对这些服务的认知:西米德兰兹郡的一项调查

Need for Child Mental Health Consultation and Paediatricians' Perception of these Services: A Survey in the West Midlands.

作者信息

Slowik Michael, Noronha Sandra

机构信息

Elm's Health Centre, Slade Road, Cradley, West Midlands B63 2UR, UK. Email:

Northbrook Health Centre, 93 Northbrook Road, Shirley, Solihull, B75 7RR, UK.

出版信息

Child Adolesc Ment Health. 2004 Sep;9(3):121-124. doi: 10.1111/j.1475-3588.2004.00093.x.

Abstract

BACKGROUND

High rates of psychopathology have been noted in children presenting to GP surgeries and paediatricians. However, paediatricians do not always recognise this and when they do the Child and Adolescent Mental Health Service (CAMHS) is often unable to meet their consultation needs.

METHOD

This postal survey looked at paediatricians' perception of the need for child psychiatry consultation in the West Midlands.

RESULTS

The survey confirmed that paediatricians see a significant proportion of children with mental health problems and the findings showed that their need for child psychiatry consultation was not being adequately met. Lack of access to CAMHS was a significant issue.

CONCLUSIONS

This has implications not only for further development of consultation services within CAMHS but also for improving training in child psychiatry for paediatricians in a more formalised way.

摘要

背景

在就诊于全科医生诊所和儿科医生处的儿童中,精神病理学发生率较高。然而,儿科医生并非总能识别出这一点,即便他们识别出来了,儿童与青少年心理健康服务机构(CAMHS)往往也无法满足他们的咨询需求。

方法

这项邮寄调查研究了西米德兰兹地区儿科医生对儿童精神病学咨询需求的看法。

结果

调查证实,儿科医生诊治了相当比例有心理健康问题的儿童,研究结果表明,他们对儿童精神病学咨询的需求未得到充分满足。无法接入CAMHS是一个重大问题。

结论

这不仅对CAMHS内部咨询服务的进一步发展有影响,而且对以更正规的方式改进儿科医生的儿童精神病学培训也有影响。

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