Robson Julia, Gingell Kate
College of Medical and Dental Sciences, University of Birmingham; 3 Pike Cottages, Ilsom, Tetbury, GL8 8RX, UK. E-mail:
Dudley and Walsall Mental Health Partnership Trust, Cradley, UK.
Child Adolesc Ment Health. 2012 Sep;17(3):166-172. doi: 10.1111/j.1475-3588.2011.00630.x. Epub 2011 Nov 11.
When mental illness affects children and parents within the same family there is a need for close professional collaboration between the respective psychiatric teams. However, there is no nationally established precedence for this, and the area has not been investigated within the published literature.
Retrospective case note study of 322 child psychiatric patients to estimate the prevalence of parental mental illness and analyse the degree of professional liaison taking place.
Twenty-eight children had parents with concurrent mental health problems. Only four of these cases (14.2%) contained evidence of ongoing professional liaison between child and adult mental health teams.
Inadequate liaison between child and adult services is a problem within the UK mental health system and detrimental to patient care. Recent national interest in establishing a more integrated family-focused service is encouraging, but will take time to implement and will not replace the need for separate specialist services. Efficient clinical collaboration must be developed at local levels to create a more comprehensive management strategy for children and parents with concurrent mental health problems.
当精神疾病影响到同一家庭中的儿童和父母时，各精神科团队之间需要密切的专业协作。然而，目前国内尚无这方面的既定先例，且该领域在已发表的文献中也未得到研究。
对322名儿童精神科患者进行回顾性病例记录研究，以估计父母精神疾病的患病率，并分析专业联络的程度。
28名儿童的父母患有同时期精神健康问题。其中只有4例（14.2%）有儿童和成人精神健康团队之间持续专业联络的证据。
儿童和成人服务之间联络不足是英国精神卫生系统中的一个问题，对患者护理有害。近期国家对建立更综合的以家庭为中心服务的关注令人鼓舞，但实施需要时间，且不会取代对单独专科服务的需求。必须在地方层面开展有效的临床协作，为患有同时期精神健康问题的儿童和父母制定更全面的管理策略。
