A Survey of Training in Child and Adolescent Psychiatry

1983 ◽  
Vol 143 (5) ◽  
pp. 498-504 ◽  
Author(s):  
M. E. Garralda ◽  
M. Wieselberg ◽  
D. A. Mrazek
Keyword(s):  
Great Britain ◽  
Family Therapy ◽  
Response Rate ◽  
Treatment Method ◽  
Child And Adolescent Psychiatry ◽  
Psychiatric Training ◽  
Academic Experience ◽  
Training Experience ◽  
Adult Psychiatry ◽  
Predominant Orientation

SummaryIn a survey of training in child psychiatry in Great Britain, all senior registrars were sent questionnaires; the response rate was 69 per cent. We describe background factors of the trainees, details of the clinical and academic experience available to them, and their attitudes towards their training.Most trainees had had extensive previous experience in adult psychiatry and the predominant orientation was psychoanalytic. In general, they approved of the guidelines for training issued by the Joint Committee for Higher Psychiatric Training. Family therapy was the most popular treatment method. We comment on their training experience where the interest expressed was not matched by adequate availability of the training facilities.

scholarly journals Building national associations for psychiatry trainees: The MENTA recipe for success

2017 ◽  
Vol 41 (S1) ◽  
pp. 912-912
Author(s):  
T.M. Gondek
Keyword(s):  
Working Group ◽  
Task Force ◽  
Child And Adolescent Psychiatry ◽  
Early Career ◽  
Psychiatric Training ◽  
European Federation ◽  
Adult Psychiatry ◽  
Umbrella Organization ◽  
Competing Interest ◽  
Work Done

European Federation of Psychiatric Trainees (EFPT) is an umbrella organization for national psychiatric trainee associations in Europe, aiming to develop collaboration between psychiatric trainees. EFPT states that organised trainee interest is crucial in promoting high quality psychiatric training, therefore it promotes that both general adult psychiatry and child and adolescent psychiatry trainees are represented by national trainee association in each European country. The Maintaining and Establishing a National Trainee Association Working Group (MENTA WG), a permanent EFPT working group, has been created to assist trainees in building a local trainee organization. MENTA WG supports organising meetings, helps manage the problems of functioning of an association, sends letters of support to national decision makers, helps prepare the organization's bylaws and facilitates the process of application for full EFPT membership. The group also helps reactivate the inactive associations and assists them in expansion and developing new initiatives. MENTA WG maintains close collaboration with the European Psychiatric Association Early Career Psychiatrists Committee (EPA ECPC) Task Force on Meetings and Associations and other organizations dedicated to early career psychiatrists, such as the Young Psychiatrists’ Network. In the last few years, due to the work done within MENTA WG, the EFPT family has grown and welcomed new official members, such as: Poland, Spain and Slovakia. Currently, we are planning on supporting trainees in Moldova, Bulgaria and Kosovo to establish new official organizations in these countries. We also expand our activities beyond Europe and offer counselling for psychiatric trainees from such countries as Australia or South Africa.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals National audit of higher training posts in child and adolescent psychiatry in Ireland

2010 ◽  
Vol 34 (8) ◽  
pp. 351-353
Author(s):  
Dermot P. Cohen
Keyword(s):  
Adolescent Psychiatry ◽  
Response Rate ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Working Environment ◽  
Psychiatric Training ◽  
Senior Registrar ◽  
Training And Education ◽  
Educational Supervision ◽  
And Training

Aims and methodThe audit aimed to assess current senior registrar posts in child and adolescent psychiatry in Ireland in terms of working environment, conditions and training issues. The posts were compared with standards set down by the Child and Adolescent Psychiatry Specialist Advisory Committee of the Royal College of Psychiatrists and the National Higher Training Subcommittee of the Irish Psychiatric Training Committee.ResultsThe audit cycle was completed twice and a 100% response rate was achieved on both occasions.Clinical implicationsHigher training posts in child and adolescent psychiatry in Ireland compare favourably to standards for training and education, but poorly for working environment, case-load and educational supervision.

scholarly journals Experience of tele-psychiatry during COVID-19 amongst doctors working in a mental health trust: A survey

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S13-S14
Author(s):  
Pallavi Chandra ◽  
Nilamadhab Kar ◽  
Abdalla Yahia
Keyword(s):  
Mental Health ◽  
Clinical Outcomes ◽  
Response Rate ◽  
Clinical Care ◽  
Child And Adolescent Psychiatry ◽  
Delivery Of Care ◽  
Beneficial Effects ◽  
West Midlands ◽  
Adult Psychiatry ◽  
Health Trust

AimsThere is paucity of information about perspectives of psychiatrists about telemedicine practice during COVID-19 pandemic. It was intended to explore the experience of doctors using tele-psychiatry for provision of clinical care during the COVID-19 pandemic in a Mental Health Trust covering four cities in West Midlands, UK.MethodThe study was conducted as an anonymized questionnaire survey. A 10-item questionnaire was designed with items related to the clinical outcomes, challenges and provider satisfaction when using tele-psychiatry. It had mostly yes/no dichotomous responses along with the scope for making additional comments for each question. An online link of the questionnaire was sent via email to doctors of all grades working across the Black Country Healthcare NHS foundation Trust, in the West Midlands. The survey was open between July and October 2020; and monthly reminders were sent.ResultThe questionnaire was sent out to 159 doctors and 34 responded (response rate of 21.3%). Just over 50% had used both telephone and video consultations, whereas 47.1% responders had used telephone only. More than half (55.8%) reported that the tele-psychiatry affected clinical outcomes; and it was considered positive in around half (52.9%). Most (73.5%) of the responders found that limitations or challenges of using technology impacted on delivery of care remotely. However 64.7% psychiatrists were satisfied with the process overall; and 79.4% reported that they would like to use tele-psychiatry in the future as well.Survey captured many observations from the psychiatrists. Positive comments from the psychiatrists included expedited delivery of care, reduced non-attendance rates, as well as successful multidisciplinary meetings. Challenges in specific sub-specialties such as Child and Adolescent Psychiatry or Older Adult psychiatry were reported where complete assessments were not achieved successfully. The process was felt to be appropriate in general for stable or follow-up patients in comparison to new or acutely unwell patients. There was some worry expressed about missing out non-verbal cues which assist with mental state examination.ConclusionInspite of a low response rate, the survey provided some understanding about the experience of doctors practicing tele-psychiatry during pandemic. While technological challenges were acknowledged, tele-psychiatry seemed to have been accepted by a majority of doctors who are also willing to continue it in their future clinical practice. There is a need to explore in a larger sample involving both patients and clinicians about the beneficial effects of tele-psychiatry that can be incorporated in the usual psychiatric practice.

Child and adolescent psychiatry training in Europe: Views of trainee representatives for 2009 – 2010 to the European federation of psychiatric trainees

2011 ◽  
Vol 26 (S2) ◽  
pp. 266-266 ◽  
Author(s):  
E.P. Barrett ◽  
A. Nawka ◽  
A. Malik ◽  
D. Giacco ◽  
M. Rojnic Kuzman ◽  
...  
Keyword(s):  
Adolescent Psychiatry ◽  
Response Rate ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
European Federation ◽  
Psychiatry Training ◽  
Separate Variable ◽  
Industry Standard ◽  
Adult Psychiatry

Background and objectivesThe European Federation of Psychiatric Trainees (EFPT) is an independent federation of psychiatric trainees’ associations. Previous studies have shown that up to 1/3 of countries surveyed did not have separate CAP training We surveyed trainees to gain insights regarding current training within the member countries of the EFPT.MethodsTen item Survey of Trainee representatives from 32 countries- using surveymonkey questionnaire.Industry standard encryption technology utilisied.Results27 respondent countries. Response rate 84.4% In many countries CAP and General Adult Psychiatry training were not separate Variable availability of training posts (surplus posts 23%, no posts/ long waits 19.2%) Duration of training: 3 years (19.2%),4 years (23.1%), 5 years (26.9%). In 35% of countries CAP training was entirely separate from commencement of training. In 40%, entry to CAP training occurred after training in general adult psychiatry. Trainees in 61.5% of respondent countries indicate their intention to specialise in CAP before entering training in psychiatry; 15% of trainees can indicate this at any time.ConclusionsThis is a survey of trainee representatives to the EFPT of ten items related to CAP training experiences. It highlights significant differences in training experiences in 27 respondent countries. From 2010 the EFPT aims to record detailed information on CAP training yearly. CAP trainees are an integral part of EFPT, and there are specific areas of needs in CAP training.

Family Therapy in Cases of Interminable Grief for the Loss of a Child

1989 ◽  
Vol 19 (3) ◽  
pp. 187-202 ◽  
Author(s):  
Elliott J. Rosen
Keyword(s):  
Family Therapy ◽  
Family History ◽  
Clinical Assessment ◽  
Family Members ◽  
Treatment Method ◽  
Grief Work ◽  
Death Of A Child ◽  
Loss Of A Child ◽  
The Individual

This paper presents a treatment method in cases where grieving for the death of a child extends beyond normal parameters. The symptoms of interminable grief are likely to continue unless there is direct, and often dramatic intervention. Guidelines for clinical assessment are presented, with particular emphasis upon the investigation of family history in which an early, unresolved death may have occurred. This approach integrates grief work with the individual into a family therapy framework and reflects the notion that grieving, even if identified in one person, is a family affair. Criteria for the inclusion of family members in treatment are considered, the stresses upon the therapist are addressed, a course of treatment is outlined, and two representative cases are presented.

Diagnosis on the way out – personality on the way in? Priorities in treatment in child and adolescent psychiatry

2021 ◽  
pp. 135910452110481
Author(s):  
Simon R. Wilkinson
Keyword(s):  
Precision Medicine ◽  
Child Psychiatry ◽  
Adolescent Psychiatry ◽  
Good Practice ◽  
Child And Adolescent ◽  
Scientific Basis ◽  
Child And Adolescent Psychiatry ◽  
Adult Psychiatry ◽  
The Way

The scientific basis for practice in child psychiatry has developed apace. And has thrown up several quandries for an accepted paradigm for good practice anchored to the diagnostic schema developed in adult psychiatry. This paper hopes to stimulate discussion about where alternative paradigms might lead us on a path to precision medicine as applied to child psychiatry.

scholarly journals Specialist assessment clinic for pervasive developmental disorders

1998 ◽  
Vol 22 (11) ◽  
pp. 706-708 ◽  
Author(s):  
Niall Falls
Keyword(s):  
Social Interaction ◽  
Pervasive Developmental Disorders ◽  
Developmental Disorders ◽  
Child And Adolescent Psychiatry ◽  
Psychiatric Training ◽  
Assessment Clinic ◽  
Icd 10 ◽  
Significant Impairment ◽  
Dsm Iv ◽  
Clinically Significant

Aims and methodThe Joint Committee on Higher Psychiatric Training lists the ability to carry out a thorough clinical assessment including physical and mental state examination, as one of the essential core skills in child and adolescent psychiatry. Experience of the assessment of comparatively rare disorders may depend upon the organisation of regional services, as well as good working relationships between teams willing to involve the trainee.ResultsThis paper describes a six-month attachment to the first multi-disciplinary Specialist Assessment Clinic for Pervasive Developmental Disorders to be created in Northern Ireland. Assessments are multi-dimensional and multi-professional. Attachment to this specialist clinic has become a valuable resource, with demand exceeding availability of places.Clinical implicationsThe pervasive developmental disorders are characterised by onset before 36 months, qualitative impairments in social interaction and communication (both verbal and non-verbal), and a pattern of repetitive or stereotyped activities or interests (DSM-IV). Diagnostic criteria for these disorders have broadened since the introduction of DSM-IV and ICD–10. For example, both have now agreed the validity of Asperger's syndrome, featuring difficulties in social interaction, restricted and repetitive areas of interest, without clinically significant impairment of intelligence or language development.

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