This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Hoare, P. Articles by Parry-Jones, W. Search for Related Content PubMed Articles by Hoare, P. Articles by Parry-Jones, W. Social Bookmarking                   What's this?

An Audit of 7000 Successive Child and Adolescent Psychiatry Referrals in Scotland

Scottish Child & Adolescent Psychiatry Audit Group

Beverley Norton

Scottish Child & Adolescent Psychiatry Audit Group

Douglas Chisholm

Scottish Child & Adolescent Psychiatry Audit Group

William Parry-Jones

Scottish Child & Adolescent Psychiatry Audit Group

Approximately 7000 consecutive new referrals were included in a medical audit project of child and adolescent psychiatric outpatient services throughout Scotland over a one-year period. The non-attendance rate was 28 percent, so that comprehensive data were obtained on approximately 5000 cases. The average age at referral was 10.6 years with boys forming 56 percent of referrals. Conduct and mixed disorders accounted for 37 percent of the diagnostic categories with the small number of patients with hyperkinetic disorder rated as most disturbed. Four treatments (parental counselling, consultation, behavioural, family therapy), often in conjunction, were most commonly used with improvement occurring in 70 percent of children. The project improved the cohesion and professional identity of consultant child and adolescent psychiatrists working in Scotland; standards of data collection and diagnostic practice were raised; and the project generated a database for use in substantive research projects.

Key Words: demographic data • ICDIO diagnosis • non-attendance • outcomes • treatment

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				D. S. J. Hawker Increasing initial attendance at mental health out-patient clinics: opt-in systems and other interventions Psychiatr. Bull., May 1, 2007; 31(5): 179 - 182. [Full Text] [PDF]

				B. D. Watt and M. R. Dadds Facilitating treatment attendance in child and adolescent mental health services: a community study. Clinical Child Psychology and Psychiatry, January 1, 2007; 12(1): 105 - 116. [Abstract] [PDF]

				B. Minty and C. Anderson Non-Attendance at Initial Out-Patient Appointments at a Hospital-Based Child Psychiatric Clinic Clinical Child Psychology and Psychiatry, July 1, 2004; 9(3): 403 - 418. [Abstract] [PDF]

				S. Heywood, J. Stancombe, E. Street, H. Mittler, C. Dunn, and L. Kroll A Brief Consultation and Advisory Approach for use in Child and Adolescent Mental Health Services: A Pilot Study Clinical Child Psychology and Psychiatry, October 1, 2003; 8(4): 503 - 512. [Abstract] [PDF]

				J. Salt, V. Sellars, J. Shemilt, S. Boyd, T. Coulson, and S. McCool The Scottish Centre for Autism Preschool Treatment Programme: I: A Developmental Approach to Early Intervention Autism, December 1, 2001; 5(4): 362 - 373. [Abstract] [PDF]

				M. Knapp, S. Scott, and J. Davies The Cost of Antisocial Behaviour in Younger Children Clinical Child Psychology and Psychiatry, October 1, 1999; 4(4): 457 - 473. [Abstract] [PDF]

				J. Wheeler, D. Bone, and J. Smith Whole-Day Assessments: A Team Approach to Complex Multi-Problem Families Clinical Child Psychology and Psychiatry, April 1, 1998; 3(2): 169 - 181. [Abstract]

				P. Stallard and J. Sayers An Opt-In Appointment System and Brief Therapy: Perspectives on a Waiting List Initiative Clinical Child Psychology and Psychiatry, April 1, 1998; 3(2): 199 - 212. [Abstract]