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Collaboration amongst professionals in primary care: examples from social work
Published in Sanjiv Ahluwalia, John Spicer, Karen Storey, Collaborative Practice in Primary and Community Care, 2019
Honourable mention should go here to the long tradition of social work’s inclusion in the child guidance movement and its development into Child and Adolescent Mental Health Services of today. The child guidance movement brought together educational psychology, clinical psychology, psychiatry, and social work and sought to integrate tertiary services for children, using a multi-disciplinary model of care. Often child development teams would be co-located with the child guidance team, bringing together the medical and psychological aspects of children’s development and support for the benefit of the child. The predominant source of referrals for such teams would be from GPs.
Conclusions
Published in Noel Timms, Psychiatric Social Work in Great Britain 1939-1962, 2018
In training for psychiatric social work, the student social worker who was not going to practice as such, had the opportunity of working in varying degrees of co-operation with psychiatry. This was sometimes described as training for teamwork, though whenever this term is used in social work it is stressed by social workers rather than other professions represented in the ‘team’. It had, however, some disadvantages, particularly in the child guidance field. It is these that made for difficulties in the adaptation of the training to other kinds of social work. Social work in child guidance obviously contained important ingredients for all social work (the emotional interaction between client and worker, the ways in which the mother could be helped to describe and see her problems, etc.), but the ‘ideology’ of child guidance proved less helpful. This ideology split off material relief from help given on personal problems; it stressed the avoidance of authority and the slow progress along the road to self-discovery. Much of this is now passing, but whenever the child-guidance situation is taken as a model for social work it should be appreciated that the main patient has the status of a minor, that he has yet to meet the full force of social expectation over a range of behaviour, and that he is given considerable time in which to change and develop. These features of the child-guidance clinic are essential to its nature, but they may nonetheless present problems for those who would adapt work appropriate for child guidance to other settings.
Child and adolescent psychiatry
Published in Ben Green, Problem-based Psychiatry, 2018
General practitioners and health visitors are important primary care resources and can help with advice and assessment. Child psychiatrists are a relatively scarce resource, but they often work through child guidance clinics or special community mental health teams. Most of their work is done on an outpatient basis. Inpatient facilities are rare. Child psychiatrists may use behavioural regimes, and family and group therapy. Rarely, they may use physical treatments. Community mental health teams may also include community psychiatric nurses, child psychologists and special child social workers who often have family therapy skills.
Clinical excellence in child and adolescent psychiatry: examples from the published literature
Published in International Journal of Psychiatry in Clinical Practice, 2023
Amanda Y. Sun, Scott M. Wright, Leslie Miller
The field of child psychiatry dates back to 1899 in the United States of America with the establishment of the first juvenile court in Chicago, IL. After its creation, a group of socially conscious women of the Jane Addam’s Hull House board of directors dedicated themselves to understanding youth involved in the juvenile justice system. They created the Juvenile Psychopathic Institute in 1909, which formed teams comprised of a neuropsychiatrist, a psychologist, and a social worker that served as the model for most child guidance clinics of the twentieth century (Schowalter, 2003; Skokauskas et al., 2019). Child guidance clinics, a network of multidisciplinary clinics, provide treatment for children with behavioural and emotional difficulties and include a public health perspective to paediatric mental health. These clinics grew and clinicians such as Anna Freud and Leo Kanner became influential in the 1930s and 1940s, expanding the field of child psychology and psychiatry beyond the principles of behaviourism. While AACAP was formed in 1953, the child and adolescent psychiatry subspecialty was recognised by the American Board of Psychiatry and Neurology as a new psychiatric discipline and established as a 2-year residency in 1959.
The Therapeutic Alliance in Children and Parents
Published in Psychiatry, 2021
Bruch comments “in many cases it is the parents who constitute the real problem in child psychiatry.” It is certainly not uncommon for parents to be seen as the cause of and yet solution to a child’s problems. Bruch describes the challenge of a navigating this triad from treatment through the parent in the case of “Little Hans” to balancing a “friendly contact with parents” with a mandate parent not to interfere in the therapy of the child. Then followed a more tolerant attitude toward parents and a greater understanding of their motivations and needs for seeking treatment. Seeing parents shortcomings was not because “willful malice or ignorance” was an important step in the practice of child therapy. Allowing a more compassionate and wholistic approach to the treatment of the child, which is more often than not a treatment of the family. Bruch describes the Child Guidance model in which treatment is delivered as a team to both child and parent. This split therapy model emphasizes the importance of parent and child perspectives in understanding and treating the case.
Psychological Well-being and Perceived Parenting Style among Adolescents
Published in Comprehensive Child and Adolescent Nursing, 2021
Ansu Francis, Mamatha Shivananda Pai, Sulochana Badagabettu
Parenting and psychological well-being plays a very important role in shaping the adolescents. This study assessed the psychological well-being, perceived parenting style of the adolescents, and has scope for application of this study in the community, pediatric wards, and in child guidance clinics. In community, the nurse can identify the different parenting styles adopted by the parents and educate the parents about spending quality time with their children. In pediatric wards, the nurse has a very important role in ensuring the parental involvement in child’s care. In a child guidance clinic, the nurse plays an important role in counseling the parents as well as the children.