Common mental health disorders in children and adolescents in primary care: A survey of knowledge, skills and attitudes among general practitioners in a newly developed European country

European Journal of Psychiatry

Volumn 26, Issue 3, 2012, Pages 145-158

  Buhagiar, Kurt ^a   Cassar, Joseph R ^b  

^a ROYAL FREE AND UNIVERSITY COLLEGE MEDICAL SCHOOL   (United Kingdom)

^b Department of Psychiatry   (United Kingdom)

Author keywords

Child and adolescent mental health; General practitioner; Self evaluation; Skills; Training

Indexed keywords

ADOLESCENT; ADULT; AGED; ANXIETY DISORDER; ARTICLE; ATTITUDE TO MENTAL ILLNESS; CHILD; DEPRESSION; DISRUPTIVE BEHAVIOR; DOCTOR PATIENT RELATION; FEMALE; GENERAL PRACTITIONER; HEALTH BELIEF; HUMAN; HYPERKINESIA; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MENTAL HEALTH; PATIENT ASSESSMENT; PHYSICIAN ATTITUDE; PRIMARY MEDICAL CARE; PSYCHOSOCIAL CARE; QUESTIONNAIRE; SCHOOL CHILD;

EID: 84867768907     PISSN: 02136163     EISSN: None     Source Type: Journal    
DOI: 10.4321/S0213-61632012000300001     Document Type: Article

References (32)

1. Meltzer H, Gatward R, Goodman R, Ford T. The mental health of children and adolescents in Great Britain. London: Office for National Statistics; 2000.
2. Farmer E, Stangl DK, Burns BJ, Costello EJ, Angold A. Use persistence and intensity: patterns of care for children's mental health across one year. Comm Ment Health J 1999; 5: 31-46.
3. Kramer T, Garralda E. Child and adolescent mental health problems in primary care. Adv Psychiatr Treat 2000; 6: 287-294.
4. Barbaresi W. Primary-care approach to the diagnosis and management of attention-deficit/hyperactivity disorder. Mayo Clin Proc 1996; 71: 463-471.
5. Rushton JL, Clark SJ, Freed GL. Paediatrician and family physician prescription of selective serotonin reuptake inhibitors Pediatr 2000; 105: E82.
6. Zantinge EM, Verhaak PFM, Bensing JM. The workload of GPs: patients with psychological and somatic problems compared. Fam Pract 2005; 22: 293-297.
7. Heikkinen A, Puura K, Ala-Laurila EL, Niskanen T, Mattila K. Child psychiatric skills in primary healthcare - self-evaluation of Finnish health centre doctors. Child Care Health Dev 2002; 28: 131-137.
8. Ford T, Ramchandani P. Common mental health problems in childhood and adolescence: the broad and varied landscape. Child Care Health Dev 2009; 35: 751-753.
9. Taylor E, Chadwick O, Hepinstall E, Danckaerts M. Hyperactivity and conduct problems as risk factors for adolescent development. J Acad Child Adolesc Psychiatry 1996; 35: 1213-1226.
10. Cockburn K, Bernard P. Child and adolescent mental health within primary care: a study of general practitioners' perception. Child Adolesc Ment Health 2004; 9: 21-24.
11. Shaw KA, Mitchell GK, Wagner IJ, Eastwood HL. Attitudes and practices of general practitioners in the diagnosis and management of attention-deficit/hyperactivity disorder. J Paediatr Child Health 2002; 38: 481-486.
12. DeBar L, Clarke GN, O'Connor E, Nichols GA. Treated prevalence, incidence, and pharmacotherapy of child and adolescent mood disorders in an HMO. Ment Health Serv Res 2001; 3: 73-89.
13. Harpaz-Rotem I, Rosenheck RA. Prescribing practices of psychiatrists and primary care physicians caring for children with mental illness. Child Care Health Dev 2005; 32: 225-237.
14. Steele M, Fisman S, Dickie G, Stretch N, Rourke J, Grindrod A. Assessing the need for and interest in a scholarship program in children's mental health for rural family physicians. Can J Rural Med 2003; 8: 163-170.
15. Miller AR, Johnston C, Klassen AF, Fine S, Papsdor M. Family physicians' involvement and self-reported comfort and skill in care of children with behavioral and emotional problems: a population-based survey. BMC Fam Pract 2005; 6: 12.
16. Bryce G, Gordon J. Managing child and adolescent mental health problems: the views of general practitioners. Health Bulletin (Edinb) 2000; 58: 224-226.
17. Sayal K, Taylor E. Detection of child mental health disorders by general practitioners. Br J Gen Pract 2004; 54: 348-352.
18. Reerink RH, Sauerborn R. Quality of primary healthcare in developing countries. Int J Qual Healthcare 1996; 8: 131-139.
19. Connor DF, McLaughlin TJ, Jeffers-Terry M, O'Brien WH, Stille CJ, Young LM, et al. Targeted child psychiatric services: a new model of pediatric primary clinician - child psychiatry collaborative care. Clin Pediatr 2006; 45: 423-434.
20. World Health Organization. The ICD-10 classification of mental and behavioural disorders. Geneva: World Health Organization; 1992.
21. Iliffe S, Williams G, Fernandez V, Vila M, Kramer T, Gledhill J, et al. General practitioners' understanding of depression in young people: qualitative study. Prim Health Care Res Dev 2008; 9: 269-279.
22. Lewinsohn PM, Clarke GN, Seeley JR, Rhode P. Major depression in community adolescents: age at onset, episode duration, and time to recurrence. J Am Acad Child Adolesc Psychiatry 2004; 33: 809-818.
23. MacLeod JD, Shanahan MJ. Trajectories of poverty and children's mental health. J Health Soc Behav 1986; 37: 207-220.
24. Katon W, Russo J, Von Korff M, Lin E, Simon G, Bush T, et al. Long-term effects of collaborative care intervention in persistently depressed primary care patients. J Gen Int Med 2002; 17: 741-748.
25. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PAC, et al. Why don't physicians follow practice guidelines: does it really matter? A framework for improvement. JAMA 1999; 282: 1458-1465.
26. Garralda ME, Bailey D. Children with psychiatric disorders in primary care. J Child Psychol Psychiatry 1986; 27: 611-624.
27. Kramer T, Garralda ME. Psychiatric disorders in adolescents in primary care. Br J Psychiatry 1998; 173: 508-513.
28. Hodges B, Inch C, Silver I. Improving the psychiatric knowledge, skills, and attitudes of primary care physicians, 1995-2000: A review. Am J Psychiatry 2001; 158: 1579-1586.
29. Gledhill J, Kramer T, Iliffe S, Garralda ME. Training general practitioners in the identification and management of adolescent depression within the consultation: a feasibility study. J Adolesc 2003; 26: 245-250.
30. Bernard P, Garralda ME, Hughes T, Tylee A. Evaluation of a teaching package in adolescent psychiatry for general practitioner registrars. Educ Gen Pract 1999; 10: 21-28.
31. Luk ESL, Brann P, Surtherland S, Mildred H, Birleson P. Training general practitioners in the assessment of childhood mental health problems. Clin Child Psychol Psychiatry 2002; 7(4): 571-579.
32. Thomson CE, Paterson-Brown S, Russell D, Mc-Caldin D, Russell IT. Encouraging GPs to complete postal questionnaires-one big prize or many small prizes? A randomized controlled trial. Fam Pract 2004; 21: 697-698.