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Psychiatric and social work collaboration in pediatric chronic illness hospital
Insights
Pediatric social workers are vital in providing mental health care for children with chronic illnesses. Collaboration between pediatricians, social workers, and child psychiatrists enhances care continuity and effectiveness.
Area of Science:
- Pediatric mental health
- Social work in healthcare
- Child psychiatry consultation-liaison services
Background:
- Pediatric facilities increasingly serve as de facto mental health providers for children.
- The role of pediatric social workers in this capacity is often underacknowledged.
- Chronic illness in children presents unique mental health challenges requiring integrated care.
Purpose of the Study:
- To review one year of child psychiatry consultations in a pediatric chronic illness hospital.
- To assess the quality of collaboration between social work, pediatric, and psychiatric services.
- To highlight the pivotal role of social workers in initiating psychiatric consultations.
Main Methods:
- Retrospective review of 72 psychiatric consultations requested for medical patients over one year.
- Analysis focused on the source of consultation requests, particularly from social workers.
- Examination of organizational and theoretical aspects of consultation-liaison and social work services.
Main Results:
- Social workers initiated the majority of the 72 psychiatric consultations requested.
- Close collaboration among pediatricians, social workers, and child psychiatrists was observed.
- Consultations addressed various mental health needs within the pediatric chronic illness setting.
Conclusions:
- Integrated care models involving pediatricians, social workers, and child psychiatrists are effective.
- Strong collaboration ensures efficient and high-quality mental health care for chronically ill children.
- Social workers play a crucial role in facilitating access to psychiatric consultations and care continuity.
Abstract:
Recently pediatric literature has noted that pediatric facilities often function as mental health facilities for their patients. There is little acknowledgment of the role of the pediatric social worker in such care. This paper reviews one year of child psychiatry consultations in a pediatric chronic illness hospital, with particular attention paid to quality of social work, pediatric and psychiatric collaboration. In the study year, 72 psychiatric consultations were requested for medical patients, the majority of which were requested by the social worker assigned to the medical service. Organizational and theoretical issues of the psychiatric consultation-liaison and social work service are discussed as well as disposition of consultations. From the data presented, close collaboration between pediatricians, social workers and child psychiatrists can be efficient, effective and offer a high level of continuity for mental health care of children with chronic illness.
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