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How much child psychiatry does a general practitioner do?

V Bailey, P Graham, D Boniface

    The Journal of the Royal College of General Practitioners
    |October 1, 1978
    PubMed
    Summary
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    Psychological issues are present in a quarter of child and adolescent attendances, often alongside physical complaints. Enhanced pediatric training for general practitioners should include child psychiatry to address these emotional and management challenges.

    Area of Science:

    • Pediatrics
    • Child Psychiatry
    • General Practice

    Background:

    • Psychological and social factors significantly impact child and adolescent health.
    • General practitioners (GPs) manage a large volume of pediatric cases.
    • The prevalence and nature of psychological components in pediatric primary care are not fully understood.

    Purpose of the Study:

    • To investigate the frequency and types of psychological and social factors in pediatric attendances.
    • To assess the role of psychological issues in presenting problems for children and adolescents.
    • To inform recommendations for GP training in child mental health.

    Main Methods:

    • Eleven general practitioners (GPs) prospectively recorded data on 1,127 consecutive pediatric attendances.

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  • Information gathered included relevant psychological and social factors.
  • Diagnoses and actions taken during consultations were documented.

    • Main Results:

    • Purely psychological problems accounted for 3.5% of attendances.
    • A psychological component was present in 25.7% of attendances.
    • Non-specific emotional problems and early childhood management issues were common.

    Conclusions:

    • Psychological factors are a common, though often secondary, component of pediatric primary care.
    • Significant variability exists in GP diagnoses and management of pediatric cases.
    • Paediatric training for GPs requires a substantial child psychiatric component.