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Child and Family Factors Associated with Referral to Child Psychiatrists

Published online by Cambridge University Press:  02 January 2018

M. E. Garralda  and
D. Bailey
M. E. Garralda*
Affiliation:
Booth Hall Children's Hospital
D. Bailey
Affiliation:
Booth Hall Children's Hospital
*
∗Booth Hall Children's Hospital, Charlestown Road, Blackley, Manchester M9 2AA
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Abstract

We compared children aged 7–12 years referred to child psychiatrists by general practitioners (GPs) with community control children matched for the presence of psychiatric disorder. Referral status in psychiatrically disturbed children was linked to male sex, severity of the disorder, mental problems in the mothers, high levels of psychosocial stress in the family, and less support from extended families. For the whole group of referred children, the referral was associated with high antisocial scores on parental questionnaires, with parental reports of problems in controlling the children, and of high levels of stress felt in relation to them. In addition, parents of referred children were in disadvantaged socioeconomic groups.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 153 , Issue 1 , July 1988 , pp. 81 - 89
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

Bailey, D. & Garralda, M. E. (1986) The accuracy of dating childhood life events on a parental questionnaire. Journal of Psychosomatic Research, 30, 655–662.CrossRefGoogle ScholarPubMed
Bailey, D. & Garralda, M. E. (1987) The use of the social stress and support interview in families with deviant children: methodological issues. Social Psychiatry, 22, 209–215.CrossRefGoogle ScholarPubMed
Brown, G. W. & Harris, T. (1978) Vulnerability. In Social Origins of Depression: a Study of Psychiatric Disorder in Women. London: Tavistock.Google Scholar
Coddington, R. D. (1972) The significance of life events as etiological factors in the diseases of children. II. A study of a normal population. Journal of Psychosomatic Research, 16, 205–213.CrossRefGoogle Scholar
Garralda, M. E. (1983) Child psychiatric emergencies: a research note. Journal of Child Psychology and Psychiatry, 24, 261–267.CrossRefGoogle ScholarPubMed
Garralda, M. E. & Bailey, D. (1986a) Psychological deviance in children attending general practice. Psychological Medicine, 16, 423–429.CrossRefGoogle ScholarPubMed
Garralda, M. E. & Bailey, D. (1986b) Children with psychiatric disorders in primary care. Journal of Child Psychology and Psychiatry, 27, 611–624.CrossRefGoogle ScholarPubMed
Gath, D. (1968) Child guidance and the general practitioner: a study of factors influencing referrals made by general practitioners to a child psychiatric department. Journal of Child Psychology and Psychiatry, 9, 213–227.CrossRefGoogle ScholarPubMed
Gath, D. (1972) Psychiatric services for children. In Psychiatric Aspects of Medical Practice (eds Mandelbrote, B. M. & Gelder, M. G.). London: Staple Press.Google Scholar
Gath, D., Cooper, B., Gattoni, F. & Rockett, D. (1977) Child Guidance and Delinquency in a London Borough. Oxford: Oxford University Press.Google Scholar
Goldberg, D. (1978) Manual of the General Health Questionnaire. Windsor: NFER.Google Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community. The Pathway to Psychiatric Care. London: Tavistock Publications.Google Scholar
Jenkins, R., Mann, A. H. & Belsey, E. (1981) The background, design and use of a short interview to assess social stress and support in research and clinical settings. Social Science and Medicine, 15, 195–203.Google Scholar
Kessel, N. (1963) Who ought to see a psychiatrist? The Lancet, i, 1092–1905.CrossRefGoogle Scholar
LaClave, L. J. & Campbell, J. L. (1986) Psychiatric intervention in children: sex differences in referral rates. Journal of the American Academy of Child Psychiatry, 24, 430–432.CrossRefGoogle Scholar
Langner, T. S., Gersten, J. C., Greene, E. L., Eisenberg, J. G., Herson, J. H. & McCarthy, E. D. (1974) Treatment of psychological disorders among urban children. Journal of Consulting and Clinical Psychology, 42, 170–179.CrossRefGoogle ScholarPubMed
Mechanic, D. (1964) The influence of mothers on their children's health attitudes and behaviour. Pediatrics, 33, 444–453.Google Scholar
Monaghan, R., Robinson, J. O. & Dodge, J. A. (1979) The children's life events inventory. Journal of Psychosomatic Research, 23, 63–68.CrossRefGoogle ScholarPubMed
Munk-Jorgensen, P. (1986) General practitioners' selection of patients for treatment in community psychiatric services. Psychological Medicine, 16, 611–619.CrossRefGoogle ScholarPubMed
Office of Population Censuses and Surveys (1985) British Statistics. FMI No. 12. London: HMSO.Google Scholar
Richman, N., Stevenson, J. & Graham, P. J. (1982) Pre-school to school: a behavioural study. London: Academic Press.Google Scholar
Roghmann, K. J. & Haggerty, R. J. (1972) Family stress and the use of health services. International Journal of Epidemiology, 1, 279–286.CrossRefGoogle ScholarPubMed
Roghmann, K. J., Babigan, H. M., Goldberg, I. D. & Zastowny, T. R. (1982) The increasing number of children using psychiatric services: analysis of a cumulative psychiatric case register. Pediatrics, 70, 790–801.CrossRefGoogle ScholarPubMed
Rutter, M., Tizard, J., Whitmore, K., (eds) (1970) Education, Health and Behaviour. London: Longmans.Google Scholar
Rutter, M., Yule, B., Quinton, D., Rowlands, O., Yule, W. & Berger, M. (1974) Attainment and adjustment in two geographical areas. III. Some factors accounting for area differences. British Journal of Psychiatry, 125, 520–533.Google Scholar
Rutter, M., Cox, A., Tupling, C., Berger, M. & Yule, W. (1975) Attainment and adjustment in two geographical areas. I. The prevalence of psychiatric disorder. British Journal of Psychiatry, 125, 493–509.CrossRefGoogle Scholar
Ryle, A. (1963) Psychotherapy by general practitioners. Proceedings of the Royal Society of Medicine, 56, 834–837.CrossRefGoogle Scholar
Shepherd, M., Oppenheim, A. N. & Mitchell, S. (1966) Childhood behaviour disorders and the child-guidance clinic: an epidemiological study. Journal Child Psychology and Psychiatry, 7, 39–52.CrossRefGoogle Scholar
Sireling, L. I., Paykel, E. S., Freeling, P., Rao, B. M., Patel, S. P. (1985) Depression in general practice: case thresholds and diagnosis. British Journal of Psychiatry, 147, 113–126.CrossRefGoogle ScholarPubMed
Smith, R. (1985) “I'm just not right”. The physical health of the unemployed. British Medical Journal, 291, 1626–1629.CrossRefGoogle Scholar
Steinberg, D., Galhenage, D. P. C. & Robinson, S. C. (1981) Two years' referrals to a regional adolescent unit: some implications for psychiatric services. Social Science and Medicine, 15, 113–122.Google ScholarPubMed
Wing, J. K., Bebbington, P., Hurry, J. & Tennant, C. (1981) The prevalence in the general population of disorders familiar to psychiatrists in hospital practice. In What is a Case? (eds Wing, J. K., Bebbington, P. & Robins, L. N. London: Grant MacIntyre.Google Scholar
Wolff, S. (1967) Behavioural characteristics of primary school children referred to a psychiatric department. British Journal of Psychiatry, 113, 885–893.CrossRefGoogle ScholarPubMed
Wolff, S. (1985) Non delinquent disturbance of conduct. In Child and Adolescent Psychiatry. Modern Approaches (2nd edn) (eds Rutter, M. & Hersov, L.), pp. 400–413. London: Blackwell.Google Scholar
Wrate, R. M. & Kolvin, I. (1978) A child psychiatry consultation service to paediatricians. Developmental Medicine and Child Neurology, 20, 347–356.CrossRefGoogle ScholarPubMed
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