Child Guidance and the General Practitioner

Gath, Dennis

doi:10.1111/j.1469-7610.1968.tb02224.x

Cited by 20 publications

(9 citation statements)

References 13 publications

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“…When general practitioners did treat the children prior to referral, medication was the most common method used, but it is noteworthy that this was prescribed only hcdf as often as in the previous investigation by Gath (1968). Overall, medication was used sparingly, and the comment by one of the mothers in our study that 'the doctor kept giving the child Valium' would represent the exception rather than the rule.…”

Section: Discussionmentioning

confidence: 59%

“…Compared with those in the previous study (Gath, 1968), they reflect increased expectations of specific treatment procedures, particularly with reference to the newer techniques such as family therapy, and probably more awareness by the doctors of current psychiatric treatment strategies.…”

Section: Discussionmentioning

confidence: 82%

“…In what remains a unique study in this area, Gath (1968) interviewed 50 doctors who had referred patients to the Children's Department at the Maudsley Hospital, It was not surprising that the majority of the referring doctors regarded the children as psychiatrically disturbed and many of their families as being disrupted, but, more interestingly, the study also identified other issues of relevance to the referral. In particular, the doctors had been impressed by the nature of the parental reaction to the child, exemplified by anxiety, distress, resentment or anger, and by the gradual worsening in the child's chronic behavioural problem, noted in nearly two-thirds of the children.…”

Section: Introductionmentioning

confidence: 99%

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Referral to Child Psychiatry: Parent and Doctor Motives and Expectations

Bailey

1989

Child Psychology Psychiatry

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We studied general practitioner and parental attitudes towards the referral to child psychiatric clinics of 65 children aged 7-12 yrs. The doctors gave parental request and anxiety and the seriousness of the child's condition as the most common reasons for the referral. Their expectations of it were well in line with current psychiatric practice. There was a wide variety of parental motivations in attending the surgery, and the expectations of the referral were similarly diverse. Most prominent though were help for the child and a need to know underlying reasons. Although three-quarters of parents were satisfied with the general practitioner intervention, the majority said that they had not been given information about the psychiatric assessment process, nor knew what to expect from it, and three-quarters of the children were referred after only one consultation.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

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Referral to Child Psychiatry: Parent and Doctor Motives and Expectations

Bailey

1989

Child Psychology Psychiatry

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“…There are a few agencies which provide treatment services specifically for pre-school children with behaviour difficulties, and the main referral route seems to be to child psychiatric clinics. Gath (1968) points out that for every child referred to the psychiatric service, there are another five children with problems who do not get referred.…”

Section: Accepted For Publication 18 November 1981mentioning

confidence: 99%

Health visiting and pre‐school children with behavioural problems in the County of South Glamorgan: an exploratory study

Thomas

Bidder

Hewitt

et al. 1982

Child

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This study surveys firstly, using a modified semantic differential technique, how a sample of health visitors in the County of South Glamorgan perceived different behavioural problems in pre-school children. A selection of visiting records, covering a 1-year period, is also studied. Results from the semantic-differential indicate that health visitors perceive eating and sleeping as the most common problem areas. Hyperactivity and sleeping problems are seen as being the most difficult to deal with and the most disruptive to family life. Although health visitors generally feel it is necessary to follow up children with behaviour problems, they find these difficult to resolve. About one third of children are referred to other agencies. Visiting records reveal that children with hyperactivity and sleeping problems receive the highest number of visits from health visitors and that there is little improvement in these children over a period of 1 year. An extension of the health visitor's role and training to include behavioural treatments for pre-school children is discussed.

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“…The families frequently have a history of chronic psychosocial problems and involvement with a variety of social agencies (6,5). Among the factors influencing an emergency referral, intolerance and anxiety in the community, resulting from the child's behaviour, seem to be particularly important (2,3,17,7).…”

Section: Introductionmentioning

confidence: 99%