High-quality antidepressant prescribing: please consider whether “perfection is the enemy of progress”

Walkup, John T.

doi:10.1186/s12916-020-01621-x

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Nevertheless, the situation may be different in other regions, such as in Australia,52 USA53 and Canada,54 where some paediatricians prescribe selective serotonin reuptake inhibitors for CYP with mental health difficulties such as anxiety. It could be argued that, with additional child mental health training, such extension in paediatric practice and prescribing could be helpful in improving mental health treatment for CYP where CAMHS capacity is otherwise limited 55. However, it remains relevant in all regions for paediatricians to have reliable access to CAMHS so that CYP identified by paediatricians to have mental health difficulties can receive the full range of indicated mental health treatments, more so in regions like the UK where paediatricians do not usually treat CYP with non-ADHD-related mental illnesses 17 51…”

Section: Discussionmentioning

confidence: 99%

Community paediatricians’ experience of joint working with child and adolescent mental health services: findings from a British national survey

Ani

Ayyash

Ogundele

2022

bmjpo

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ObjectivesChildren and young people (CYP) presenting to paediatric or child and adolescent mental health services (CAMHS) often have needs spanning medical and psychiatric diagnoses. However, joint working between paediatrics and CAMHS remains limited. We surveyed community paediatricians in the UK to inform better strategies to improve joint working with CAMHS.MethodsWe conducted an online survey of community paediatricians through the British Association for Community Child Health (BACCH) on how much joint working they experienced with CAMHS, any hindrances to more collaborative working, and the impact on service users and service provision. This paper is based on thematic analysis of 327 free-text comments by paediatricians.ResultsA total of 245 community paediatricians responded to the survey (22% of BACCH members). However, some responses were made on behalf of teams rather than for individual paediatricians. The following were the key themes identified: a strong support for joint working between community paediatrics and CAMHS; an acknowledgement that current levels of joint working were limited; the main barriers to joint working were splintered commissioning and service structures (eg, where integrated care systems fund different providers to meet overlapping children’s health needs); and the most commonly reported negative impact of non-joint working was severely limited access to CAMHS for CYP judged by paediatricians to require mental health support, particularly those with autism spectrum disorder.ConclusionThere is very limited joint working between community paediatrics and CAMHS in the UK, which is associated with many adverse impacts on service users and providers. A prointegration strategy that includes joint commissioning of adequately funded paediatric and CAMHS services that are colocated and within the same health management organisations is crucial to improving joint working between paediatrics and CAMHS.

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Section: Discussionmentioning

confidence: 99%

Community paediatricians’ experience of joint working with child and adolescent mental health services: findings from a British national survey

Ani

Ayyash

Ogundele

2022

bmjpo

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“…In relation to setting yourself up for progress, it is also important to be aware that "perfection is the enemy of progress" or "perfection is the enemy of the good enough" -a quote often attributed to Winston Churchill (Walkup, 2020). It is important to not overindulge in this maxim since the inverse can be that "good is the enemy of great" to quote Collins (2009).…”

Section: Studentsmentioning

confidence: 99%

Six basic rules to help doctoral students pave their way through PhD research

Bond

2020

Electronic Workshops in Computing

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This paper presents six simple guidelines or rules to help doctoral researchers in their PhD studies. The six rules could be used as part of an induction to a PhD programme or as a supplement to a research mentoring programme. The six rules are as follows: 1) research something that you are naturally interested in, 2) start where you are and set yourself up for progress, 3) know the landscape before deciding where to plant a tree, 4) do not be afraid of being a polymath and at least be a philomath, 5) focus on questions, not just answers, and 6) always think about the limitations and biases in your research. I also take the opportunity to share some of my favourite maxims and quotes to help support these rules.

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“…These studies are looking at different outcomes for different populations in different datasets, but both highlight the importance of accurate and accessible recording of healthcare contacts in order to describe and quantify healthcare utilisation. In response to the commentary article published at the time [ 3 ], we highlighted the information gap that exists when trying to assess issues around mental health care, in particular for children and adolescents [ 4 ]. When the Mental Health Services Dataset (MHSDS) was available as linked data to CPRD, it did not contain information from Child and Adolescent Mental Health Services (CAMHS) [ 5 ].…”

mentioning

confidence: 99%

Importance of accurate and accessible recording of healthcare contacts in mental health

Jack,

Coupland,

Joseph

et al. 2023

BMC Med

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High-quality antidepressant prescribing: please consider whether “perfection is the enemy of progress”

Cited by 5 publications

References 8 publications

Community paediatricians’ experience of joint working with child and adolescent mental health services: findings from a British national survey

Community paediatricians’ experience of joint working with child and adolescent mental health services: findings from a British national survey

Six basic rules to help doctoral students pave their way through PhD research

Importance of accurate and accessible recording of healthcare contacts in mental health

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