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Service innovations: second opinions in child and adolescent psychiatry

  • Greg Richardson (a1) and David Cottrell (a2)
Abstract
AIMS AND METHODS

To devise a protocol, reflecting best practice, for obtaining second opinions in child and adolescent psychiatry through discussion with consultants in child and adolescent psychiatry within the Yorkshire region at their quarterly meetings.

Results

The major pressure for second opinions falls upon the Academic Unit of Child and Adolescent Mental Health and on the in-patient units. Other consultants who are considered to have specialist expertise in certain areas may also receive referrals for second opinions. Both consultants requesting and offering second opinions considered a protocol for obtaining them would be helpful to their practice.

Clinical Implications

An agreed protocol between consultants in child and adolescent psychiatry within a region ensures that young people with complex problems have access to second opinions on their diagnosis and management by consultants who can be recommended to referrers by other consultants. The network of consultants ensures such opinions are not requested excessively and that ‘rogue’ opinions without therapeutic follow-up are avoided.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Central Consultants and Specialists Committee (2000) The Consultant Handbook. London: British Medical Association.
General Medical Council (2001) Good Medical Practice. London: General Medical Council.
Royal College of Psychiatrists (2000) Good Psychiatric Practice 2000. Gosport: Ashford Colour Press.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Service innovations: second opinions in child and adolescent psychiatry

  • Greg Richardson (a1) and David Cottrell (a2)
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