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Specialist mental healthcare for children with epilepsy: child and adolescent mental health service liaison with neuroscience

  • Ross J. Johnstone (a1) and Michael J. S. Morton (a2)
Abstract
Aims and Method

To describe services used by children with epilepsy seen by a liaison psychiatry team in Scotland and to examine existing guidance. Case notes of all patients with epilepsy were systematically reviewed to determine service involvement.

Results

The majority of patients attended joint psychiatry and neurology clinics. Scottish Intercollegiate Guidelines Network (SIGN) recommendations for the psychosocial management of children with epilepsy were met. Most patients were assessed by a clinical psychologist and received educational psychology input, individual and family treatment approaches. Half had social work involvement.

Clinical Implications

A liaison model is presented for the management of children with more complex epilepsy and psychiatric disorders.

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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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1 Scottish Intercollegiate Guidelines Network. Diagnosis and Management of Epilepsies in Children and Young People. National Clinical Guideline 81. SIGN, 2005.
2 Office for National Statistics The Health of Children and Young People. ONS, 2004.
3 Austin, K, Caplan, R. Behavioural and psychiatric comorbidities in pediatric epilepsy: toward an integrative model. Epilepsia 2007; 48: 1639–51.
4 Smith, K, Siddarth, P, Zima, B, Sankar, R, Mitchell, W, Gowrinathan, R, et al. Unmet mental health needs in pediatric epilepsy: insights from providers. Epilepsy Behav 2007; 11: 401–8.
5 Scottish Executive. The Mental Health of Children and Young People: A Framework for Promotion, Prevention and Care. 2005.
6 Cordeiro, NJV, Morton, MJS, McWilliam, R. Impact of epilepsy on follow-up of paediatric neurology patients in liaison psychiatry. Dev Med Child Neurol 2007; 49 (suppl): 28.
7 Scottish Paediatric Epilepsy Network. General Practice Audit of Number of Children With Epilepsy. SPEN, 2005 (http://www.spen.scot.nhs.uk/Documents/Annual%20Reports/SPEN%20Annual%20Report%202004-2005.pdf).
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Specialist mental healthcare for children with epilepsy: child and adolescent mental health service liaison with neuroscience

  • Ross J. Johnstone (a1) and Michael J. S. Morton (a2)
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