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Psychiatric Bulletin (2003) 27: 22-24. doi: 10.1192/pb.27.1.22
© 2003 The Royal College of Psychiatrists
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Psychiatric Bulletin (2003) 27: 22-24
© 2003 The Royal College of Psychiatrists

Service innovations: second opinions in child and adolescent psychiatry

Greg Richardson, Consultant in Child & Adolescent Psychiatry

Lime Trees Child and Adolescent Mental Health Service, 31 Shipton Road, York YO30 5RF

David Cottrell, Professor of Child and Adolescent Psychiatry

School of Medicine, University of Leeds

Declaration of interest

None.

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 © 2003 The Royal College of Psychiatrists.