Psychiatric Bulletin (2009) 33: 384-386. doi: 10.1192/pb.bp.108.021139
© 2009 The Royal College of Psychiatrists
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Specialist mental healthcare for children with epilepsy: child and adolescent mental health service liaison with neuroscience

Ross J. Johnstone, Medical Student

Glasgow University

Michael J. S. Morton, Consultant Child and Adolescent Psychiatrist

Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, email: michael.morton{at}ggc.scot.nhs.uk

Declaration of interest

None.

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.