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Child Psychiatrists and the Organization of Child Guidance Clinics

A Note on Aspects of Clinical Responsibility

Published online by Cambridge University Press:  02 January 2018

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1. The recent development and diversification of assessment and intervention techniques together with the strengthening of the professional identity of disciplines allied to child psychiatry has resulted in changes in working arrangements in Child Guidance settings. A recent informal survey suggests that this has led to ambiguities in the role of the child psychiatrist, which are eroding the service provided to patients as well as their Job satisfaction.

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The College
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © Royal College of Psychiatrists, 1980

References

Footnotes

1. Presented at the Section's Annual Residential Meeting, Cambridge, September 1979.Google Scholar
2. ‘The Role, Responsibilities and Work of the Child and Adolescent Psychiatrist’. Bulletin, July 1978, p. 127.CrossRefGoogle Scholar
3. The General Medical Council in their guidance on professional conduct and discipline (May 1977) state: ‘It is the doctor's duty strictly to observe the role of professional secrecy by refraining from disclosing voluntarily to any third party information which he has learned directly or indirectly in his professional relationship with the patient’. The Council would also regard it as a breach of medical responsibility if: (a) a doctor failed to ‘provide or arrange treatment for a patient when necessary’ and (b) the doctor delegates treatment or other procedures requiring the knowledge and skill of a medical practitioner to someone without satisfying himself that ‘the person to whom they are delegated is competent to carry them out’.Google Scholar
The Council go on to say, ‘It is important that the doctor should retain ultimate responsibility for the management of his patients because only the doctor has received the necessary training to undertake this responsibility’.Google Scholar
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