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Evidence based medicine and evaluation of mental health services: methodological issues and future directions
a Leopold
Muller Department of Child and Family Mental Health, Royal Free and
University College Medical School, Rowland Hill Street, London NW3 2PF,
UK, b Department
of Medicine, University of Southampton School of Medicine, Southampton
General Hospital, Tremona Road, Southampton SO16 6YD, UK
Correspondence to: Dr Barnes.
| The first 150 words of the full text of this article appear below. |
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Introduction |
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It is becoming increasingly evident that paediatricians and
general practitioners play a key role in assessing and treating children with mental health problems. A recent national survey in
England and Wales found that paediatricians are probably treating more
emotional and behavioural disorders in children and young people than
any other single professional group and that, on average, this group of
patients comprises one fifth of their referrals.1 In one
large survey in the UK, almost one quarter of 7-12 year olds from a
large urban area visiting their general practitioner had a psychiatric
disorder,2 and more than half of the children attending a
child mental health clinic in a six month period had been referred by
their general practitioner.3 In the USA, a large study of
7-11 year old children referred to paediatric clinics found that
almost one quarter had a diagnosable mental health disorder, with a
further 42% showing
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