New models of care: the future of child health services. What does this mean for you and your patients? | Archives of Disease in Childhood

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New models of care: the future of child health services. What does this mean for you and your patients?

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Integrated services for infants, children and young people
Elaine P Lockhart
Published on: 19 January 2017

Published on: 19 January 2017
Integrated services for infants, children and young people
- Elaine P Lockhart, Consultant in paediatric liaison psychiatry
This article helps us think about how we would like to provide services to infants, children and young people (ICYP) in response to changing needs, financial constraints and a push for multi-agency integrated working. We propose that paediatric services should have integrated mental health expertise in primary care, community and hospital based services. This would allow for prevention and early intervention, development...
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This article helps us think about how we would like to provide services to infants, children and young people (ICYP) in response to changing needs, financial constraints and a push for multi-agency integrated working. We propose that paediatric services should have integrated mental health expertise in primary care, community and hospital based services. This would allow for prevention and early intervention, development of staff confidence and expertise when confronted with mental health difficulties as part of the paediatric presentations, as well as timely assessments, formulation and treatment of mental health disorders. Such integrated working would facilitate the early detection of mental health difficulties which may be the primary difficulty and improve the quality of paediatric treatment and attendant outcomes. This relates not only to ICYP with chronic illness and complex disability, but also to those who present at general paediatric clinics. Much time is spent by paediatric colleagues without the relevant training and expertise in addressing psychological difficulties which are regularly part of the clinical presentation and separate services prevent development of skills in managing these where appropriate, as well as causing delay to ICYP who need to be referred elsewhere. An integrated health response facilitates working across social services, education and other agencies which is seen as the most helpful response to supporting children's well-being as well as in the domain of child protection and disability. Anyone considering the commissioning, continuation or development of paediatric services should be thinking of ICYP holistically and remembering that "there is no health without mental health".
Conflict of Interest:
None declared
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Conflict of Interest:
None declared.
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