Early intervention for first episode psychosis
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《英国医生杂志》
EDITOR—Shiers's and Lester's review should have mentioned the role of acute paediatrics in picking up young people with psychosis.1 It is not common but occasionally we meet quite ill but puzzling teenagers who need a multidisciplinary assessment to tease out organic, social, and psychiatric factors before we can work out what precisely is the matter. This requires a team of social workers and child and adolescent psychiatrists working with the paediatric staff, as recommended in the hospital national service framework for children.2
Sebastian Kraemer, consultant child and adolescent psychiatrist
Whittington Hospital, London N19 5NF sebastian@kraemer-zurne.freeserve.co.uk
Competing interests: None declared.
References
Shiers D, Lester H. Early intervention for the first episode of psychosis. BMJ 2004;328: 1451-2. (19 June.)
Department of Health. Getting the right start: national service framework for children: standard for hospital services. London: DoH, 2003. www.dh.gov.uk/PublicationsAndStatistics/P ublications/PublicationsPolicyAndGuidance/PublicationsPolicyAnd GuidanceArticle/fs/en?CONTENT_ID=4082169&chk=qvLhif (accessed 28 Jul 2004).
Sebastian Kraemer, consultant child and adolescent psychiatrist
Whittington Hospital, London N19 5NF sebastian@kraemer-zurne.freeserve.co.uk
Competing interests: None declared.
References
Shiers D, Lester H. Early intervention for the first episode of psychosis. BMJ 2004;328: 1451-2. (19 June.)
Department of Health. Getting the right start: national service framework for children: standard for hospital services. London: DoH, 2003. www.dh.gov.uk/PublicationsAndStatistics/P ublications/PublicationsPolicyAndGuidance/PublicationsPolicyAnd GuidanceArticle/fs/en?CONTENT_ID=4082169&chk=qvLhif (accessed 28 Jul 2004).