👆📻👆Interview with Cristiane S. Duarte, PhD, MPH, author of Sociocultural Risk and Resilience in the Context of Adverse Childhood Experiences. Hosted by John Torous, MD, MBI. Related Content: (See above link to Google Podcast)
🆕For 1 hour (online ) patient initial consultation slots plus written report : £395
For 30 min (online) patients follow up slots plus report and prescription if needed : £270
Face to Face patient initial consultation slots (1 hour) and report ; available in our partner CQC registered clinic : £660
🆕Full diagnostic assessment , risk assessment and treatment plan with a range of CYP mental health problems, such as oppositional defiant disorder , depression, anxiety, schizophrenia, bipolar affective disorders ( 1 and 2) ,Disruptive mood dysregulation disorder, separation anxiety disorder , specific phobias, selective mutism,social anxiety disorder , panic attacks ,agoraphobia , generalised anxiety disorder,skin picking disorder , hair-pulling disorder , body dysmorphic disorder,substance misuse, Gaming Disorder, Attachment Disorder ,Grief Disorder , dissociative identity disorder ,conversion disorder ,anorexia nervosa , bulimia nervosa, post-traumatic stress disorder, complex PTSD , personality disorders , Autism Spectrum Disorders , Trichotillomania , attention deficit hyperactivity disorder , (ADHD), social (pragmatic) communication disorders,Specific Learning Disorders,Developmental Coordination Disorder,Tic Disorders.
I will liaise with your GP , school , local CAMHS and am able to offer flexible follow-up appointments to monitor clinical progress.
Appointments can take place face to face in our partner clinic (CQC registered) or remotely via video conference including weekends , school holidays and Bank Holiday weekends.🆕
The five Sustainability Principles ( DOES YOUR SERVICE SUPPORT THESE 5 PRINCIPLES?)
1. Prioritise prevention – preventing poor mental health can reduce mental health need and therefore ultimately reduce the burden on health services (prevention involves tackling the social and environmental determinants alongside the biological determinants of health).
2. Empower individuals and communities – this involves improving awareness of mental health problems, promoting opportunities for self-management and independent living, and ensuring patients and carers are at the centre of decision-making. It also requires supporting community projects that improve social networks, build new skills, support employment (where appropriate) and ensure appropriate housing.
3. Improve value – this involves delivering interventions that provide the maximum patient benefit for the least cost by getting the right intervention at the right time, to the right person, while minimising waste.
4. Consider carbon – this requires working with providers to reduce the carbon impacts of interventions and models of care (e.g. emails instead of letters, tele-health clinics instead of face-to-face contact).
Reducing over-medication, adopting a recovery approach, exploiting the therapeutic value of natural settings and nurturing support networks are examples that can improve patient care while reducing economic and environmental costs.
5. Staff sustainability – this requires actively supporting employees to maintain their health and well-being. Contributions to the service should be recognised and effective teamwork facilitated. Employees should be encouraged to access training, mentorship and supervision. https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/quality-networks/child-and-adolescent-community-teams-cahms/qncc-standards-7th-edition.pdf?sfvrsn=af90d60b_8
For 1 hour (online ) patient initial consultation slots plus written report : £395
Protecting children and young people: The responsibilities of all doctors(GMC)
The following principles should guide all doctors who are concerned about the safety or welfare of a child or young person.
- All children and young people have a right to be protected from abuse and neglect – all doctors have a duty to act on any concerns they have about the safety or welfare of a child or young person.
- All doctors must consider the needs and well-being of children and young people – this includes doctors who treat adult patients.
- Children and young people are individuals with rights – doctors must not unfairly discriminate against a child or young person for any reason.
- Children and young people have a right to be involved in their own care – this includes the right to receive information that is appropriate to their maturity and understanding, the right to be heard and the right to be involved in major decisions about them in line with their developing capacity.
- Decisions made about children and young people must be made in their best interests
- Children, young people and their families have a right to receive confidential medical care and advice – but this must not prevent doctors from sharing information if this is necessary to protect children and young people from abuse or neglect.
- Decisions about child protection are best made with others – consulting with colleagues and other agencies that have appropriate expertise will protect and promote the best interests of children and young people.
- Doctors must be competent and work within their competence to deal with child protection issues: doctors must keep up to date with best practice through training that is appropriate to their role. Doctors must get advice from a named or designated professional or a lead clinician or, if they are not available, an experienced colleague if they are not sure how to meet their responsibilities to children and young people.
- As a CAMHS Medic ,you must develop and maintain the knowledge and skills to protect children and young people at a level that is appropriate to your role. You should also take part in training on how to communicate effectively with a wide range of groups of parents, children and young people.
- If you work with children and young people, you should reflect regularly on your own performance in protecting children and young people, and your contributions to any teams in which you work. You should ask for, and be prepared to act on, feedback through audit, case discussion, peer review and supervision. You should contact your named or designated professional or lead clinician for advice about opportunities to discuss and learn from child protection cases in your local area.
- If you work with adults, you should make sure you are able to identify risk factors in their environment that might raise concerns about abuse or neglect and whether patients pose a risk to children or young people close to them.
Learning from others
- If opportunities are available, you should learn from other colleagues and professionals – for example, by taking part in multidisciplinary training or by sharing best practice and skills. You should also try to develop your knowledge and understanding of issues facing certain groups of people, such as the communication needs of different groups of disabled people.
- If you are a named or designated doctor, a lead clinician or a medical director in a primary care trust, clinical commissioning group or other setting, you should support your colleagues in identifying training and development opportunities.
For further information please carefully read :About Protecting children and young people - GMC (gmc-uk.org)
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Dr Gaurav Kohli(GMC Number:6029901 & RCPsych Membership Number :810969) : Research and Academic Psychiatry Blog| CAMHS Consultancy |Evidence Based Medicine
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