Audit in child and adolescent psychiatry

Article Abstract:

Presented is an outline of how an audit of child and adolescent psychiatric services can be approached. The extent to which the objectives of the service are being achieved is assessed in the audit of child and adolescent psychiatry. These objectives include: (1) the provision of services to children with emotional, behavioral, interpersonal, and developmental problems, and to their families; (2) to support, consult, and communicate with other health, educational, and social service groups regarding the children and their families; (3) to educate students of medicine, psychology, social work, nursing, and other disciplines; and (4) to become involved in research and innovations. The audit process evaluates three major aspects of child and adolescent psychiatry: (1) input, which consists of the personnel and equipment as well as the patients and their problems; (2) process, which consists of the process of assessment, treatment, and management of child psychiatric disorders; and (3) outcome, the full appraisal of the results of assessment, treatment, and management. The audit service is offered by a team of persons from various medical and non-medical disciplines. Two major problems faced in child psychiatry are the limited available resources and the market philosophy of the government. This brief review of the audit process will serve as an introduction to and have implications for the field of adolescent and child psychiatry. (Consumer Summary produced by Reliance Medical Information, Inc.)

Methods, Accounting and auditing, Auditing, Child psychiatry

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Update on the research agenda and care for the poor child: steps forward, steps backward

Article Abstract:

The US continues to ignore the vast health problems afflicting children. One in five children in the US lives in poverty, and the trend is worsening. Some progress is happening in areas affecting children's health: the 1992 elections show evidence of a shift in national priorities to a domestic agenda; funding of child health research centers is growing, and the public and private sectors are beginning to cooperate in addressing children's health needs. There has been little or no progress in other areas - acknowledgment of and funding for child health problems, the need for more research of societal problems, the creation of pediatric social scientists and the development of stable funding for research. Despite the barriers to improvements posed by the growing federal deficit and the politicization of research, some goals are reasonable: complete vaccination of infants and children, prenatal care for all women, full access to existing food programs and universal access to medical care.

Social aspects, Finance, Poor children, Child health services

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