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Prevalence of confirmed child abuse and the use of resources in child psychiatric out-patients

Limetrees Child and Family Unit, 31 Shipton Road, York YO3

David West, Audit Officer, Anne Worrall, Senior Lecturer in Child Psychiatry and Gillian Tagg, Consultant Child Psychiatrist

Academic Unit Child Mental Health, 12A Clarendon Road, Leeds LS2 9NN

^* Correspondence

This paper explores the extent of known child sexual and physical abuse in child psychiatric out-patient services in Leeds. We surveyed a one-month period, looking at all out-patient contacts, and found that at least 17.9% of patients had been physically or sexually abused and these patients took up 25.8% of out-patient time. When the 70 abused children were compared to a group matched for age group, clinical team and diagnosis it was found that they were more likely to be followed-up for longer and they received more therapeutic time over a given period than non-abused children. The implications for resources are discussed.