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Department of Psychological Medicine, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH
University of Birmingham, Parkview Clinic, Queensbridge Road, Moseley, Birmingham B13 8QE
This paper describes the characteristics of referrals to a new direct access child mental health service for young people in the care of the local authority, during the first six months (n=32). Consistent problems emerged within four areas: their histories within the care service (n=18, 56% had had at least one more previous placement); their individual experiences of abuse (n=23, 72%) and the lack of mental health support provided to redress this; their overall poor educational status; and the psychopathology evident at the time of referral (n=29, 91% had ICD-10 diagnoses, mainly mixed depressive conduct disorders).
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