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Consultant responsibilities in child and adolescent mental health services teams: a systems dilemma

Child and Family Consultation Centre, 1 Wolverton Gardens, London W6 7DY, UK

Declaration of interest

None.

Abstract

AIMS AND METHODS

A number of relevant professional bodies were invited to state their views on the responsibilities of consultant child psychiatrists within multi-disciplinary teams in order to ascertain whether there was any consensus on the issue.

RESULTS

Little consensus or clarity emerged, save for agreement on child psychiatrists' expertise with medical matters. Only medical organisations believed in a notion of the consultant holding ultimate responsibility, although definition of this remained elusive.

CLINICAL IMPLICATIONS

Consultants may need to seek clarity about their clinical and legal responsibilities from their employing Trust. However, there are many other dimensions to responsibility which have relevance for the training of child psychiatrists.

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