Psychiatric Bulletin (2003) 27: 397. doi: 10.1192/pb.27.10.397
© 2003 The Royal College of Psychiatrists
Psychiatric Bulletin (2003) 27: 397
© 2003 The Royal College of Psychiatrists
Bridging the Gaps: Health Care for Adolescents
Council Report CR114, June 2003, Royal College of Paediatrics and Child Health, £10, 60 pp.
Sue Bailey, Chair, Faculty of Child and Adolescent Psychiatry
Bridging the Gaps: Health Care for Adolescents arose out of an
Intercollegiate Working Party on Adolescent Health, led by the Royal College
of Paediatrics and Child Health, together with seven other colleagues
including the Royal College of Psychiatrists. This report cogently argues the
case for a clear focus by government, policy makers, practitioners and NHS
Services on adolescent health care. It offers an overview of the healthcare of
adolescents in the UK at the start of the 21st century and points to the many
current health (including mental health) needs of this important age band, who
are in transition and make up 13-15% of the population in developed
countries.
Covering the size and nature of young people's major health needs, service
development and the concept of adolescent healthcare as a speciality, there
follows a series of important recommendations for promoting better health
across primary care, school health services and young people in special
circumstances. The report goes on to cover secondary care in accident and
emergency situations, out-patient care and transition, and in-patient
healthcare.
In the context of major developments in services for children and
adolescents, this report recognises very clearly the rights of young people
who are making the transition to adult autonomy.
The task set to us all is large, but the recognition of the needs of this
group, the importance of their views and their perspective on what services
they need, together with recommendations for training that stress the
imperative of a developmental understanding of adolescence, are very much to
be welcomed. Communicating with and listening to adolescents are key to this
report. A valuable read, and no doubt with the current pace and nature of
change within the NHS and Society, it is a Council Report we will be
revisiting sooner rather than later, with even more emphasis on the importance
of mental health and emotional well-being.