PMHA research, as well as countless conversations with colleagues, has revealed that a growing proportion of community paediatrics is now concerned with managing emotional and behavioral presentations. People worry that they are ill prepared for the complexity of cases coming through, and by the withdrawal of CAMHS under financial pressure from areas where they used to be active. It is a testament to the dedication and humanity of paediatricians that they have not shirked the challenge, but serious questions still need to be answered:
- What should be the scope of mental health work undertaken in community paediatrics?
- How can paediatricians who are practicing in this area ensure they can make a difference, and be safe?
- How do we ensure that specialist CAMHS remain engaged where they are required?