Health services

• Primary health care for the management of simple common problems, identification, and referral of more complex problems.

• Community child health (including school health) and child development service: management of children with common problems; joint management or referral of children with problems indicating disorders such as pervasive hyperactivity, pervasive developmental disorders, and mental retardation with associated behaviour problems; management of children in situations of risk.

• Paediatric clinics or paediatric wards: assessment and management of children who have a psychological component to their disorder, and of the emotional impact of chronic, disabling, or terminal illness.

• Adult psychiatric or community mental health teams: children of parents with psychiatric disorder, including child protection issues; facilitation of the transition of adolescents into adult services.

• Accident and emergency—recognition and management of children and particularly adolescents at risk, especially those presenting with self-injury and attempted suicide. Adolescents often use these services as their entry into health care.

• Substance misuse services: children of parents with serious substance misuse problems; joint management for adolescents with serious substance misuse.

A more detailed discussion of the various disorders referred to above can be found in Chapteri9.2.1, Cha.pier.9.2:2, Chapter,9.2.3, Chapter,9.2.10, Chapteri9.i3..1, Chapter.9.3.2, and Ch,apter,9..3.4,

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