GPs made to treat child mental health beyond their competence, say local leaders
GPs have been coming under pressure from mental health officers to prescribe certain drugs for children with mental health problems, even though this is outside their knowledge and expertise.
Glasgow LMC says that Children and Adolescent Mental Health Services (CAMHS) officers have requested prescriptions for drugs such as sedatives and tranquilisers, plus medicines for attention deficit hyperactivity disorder (ADHD) – some of which have complex properties and are not licensed for use in children.
Dr John Ip, medical secretary of Glasgow LMC, argues that the situation has arisen since the Royal Hospital for Sick Children moved earlier this year from the city’s Yorkhill area to its new site in south Glasgow, where the pharmacy has struggled to handle the demand for prescriptions.
As a result, CAMHS officers have been coming to GPs to write these prescriptions, he said.
Dr Ip said: ’We think that specialists should be prescribing these drugs and they should be issued by the pharmacy on the new site. This is safer than asking GPs who may have no previous experience of prescribing drugs for children with mental health needs.
’The LMC has highlighted this to try to stop it in its tracks. NHS Greater Glasgow and Clyde has agreed with us that this should not happen anymore but we have written a section in our latest newsletter asking GPs to come forward if they are still experiencing it.’
A Scottish Association for Mental health survey of 460 GPs published last year showed half of respondents had not undertaken mental health training in more than a year, and that one in 10 had never done such training at all, even though 30% of patient consultations have a mental health component.
Almost three-quarters of GPs called for more alternatives to pharmaceutical treatment, and 85% said there was not enough local support for patients.
NHS Greater Glasgow and Clyde was contacted for comment, but was unable to reply.