Abstract
Pediatric consultation-liaison (CL) psychologists collaborate with other care providers in the hospital, including psychiatrists. Whether the CL team contains both a psychiatrist and a psychologist or they are separate entities, collaboration between psychiatry and psychology facilitates better patient care. When psychologists and psychiatrists work together, the two disciplines can benefit from the differences in their training. Psychologists benefit from a psychiatrist’s expertise in medication management, diagnostics (e.g., imaging, lab testing, etc.), knowledge of complex clinical presentations (e.g., catatonia, delirium, etc.), and understanding of medical terminology, while a psychiatrist can learn from a psychologist’s knowledge of psychological assessments and more in-depth training in research and psychotherapy. When working together, the psychologist’s and psychiatrist’s conceptualization and treatment of the patient improves. To facilitate effective collaboration, efforts should be made to maximize communication and clarification of roles and responsibilities between psychiatrists and psychologists. Additionally, collaboration between psychiatrists and psychologists is beneficial for trainees, as it broadens their training and facilitates future referrals.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Accreditation Council for Graduate Medical Education (ACGME). (2018). ACGME common program requirements (fellowship). Retrieved from https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRFellowship2019.pdf
Aljarad, A. M., Osaimi, F. D. A., & Huthail, Y. R. A. (2008). Accuracy of psychiatric diagnoses in consultation liaison psychiatry. Journal of Taibah University Medical Sciences, 3(2), 123–128.
American Academy of Child and Adolescent Psychiatry (AACAP). (n.d.). Child and adolescent psychiatry training. Retrieved from https://www.aacap.org/aacap/Medical_Students_and_Residents/Residents_and_Fellows/Child_and_Adolescent_Psychiatry_Training.aspx
American Board of Psychiatry and Neurology (ABPN). (2017). Certification examination in child and adolescent psychiatry. Retrieved from https://www.abpn.com/wp-content/uploads/2017/10/2018_Child_and_Adolescent_Psychiatry_CERT_Content_Specifications.pdf
American Psychological Association. (2015). Standard for accreditation for health service psychology. Washington, DC: American Psychological Association. Retrieved from https://www.apa.org/ed/accreditation/about/policies/standards-of-accreditation.pdf
Balon, R. (2001). Positive and negative aspects of split treatment. Psychiatric Annals, 31(10), 598–603.
Bodenheimer, T. (2007). Building teams in primary care: Lessons learned. Oakland, CA: California Healthcare Foundation. Retrieved from: https://www.chcf.org/wp-content/uploads/2017/12/PDF-BuildingTeamsInPrimaryCareLessons.pdf
Bodenheimer, T., & Grumbach, K. (2006). Improving primary care: Strategies and tools for a better practice. New York, NY: McGraw-Hill.
Campbell, S. M., Hann, M., Hacker, J., Burns, C., Oliver, D., Thapar, A., … Roland, M. O. (2001). Identifying predictors of high quality care in English general practice: Observational study. British Medical Journal, 323(7316), 784–787.
Gabbard, G. O., & Kay, J. (2001). The fate of integrated treatment: Whatever happened to the biopsychosocial psychiatrist? American Journal of Psychiatry, 158(12), 1956–1963. https://doi.org/10.1176/appi.ajp.158.12.1956
Gitlin, M. J., & Miklowitz, D. J. (2016). Split treatment: Recommendations for optimal use in the care of psychiatric patients. Annals of Clinical Psychiatry, 28(2), 132–137.
Gutheil, T. G. (1994). Risk management at the margins: Less-familiar topics in psychiatric malpractice. Harvard Review of Psychiatry, 2(4), 214–221.
Jee, S. H., Baldwin, C., Dadiz, R., Jones, M., & Alpert-Gillis, L. (2018). Integrated mental health training for pediatric and psychology trainees using standardized patient encounters. Academic Pediatrics, 18(1), 119–121. https://doi.org/10.1016/j.acap.2017.06.014
Kalman, T. P., Kalman, V. N., & Granet, R. (2012). Do psychopharmacologists speak to psychotherapists? A survey of practicing clinicians. Psychodynamic Psychiatry, 40(2), 275–285.
Kullgren, K. A., Tsang, K. K., Ernst, M. M., Carter, B. D., Scott, E. L., & Sullivan, S. K. (2015). Inpatient pediatric psychology consultation-liaison practice survey: Corrected version. Clinical Practice in Pediatric Psychology, 3(4), 340–351.
Ling, T., Brereton, L., Conklin, A., Newbould, J., & Roland, M. (2012). Barriers and facilitators to integrating care: Experiences from the English Integrated Care Pilots. International Journal of Integrated Care, 12(5), e129. https://doi.org/10.5334/ijic.982
March, J., Silva, S., Petrycki, S., Curry, J., Wells, K., & Fairbank, J. (2004). Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents with Depression Study (TADS) randomized controlled trial. JAMA, 292(7), 807–820. https://doi.org/10.1001/jama.292.7.807
Osofsky, H. J., Osofsky, J. D., Wells, J. H., & Weems, C. (2014). Integrated care: Meeting mental health needs after the Gulf oil spill. Psychiatric Services, 65(3), 280–283. https://doi.org/10.1176/appi.ps.201300470
Palermo, T. M., Janicke, D. M., McQuaid, E. L., Mullins, L. L., Robins, P. M., & Wu, Y. P. (2014). Recommendations for training in pediatric psychology: Defining core competencies across training levels. Journal of Pediatric Psychology, 39(9), 965–984. https://doi.org/10.1093/jpepsy/jsu015
Pidano, A. E., Arora, P., Gipson, P. Y., Hudson, B. O., & Schellinger, K. B. (2018). Psychologists and pediatricians in the primary care sandbox: Communication is key to cooperative play. Journal of Clinical Psychology in a Medical Settings, 25(1), 32–42. https://doi.org/10.1007/s10880-017-9522-y
Pisani, A. R., leRoux, P., & Siegel, D. M. (2011). Educating residents in behavioral health care and collaboration: Integrated clinical training of pediatric residents and psychology fellows. Academic Medicine, 86(2), 166–173. https://doi.org/10.1097/ACM.0b013e318204fd94
Raney, L. E. (2015). Integrating primary care and behavioral health: The role of the psychiatrist in the collaborative care model. American Journal of Psychiatry, 172(8), 721–728. https://doi.org/10.1176/appi.ajp.2015.15010017
Schindler, F. E., Berren, M. R., & Beigel, A. (1981). A study of the causes of conflict between psychiatrists and psychologists. Hospital & Community Psychiatry, 32(4), 263–266.
Shaw, R. J., Pao, M., Holland, J. E., & DeMaso, D. R. (2016). Practice patterns revisited in pediatric psychosomatic medicine. Psychosomatics, 57(6), 576–585. https://doi.org/10.1016/j.psym.2016.05.006
Shaw, R. J., Wamboldt, M., Bursch, B., & Stuber, M. (2006). Practice patterns in pediatric consultation-liaison psychiatry: A national survey. Psychosomatics, 47(1), 43–49. https://doi.org/10.1176/appi.psy.47.1.43
Wagner, E. H. (2000). The role of patient care teams in chronic disease management. British Medical Journal, 320(7234), 569–572.
Woodward, B. (2002). Anticipating and avoiding pitfalls in split treatment. Psychiatric Times, 19, 22.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Blake, H.S., Williams, A.E., Giust, J., Lagges, A.M. (2020). Collaborating with Child Psychiatry. In: Carter, B.D., Kullgren, K.A. (eds) Clinical Handbook of Psychological Consultation in Pediatric Medical Settings. Issues in Clinical Child Psychology. Springer, Cham. https://doi.org/10.1007/978-3-030-35598-2_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-35598-2_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-35597-5
Online ISBN: 978-3-030-35598-2
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)