The British Psychological
Society supports the call for a national review of the use of medication to
treat children’s behavioural issues including
temporary sleep problems, mild social anxiety and shyness.
Peter Kinderman, Chair of the
Division of Clinical Psychology said: “We welcome the announcement from the
government pledging an extra £400 million for the provision of psychological
therapies – including the promise of better support for parents and children
with behavioural problems. However, we are concerned that the overall cuts to
the public sector will place all of mental health care – including care for
children - at risk.
“We know BPS members are involved
in excellent work with Child and Mental Health Service teams, but child mental health
is an area that is grossly under resourced, resulting in too few children and
young people being able to get timely access to the appropriate therapy.
“Clearly, it is important to
understand children’s behavioural and psychological problems fully, and to
invest in proper, expert, therapeutic approaches. We would be very concerned if
children were being prescribed medication as a quick fix rather than accessing
the full assessments and psychological therapies which take may longer and cost
more, but ultimately are likely to be better value in the long run.”
Figures
released by the Department of Health show that in 2009 the number of
prescriptions issued to 16-18 years olds to treat ADHD had risen by 51% in just
two years.
Peter concluded: “Clearly,
many children unfortunately have behavioural and emotional problems which of
course demand appropriate care. Many psychologists are very concerned at the
use of psychiatric and medical diagnoses in cases such as this – not only
because of doubts about the validity of many of the diagnostic approaches, but
also because of the possible adverse effects of the medication. Children for
whom the diagnosis of ADHD is being considered should receive full
multidisciplinary assessments, the option of receiving psychological
and behavioural therapies, and their parents or carers should be offered
parent-training and education programmes.
Drugs should be considered as an option but this should be part of an
overall therapy programme. In the case of problems
such as temporary sleep problems, mild
social anxiety and shyness, I fail to see how medicalising these problems and
contemplating the use of drugs is justified. These may indeed be problems, but
they are problems that clearly deserve a more psychological response”.
The call for a
national review is also supported by the Society’s Division of Educational
Psychology.
PR: 1848 8 February 2011
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