Temple Street Child- and adolescent Liaison psychiatry Programme
Temple Street, founded in 1872 is an acute paediatric hospital serving some of Ireland’s sickest children and providing a referral and care service on both a regional and national basis. Temple Street cares for 145,000 children per year. Over 45,000 of these children attend the Emergency Department every year making it one of the busiest in Europe. http://www.cuh.ie.
The hospital is based in the city centre in Dublin, Ireland. The Liaison Service is based at St. Francis clinic, and is a multidisciplinary team with two consultant Child and Adolescent Liaison Psychiatrists, Psychology, nursing, social work, OT and trainees on the team.
Consultation- Liaison Child and Adolescent Psychiatry, also known as Medical Psychiatry or Psychological Medicine, is the medical speciality that caters for children with medical illnesses and psychiatric co-morbidity. It has long been recognised that children with medical illnesses experience significant psychological and psychiatric co-morbidity– rates may be as high as 30%, and even higher in some studies. The WHO now identifies mental health disorders as the second largest cause of co-morbidity for children and adolescents.
Children with mental health disorders and their families have as great a right to provision of healthcare as those with other health needs. Strategies such as “no health without mental health” campaigns underpin equity and fairness and highlight these needs. We offer expertise in managing mental health issues across the continuum of paediatric illness, where young people are attending medical teams in Children’s University Hospital.
As an active multidisciplinary team, we have excellent links with psychology, social work, broader Multidisciplinary teams and groups and integration with teaching and training are valuable experiences for trainees. Paediatric Liaison Psychiatry Teams are designed to operate in hospital emergency departments, wards and outpatient settings.
Liaison psychiatrists see young people across the age and intellectual ability range and support young people and their families while they are in the hospital.
- They work in the context of both acute and chronic illness, for example supporting adherence to treatment regimes and treating co-morbidity including depression, managing anxiety disorders, side effects of medication use, suicidal ideation and risk assessment during treatment or facilitating referral to local services.
- They have a role in supporting young people with somatoform disorders, or with psychosomatic presentations as part of medical disorders.
- At times they support children with known mental health disorders while they access hospital services. Examples might include young people with a range of neurodisability when experiencing a medical illness.
Diagnosis and management of medical illness have an impact on perceived parental and child stress and anxiety, as caregiver burden may be greater with concurrent medical and psychiatric morbidity. Psychiatric illness has an impact on adherence to treatment, and thus outcomes, in chronic illnesses. Psychiatric and medical co-morbidity have a profound influence on children from a developmental perspective and a significant impact on rates and duration of hospitalisation. Treatment itself may cause psychiatric morbidity and children and adolescents with these complex needs may present management challenges in paediatric settings. Thus we support the psychiatric needs of children and young people with a constellation of physical and mental health needs. This includes seeing a range of first presentations (including relating to mood disorders, anxiety disorders, psychosis, somatoform complaints, eating disorders, mental health disorders in the context of specific genetic disorders, other difficulties).
In particular, this exchange opportunity may be of interest to Trainees with an interest in
- Acute presentations (for example, in managing Deliberate Self-harm or Emergency Psychiatry).
- For Trainees with an interest in later adolescence and youth mental health who are keen to gain exposure to ADHD management or around transition issues in paediatric care, may be keen to take up a session.
- Other options might include a special interest in infant mental health, Neurodevelopmental psychiatry, supporting links with intellectual disability and neurodisability services, psychiatry services for children with inherited disorders and epilepsy.
- This is a research- active department, with links to UCD and TCD and clinical research links in the service include to research on Educational interventions, an RCT looking at parent groups in the context of DSH, Eating disorders, ADHD, transition issues, intellectual disability and global mental health/ international teaching endeavours.
Before applying, please, read useful information re. exchange placements in Ireland
- Organisation of accommodation, transport and visa, is the responsibility of the applicant. We recommend planning well in advance before coming to Ireland. However, we advice that you don’t book your flight or accommodation before receiving formal offer for the placement.
- A Garda vetting (police clearance) is required from Irish Garda before starting your attachment and it takes 4-6 weeks processing time from the point of application. A Police clearance from your country is also required.
- The length of placements is usually 2 weeks, and in exceptional circumstances up to 4 weeks.
- Periods available: February – July and August – January
- Language: Fluent English.
Visa is not required for EU and EEA nationals. Nationals of a number of countries do not require a visa to travel to Ireland for less than 90 days. Please check http://dfa.ie/travel/visas/visas-for-ireland/ or the nearest Irish Embassy.
– Travel and health insurance needed: highly recommended.
Most European nationals can also issue European Health Insurance Card (EHIC)
for emergency medical treatment during limited period of travel in EU countries.
Check details at: www.ec.europa.eu/social/main.jsp?catId=559
Unlike some other European countries, hospitals in Ireland don’t offer accommodation for doctors. The cost of rent especially in Dublin is relatively high as compared with some other European Countries and we strongly recommend that you plan well in advance and research on information in relation to accommodation before coming to Ireland.
Youth hostels in Ireland tend to be well equipped and central.
www.anoige.ie is the website for the Irish hostel network.
Few websites has a service for short term lets/sublets, which may also be a possibility for those trainees coming to Ireland for several weeks: daft.ie, rent.ie, let.ie, airbnb.com
www.travelrepublic.ie will look at short term apartments as well as hotels, several other travel websites such as hostels.com, hotels.com
Local coordinators will give you some advice and tips when searching for accommodation.
National Trainee organisation website:
National and local coordinator: