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Advances in Psychiatric Treatment (2003) 9: 319-326
© 2003 The Royal College of Psychiatrists

Clinical risk management and child mental health

Fiona Subotsky

Fiona Subotsky is a consultant child and adolescent psychiatrist at the South London and Maudsley NHS Trust, based at the Department of Child and Family Psychiatry (King’s College Hospital, Denmark Hill, London SE5 9RS, UK. E-mail: subotsky{at}clara.co.uk). She has wide managerial experience and has had a particular interest recently in looking at risk issues for child and adolescent mental health services.

Risk management is a requirement of clinical governance and a new paradigm for child and adolescent mental health services. Issues are different from those of adult services and a wide range need to be considered, which include not only the risk of harm to self, to others and from others but also from the system (by omission or commission) and to the staff. Systematic policy development, using information from audits, complaints, incidents and inquiries, will be helpful and interagency agreements necessary to promote coordination. The complex regulatory framework is discussed.




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