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7. SOME VIEWS ON CHILD AND YOUTH PSYCHIATRIC POLYCLINICAL THERAPY

As is the case for all polyclinical treatment, outpatient therapy in child and youth psychiatry places heavy demands on the dispensers. In the course of the work, a great many questions become pertinent. Is the staff making contact with the correct target groups? Is it possible to separate out, from the total mass of applicants, those needing help for straightforward non-pathological and transient disorders from those exhibiting disorders that are expressions of early social maladjustment or early signs of grave mental diseases? Which investigative procedures are necessary? And what do they entail? How are the cases to be processed? Both experience and knowledge are needed to be able to answer all these questions. And not the least important is the ability to evaluate the information that has been obtained about the patient. In a critical article on child psychiatry entitled: “The state of the art and science in child psychiatry”, Anthony (1973) emphasizes the importance of creating the necessary conditions for achieving this objective-“we need to become accustomed to the process of conjecture and thereby to establish predictive skills”. The nature of the information deriving from the results of the present 20-year follow-up study provides straightforward instructions on procedures in the practical clinical work of the CGC.