To ensure data validity, the case records were analyzed by the author to confirm that all diagnoses were made by medical specialists (psychiatrists) with knowledge of assessing children with dual sensory loss.
Collaboration with neurologists and psychiatrists with knowledge of this disorder is very important for an early diagnosis and treatment, as full recovery is a possible outcome for these patients with the correct case management.
Hindley's girlfriend, Patricia Cairns, and forensic psychiatrists with expert knowledge of the case, have given credence to the idea that they are markers.
However, the fact remains that while GPs are monitoring raised CHD risk, psychiatrists who possess knowledge regarding antipsychotics need to be aware of lipid, diabetic or other CHD complications which would influence the risk/benefit equation sufficiently to change their choice of prescription.
Training in local network settings was perceived as especially relevant when delivered by psychiatrists, as it linked knowledge transfer with shared care, enabling better communication with psychiatrists.
To gain further knowledge concerning psychiatrists' sickness certification in clinical practice and concerning how the problems are perceived and handled, observational studies are an option.
Studies have highlighted a lack of training and knowledge amongst psychiatrists [ 26] and general hospital doctors [ 27] with regards to the assessment of mental capacity although it has been shown that psychiatrists fare better than general physicians regarding their knowledge of the MCA [ 28].
First, it is designed to emphasize that the professional requirements for future psychiatrists will demand a greater knowledge of the structure and functioning of the brain than is currently available in most training programs.
Inadequate communication led to duplication and poor service continuity and integration; for example, patients were hospitalised, discharged or referred to psychiatrists without their GP's knowledge.
GPs, Child Psychiatrists and Paediatricians need more knowledge about CFS/ME and the appropriate referral pathways to ensure timeliness in referral to specialist services.
