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Letters Depression in children and young people

Challenges to primary care in diagnosing and managing depression in children and young people

BMJ 2015; 350 doi: (Published 14 May 2015) Cite this as: BMJ 2015;350:h2512
  1. Tami Kramer, consultant child and adolescent psychiatrist1,
  2. Lorraine Als, research psychologist2,
  3. M Elena Garralda, emeritus professor2
  1. 1Westminster Child and Adolescent Mental Health Services, London NW8 0PJ, UK
  2. 2Imperial College London, Centre for Mental Health, Hammersmith Hospital Campus, Imperial College London, London, UK
  1. t.kramer{at}

The National Institute for Health and Care Excellence (NICE) guideline summary recommended that Child and Adolescent Mental Health Services should work with primary healthcare professionals to develop systems for detecting, assessing, supporting, and referring depressed children and young people, with provision for those who are less seriously affected within primary care.1 This recommendation does not take into account the challenges to primary …

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