Abstract
As a senior registrar training in child and adolescent psychiatry I am preparing for an uncertain future. In addition to essential clinical and management skills, the ability to withstand stress and burnout seems crucial. I should like to write about my experience of working as a senior registrar at the Young People's Unit (YPU) Macclesfield which is a specialist adolescent unit under chronic threat of closure.
Highlights
The future of specialist psychiatric units within the NHS has been discussed by Dolan & Norton (1990) with particular regard to the Henderson Hospital
A specialist unit provides a specific type of treatment to a particular patient group and as such has a unique function in the training of both qualified staff and students, providing advice to other agencies regard ing management of difficult cases, and enabling research into treatment methods with respect to managing difficult, intractable clinical problems
Since opening in 1970, it has been run on modified therapeutic community lines for young people of both sexes with emotional and/or conduct disorders between the ages of 13 and 18 under the consultancy of Dr Peter Wells
Summary
The future of specialist psychiatric units within the NHS has been discussed by Dolan & Norton (1990) with particular regard to the Henderson Hospital. A specialist unit provides a specific type of treatment to a particular patient group and as such has a unique function in the training of both qualified staff and students, providing advice to other agencies regard ing management of difficult cases, and enabling research into treatment methods with respect to managing difficult, intractable clinical problems. The YPU is a regional specialist resource within the NHS.
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