Academic Unit of Child & Adolescent Psychiatry
Annual Report 2009-2010
Summer 2010
Imperial College London
&
CNWL NHS Foundation Trust
The Academic Unit of Child and Adolescent Psychiatry Unit is the result of a collaboration
between Imperial College London - where it is part of the Division of Experimental Medicine
(Head of Division: Professor Martin Wilkins) and the Centre for Mental Health (Head: Professor
Peter Tyrer) - and the CNWL NHS Foundation Trust (Chief Executive: Claire Murdoch). It is NHS
funded and based at St Mary’s Hospital in Paddington. Its main clinical base is at St Mary’s Child
and Adolescent Mental Health Service (17 Paddington Green). The Unit also has close links with
child and adolescent psychiatric clinicians with academic interests in West London.
Unit staff (2009 - 2010)





Professor Garralda: Head of the Unit, Professor of Child and Adolescent Psychiatry.
Dr Matthew Hodes: Senior Lecturer in Child and Adolescent Psychiatry.
Dr Tami Kramer: Senior Clinical Research Fellow
Dr Gloria Dura-Vila: Honorary Lecturer.
Nicole Hickey: Administrator.
Research staff:
Dr Lorraine Als
Dr Lola Picouto
Koplowitz Fellow
Elizabeth Sanchez-Cao
Koplowitz Fellow
Dr Cornelius Ani
Vas James
Dr Gloria Dura-Vila
Dr Aaron Vallance
Dr Olivia Fiertag
Dr Mar Vila
Dr Victoria Fernandez
Neuro-cognitive function following paediatric critical illness
Biological stress response following paediatric critical illness
Refugee status and mental health and in young people
Stigma and psychological adjustment in sickle cell disease
Epidemiology of severe childhood psychiatric disorders
Epidemiology of severe conversion disorder in the UK
Ethnicity and service uptake for children with intellectual disability
TRICEP study (Treatment response in child and adolescent depression:
effects of expectation and personality style)
Severe withdrawal syndrome: incidence survey and outcome study
Life threatening self harm in adolescents: incidence survey
Somatic symptoms and somatisation in young people
Therapeutic Identification of adolescent depression in primary care
Honorary Clinical Senior Lecturers:
 Dr Alex Doig
(Consultant in Child and Adolescent Psychiatry, WLMHT)
 Dr Cornelius Ani
(Consultant in Child and Adolescent Psychiatry, Bracknell CAMHS)
 Dr Julia Gledhill
(Consultant in Child and Adolescent Psychiatry, CNWL Foundation Trust)
 Dr Sharon Taylor
(Consultant in Child and Adolescent Psychiatry, CNWL Foundation Trust)
 Dr Michael McClure (Consultant in Child and Adolescent Psychiatry, CNWL Foundation Trust)
 Dr Jovanka Tolmac (Consultant in Child and Adolescent Psychiatry, CNWL Foundation Trust)
 Dr Catherine Wainhouse (Consultant in Child and Adolescent Psychiatry, Barnet, Enfield and
Haringey MH Trust)
Completed MD Students: Dr Gledhill, Dr Ani.
Undergraduate Students on Placement: Ms Sau-Ming Hau (Brunel Uni); Ms Seray Vezir (Brunel
University); Ms Yasmin Braganza (Brunel University); Ms Cherelle Bertram, (University College
London); Ms Judy Addai-Davis (University College London); Ms Sharlene Andrew (University
College London); Ms Dalia Levi (Edinburgh University).
2
Activities of the Unit
The activities of the unit include undergraduate teaching; postgraduate training and teaching; research,
and clinical commitments within West London NHS Trusts.
i)
Undergraduate Teaching
The Unit runs undergraduate teaching in child and adolescent psychiatry at Imperial College, within
both psychiatric and paediatric placements. Several Unit members and associates have obtained
educational qualifications (CASLAT) at Imperial College. A dedicated teaching package developed in
2003 was revised again with grant support from Imperial College and its Educational Unit in 20082009 making use of up-to-date educational theory and techniques (led by Drs Cornelius Ani and Aaron
Vallance). It has been very well received and evaluated with positive results. Dr Aaron won the best
trainee presentation for this work at the 2010 Annual Meeting of the Academic Faculty of the Royal
College of Psychiatrists.
Dr Hodes leads the teaching in developmental neuropsychiatry for the medical student BSc module in
Developmental Neuroscience and is Academic Lead for the Human Behaviour teaching in Imperial’s
BSc in Biomedical Science.
ii)
Postgraduate Teaching and Training
a) ST 1-3 grade: Teaching
The Unit co-ordinates the Child and Adolescent Psychiatry teaching for the MRCPsych course and is
involved in the clinical training of ST1-3 trainees during child and adolescent psychiatry placements
b) Specialist Registrar Grade (ST 4-6) in Child and Adolescent Psychiatry
The Unit oversees St Mary’s Higher Training Scheme’s academic programme. The Scheme has 15
full-time trainee posts and is one of the largest in the country with a particularly strong academic
programme. Drs Hodes and Doig are Scheme Directors. In 2010 Dr Cornelius Ani’s Academic
Programme Co-ordinator role was taken over by Drs Jovanka Tolmac & Sharon Taylor, and Dr Julia
Gledhill took over from Professor Garralda as research co-ordinator.
c) Overseas visitors
Overseas psychiatric trainees from Europe and elsewhere visit our Unit on a regular basis. The
Unit – together with the Institute of Psychiatry in London, and three academic units in the USA
[Columbia University Medical Centre (New York), Western Psychiatric Institute & Clinic
(University of Pittsburgh), and Bellevue Hospital Centre (New York University)] is part of the
Koplowitz Foundation’s prestigious international Advanced Training Fellowship network that
contributes to the training of academic child and adolescent psychiatrists from Spain by providing
academic and clinical training. At the Unit the latter is provided in collaboration with CNWL NHS
Foundation Trust.
iii)
Clinical Service Developments
Academics are actively involved in clinical care, trainee supervision and service developments. Dr
Hodes is CNWL NHS Foundation Trust’s lead clinician adviser for Westminster and has overseen
important developments in local Child and Adolescent Mental Health Services. Professor Garralda
researched and initiated the use of outcome measures by Child and Adolescent Mental Health
Services within CNWL Trust. Dr Hodes’ work has influenced the development of clinical
3
innovations such as outreach mental health services for young refugees and obtained a CNWL
Innovations grant to train service staff in interpersonal therapy, an evidence based technique for the
management of adolescent depression.
iv)
International Teaching, Training and Research collaborations
Professor Garralda and Dr Hodes lecture regularly nationally and internationally as invited
speakers. Professor Garralda is Senior Book Editor for IACAPAP (International Association for
Child and Adolescent Psychiatry) and Associate Editor for the British Journal of Psychiatry. Dr Ani
taught a course on CBT for African Child and Adolescent Mental Health Practitioners as part of the
IACAPAP study group in Abuja, Nigeria in October, 2009.
External research collaborations include: University College London (Prof Iliffe - adolescent
depression in primary care); University of Cambridge (Prof Barbarah Sahakian –
neuropsychological function in paediatric critical illness ); University of Warwick (Prof Swaran
Singh – transition mental health care or adolescents); Autonomous University of Barcelona (Profs
Domenech and Jane - somatisation in adolescents, anxiety disorders in children); Swiss Tropical
Institute, Basel (Prof Mitchell Weiss – ethnicity & learning disability); Lagos State University
Teaching Hospital (Dr Bolanle Ola – stigmatisation of sickle cell disease in school children); River
State College of Education, Nigeria (Dr Joseph Kinanee – stigmatisation of sickle cell disease by
teachers).
v)
Research
The Unit has primary research interests in:
 The interface between physical and mental health in children and adolescents.
 Cultural influences on child and adolescent mental health.
 Service utilisation and evaluation.
Additionally, we are developing research interests in
 The mental health of young offenders.
The specific areas of research activity are:
A.
Interface between physical and mental health in children and adolescents
Links between physical and mental health and disorders are widely acknowledged. It is appreciated
that many children present with distressing and impairing physical symptoms lacking in a medical
explanation, and that paediatric disorders can affect the mental health of children and family members
- which in turn can have a deleterious effect on their physical health. Our research seeks to document
the epidemiology and health burden of severe psychosomatic disorders and to examine mechanisms
through which physical health impacts on child and family mental health.

Incidence surveillance of severe psychosomatic problems in children: Unit members are
centrally involved in the running of CAPSS (Child and Adolescent Psychiatric Surveillance
System). Our national survey of severe conversion disorder in children has obtained the largest
sample in the literature so far: we now analysing data on clinical features and outcome, and
working on surveillance studies of other severe psychosomatic problems (Pervasive Withdrawal
Syndrome and Life threatening self-harm in adolescents). We are also working on an outcome
study of Pervasive Withdrawal Syndrome (Dr Ani, Prof Garralda, Dr Fiertag).
4




B.
Functional physical symptoms in school age young people: using research instruments validated by us in British samples - and data from large general population samples, we continue
to investigate how physical and psychological symptoms interact and impact different populations
of young people (Dr Vila; Prof Domenech, Autonomous University of Barcelona)
Mental health of children following critical illness: previous work from our unit has
documented surprisingly high levels of psychiatric disorder in children following critical illness
and sepsis. We are now investigating neuro-psychological deficits, exploring anomalies in the
biological stress response and links with neuropsychological and psychiatric sequelae. We are also
planning paediatric interventions to help reduce psychiatric morbidity following critical illness.
(Collaborative work with Drs Simon Nadel & Mehrengise Cooper, St Mary’s Hospital, Dr
Christine Pierce, Great Ormond Street Hospital; Professor Barbara Sahakian ,University of
Cambridge; Prof Vivette Glover, Imperial College London).
Psychosocial impact of Duchenne Muscular Dystrophy: we have identified risk and protective
mechanisms for sibling emotional health and maternal coping. We are now investigating
“therapeutic misconception” and other factors which may cause an emotional impact in genetic
trials. (Collaboration with Prof Francesco Muntoni, Institute of Child Health and Dr Anita
Simonds, The Brompton Hospital).
Stigma in children with sickle cell disease: Our study has shown for the first time that stigma
theory is applicable to sickle cell disease and that stigma contributes to psychological difficulty
in children affected by the condition
Cultural and ethnic aspects of child and adolescent psychiatry
Research into cultural and ethnic issues has investigated the psychopathology and service utilisation of
refugee children, and successfully evaluated outreach clinics in schools for psychologically distressed
refugee children.

Our studies have investigated psychopathology and social function amongst unaccompanied
asylum seeking children and shown them to experience high levels of war trauma and
psychological distress (posttraumatic stress symptoms), especially noticeable in those not living in
a high-support arrangement such as foster families. Our epidemiological study of adolescent
ethnic minority and refugee pupils in an inner London secondary school has identified further
risk and protective factors, and shown that refugee background and ethnicity are not associated
with increased psychological distress (posttraumatic stress and depressive symptoms)

A survey of London’s adolescent psychiatric inpatients has demonstrated a high representation of
black youngsters amongst adolescents with psychoses. A large proportion is accounted for by
Black African adolescents many of whom were refugees. We have also shown young female
refugees have elevated risk for violent deliberate self-harm.

Investigation of psychotic symptoms amongst young adults has shown high levels amongst
African Caribbean ethnic groups compared with South Asians. This is being further investigated
by identifying a white British group and investigating perception of social life (social coherence)
(Collaboration with Prof T Barnes and Dr T Weaver, Imperial College, London).

Investigation of families in which a child has intellectual disability has shown culturally
mediated variable perception of the child’s predicament and service needs and we have gone on
to show systematically that South Asian children with intellectual disability have reduced service
contact compared with white British and Black groups.
5

We have recently started to investigate cultural factors associated with the age when adolescent
treatment decision making is regarded as appropriate.

Investigation of idioms of distress in Spanish and Latin American adults.
C.
Health services utilisation and evaluation
In contrast with the wealth of research in adults, very little has been done to examine the potential of
primary care services to attend to child and adolescent mental health problems and to study specialist
health service provision.

Work by our Unit has pioneered this research area and demonstrated high levels of persisting comorbid depression amongst child and adolescent primary care attenders and developed and
evaluated a general practitioner training programme specifically addressing the identification and
management of adolescent depression. This has been shown to be acceptable and efficacious and
we are continuing to field test this intervention. The work recently received national recognition
when the Unit & Lonsdale Medical centre won the BMJ PCT of the Year award. (Collaboration
with Prof Steven Iliffe, University College London & Lisa Miller Lonsdale Medical Centre).

We have surveyed and provided important national data on bridging posts between primary care
child and adolescent mental health services (Primary Mental Health Worker posts) and
identified areas for further work including the implementation of training and development, modes
of working, and role evaluation. We have identified gaps in CAMHS paediatric liaison provision
and have been involved in a multi-method study of transitional mental health care for
adolescents which highlighted gaps in current service provision. (Collaboration with Professor
Swaran Singh, University of Warwick).
D.
Mental health of young offenders

Adolescent female offending is poorly understood. We are conducting a retrospective
comparative analysis of the offending careers of adolescent females and males using a 1980
offending cohort, from the Ministry of Justice, with a 26 year follow-up. We are also investigating
the often voiced claim of a change in female adolescent offending over time by comparing the
offending characteristics of a 1980 and a 1990 cohort of female adolescent offenders.

Social aggression by young people is an increasing problem & the technological advancements
achieved in recent years have seen an increase in a form of aggression referred to as
cyberbullying. Members of the Unit are currently developing a research protocol to explore the
associations between exposure to cyberbullying and mental health problems.
Plaudits

Dr Lorraine Als won the 1st prize for Oral Presentations at the Paediatric Intensive Care Society
meeting (Cambridge, September 2009).

Dr Aaron Vallance won the top prize for Best Trainee Presentation at the Annual meeting of the
Academic Faculty of the Royal College of Psychiatrists (February 2010).
6

In partnership with Lonsdale PCT the Academic Unit won the British Medical Journal Primary
Care Team of the Year (May 2010) [for collaborative research on managing depression in young
people in primary care].
Funded Research (2008-2010)
Fundacion Alicia Koplowitz Fellowship Programme (2004 – 2012)
£1,080,793
Meningitis Research Foundation (2006 – 2010):
£154, 165
 Neuro-cognitive function in children following hospital admission with septic illness and
meningo-encephalitis (Professor Elena Garralda, Dr Simon Nadel)
 Mechanisms of memory defects in children following critical illness - the effects of cortisol
(Lorraine Als, Dr Simon Nadel, Prof V Glover, Prof Garralda)
BUPA (2008 – 2010):
£73,814
A surveillance study of the incidence, associated factors and short-term outcome of conversion
disorder in children in UK and Ireland. (Dr Cornelius Ani, Prof Garralda)
The Sir Jules Thorn Charitable Trust (2005 – 2009):
£8,900
Self-perceived stigma and fear of negative evaluation (FNE) in young people with sickle cell
disease; associations with psychosocial distress (Dr Matthew Hodes, Dr Cornelius Ani, Prof Elena
Garralda.
WeLReN (Oct 2006 – Apr 2009):
£15,000
The recognition of depression in adolescent seen in general practice: testing “therapeutic
identification” (Dr Steven Iliffe, Professor Elena Garralda, Dr Tami Kramer, Dr Julia Gledhill).
Department of Health SDO Programme (Mar 2006 – Jun 2008):
£368,786
Transition from CAMHS to Adult Mental Health Services (TRACK): A Study of Service
Organisation, Policies, Process and User and Carer Perspective (Dr Swaran Singh, Dr Tami
Kramer, Dr Tim Weaver and colleagues).
CNWL NHS Trust Innovations Fund (Apr 2009 – 2011):
£33,668
The Provision of Training to Child and Adolescent Mental Health Practitioners in Interpersonal
Psychotherapy for Depressed Adolescents. (Dr Matthew Hodes, Dr Julia Gledhill).
Imperial College London (Jun 2007 – Jun 2008):
Teaching Development Grant (Professor Elena Garralda, Dr Cornelius Ani).
£3,500
Travel Grants to attend and contribute to meetings
£1,197
Hallinan Travel Grants, Imperial College London:
i)
African Psychiatric Association Conference, Ghana, April 2008 (Dr Cornelius Ani)
ii)
with COSMIC : ESPNIC Conference, June 2009 (Dr Lorraine Als)
Royal College of Psychiatrists/Welcome Trust Annual Academic Meeting, Feb 2009. (Dr Aaron
Vallance)
7
PUBLICATIONS 2008 – 2010
Peer review journals:
Ellis, J., Tan, H.K., Gilbert, R., Muller, D., Henley, W., Moy, R., Pumphrey, R., Ani, C., Davies, S.,
Green, H., Salt, A., & Logan, S. (2008) Supplementation with antioxidants and folinic acid for
children with Down’s syndrome: randomised controlled trial. British Medical Journal, 336
(March), 594 – 597.
Elison, S., Shears, D., Nadel, S., Sahakian, B., & Garralda, E. (2008) Neuropsychological function
in children following admission to paediatric intensive care: A pilot investigation. Intensive Care
Medicine, 34(7), 1289 – 1293.
Hodes, M., Jagdev, Chandra, N., & Cunniff, A. (2008) Risk and resilience for psychological
distress amongst unaccompanied asylum seeking adolescents. Journal of Child Psychology &
Psychiatry, 49(7), 723 – 732.
Singh, S., Paul, M., Ford, T., Kramer, T., & Weaver, T. (2008) Transitions of care from child and
adolescent mental health services to adult mental health services (TRACK Study): A study of
protocols in Greater London. BMC Health Services Research, 8:135 doi:10.1186/1472-6963-8-135.
McCrory, E., Hickey, N., Farmer, E & Vizard, E. (2008). Recurrent sexually harmful behaviour in
early childhood: A marker for life course persistent antisocial behaviour. Journal of Forensic
Psychiatry and Psychology, 19(3), 382-395.
Bradley, S. Hickey, N., Kramer, T., & Garralda, E.(2008) What makes a good CAMHS Primary
Mental Health Worker? Child and Adolescent Mental Health, 14(1), 15-19.
Garralda, M.E., Rose, G., & Dawson, R (2008) Measuring outcomes in a child psychiatry inpatient
unit. Journal of Children’s Services, 3(3), 6 – 16.
Illiffe, S., Williams, G., Fernandez, V., Vila, M., Kramer, T., Gledhill, J., & Miller, L. (2008).
General Practitioners’ understanding of depression in young people: Qualitative study. Primary
Health Care Research and Development, 9, 269-279.
Illiffe, S., Williams, G., Fernandez, V., Vila, M., Kramer, T., Gledhill, J., & Miller, L. (2009).
Treading a fine line: Is diagnosing depression in young people just medicalising moodiness? British
Journal of General Practice, 59(560), 156-157.
Anuradha, A., Kramer, T., & Hickey, N. (2009). Shootings by students at school. Student British
Medical Journal, 17 (Feb), 42.
Naguib, J., Kulinskaya, E., Lomax, C., & Garralda, E. (2009) Neurocognitive performance in
children with type 1 diabetes- A meta-analysis. Journal of Pediatric Psychology, 34(3), 271 – 282.
Hickey, N., Yang, M., & Coid, J. (2009) The development of the Medium Security Recidivism
Assessment Guide (MSRAG): An actuarial risk prediction instrument. Journal of Forensic
Psychiatry and Psychology, 20(2), 202 - 224.
Hickey, N., McCrory, E., Farmer, E.& Vizard, E. (2009) Comparing the developmental and
behavioural characteristics of female & male juveniles who present with sexually abusive
8
behaviour. Journal of Sexual Aggression, 14(3), 241-252.
Garralda, M.E. (2009) Accountability of specialist child and adolescent mental health services. The
British Journal of Psychiatry, 194, 389 – 391.
Hickey, N., Kramer, T., & Garralda, E. (2009) Developing the Primary Mental Health Worker role
in England. Child and Adolescent Mental Health, 15, 23-29.
Ferrin, M., Gledhill, J., Kramer, T., & Garralda, M.E. (2009). Factors influencing primary care
attendance in adolescents with high levels of depressive symptoms. Social Psychiatry and
Psychiatric Epidemiology, 44, 825- 833; doi: 10.1007/s00127-009-0004-x.
Fernandez, V., Kramer, T., Fong, G., Doig, A., & Garralda, M.E. (2009) Depressive symptoms and
behavioural health risks in young women attending an urban sexual health clinic. Child Care:
Health and Development, 35, 799-806.
Kinali M, Arechavala-Gomeza V, Feng L, Cirak S, Hunt D, Adkin C, Guglieri M, Ashton E, Abbs
S, Nihoyannopoulos P, Garralda ME, Rutherford M, Mcculley C, Popplewell L, Graham IR,
Dickson G, Wood MJA, Wells DJ, Wilton SD, Kole R, Straub V, Bushby K, Sewry C, Morgan JE,
Muntoni F (2009) Local restoration of dystrophin expression with the morpholino oligomer AVI4658 in Duchenne muscular dystrophy: a single-blind, placebo-controlled, dose-escalation, proofof-concept study. The Lancet Neurology, 8, 918 – 928.
Vila, M., Kramer, T., Hickey, N., Dattani, M., Jefferis, H., Singh, M., & Garralda, M.E. (2009).
Assessment of Somatic symptoms in British secondary school children using the Children’s
Somatization Inventory (CSI). Journal of Pediatric Psychology, 34, 989-998 doi: 10.1093/
jpepsy/jsp005
Garralda ME, Gledhill J, Nadel S, Neasham D, O’Connor M, Shears D (2009) Longer-term
psychiatric adjustment of children and parents following meningococcal disease. Pediatric Critical
Care Medicine, 10, 675-80 - doi:10.1097/PCC.Ob013e3181ae785a
Read, J, Muntoni F, Kinali M, Garralda ME (2009) Psychosocial adjustment in siblings of young
people with Duchenne muscular dystrophy. European Journal of Paediatric Neurology, 14, 340348, doi:10.1016/j.ejpn.2009.09.011
Dura-Vila, G., & Hodes, M. (2009). Ethnic variation in service utilisation amongst children with
intellectual disability. Journal of Intellectual Disability Research, 53, 939-948.
Durà-Vilà, G., Dein S, & Hodes M. (2010) Children with Intellectual Disability: a Gain not a Loss.
Parental Beliefs and Family Life. Clinical Child Psychology and Psychiatry, 15, 171-184.
Dura-Vila, G., & Dein, S. (2010). The dark night of the soul: spiritual distress & its psychiatric
implications, Mental Health, Religion & Culture, 12, 543-559.
Gledhill, J., & Hodes, M. (2010). Depression and suicidal behaviour in children and adolescents.
InnovAit, 3, 209-213.
Kramer T, Iliffe S, Miller L, Gledhill J, Garralda E (2010) Depression in adolescents Collaboration to overcome barriers n primary care. British Medical Journal, 340, 381
9
Hodes, M. (2010). The mental health of detained asylum seeking children. European Child and
Adolescent Psychiatry, 19, 621-623; doi: 10.1007/s00787-010-0093-9
Garralda ME (2010) Unexplained physical complaints. Child and Adolescent Psychiatric Clinics of
North America, 19, 199-209.
Dura-Vila, G., & Dura-Vila, V. (2010) Reply to Gold and Olin: antidepressants and the identity of
persons. Transcultural Psychiatry, 47(2), 322-334.
Read, J., Simonds, A., Kinali, M., Muntoni, F. & Garralda, E. (2010). Sleep and well-being in
young men with neuromuscular disorders receiving non-invasive ventilation and their carers.
Neuromuscular Disorders, doi 10.1016
In press:

Hickey, N., & Butler , S. Examining the Sex-Plus and Sex-only typology in a sample of nonadjudicated juveniles who sexually harm. Sexual Abuse: A Journal of Research & Treatment.

Dura-Vila, G., Hagger, M., Leavey, G., & Dein, S. Ethnicity, religion and clinical practice: a
qualitative study of beliefs and attitudes of psychiatrists in the UK. Mental Health, Religion
and Culture.

Dura-Vila, G., Dein, S., Littlewood, R., & Leavey, G. The dark night of the soul: causes and
resolution of emotional distress in contemplative nuns. Transcultural Psychiatry

Taylor, S., Haase-Casanovas, S., Weaver, T.D., Kidd, J, and Garralda, E. Child involvement in
the paediatric consultation: a qualitative investigation. Child, Care and Development.

Kramer T, Iliffe S, Gledhill J, Garralda E Recognising and responding to adolescent depression
in general practice: developing and implementing the Therapeutic Identification of Depression
in Young people (TIDY) programme. Clinical Child Psychology and Psychiatry.

Singh, S., Paul, M., Ford, T., Kramer, T., Weaver, T., McCaren, S., Hovish, K., Islam, Z.,
Belling, R., & White, S. Lost in transition: a multi-perspective study of process, outcome and
experience of transition from child to adult mental health care (TRACK). The British Journal
of Psychiatry,
Books, book chapters & non-peer-reviewed papers:
Hodes, M., Calderon, R., Breuner, C., & Varley C. (2008) Treatment of eating disorders in children
and adolescents. In P Tyrer & K Silk (Eds) Cambridge Handbook of Effective Treatments in
Psychiatry. Cambridge: Cambridge University Press.
Varley, C, Diaz-Caneja A, Garralda ME (2008) Anxiety Disorders: OCD, Phobias, GAD, SAD,
Adjustment Disorders and PTSD. In P Tyrer & K Silk (Eds) Cambridge Handbook of Effective
Treatments in Psychiatry. Cambridge: Cambridge University Press.
Olson, H., Winters, N.C., Davidson Ward S.L., Hodes, M. (2008) Feeding and sleeping disorders in
infancy and early childhood. In P Tyrer & K Silk (Eds) Cambridge Handbook of Effective
10
Treatments in Psychiatry. Cambridge: Cambridge University Press.
Garralda, M.E. & Raynaud, J.P. (Eds.) (2008) Culture and conflict in child and adolescent mental
health. New York: Jason Aronson.
Gledhill, J., & Garralda, ME. (2008) Measurement of behavioural and emotional adjustment in
children and their families. Psychiatry, 7(6), 253 – 259.
Vallance, A., & Garralda, ME.(2008) Anxiety disorders in children and adolescents. Psychiatry,
7(8), 325- 330.
Garralda, E. (2008) Somatization and somataform disorders, Psychiatry, 7(8), 353 – 356.
Gledhill J & Hodes M. (2008) Depression and suicidal behaviour in children and adolescents.
Psychiatry, 7(8), 335 – 339.
Garralda, ME., & Raynaud, JP. (2008) The 2008 IACAPAP Book. IACAPAP Bulletin, 21(6).
Hodes, M., Dura Vila, G., Kan, C., Tolmac, J & Kramer, T. (2008) The mental health of British
African-Caribbean children and adolescents. In ME Garralda & JP Raynaud (Eds.), Culture and
conflict in child and adolescent mental health. New York, Jason Aronson.
Ani, C., and Ani, O. (2008) The effects of stigma on mental and physical health in children, with
special reference to African children. In ME Garralda & JP Raynaud (Eds) Culture and conflict and
child and adolescent mental health, New York: Jason Aronson.
Hodes M. (2008) Psychopathology in refugee and unaccompanied asylum-seeking children
(including movement of populations). In Rutter M, Bishop D, Pine, D, Scott S, Stevenson J, Taylor
E, Thapar A. (Eds) Rutter's Child and Adolescent Psychiatry 5th Edition. Oxford: Blackwell
publishing.
Kramer T, & Garralda ME (2008) Primary Health Care Psychiatry. In Rutter M, Bishop D, Pine, D,
Scott S, Stevenson J, Taylor E, Thapar A. (Eds.), Rutter’s Child and Adolescent Psychiatry, 5th
Edition. Oxford: Blackwell Publishing.
Gledhill J, & Garralda ME (2009) The relationship between physical and mental health in children
and adolescents. Chapter 9.3.4 in New Oxford Textbook of Psychiatry 2d Edition. Editors: MG
Gelder, NC Andreasen, JJ Lopez-Ibor, JR Geddes. Oxford University Press. Oxford, pp 1740-1746
Garralda ME (2009) Chronic Fatigue Syndrome. In O’Donohue WT & Tolle LW (Eds),
Behavioural Approaches to Chronic Disease in Adolescence. Springer Verlag: New York, pp 285296.
Garralda ME, & Raynaud JP. (2010). Increasing awareness of child and adolescent mental health IACAPAP 2010 Beijing Congress Book. IACAPAP bulletin, 25, 12-13 www.iacapap.org
Garralda ME, & Raynaud JP (Editors) (2010). Increasing awareness of child and adolescent mental
health. Jason Aronson, New York.
Kramer, T., & Garralda, ME. (2010) Problems of children and adolescents. In L Gask et al (Eds.),
Handbook of Primary Care Mental Health. London: Royal College of Psychiatrists.
11
Vallance, A., & Garralda, ME.(2010) Sleep, fatigue and chronic fatigue syndrome. In S Bailey & R
Persaud (Eds.), The Young Mind: A user’s guide. London: Royal College of Psychiatrists.
Taylor, S., & Ani, C. (2010). Emotions and behaviour. In T Lissauer & G Clayden (Eds.),
Illustrated Textbook of Paediatrics. Elsevier: Philadelphia.
Hodes M. (2010) CAMHS for refugees and recent immigrants. In G Richardson, I Partridge & J
Barrett (Eds.), Child and Adolescent Mental Health Services. An Operational Handbook. Second
edition. London: Gaskell. Pp 214-225.
In press:

Vila M, Garralda ME
Sintomas somaticos funcionales y trastornos somatoforms en la
población infanto-juvenil. Chapter in Manual de Psiquiatria del Nino y del Adolescente
(Editors: C Soutullo, Ma Jesus Mardomingo). Editorial Medica Panamericana. Madrid

Vallance, A., & Garralda, E. Child psychiatry. In PR Casey (Ed) A guide to psychiatry in
primary care 4th edition. Wrightson Biomedical publishing: Hampshire.
Reports:
Hickey, N., Kramer, T., & Garralda, E. (2008) Primary Mental health Workers (PMHWs) in child
and adolescent mental health services: A survey of PMHW’s perceptions about organisation,
management and role. http://www.csip.org.uk/~cypf/camhs/primary-mental-health-workers.html
12