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Clinicians working in UK child mental health services are faced with several challenges in providing accurate assessment and diagnosis of attention deficit hyperactivity disorder (ADHD). Within the South London & Maudsley (SLaM) NHS Trust, community Child & Adolescent Mental Health Services (CAMHS) are developing structured pathways for assessing and diagnosing ADHD in young people. To date, these pathways have not been formally evaluated. The main aims of this evaluation are to evaluate all ADHD referrals made to the service in an 18-month period, including the number of completed assessments and proportion of children diagnosed with ADHD; and investigate adherence to the National Institute for Clinical Excellence (NICE) guideline for diagnosing ADHD in children and young people.

Retrospective data analysis was performed using service databases and electronic patient records. Adherence to the clinical guideline was measured using the NICE data collection tool for diagnosing ADHD in children and young people. All completed ADHD assessments were compared to four key recommendation points in the guideline.

Within the time frame, 146 children aged 4-17 years were referred and accepted for an ADHD assessment. Of these, 92 families opted in and were seen for an initial appointment. In total, 36 ADHD assessments were completed, of which 19 children received a diagnosis of ADHD and 17 did not. Aside from structured recording of ADHD symptoms based on ICD-10 criteria (69%) and reporting of functional impairment (75%), adherence to all guidance points was above 90%. The study also found that although a greater proportion of children referred to the service were male and identified as White, these differences narrowed upon receipt of ADHD diagnosis.

Relationship to the existing literature is discussed in relation to the assessment process, demographic characteristics and rates of co-occurrence.

The findings demonstrate that in child mental health services, gold standard practice for diagnosing ADHD should be the adoption of clear, protocol-driven pathways to support appropriate access and treatment for young people and their families.

This article is unique in that it is, to the best of the authors’ knowledge, the first to describe and report clinician-adherence to a structured pathway for diagnosing ADHD in young people within a community CAMHS service in South London.

Using the backdrop of an (apparently) extended visit to the West Indies, analogies with key concerns of internal audit are drawn. An unusual and refreshing way of exploring the main themes ‐ a discussion between Bill and Jack on tour in the islands ‐ forms the debate. Explores the concepts of control, necessary procedures, fraud and corruption, supporting systems, creativity and chaos, and building a corporate control facility.

Using the backdrop of an (apparently) extended visit to the West Indies, analogies with key concerns of internal audit are drawn. An unusual and refreshing way of exploring the main themes ‐ a discussion between Bill and Jack on tour in the islands ‐ forms the debate. Explores the concepts of control, necessary procedures, fraud and corruption, supporting systems, creativity and chaos, and building a corporate control facility.

In this article we focus on two women, Catherine Francis (1836‐1916) and Dorothy Dolling (1897‐ 1967), whose lives traversed England, New Zealand and South Australia. At the beginning of this period the British Empire was expanding and New Zealand and South Australia had much in common. They were white settler societies, that is ‘forms of colonial society which had displaced indigenous peoples from their land’. We have organised the article chronologically so the first section commences with Catherine’s birth in England and early life in South Australia, where she mostly inhabited the world of the young ladies school, a transnational phenomenon. The next section investigates her career in New Zealand from 1878 where she led the Mount Cook Infant’s School in Wellington and became one of the colony’s first renowned women principals. We turn to Dorothy Dolling in the third section, describing her childhood and work as a university student and tutor in New Zealand and England. The final section of our article focuses on the ways in which both women have been represented in the national memories of Australia and New Zealand. In so doing, we show that understandings about nationhood are also transnational, and that writing about Francis and Dolling reflects the shifting relationships between the three countries in the twentieth century.

Communications regarding this column should be addressed to Mrs. Cheney, Peabody Library School, Nashville, Term. 37203. Mrs. Cheney does not sell the books listed here. They are available through normal trade sources. Mrs. Cheney, being a member of the editorial board of Pierian Press, will not review Pierian Press reference books in this column. Descriptions of Pierian Press reference books will be included elsewhere in this publication.

ATTENTION has been repeatedly drawn to certain drawbacks in the library profession which tend to hinder progress in many ways, and recently some discussion has taken place concerning the long hours and short pay of library assistants. Some years ago there appeared, we believe, in one of Mr. Greenwood's valuable Library Year Books, an analysis of the hours of work in a large number of British Municipal Libraries, and it was made plain from this that a majority of assistants had to work considerably more than forty‐eight hours weekly. Conditions may have changed since then, although it is open to doubt, but the fact remains that too many assistants, and a considerable number of librarians in small places, are now working so long, and in such broken spells, as to preclude any possibility of attaining self‐culture or reasonable recreation. The case of the small town librarian is particularly distressing. In some instances he is a man who has been well‐trained in a large town library, and inspired by a mistaken ambition, elects to attain a position of independence by accepting the chief librarianship in a library of which he afterwards finds himself the sole officer. He is responsible for the cleaning, as well as the ordinary work of a librarian, and his efforts to convert a miserable library rate of a few pounds into an engine of immense efficiency (as expected by the local authority) are enough to make the financial operations of even an American millionaire seem petty in comparison. We have had several cases like this brought to notice within a few weeks, and they give added point to any plea for reform which may be advanced. One young man, well‐educated and well‐trained, undertook the charge of a small municipal library, chiefly because it happened to be near London, and he wished to be in touch with that great and attractive centre. He very soon discovered that the hours of the library were so arranged as to occupy his whole time and keep him employed all day, from 9 a.m. or earlier, till 10 p.m., with two short breaks which did not suffice for a visit to London. On Sunday he was too tired to think of London, apart from which, the institutions which interested him were closed, so that it is possible this librarian has not yet seen the longed‐for London of his cherished anticipations ! There are cases like this in the smaller libraries all over the country, where one official has to perform all the work in an unlimited number of hours. If, as is done in some places, the hours of opening are greatly curtailed in order to give the librarian his deserved and well‐earned rest, then the public suffer. On the other hand, a library administered by a single officer and kept open from nine to ten hours daily, is rather of the nature of a slave‐compound, in which an official is kept prisoner in the interests of the omnipotent ratepayer. Wherever small staffs are kept, there exists this tendency towards long hours, and a consequent eterioration in the efficiency and educational qualifications of assistants. A standing complaint among those who are engaged in the educational work of the Library Association is that so many candidates are deficient in the most elementary subjects, such as composition, spelling and arithmetic. This is undoubtedly caused by the employment of imperfectly educated assistants, who are afterwards tied so fast to their library duties that they are unable to find any time for study and reading. In libraries where small staffs and long hours of opening are found together, it is almost certain that the work‐hours of the assistants will be excessive, and the efficiency of the service impaired.