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Developmental psychiatry - insights from learning disability^*

Department of Psychiatry of Disability, St George's Hospital Medical School, Jenner Wing, Cranmer Terrace, Tooting, London SW17 0RE, UK

Declaration of interest None.

^* Originally presented as the 1999 Blake Marsh Lecture at the Annual Meeting of the Royal College of Psychiatrists, Birmingham, 29 June 1999.

¹ Learning disability is the term preferred by the Department of Health in England and is synonymous with mental retardation as defined in ICD-10.

Background The Blake Marsh lecture, an annual lecture on learning disability, was endowed in 1963 in memory of Dr Blake Marsh, the former medical superintendent of Bromham House Colony in Bedford. The first lecture was given in 1967.

Aims To review the speciality of the psychiatry of learning disability and how it is currently practised in the UK.

Method Clinical, service, research and educational issues in learning disability psychiatry are reviewed and illustrated.

Results Key issues which emerge in all four areas include the importance of communication skills, consultation with users and carers, professional education and partnership.

Conclusions The psychiatry of learning disability is a complex, varied and stimulating branch of psychiatry with a strong developmental focus.

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