scholarly journals Facilitators and Barriers to Person-centred Care in Child and Young People Mental Health Services: A Systematic Review

2016 ◽  
Vol 24 (4) ◽  
pp. 870-886 ◽  
Author(s):  
Dawid Gondek ◽  
Julian Edbrooke-Childs ◽  
Tjasa Velikonja ◽  
Louise Chapman ◽  
Felicity Saunders ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Facilitators And Barriers

scholarly journals Pathways to mental health services for young people: a systematic review

2018 ◽  
Vol 53 (10) ◽  
pp. 1005-1038 ◽  
Author(s):  
Kathleen MacDonald ◽  
Nina Fainman-Adelman ◽  
Kelly K. Anderson ◽  
Srividya N. Iyer
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Young People ◽  
Health Services

scholarly journals Outcomes of young people who reach the transition boundary of child and adolescent mental health services: a systematic review

2019 ◽  
Vol 28 (11) ◽  
pp. 1431-1446 ◽  
Author(s):  
Rebecca Appleton ◽  
Catriona Connell ◽  
Emma Fairclough ◽  
Helena Tuomainen ◽  
Swaran P. Singh
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Transition Boundary

A systematic review of service transitions in people with ADHD

2016 ◽  
Vol 33 (S1) ◽  
pp. S58-S58
Author(s):  
F. McNicholas ◽  
M. Tatlow-Golden ◽  
B. Gavin ◽  
S. Singh
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Grey Literature ◽  
Young Person ◽  
Service Development ◽  
Transition Boundary ◽  
Low Rate

BackgroundYoung people (YP) with attention deficit hyperactivity disorder (ADHD) are recognized to be a group who are particularly vulnerable to falling through the gap regarding transitioning from Child and Adolescent Mental health Services (CAMHS) to Adult Mental Health Services (AMHS). This presentation will combine a systematic review of the literature with some clinical examples of the pathway for a number of YP with ADHD who reach the transition boundary (TB).Method(1) Databases (e.g., PubMed, PsycINFO, AMED, CINAHL, EMBASE, Web of Knowledge), and grey literature, were searched systematically with database-specific key words, variants and truncations, to cover six subject areas: ADHD; transition or transfer; age; experiences or views; service development; and policies or protocols. Hand searching of key journals, ancestry and forward searches of references, and expert consultation were conducted. Two reviewers critically evaluated studies using a validated appraisal tool for mixed methodologies and findings were synthesized. (2) Following ethical approval, CAMHS clinicians from 9 clinics in Republic of Ireland identified all cases where a YP with ADHD had reached the TB, and identified referral/service outcomes (n = 20).ResultsThe search yielded 27 studies, covering areas of service review and recommendations (7), guidelines (3), medication (5), case note audit (3), professional's views (5), pilot transition clinics (2). A further set of papers covered the perspective of the young person (4) and parent (2). Overall these highlighted the less than optimum experience by both clinicians and service users of the experience with suggestions for future developments. These findings were mirrored in the review of clinical notes and individual interviews of YP identified through their CAMHS. Of the 20 young people identified, only 1 was directly transferred to AMHS. Eight were retained in CAMHS, on average for over a year. A significant number (7) refused onward referral. A perception from CAMHS clinicians, that AMHS did not accept such cases or lacked relevant service/expertise, may have contributed to the low rate of referral.ConclusionBoth the extant literature and the specific study presented highlight the lack of clear cut consensus about the appropriate management of young people with ADHD have who reach the transition boundary. Low rates of AMHS transfer may come from CAMHS clinicians’ perceptions of AMHS, and preferences of young people and families. Before assuming the very low rate of referral by CAMHS clinicians is poor practice, clinical outcomes need to be identified, young people's reasons for refusing transfer explored and service options identified.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Using digital mood monitoring technology to support the assessment, engagement and empowerment of young people presenting to mental health services with mood instability

2017 ◽  
Vol 41 (S1) ◽  
pp. S545-S545
Author(s):  
M. Dubad ◽  
S. Marwaha ◽  
C. Winsper
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Smartphone Application ◽  
Future Research ◽  
Monitoring Technology ◽  
Mood Instability ◽  
Monitoring Applications

BackgroundDigital mood-monitoring technology, such as mood-monitoring applications, is increasingly advocated within clinical research and is a potentially effective method to engage and empower youth. However, limited evidence is available on this type of technology.Objectives(1) To assess the evidence for the use of mobile mood-monitoring applications in youth; (2) to explore what available smartphone application would be most suitable to monitor mood from the perspective of young people; (3) to examine whether mood-monitoring applications are useful for investigating mood instability in youth; (4) to explore the utility and acceptability of using the mood-monitoring application from young people's and clinicians’ perspectives.AimTo investigate how mood-monitoring applications can be used to support the assessment, engagement and empowerment of young people presenting to mental health services with a range of diagnoses in which mood instability forms a key component.MethodsA systematic review using a Cochrane methodology was conducted. After obtaining ethical approval, this study will also employ a mixed methods approach, through which quantitative findings (e.g., digital mood-monitoring data) will be furnished with an in-depth understanding of young people's views on digital mood-monitoring technology.ResultsFindings from a systematic review focusing on the evidence for the psychometric properties, usability and clinical impacts of applications in youth will be presented. Preliminary results from consultations groups and plans for future research will also be discussed.ConclusionsEvidence acquired through this research can potentially influence mental health policies and result in more innovative (adjunct) interventions and improved outcomes for young people with mood instability.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The divide between child and adult mental health services: points for debate

2013 ◽  
Vol 202 (s54) ◽  
pp. s41-s44 ◽  
Author(s):  
Clare Lamb ◽  
Margaret Murphy
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Discussion Paper ◽  
Adult Mental Health ◽  
The Uk

SummaryThis discussion paper outlines our personal views for debate on some of the complexities inherent in the crucial task of improving mental health services for young people in the UK.

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