Child and adolescent wellbeing in the UK

The Lancet ◽  
2013 ◽  
Vol 381 (9875) ◽  
pp. 1334
Author(s):  
The Lancet
Keyword(s):  
Child And Adolescent ◽  
The Uk

scholarly journals Distribution and characteristics of in-patient child and adolescent mental health services in England and Wales

2003 ◽  
Vol 183 (6) ◽  
pp. 547-551 ◽  
Author(s):  
Anne O'Herlihy ◽  
Adrian Worrall ◽  
Paul Lelliott ◽  
Tony Jaffa ◽  
Peter Hill ◽  
...  
Keyword(s):  
Mental Health ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Specialist Service ◽  
England And Wales ◽  
Current State ◽  
Specialist Services ◽  
Adolescent Mental Health Service ◽  
Independent Sector ◽  
The Uk

BackgroundLittle is known about the current state of provision of child and adolescent mental health service in-patient units in the UK.AimsTo describe the full number, distribution and key characteristics of child and adolescent psychiatric in-patient units in England and Wales.MethodFollowing identification of units, data were collected by a postal general survey with telephone follow-up.ResultsEighty units were identified; these provided 900 beds, of which 244 (27%) were managed by the independent sector. Units are unevenly distributed, with a concentration of beds in London and the south-east of England. The independent sector, which manages a high proportion of specialist services and eating disorder units in particular, accentuates this uneven distribution. Nearly two-thirds of units reported that they would not accept emergency admissions.ConclusionsA national approach is needed to the planning and commissioning of this specialist service.

scholarly journals Incidence of anorexia nervosa in young people in the UK and Ireland: a national surveillance study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e027339 ◽  
Author(s):  
Hristina Petkova ◽  
Mima Simic ◽  
Dasha Nicholls ◽  
Tamsin Ford ◽  
A Matthew Prina ◽  
...  
Keyword(s):  
Mental Health ◽  
Anorexia Nervosa ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Young Women ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Surveillance Study ◽  
The Uk

ObjectivesThis study aimed to estimate the incidence of DSM5 anorexia nervosa in young people in contact with child and adolescent mental health services in the UK and Ireland.DesignObservational, surveillance study, using the Child and Adolescent Psychiatry Surveillance System, involving monthly reporting by child and adolescent psychiatrists between 1st February 2015 and 30th September 2015.SettingThe study was based in the UK and Ireland.ParticipantsClinician-reported data on young people aged 8–17 in contact with child and adolescent mental health services for a first episode of anorexia nervosa.Main outcome measuresAnnual incidence rates (IRs) estimated as confirmed new cases per 100 000 population at risk.Results305 incident cases of anorexia nervosa were reported over the 8-month surveillance period and assessed as eligible for inclusion. The majority were young women (91%), from England (70%) and of white ethnicity (92%). Mean age was 14.6 years (±1.66) and mean percentage of median expected body mass index for age and sex was 83.23% (±10.99%). The overall IR, adjusted for missing data, was estimated to be 13.68 per 100 000 population (95% CI 12.88 to 14.52), with rates of 25.66 (95% CI 24.09 to 27.30) for young women and 2.28 (95% CI 1.84 to 2.79) for young men. Incidence increased steadily with age, peaking at 15 (57.77, 95% CI 50.41 to 65.90) for young women and 16 (5.14, 95% CI 3.20 to 7.83) for young men. Comparison with earlier estimates suggests IRs for children aged 12 and under have increased over the last 10 years.ConclusionThese results provide new estimates of the incidence of anorexia nervosa in young people. Service providers and commissioners should consider evidence to suggest an increase in incidence in younger children.Trial registration numberISRCTN12676087.

scholarly journals Time trends in referrals to child and adolescent gender identity services: a study in four Nordic countries and in the UK

2019 ◽  
Vol 74 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Riittakerttu Kaltiala ◽  
Hannah Bergman ◽  
Polly Carmichael ◽  
Nastasja M. de Graaf ◽  
Karen Egebjerg Rischel ◽  
...  
Keyword(s):  
Gender Identity ◽  
Time Trends ◽  
Child And Adolescent ◽  
Nordic Countries ◽  
The Uk

scholarly journals Anti-bullying policy in child and adolescent psychiatric units

1998 ◽  
Vol 22 (9) ◽  
pp. 557-559
Author(s):  
Stephanie Sommers ◽  
Lucia Whitney
Keyword(s):  
Child And Adolescent ◽  
Bullying Policy ◽  
Psychiatric Units ◽  
The Subject ◽  
The Uk

Bullying is a common problem. There has been much written on the subject, mainly relating to schools. In this study a questionnaire was sent to 66 child and adolescent psychiatric units in the UK, 50 (75%) were returned. The units were surveyed on frequency of bullying, whether an anti-bullying policy was in place and whether difficulties had been encountered setting up the policy. An anti-bullying policy was present in only 10% of units. Further research is needed on bullying and appropriate and effective methods of dealing with it on child and adolescent psychiatric units.

Recruitment, retention, satisfaction and stress in child and adolescent psychiatrists

2003 ◽  
Vol 27 (2) ◽  
pp. 61-67 ◽  
Author(s):  
S. Littlewood ◽  
P. Case ◽  
R. Gater ◽  
C. Lindsey
Keyword(s):  
Psychological Distress ◽  
Job Stress ◽  
Management Training ◽  
Child And Adolescent ◽  
Postal Survey ◽  
Self Management ◽  
Clinical Implications ◽  
The Uk ◽  
Staffing Requirements ◽  
Safe Access

Aims and MethodA postal survey was sent to all consultant child and adolescent psychiatrists in the UK and Eire examining recruitment, retention, job satisfaction and job stress.ResultsA response was received from 333 (60%) child and adolescent psychiatrists. Sixty-one per cent indicated their service was inadequately resourced and 89% reported that their service failed to meet the College's minimum staffing requirements. Safe access to in-patient beds was not available to 71%. One hundred and thirty vacant posts were identified. Rates of psychological distress and burnout were high. Adequate services and the presence of a close, supportive colleague were associated with higher rates of satisfaction and lower rates of psychological distress and emotional exhaustion.Clinical ImplicationsA multi-faceted approach is suggested and recommendations are described under the headings of self-management, training, recruitment and commissioning.

Social Workers in Child Mental Health: Securing a Future

2000 ◽  
Vol 5 (3) ◽  
pp. 102-107
Author(s):  
Philip Messent
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Social Workers ◽  
Child Mental Health ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
The Uk

A study was conducted to investigate reductions in the numbers of social work posts located within Child and Adolescent Mental Health Services in the UK. Results suggested that reductions in posts noted in earlier studies are continuing. Interviewees' ideas about factors contributing to the survival of such posts are summarised. The significance of the loss of posts is discussed, with an account of changing ideas about the role of social workers within CAMHS teams, and of an audit undertaken of one service lacking such a post. Conclusions are drawn concerning ways of ensuring the preservation of such posts.

scholarly journals Distribution and characteristics of in-patient child and adolescent mental health services in England and Wales

2003 ◽  
Vol 183 (06) ◽  
pp. 547-551 ◽  
Author(s):  
Anne O'Herlihy ◽  
Adrian Worrall ◽  
Paul Lelliott ◽  
Tony Jaffa ◽  
Peter Hill ◽  
...  
Keyword(s):  
Mental Health ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Specialist Service ◽  
England And Wales ◽  
Current State ◽  
Specialist Services ◽  
Adolescent Mental Health Service ◽  
Independent Sector ◽  
The Uk

Background Little is known about the current state of provision of child and adolescent mental health service in-patient units in the UK. Aims To describe the full number, distribution and key characteristics of child and adolescent psychiatric in-patient units in England and Wales. Method Following identification of units, data were collected by a postal general survey with telephone follow-up. Results Eighty units were identified; these provided 900 beds, of which 244 (27%) were managed by the independent sector. Units are unevenly distributed, with a concentration of beds in London and the south-east of England. The independent sector, which manages a high proportion of specialist services and eating disorder units in particular, accentuates this uneven distribution. Nearly two-thirds of units reported that they would not accept emergency admissions. Conclusions A national approach is needed to the planning and commissioning of this specialist service.

Experience of transition between a child and adolescent service and adult service for the treatment of eating disorders

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jackie Wales ◽  
Nicola Brewin ◽  
Karima Susi ◽  
Alison Eivors ◽  
Debbie Whight ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Qualitative Methodology ◽  
Geographical Location ◽  
Child And Adolescent ◽  
Service Evaluation ◽  
Valuable Insight ◽  
Content Type ◽  
Adult Services ◽  
The Uk ◽  
Effective Transfer

Purpose There is a dearth of research on what constitutes effective transfer of care from children’s and young people services to adult services for patients with eating disorders (EDs) in the UK. Transition has implications for continuity of care and particularly for early intervention which has the best prognosis. The purpose of this paper is to understand the experience of transition and identify facilitators and barriers to this. Design/methodology/approach Qualitative methodology was used. Focus groups (n = 4) were held with clinicians (n = 22) working in Child and Adolescent Mental Health Services or adult ED services. Individual interviews were conducted with patients (n = 5) who had commenced/completed transition to adult services and with parents/carers (n = 6) of patients invited for interview. Findings A number of factors may facilitate or impede transition and can be grouped into the broad themes of communication, managing the differences between services and timing of transition. Improvements in communication, clear explanation of service differences and flexibility around the timing of transitions may enhance the experience for patients and parents/carers. Research limitations/implications The service evaluation was limited to transition between two specialist ED services in one geographical location. The findings provide the basis for a wider research study to examine which factors are most important when planning transition from the perspectives of patients, parents/carers and clinicians. Originality/value This is the first study examining ED transitions in the UK. It provides valuable insight of the experience of service users and carers and highlights potential improvements when planning transitions for this patient group.

scholarly journals A survey of training experiences and attitudes of higher specialist trainees in child and adolescent psychiatry

2000 ◽  
Vol 24 (8) ◽  
pp. 302-304 ◽  
Author(s):  
Siobhan Smart ◽  
David Cottrell
Keyword(s):  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Clinical Implications ◽  
Specialist Training ◽  
Research And Teaching ◽  
The Uk

Aims and MethodChanges in higher specialist training in the UK have led to a revision of training guidelines in child and adolescent psychiatry. This survey studies trainees' experiences and attitudes in the light of these changes. A questionnaire covering training attitudes and experiences was distributed to all higher specialist trainees in child and adolescent psychiatry via their programme directors.ResultsEighty-eight per cent of trainees responded. Although most training experiences are well provided, there are gaps in provision in specific areas, including research and teaching. Dissemination of information about aspects of training requires improvement and clearer feedback on training could be given.Clinical ImplicationsThe implications for training in child and adolescent psychiatry and higher specialist training in general are discussed.

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