GPs think that lack of mental health services is putting young people at risk

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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Non-participation in education, employment, and training among young people accessing youth mental health services: demographic and clinical correlates

Advances in Mental Health ◽

10.1080/18387357.2017.1342553 ◽

2017 ◽

Vol 16 (1) ◽

pp. 19-32 ◽

Cited By ~ 4

Author(s):

Erin M. Holloway ◽

Debra Rickwood ◽

Imogen C. Rehm ◽

Denny Meyer ◽

Scott Griffiths ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Young People ◽

Health Services ◽

Youth Mental Health ◽

Clinical Correlates ◽

And Training

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

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-018-1578-y ◽

2018 ◽

Vol 53 (10) ◽

pp. 1005-1038 ◽

Cited By ~ 23

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

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Unexpected deaths of children and young people in the UK

BJPsych Bulletin ◽

10.1192/pb.bp.114.049825 ◽

2016 ◽

Vol 40 (2) ◽

pp. 68-71 ◽

Cited By ~ 1

Author(s):

Paul Stallard ◽

Michelle Maguire ◽

Justin Daddow ◽

Rosie Shepperd ◽

Mike Foster ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Young People ◽

Health Services ◽

Child Death ◽

National Data ◽

Children And Young People ◽

National Health Service Trust ◽

Incident Reports ◽

The Uk

Aims and methodTo review the deaths of children and young people who took their own life. We conducted a retrospective analysis of serious incident reports from a National Health Service trust and reviews by the child death overview panels of the local safeguarding children boards.ResultsWe identified 23 deaths, with annual rates varying considerably between local authorities and over time. Over half of the children (n = 13, 56%) were not known to specialist child and adolescent mental health services, with 11 having no contact with any agency at the time of their death. Hanging was the most common method (n = 20, 87%) and of these, half (n =11, 55%) were low-level hangings.Clinical implicationsTraining is required to improve awareness, recognition and the assessment of children at risk of taking their own life. Specialist child mental health services should directly assess plans or attempts at hanging and offer advice about the seriousness of attempting this. National data (by age) on children and young people who take their own life should be routinely published to inform clinical and preventive services.

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Exploring Help-Seeking, Vocational Role Function and Goal Setting of Young People Accessing Mental Health Services

10.5204/thesis.eprints.107534 ◽

2017 ◽

Author(s):

Alice J Cairns

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Young People ◽

Health Services ◽

Goal Setting ◽

Help Seeking ◽

Role Function

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Mapping UK mental health services for adults with attention-deficit/hyperactivity disorder: national survey with comparison of reporting between three stakeholder groups

BJPsych Open ◽

10.1192/bjo.2020.65 ◽

2020 ◽

Vol 6 (4) ◽

Author(s):

Anna Price ◽

Astrid Janssens ◽

Tamsin Newlove-Delgado ◽

Helen Eke ◽

Moli Paul ◽

...

Keyword(s):

Mental Health ◽

Attention Deficit Hyperactivity Disorder ◽

Mental Health Services ◽

Young People ◽

Health Services ◽

Attention Deficit ◽

Full Range ◽

Hyperactivity Disorder ◽

Stakeholder Groups ◽

The Uk

Background UK clinical guidelines recommend treatment of attention-deficit hyperactivity disorder (ADHD) in adults by suitably qualified clinical teams. However, young people with ADHD attempting the transition from children's to adults’ services experience considerable difficulties in accessing care. Aims To map the mental health services in the UK for adults who have ADHD and compare the reports of key stakeholders (people with ADHD and their carers, health workers, service commissioners). Method A survey about the existence and extent of service provision for adults with ADHD was distributed online and via national organisations (e.g. Royal College of Psychiatrists, the ADHD Foundation). Freedom of information requests were sent to commissioners. Descriptive analysis was used to compare reports from the different stakeholders. Results A total of 294 unique services were identified by 2686 respondents. Of these, 44 (15%) were dedicated adult ADHD services and 99 (34%) were generic adult mental health services. Only 12 dedicated services (27%) provided the full range of treatments recommended by the National Institute for Health and Care Excellence. Only half of the dedicated services (55%) and a minority of other services (7%) were reported by all stakeholder groups (P < 0.001, Fisher's exact test). Conclusions There is geographical variation in the provision of NHS services for adults with ADHD across the UK, as well as limited availability of treatments in the available services. Differences between stakeholder reports raise questions about equitable access. With increasing numbers of young people with ADHD graduating from children's services, developing evidence-based accessible models of care for adults with ADHD remains an urgent policy and commissioning priority.

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Transition from child and adolescent mental health services to adult mental health services

BJPsych Open ◽

10.1192/bjo.2021.910 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S347-S348

Author(s):

Tania Saour

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Young People ◽

Health Services ◽

Clinical Information ◽

Young Person ◽

Timely Manner ◽

Team Meetings ◽

Significant Barrier ◽

Transition Plan

BackgroundThe prevalence and recognition of mental health conditions in young people is growing. Around 50% of lifetime mental illness (except dementia) begins by the age of 14. Around 75% of adults requiring secondary mental health services developed problems prior to 18.The TRACK study of young people's transitions from CAMHS to AMHS has found that up to a third of teenagers are lost from care during transition and a further third experience an interruption in their care.A CQUIN for Transition has concluded that young children should have a transition plan 6 months before they turn 18.MethodAll young people aged 17 and a half years old were included in the data collection for this audit. Clinical information was reviewed using the West London RIO computer system. While reviewing the clinical documentation I was recording whether:Transitional plans had been discussed with the young person.If yes, what were they?Had a referral been made to the appropriate service?ResultThere were 180 open cases to the Hounslow Adolescent Team. 35 cases were over 18:At least 16 of these cases needed to be closed as no intervention was being provided.14 cases had an unclear plan.Of the 25 cases aged between 17.5 and 18 years of age transitional plans were:Transition was discussed in 11 cases (44%). This meant that transitional plans were not discussed in 56% of young people.Of these 11 cases 7 referrals were completed. (28%)ConclusionThe lack of consistent protocols for transition remains a significant barrier to health care provided to young people.Transitional planning needs to take place in an effective and timely manner to ensure continued patient centred care.Transitional discussions to be made a regular agenda item at team meetings.Care co-ordinator to be informed and reminded that transitional plans need to be explored with young people.Following a re-audit of this data 6 months on 100% of cases over the age of 18 were closed and transition was discussed in the remaining 56%.

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

BMJ Open ◽

10.1136/bmjopen-2018-027339 ◽

2019 ◽

Vol 9 (10) ◽

pp. e027339 ◽

Cited By ~ 2

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.

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