scholarly journals How well do children in the North East of England function after a mental health crisis during the COVID-19 pandemic: A service evaluation

2021 ◽  
pp. 135910452110372
Author(s):  
Emily Staite ◽  
Lynne Howey ◽  
Clare Anderson
Keyword(s):  
Mental Health ◽  
Young People ◽  
Rating Scale ◽  
Service Evaluation ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
North East ◽  
The North ◽  
Before And After ◽  
The Uk

The COVID-19 pandemic has affected millions of people, and some researchers postulate that a mental health crisis will follow. The immediate effects of the COVID-19 pandemic on children’s mental health are now starting to be published, and results appear to be mixed. There is no research, to the authors’ knowledge, that empirically examines the functioning of young people following intervention from Child and Adolescent Mental Health Services (CAMHS) Crisis Teams in the UK during the COVID-19 pandemic. This service evaluation aims to do this using data from an NHS trust that supports 1.4 million people in the North East of England. We compared functioning, as measured by the Outcome Rating Scale (ORS), before and after treatment for young people discharged from the CAMHS Crisis Team between December 2019 and December 2020. ORS scores were significantly higher at the end of treatment (t(420) = −57.36, p < 0.001) with a large effect size (d = −1.56). Fifty eight percent of patients exhibited significant and reliable change (i.e. functioning improved to a ‘healthy’ level). No patients significantly deteriorated in functioning after accessing the crisis service.

How well do children in the North East of England function after a crisis: a service evaluation

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Emily Staite ◽  
Lynne Howey ◽  
Clare Anderson ◽  
Paula Maddison
Keyword(s):  
Mental Health ◽  
Young People ◽  
Health Services ◽  
Service Evaluation ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Content Type ◽  
North East ◽  
The North ◽  
The Uk

Purpose Data shows that there is an increasing number of young people in the UK needing access to mental health services, including crisis teams. This need has been exacerbated by the current global pandemic. There is mixed evidence for the effectiveness of crisis teams in improving adult functioning, and none, to the authors’ knowledge, that empirically examines the functioning of young people following intervention from child and adolescent mental health services (CAMHS) crisis teams in the UK. Therefore, the purpose of this paper is to use CAMHS Crisis Team data, from an NHS trust that supports 1.4 million people in the North East of England, to examine a young person's functioning following a crisis. Design/methodology/approach This service evaluation compared functioning, as measured by the Outcome Rating Scale (ORS), pre- and post-treatment for young people accessing the CAMHS Crisis Team between December 2018 and December 2019. Findings There were 109 participants included in the analysis. ORS scores were significantly higher at the end of treatment (t(108) = −4.2046, p < 0.001) with a small effect size (d = −0.36). Sixteen (15%) patients exhibited significant and reliable change (i.e. functioning improved). A further four (4%) patients exhibited no change (i.e. functioning did not deteriorate despite being in crisis). No patients significantly deteriorated in functioning after accessing the crisis service. Practical implications Despite a possibly overly conservative analysis, 15% of patients not only significantly improved functioning but were able to return to a “healthy” level of functioning after a mental health crisis following intervention from a CAMHS Crisis Team. Intervention(s) from a CAMHS Crisis Team are also stabilising as some young people’s functioning did not deteriorate following a mental health crisis. However, improvements also need to be made to increase the number of patients whose functioning did not significantly improve following intervention from a CAMHS Crisis Team. Originality/value This paper evaluates a young person’s functioning following a mental health crisis and intervention from a CAMHS Crisis Team in the North East of England.

Breaking down the barriers to mental health crisis care: Evaluation of a training package for emergency department clinicians

2017 ◽  
Vol 41 (S1) ◽  
pp. s895-s895
Author(s):  
M. Fernando ◽  
M. Bhat
Keyword(s):  
Mental Health ◽  
Care Quality ◽  
Psychotic Symptoms ◽  
Mental Health Training ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Before And After ◽  
Crisis Care ◽  
The Uk ◽  
The Impact

IntroductionAbout one in 20 attendances at emergency departments (EDs) in the UK relate to mental health, yet recent work has shown that a majority of people presenting with mental health crises do not report positive experiences (Care Quality Commission, 2015). Although there are many reasons for this, one may be a lack of mental health training for staff working in EDs. In response to this, a new training module for multi-professional ED staff was developed.Objectives and methodsWe aimed to assess the impact of this new module on clinicians’ confidence in managing mental health presentations. Thirty-eight ED doctors and nurses across two centers were asked to complete surveys before and after receiving training.ResultsFollowing training, we found improvements in confidence in each of five domains explored: assessing self-harm; managing someone with personality difficulties; assessing psychotic symptoms; distinguishing between physical and psychotic symptoms; and, managing psychotic symptoms. These improvements were seen for clinicians across both centers.ConclusionsThe results show that training can help to improve confidence around mental health. This is particularly important given that before the training was developed a survey of local ED doctors had shown that 31% felt under-confident in managing mental health conditions. Since developing the training, it has been further enhanced at the request of local EDs to include video-based scenarios. We continue to assess its impact in improving the confidence of ED clinicians (as well as their knowledge, skills and attitudes towards mental health), and ultimately the benefit to patients experiencing mental health crises.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Hangings attended by ambulance clinicians in the North East of England

2021 ◽  
Vol 6 (3) ◽  
pp. 49-57
Author(s):  
Gary Shaw ◽  
Lee Thompson ◽  
Graham McClelland
Keyword(s):  
Mental Health ◽  
Cardiac Arrest ◽  
Suicide Attempts ◽  
Service Evaluation ◽  
Health Issues ◽  
Hospital Data ◽  
North East ◽  
The North ◽  
Acute Hospitals ◽  
Future Work

Introduction: Suicide rates have risen in England over the last decade and hanging, a highly lethal method of suicide, has been the most common method. Previous work in this area identified a lack of literature discussing emergency medical services (EMS) attendance at hangings. This article aims to describe hangings attended by EMS in the North East of England in order to inform future work in this area.Methods: A retrospective service evaluation was conducted using existing data from a comprehensive pre-hospital trauma audit database to describe patients with hanging documented in their records who were attended by ambulance clinicians between 1 December 2018 and 31 November 2020.Results: Hanging was recorded in 604 incidents. Most cases (n = 579/604) involved adults (aged 18 years or older) with a median age of 35 years (IQR 27‐45 years), who were male (n = 410/579, 71%). Just over half (n = 341/579, 59%) of adult hangings resulted in cardiac arrest and of these, 10% (n = 33/341) were resuscitated and survived to hospital admission. Threatened and non-fatal hangings appear to have increased dramatically in the latter half of 2020. Previous suicide attempts and mental health issues were frequently reported across this population.Conclusion: Hangings are a method of suicide which frequently result in a cardiac arrest. In the North East of England the ambulance service attends approximately one hanging per day and one fatal hanging every two days. When fatal hangings were resuscitated, pre-hospital outcomes were similar to other causes of cardiac arrest, highlighting that despite the traumatic nature of these cases resuscitation is not futile. In order to better understand this patient group and improve care, pre-hospital data need to be linked to data from other services such as mental health services and acute hospitals.

scholarly journals Mental Health Provision in UK Secondary Schools

2021 ◽  
Vol 18 (22) ◽  
pp. 12222
Author(s):  
Megan Garside ◽  
Barry Wright ◽  
Roshanak Nekooi ◽  
Victoria Allgar
Keyword(s):  
Mental Health ◽  
Young People ◽  
Secondary Schools ◽  
Mental Health Problems ◽  
Health Problems ◽  
Future Research ◽  
Health Service Provision ◽  
The North ◽  
The Uk ◽  
Mental Health Questionnaire

Research reports high levels of mental health problems faced by young people in the UK. Schools provide a range of mental health support services, although these are often not robustly evaluated. This paper aims to explore the mental health provision of secondary schools across two large regions in the North of England and provide comparisons to the mental health questionnaire scores of their pupils. Results are part of a wider study providing an overview of the mental health of secondary school pupils. Measures include the Strengths and Difficulties Questionnaire, distributed to year 8, 9, and 11 pupils attending secondary schools and a bespoke mental health service provision questionnaire for school staff at the same schools. A total of 6328 pupil questionnaires and 36 staff questionnaires were returned from 21 schools. Results showed a non-significant correlation between provision and young people’s mental health scores and highlight a range of factors to take into consideration. There is a need to improve the evaluation and recording of school-based mental health provision. Mental health difficulties in young people are prevalent in schools. Future research is needed to elucidate which types of services are most helpful in preventing, supporting, and signposting those with mental health problems.

scholarly journals Young People’s Attitude Toward Positive Psychology Interventions: Thematic Analysis

10.2196/21145 ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. e21145
Author(s):  
Toni Michel ◽  
Franziska Tachtler ◽  
Petr Slovak ◽  
Geraldine Fitzpatrick
Keyword(s):  
Mental Health ◽  
Young People ◽  
Positive Psychology ◽  
Thematic Analysis ◽  
Youth Mental Health ◽  
Personal Factors ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Positive Psychology Interventions ◽  
People’S Attitudes

Background Digital instantiations of positive psychology intervention (PPI) principles have been proposed to combat the current global youth mental health crisis; however, young people are largely not engaging with available resources. Objective The aim of this study is to explore young people’s attitudes toward various PPI principles to find ways of making digital instantiations of them more engaging. Methods We conducted an explorative workshop with 30 young people (aged 16-21 years). They rated and reviewed 29 common PPIs. Ratings and recorded discussions were analyzed using thematic analysis. Results Some interventions were conflicting with young people’s values or perceived as too difficult. Participants responded positively to interventions that fit them personally and allowed them to use their strengths. Conclusions Values, context, strengths, and other personal factors are entangled with young people’s attitudes toward digital instantiations of PPI principles.

scholarly journals Experiences and satisfaction of children, young people and their parents with alternative mental health models to inpatient settings: a systematic review

2019 ◽  
Vol 29 (12) ◽  
pp. 1621-1633
Author(s):  
Frane Vusio ◽  
Andrew Thompson ◽  
Max Birchwood ◽  
Latoya Clarke
Keyword(s):  
Mental Health ◽  
Young People ◽  
Help Seeking ◽  
Emotional Reactions ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Alternative Models ◽  
Searching Strategy ◽  
Crisis Services ◽  
Inpatient Settings

Abstract Community-based mental health services for children and young people (CYP) can offer alternatives to inpatient settings and treat CYP in less restrictive environments. However, there has been limited implementation of such alternative models, and their efficacy is still inconclusive. Notably, little is known of the experiences of CYP and their parents with these alternative models and their level of satisfaction with the care provided. Therefore, the main aim of this review was to understand those experiences of the accessibility of alternative models to inpatient care, as well as overall CYP/parental satisfaction. A searching strategy of peer-reviewed articles was conducted from January 1990 to December 2018, with updated searches conducted in June 2019. The initial search resulted in 495 articles, of which 19 were included in this review. A narrative synthesis grouped the studies according to emerging themes: alternative models, tele-psychiatry and interventions applied to crisis, and experiences and satisfaction with crisis provision. The identified articles highlighted increased satisfaction in CYP with alternative models in comparison with care as usual. However, the parental experiential data identified high levels of parental burden and a range of complex emotional reactions associated with engagement with crisis services. Furthermore, we identified a number of interventions, telepsychiatric and mobile solutions that may be effective when applied to urgent and emergency care for CYP experiencing a mental health crisis. Lastly, both parental and CYP experiences highlighted a number of perceived barriers associated with help-seeking from crisis services.

scholarly journals Typology of psychiatric emergency services in the United Kingdom: a narrative literature review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Opeyemi Odejimi ◽  
Dhruba Bagchi ◽  
George Tadros
Keyword(s):  
Mental Health ◽  
Emergency Service ◽  
Psychiatric Emergency ◽  
Service Users ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
The United Kingdom ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
The Uk

Abstract Background Mental health crisis requiring emergency access to psychiatric service can occur at any time. Psychiatric Emergency Service (PES) is described as one that provides an immediate response to an individual in crisis within the first 24 h. Presently, several types of PESs are available in the United Kingdom (UK) with the aim of providing prompt and effective assessment and management of patients. Therefore, this study aims to provide a detailed narrative literature review of the various types of Psychiatric Emergency Service (PES) currently available in the UK. Method Electronic search of five key databases (MEDLINE, PsychINFO, EMBASE, AMED and PUBMED) was conducted. Studies were included if it described a mental health service in the UK that provides immediate response in mental health crisis within the first 24 h. Excluded studies did not describe a PES, non-English, and were not conducted in UK. Results Nine types of PESs were found. Amongst the 9 services, more papers described crisis resolution home treatment. Majority of the papers reported services within England than other countries within the UK. Conclusion All types of PESs were described as beneficial, particularly to mental health service users, but not without some shortcomings. There is a need to continue carrying out methodological research that evaluate impact, cost-effectiveness as well as identify methods of optimising the beneficial outcomes of the various types of PESs. This may help inform researchers, policy makers and commissioners, service users and carers, service providers and many more on how to ensure current and future PESs meet the needs as well as aid recovery during crisis.

scholarly journals Care-pathways for patients presenting to emergency ambulance services with self-harm: national survey

2020 ◽  
pp. emermed-2019-208967
Author(s):  
Mohammed Gaber Zayed ◽  
Victoria Williams ◽  
Alexander Charles Glendenning ◽  
Jenna Katherine Bulger ◽  
Tom Hewes ◽  
...  
Keyword(s):  
Mental Health ◽  
Hospital Admissions ◽  
Psychosocial Assessment ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Alternative Pathways ◽  
Mental Health Patients ◽  
Emergency Ambulance ◽  
Self Harm ◽  
The Uk

BackgroundSelf-harm is among the top five causes of acute hospital admissions and ambulance clinicians are often the first point of contact. However, the Emergency Department (ED) may not be the most appropriate place of care and little is known about the existence or nature of alternative pathways available to UK ambulance services. This survey describes the current management pathways used by ambulance services for patients who have self-harmed.MethodsA structured questionnaire was sent to all UK ambulance services by email and followed up by telephone in 2018. Three independent researchers (two clinical) coded responses which were analysed thematically.ResultsAll 13 UK ambulance services responded to the survey: nine by email and four by telephone interview. Two services reported a service-wide protocol for managing people presenting with self-harm, with referral to mental health crisis team available as an alternative to conveyance to ED, following on-scene psychosocial assessment. Four services reported local pathways for managing mental health patients which included care of patients who had self-harmed. Four services reported being in the process of developing pathways for managing mental health patients. Six services reported no service-wide nor local pathways for managing self-harm patients. No robust evaluation of new care models was reported.ConclusionPractice in ambulance services in the UK is variable, with a minority having a specific clinical pathway for managing self-harm, with an option to avoid ED. New pathways for patients who have self-harmed must be evaluated in terms of safety, clinical and cost-effectiveness.

Sign in / Sign up

Export Citation Format

Share Document