Making sense of child and adolescent mental health services (CAMHS): An audit of the referral journey and the use of routine outcome measures (ROMS)

2021 ◽  
pp. 135910452199970
Author(s):  
Naomi Gibbons ◽  
Emma Harrison ◽  
Paul Stallard
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measures ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Completion Rates ◽  
Making Sense ◽  
North East ◽  
Over Time

Background: There is increased emphasis on the national reporting of Routine Outcome Measures (ROMS) as a way of improving Child and Adolescent Mental Health Services (CAMHS). This data needs to be viewed in context so that reasons for outcome completion rates are understood and monitored over time. Method: We undertook an in-depth prospective audit of consecutive referrals accepted into the Bath and North East Somerset, Swindon and Wiltshire (BSW) CAMHS service from November 2017 to January 2018 ( n = 1074) and April to September 2019 ( n = 1172). Results: Across both audits 90% of those offered an appointment were seen with three quarters completing baseline ROMS. One in three were not seen again with around 30% still being open to the service at the end of each audit. Of those closed to the service, paired ROMS were obtained for 46% to 60% of cases. There were few changes in referral problems or complexity factors over time. Conclusion: Understanding the referral journey and the reasons for attrition will help to put nationally collected data in context and can inform and monitor service transformation over time.

scholarly journals The use of routine outcome measures in two child and adolescent mental health services: a completed audit cycle

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Charlotte L Hall ◽  
Maria Moldavsky ◽  
Laurence Baldwin ◽  
Michael Marriott ◽  
Karen Newell ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measures ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Audit Cycle

Making sense of child and adolescent mental health services

1999 ◽  
Vol 23 (4) ◽  
pp. 217-221 ◽  
Author(s):  
Paul Stallard ◽  
Robert Potter
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Service Development ◽  
Resource Reallocation ◽  
Appointment Attendance ◽  
Making Sense ◽  
Adolescent Mental Health Service

Aims and methodA prospective audit of the 425 referrals made to a community child and adolescent mental health service over a three month period was undertaken. Standardised data were collected about the referrer, reason for referral problem chronicity and complexity, service response and first appointment attendance.ResultsThe service is currently seeing less than one in five of the children conservatively estimated to require specialist mental health services. The majority of those referred were appropriate, identifying multiple problems of longer than six months' duration presenting within a complex context.Clinical implicationsThe results have provided commissioning authorities with a clear specification of the current service. This can inform decisions about resource reallocation, prioritisation and future service development. Clinicians feel that the complexity of their work is now understood and various audit projects and initiatives have been established in order to explore alternative ways of responding to referrer demands.

scholarly journals Professional life in child and adolescent mental health services may be getting more complicated, but cases are not

2013 ◽  
Vol 37 (10) ◽  
pp. 326-330 ◽  
Author(s):  
Anne E. Thompson ◽  
Amulya Nadkarni ◽  
Saeed A. Nazir ◽  
Walid Sorour ◽  
Victoria Owen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Professional Life ◽  
Clinical Implications ◽  
Case Complexity ◽  
Significant Change ◽  
Over Time

Aims and methodIn 2006, staff in child and adolescent mental health services (CAMHS) in Lincolnshire, UK, felt that cases were becoming increasingly complex. The Pearce Case Complexity Scale (PCCS) and a staff opinions questionnaire were used to measure subjective and objective changes in case complexity in a relatively stable CAMHS service over a 10-year period from 1996 to 2006, with data examined between 2008 and 2010.ResultsClinicians reported an increase in case complexity over time. However, the PCCS did not show a significant change in the decade studied.Clinical implicationsStaff anxiety could be a determinant of judgements they make about case complexity in CAMHS.

scholarly journals A qualitative exploration of attitudes towards the use of outcome measures in child and adolescent mental health services

2016 ◽  
Vol 22 (2) ◽  
pp. 219-228 ◽  
Author(s):  
Evelyn Sharples ◽  
Chuan Qin ◽  
Vinita Goveas ◽  
Dawid Gondek ◽  
Jessica Deighton ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measures ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Service Level ◽  
Service Improvement ◽  
Structured Interviews ◽  
Clinician Attitudes

The aim of the present research was to explore clinician attitudes to outcome measures and, in particular, the facilitators and barriers to implementing outcome measures. An up-to-date exploration of clinician attitudes is especially needed in the context of recent policies on the implementation of outcome measures in child and adolescent mental health services (CAMHS), and because evidence suggests that there is a disparity between policy recommendations and the use of outcome measures in clinical practice. Semi-structured interviews were conducted with nine CAMHS clinicians from a Mental Health Trust in South London. Two levels of implementation emerged from the analysis: (1) the service level, regarding the implementation of outcome measures across a service to inform service improvement and (2) the session level, regarding the implementation of outcome measures within individual clinical sessions. The present research described training and ongoing support as a crucial facilitator of use at both service and session levels. This included help overcoming local contextual barriers, such as resources, information systems and administrative processes. The research showed that a balance is needed between a mandatory and uniform approach across a service and providing clinicians with support to use outcome measures with all service users for whom they are appropriate.

Implementing routine outcome measures in child and adolescent mental health services: from present to future practice

2012 ◽  
Vol 18 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Martin J Batty ◽  
Maria Moldavsky ◽  
Pooria Sarrami Foroushani ◽  
Sarah Pass ◽  
Michael Marriott ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measures ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Future Practice
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