scholarly journals Provision of child and adolescent mental health in-patient services in England between 1999 and 2006

2007 ◽  
Vol 31 (12) ◽  
pp. 454-456 ◽  
Author(s):  
Anne O'Herlihy ◽  
Paul Lelliott ◽  
Debbie Bannister ◽  
Andrew Cotgrove ◽  
Hannah Farr ◽  
...  
Keyword(s):  
Mental Health ◽  
Market Share ◽  
Government Policy ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Clinical Implications ◽  
Market Forces ◽  
Only Children ◽  
Inpatient Services ◽  
Bed Numbers

AIMS AND METHODIn 1999, child and adolescent mental health (CAMH) in-patient provision was unevenly distributed across England. A repeat of a1999 bed count survey was conducted in 2006 to determine whether change had occurred in response to government policy.RESULTSTotal bed numbers in England were found to have increased by 284; 69% of the increase is due to the independent sector, whose market share has risen from 25% in 1999 to 36% in 2006. Regions with the highest number of beds in 1999 have increased bed numbers more than areas with the lowest number of beds in1999 (8.3 v. 3.6 beds per million population). In units that admit only children under the age of 14, there has been a 30% reduction in beds available (123 to 86).CLINICAL IMPLICATIONSInequity in provision of CAMH inpatient services has increased despite government policy to the contrary. We speculate that this might be partly due to fragmented and local commissioning, and the effects of market forces operating as a result of increasing privatisation.

scholarly journals Therapeutic relationships within child and adolescent mental health inpatient services: A qualitative exploration of the experiences of young people, family members and nursing staff

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262070
Author(s):  
Samantha Hartley ◽  
Tomos Redmond ◽  
Katherine Berry
Keyword(s):  
Mental Health ◽  
Young People ◽  
Nursing Staff ◽  
Family Members ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Therapeutic Relationships ◽  
Staff Support ◽  
Inpatient Services ◽  
Qualitative Exploration

Child and adolescent mental health services (CAMHS), especially inpatient units, have arguably never been more in demand and yet more in need of reform. Progress in psychotherapy and more broadly in mental health care is strongly predicted by the therapeutic relationship between professional and service user. This link is particularly pertinent in child and adolescent mental health inpatient services where relationships are especially complex and difficult to develop and maintain. This article describes a qualitative exploration of the lived experienced of 24 participants (8 young people, 8 family members/carers and 8 nursing staff) within inpatient CAMHS across four sites in the UK. We interviewed participants individually and analysed the transcripts using thematic analysis within a critical realist framework. We synthesised data across groups and present six themes, encapsulating the intricacies and impact of therapeutic relationships; their development and maintenance: Therapeutic relationships are the treatment, Cultivating connection, Knowledge is power, Being human, The dance, and It’s tough for all of us in here. We hope these findings can be used to improve quality of care by providing a blueprint for policy, training, systemic structures and staff support.

scholarly journals Therapeutic relationships within child and adolescent mental health inpatient services: a qualitative exploration of the experiences of young people, family members and nursing staff

2021 ◽  
Author(s):  
Samantha Hartley ◽  
Tomos Redmond ◽  
Katherine Berry
Keyword(s):  
Mental Health ◽  
Young People ◽  
Lived Experience ◽  
Nursing Staff ◽  
Family Members ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Therapeutic Relationships ◽  
Inpatient Services ◽  
Qualitative Exploration

Child and adolescent mental health services have arguably never been more essential yet more in need of reform. Inpatient care is necessary for some young people and is a particular concern in relation to quality and outcomes. Progress in psychotherapy and more broadly in mental health care is strongly predicted by the therapeutic relationship between professional and service user. This link is particularly pertinent in child and adolescent mental health inpatient services where relationships are especially complex and difficult to develop and maintain. This article describes a qualitative exploration of the lived experience of 24 young people, family members/carers and nursing staff within this setting. We synthesised data across groups and present six themes, encapsulating the intricacies and impact of therapeutic relationships; their development and maintenance. We hope these findings can be used to improve quality of care by providing a blueprint for policy, training, systemic structures and staff support.

Consultant responsibilities in child and adolescent mental health services teams: a systems dilemma

2003 ◽  
Vol 27 (2) ◽  
pp. 68-70 ◽  
Author(s):  
Peter Reder
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Clinical Implications ◽  
Ultimate Responsibility ◽  
Legal Responsibilities ◽  
Definition Of ◽  
Child Psychiatrists

Aims and MethodsA number of relevant professional bodies were invited to state their views on the responsibilities of consultant child psychiatrists within multi-disciplinary teams in order to ascertain whether there was any consensus on the issue.ResultsLittle consensus or clarity emerged, save for agreement on child psychiatrists' expertise with medical matters. Only medical organisations believed in a notion of the consultant holding ultimate responsibility, although definition of this remained elusive.Clinical ImplicationsConsultants may need to seek clarity about their clinical and legal responsibilities from their employing Trust. However, there are many other dimensions to responsibility which have relevance for the training of child psychiatrists.

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 Psychiatrists' views of in-patient child and adolescent mental health services: a survey of members of the child and adolescent faculty of the College

2001 ◽  
Vol 25 (6) ◽  
pp. 219-222 ◽  
Author(s):  
Adrian Worrall ◽  
Anne O'Herlihy
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Clinical Implications ◽  
Design Changes ◽  
Specialist Services

Aims and MethodTo obtain a prioritised list of psychiatrists' concerns relating to in-patient child and adolescent mental health services. Four-hundred and fifty-four members of the child and adolescent faculty of the Royal College of Psychiatrists were asked to list their main concerns.ResultsTwo-hundred and seventy-four members responded. The most reported themes included lack of emergency beds; lack of services for severe or high-risk cases; lack of beds in general; poor liaison with patients' local services; lack of specialist services; and poor geographic distribution of services.Clinical ImplicationsThe range of themes identified from this survey have served to focus the National In-patient Child and Adolescent Psychiatry Study (NICAPS) and several design changes have been made to NICAPS as a result.

scholarly journals Consultant responsibilities in child and adolescent mental health services teams: a systems dilemma

2003 ◽  
Vol 27 (02) ◽  
pp. 68-70
Author(s):  
Peter Reder
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Clinical Implications ◽  
Ultimate Responsibility ◽  
Legal Responsibilities ◽  
Definition Of ◽  
Child Psychiatrists

Aims and Methods A number of relevant professional bodies were invited to state their views on the responsibilities of consultant child psychiatrists within multi-disciplinary teams in order to ascertain whether there was any consensus on the issue. Results Little consensus or clarity emerged, save for agreement on child psychiatrists' expertise with medical matters. Only medical organisations believed in a notion of the consultant holding ultimate responsibility, although definition of this remained elusive. Clinical Implications Consultants may need to seek clarity about their clinical and legal responsibilities from their employing Trust. However, there are many other dimensions to responsibility which have relevance for the training of child psychiatrists.

scholarly journals Primary consultation clinics in child psychiatry: an evaluation of referrers' views of the service

2008 ◽  
Vol 32 (3) ◽  
pp. 90-92
Author(s):  
Puru Pathy ◽  
Neleema Yanamani ◽  
Aristos Markantonakis ◽  
Paul Wilson ◽  
Russell Mason
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Child Psychiatry ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Clinical Implications ◽  
Direct Involvement ◽  
Feedback Data

Aims and MethodTo collate referrers' views on primary consultations in child psychiatry, feedback data were collected by questionnaires over a 12-month period.ResultsReferrers found reports clearly written, informative and helpful, but wished for further, more direct involvement, support and follow up, and also for a clear plan of action for the children referred.Clinical ImplicationsPrimary consultation clinics should be further developed and audited in the future, in view of the recent changes in child and adolescent mental health services.

scholarly journals Paediatric liaison service

1999 ◽  
Vol 23 (9) ◽  
pp. 528-530 ◽  
Author(s):  
Jennie Black ◽  
Barry Wright ◽  
Christine Williams ◽  
Rob Smith
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Clinical Implications ◽  
Attendance Rates ◽  
Referral Rates ◽  
Adolescent Mental Health Service ◽  
Set Up

Aims and methodTo discuss the working of a new paediatric liaison service. To review paediatric referrals to a child and adolescent mental health service (CAMHS) 21 months before and 21 months after the establishment of this service.ResultsOne hundred and eighty-three children were discussed in the 21 months after the new service was set up. There was a rise in referral to CAMHS from 72 to 120. Non-attendance rates from paediatric referrals also rose. Likely reasons for these changes are discussed, and include an increase in referrals of children with somatisation.Clinical implicationsInterdisciplinary liaison appears to carry many advantages, but is likely to increase referral rates to the CAMHS. This has both clinical and resource implications.

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