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.

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 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 Who can best support young people who self-harm?

2020 ◽  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Self Harm

A new study published in Child and Adolescent Mental Health has investigated what forms of support young people who self-harm find helpful.

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