Move to improve emergency care for young people in mental health crisis

2014 ◽  
Vol 26 (2) ◽  
pp. 9-9 ◽  
Author(s):  
Christian Duffin
Keyword(s):  
Mental Health ◽  
Young People ◽  
Emergency Care ◽  
Mental Health Crisis ◽  
Health Crisis

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 Young People’s Attitude Toward Positive Psychology Interventions: Thematic Analysis (Preprint)

2020 ◽  
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 ◽  
P Values ◽  
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.

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.

scholarly journals “Medical Clearance” of Psychiatric Patients in the Emergency Department

2020 ◽  
Vol 9 (2) ◽  
pp. 159-165
Author(s):  
Genevieve Santillanes ◽  
Edore Onigu-Otite ◽  
Veronica Tucci ◽  
Nidal Moukaddam
Keyword(s):  
Mental Health ◽  
Emergency Care ◽  
Psychiatric Patients ◽  
Current System ◽  
Psychiatric Inpatient ◽  
Physical Stability ◽  
Young Patients ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Medical Clearance

Background & goals: The past few years have seen an increase in the number of children and adolescents presenting to emergency departments with mental health complaints, including, but not limited to, depression, suicidality, and substance use-related conditions. This places many demands on the emergency physicians ranging from evaluating medical stability (also known as medical clearance) to arranging for psychiatric are, be it inpatient or outpatient. The goals of this article are to describe the current landscape of emergency care for the pediatric patient presenting with mental health issues and to highlight gaps in the current system. Methods: We review the literature on the epidemiology of mental health emergency visits and guidelines for the medical clearance of pediatric and adolescent patients. Results: The needs of young patients with mental health difficulties exceed the resources available in emergency care. Linkage to outpatient care is often inadequate and may be reinforcing and perpetuating the current mental health crisis witnessed country-wide in the US. Guidelines are lacking to standardize care in the ED, but there is a consensus that extensive routine laboratory testing is unnecessary. Conclusions: Evaluation of physical stability, known as medical clearance, is a process best customized to every patient’s individual needs. However, requirements of admitting psychiatric inpatient facilities may conflict with recommendations of ancillary testing.

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.

scholarly journals Supporting Young People’s Mental Health: Reconceptualizing the Role of Schools or a Step Too far?

2021 ◽  
Vol 5 ◽  
Author(s):  
Jonathan Glazzard ◽  
Samuel Stones
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Policy ◽  
Medical Model ◽  
Clinical Approach ◽  
Mental Health Crisis ◽  
Policy Document ◽  
Health Crisis ◽  
Children And Young People ◽  
The Government

This article provides an overview of the United Kingdom government’s strategy for children’s mental health in schools. Critique of the mental health policy document demonstrates that the government has adopted a clinical approach to resolving the mental health “crisis” among children and young people. We argue that a clinical solution, implemented in schools, is not based on robust evidence and that the policy reflects a medical model which positions children and young people with mental ill health through a deficit lens. We argue that the government should, instead, adopt a systemic response which directly addresses the underlying factors which cause mental ill health rather than implementing a clinical approach in schools. We argue that a clinical response at the level of the individual is not appropriate for most children and young people with mental ill health and that there needs to be an urgent review of policy.

scholarly journals Working together better for mental health in children and young people during a pandemic: experiences from North Central London during the first wave of COVID-19

2021 ◽  
Vol 5 (1) ◽  
pp. e001116
Author(s):  
Monika Gorny ◽  
Sarah Blackstock ◽  
Arun Bhaskaran ◽  
Imogen Layther ◽  
Mimoza Qoba ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Emergency Departments ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
North Central ◽  
Children And Young People ◽  
Lessons Learnt

Direct risk from infection from COVID-19 for children and young people (CYP) is low, but impact on services, education and mental health (so-called collateral damage) appears to have been more significant. In North Central London (NCL) during the first wave of the pandemic, in response to the needs and demands for adults with COVID-19, general paediatric wards in acute hospitals and some paediatric emergency departments were closed. Paediatric mental health services in NCL mental health services were reconfigured. Here we describe process and lessons learnt from a collaboration between physical and mental health services to provide care for CYP presenting in mental health crisis. Two new ‘hubs’ were created to coordinate crisis presentations in the region and to link community mental health teams with emergency departments. All CYP requiring a paediatric admission in the first wave were diverted to Great Ormond Street Hospital, a specialist children’s hospital in NCL, and a new ward for CYP mental health crisis admissions was created. This brought together a multidisciplinary team of mental health and physical health professionals. The most common reason for admission to the ward was following a suicide attempt (n=17, 43%). Patients were of higher acute mental health complexity than usually admitted to the hospital, with some CYP needing an extended period of assessment. In this review, we describe the challenges and key lessons learnt for the development of this new ward setting that involved such factors as leadership, training and also new governance processes. We also report some personal perspectives from the professionals involved. Our review provides perspective and experience that can inform how CYP with mental health admissions can be managed in paediatric medical settings.

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