scholarly journals What do inner city general practitioners want from a child and adolescent mental health service?

2000 ◽  
Vol 24 (7) ◽  
pp. 258-260 ◽  
Author(s):  
Tara Weeramanthri ◽  
Francis Keaney
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Service Development ◽  
Specialist Services ◽  
Adolescent Mental Health Service ◽  
Gp Training

Aims and MethodWe surveyed 25 general practitioners (GPs) on their needs from their local child and adolescent mental health services (CAMHS) to improve liaison and inform service development.ResultsMost GPs refer to specialist services. Only a quarter deal with problems themselves. The top priority was easy and quick access to services. The most popular topics for GP training were interactions between teenagers and their parents, child abuse and eating disorders. No GP had formal training in child and adolescent psychiatry and further training was a low priority.Clinical ImplicationsSuch a survey has helped to develop a closer partnership between GPs and their local CAMHS using a service–response model. It has raised concerns about the under-identification of child mental health problems. It has informed CAMHS of the service and training needs of local GPs.

scholarly journals A child and adolescent mental health service for children with intellectual disabilities – 8 years on

2010 ◽  
Vol 34 (5) ◽  
pp. 195-199
Author(s):  
Barry Wright ◽  
Chris Williams ◽  
Marcella Sykes
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Intellectual Disabilities ◽  
Child Mental Health ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Specialist Service ◽  
Adolescent Mental Health Service

SummaryThis paper reports on the last 8 years in the development of a child mental health learning disability service. The growth, challenges and pitfalls faced by the service are charted here. The paper also shows how a service can cope with rising demand without the development of waiting lists and how a specialist service can be embedded within a generic child and adolescent mental health service (CAMHS) as a tier 3 team, thus creating synergies and commonalities of purpose, while avoiding service gaps that inevitably arise from separate services with specific referral criteria. This is a healthy service model that meets the needs of local children with moderate to severe intellectual disabilities and concomitant child mental health problems.

scholarly journals Distribution and characteristics of in-patient child and adolescent mental health services in England and Wales

2003 ◽  
Vol 183 (6) ◽  
pp. 547-551 ◽  
Author(s):  
Anne O'Herlihy ◽  
Adrian Worrall ◽  
Paul Lelliott ◽  
Tony Jaffa ◽  
Peter Hill ◽  
...  
Keyword(s):  
Mental Health ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Specialist Service ◽  
England And Wales ◽  
Current State ◽  
Specialist Services ◽  
Adolescent Mental Health Service ◽  
Independent Sector ◽  
The Uk

BackgroundLittle is known about the current state of provision of child and adolescent mental health service in-patient units in the UK.AimsTo describe the full number, distribution and key characteristics of child and adolescent psychiatric in-patient units in England and Wales.MethodFollowing identification of units, data were collected by a postal general survey with telephone follow-up.ResultsEighty units were identified; these provided 900 beds, of which 244 (27%) were managed by the independent sector. Units are unevenly distributed, with a concentration of beds in London and the south-east of England. The independent sector, which manages a high proportion of specialist services and eating disorder units in particular, accentuates this uneven distribution. Nearly two-thirds of units reported that they would not accept emergency admissions.ConclusionsA national approach is needed to the planning and commissioning of this specialist service.

scholarly journals Distribution and characteristics of in-patient child and adolescent mental health services in England and Wales

2003 ◽  
Vol 183 (06) ◽  
pp. 547-551 ◽  
Author(s):  
Anne O'Herlihy ◽  
Adrian Worrall ◽  
Paul Lelliott ◽  
Tony Jaffa ◽  
Peter Hill ◽  
...  
Keyword(s):  
Mental Health ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Specialist Service ◽  
England And Wales ◽  
Current State ◽  
Specialist Services ◽  
Adolescent Mental Health Service ◽  
Independent Sector ◽  
The Uk

Background Little is known about the current state of provision of child and adolescent mental health service in-patient units in the UK. Aims To describe the full number, distribution and key characteristics of child and adolescent psychiatric in-patient units in England and Wales. Method Following identification of units, data were collected by a postal general survey with telephone follow-up. Results Eighty units were identified; these provided 900 beds, of which 244 (27%) were managed by the independent sector. Units are unevenly distributed, with a concentration of beds in London and the south-east of England. The independent sector, which manages a high proportion of specialist services and eating disorder units in particular, accentuates this uneven distribution. Nearly two-thirds of units reported that they would not accept emergency admissions. Conclusions A national approach is needed to the planning and commissioning of this specialist service.

Telemedicine in a child and adolescent mental health service: Participants’ acceptance and utilization

2005 ◽  
Vol 11 (1_suppl) ◽  
pp. 53-55 ◽  
Author(s):  
Annmarie Grealish ◽  
Andrew Hunter ◽  
Robin Glaze ◽  
Louise Potter
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Inpatient Service ◽  
Process Of Care ◽  
Great Satisfaction ◽  
Specialist Services ◽  
Adolescent Mental Health Service ◽  
Set Up

Videoconferencing equipment was set up in Scotland in response to the increased pressure faced by the child and adolescent mental health services (CAMHS), and the need for specialist services to be accessible to, and harmonize with, ‘mainstream’ health services. Three sites were linked to the inpatient service in Edinburgh. Data were collected via questionnaires and diary logs. During a 24–month study, a total of 65 adolescents were admitted for inpatient care, of whom only five had their cases reviewed and monitored in a total of 20 teleconsultations. Adolescents and their carers involved in the study expressed great satisfaction with telemedicine and were keen to use it. Clinicians were resistant to telemedicine, with consequently low levels of utilization. Our results suggest that managers may be unwilling to reallocate funding away from staffing, even where these costs are small and represent considerable improvements in the process of care for patients. Widespread integration of telemedicine to CAMHS is likely to be hard to achieve.

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 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 Addressing mental health needs of deaf children and their families: the National Deaf Child and Adolescent Mental Health Service

2013 ◽  
Vol 37 (5) ◽  
pp. 175-178 ◽  
Author(s):  
Ben Sessa ◽  
Hilary Sutherland
Keyword(s):  
Mental Health ◽  
Protective Factor ◽  
Mental Health Problems ◽  
Deaf Child ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Deaf Children ◽  
Adolescent Mental Health Service ◽  
Set Up ◽  
Hearing Children

SummaryRates of developmental delay, autism and mental illness in deaf children are higher than in hearing children. Early language acquisition (signed or spoken) is a protective factor against mental disorder. Deaf children and their families are often given conflicting messages and advice about their upbringing and many are unable to access generic child and adolescent mental health services (CAMHS). We describe the National Deaf CAMHS, a service that has been set up to answer the needs of this group of patients. It uses specialist intervention which incorporates some aspects of Deaf awareness to empower deaf children and reduce the burden of mental health problems that are likely to accompany them into and throughout their adulthood.

scholarly journals General practitioners and child and adolescent psychiatry: awareness and training of the new commissioners

2001 ◽  
Vol 25 (3) ◽  
pp. 101-104 ◽  
Author(s):  
D. M. Foreman
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Royal College ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Clinical Implications ◽  
Undergraduate Training ◽  
Medical Specialities ◽  
And Training ◽  
Gp Training

Aims and MethodGeneral practitioners' (GPs’) informed awareness of the various medical specialities underpins their ability to manage and commission services for their patients. Three questions, relevant to GP practice, to test awareness of child and adolescent mental health services (CHMHS) were developed and sent to 238 GP principals in North Staffordshire. One hundred and seventy-six responded.ResultsForty-seven per cent had no undergraduate training in CAMHS and 93% had negligible postgraduate experience. Only 27% thought they saw CAMHS cases frequently. Sixty-four per cent usually referred those they saw. Relevant expertise made referral to CAMHS less likely, as did membership of the Royal College of General Practitioners. Seventythree per cent wanted more training, but only 7% thought training easy to obtain.Clinical ImplicationsThese findings confirm the need for child and adolescent psychiatrists to become directly involved in the commissioning of their services and GP training.

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