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Philip Hazell, Titia Sprague, Joanne Sharpe
BACKGROUND: It is preferable that children and adolescents requiring in-patient care for mental health problems are managed in age-appropriate facilities. To achieve this, nine specialist Child and Adolescent Mental Health Services (CAMHS) in-patient units have been commissioned in New South Wales (NSW) since 2002. AIMS: To examine trends in child and adolescent in-patient admissions since the opening of these CAMHS units. METHOD: Analysis of separation data for under 18-year-olds to CAMHS, adult mental health and paediatric units for the period 2002 to 2013 in NSW, comparing districts with and without specialist CAMHS units...
January 2016: BJPsych Open
Helen Haley
AIM: To reduce the overall expenditure on melatonin for the local health economy by working collaboratively with the CCG's. To ensure that all paediatric patients prescribed melatonin have been clinically assessed by a specialist and the most appropriate formulation is dispensed. METHOD: Evaluation of GP melatonin prescribing cost across CCG using ePACT data and extrapolation of equivalent cost of prescribing and dispensing within secondary care. This initial data was then refined to exclude patients 16 years and over on unlicensed formulations of melatonin and all patients on licensed formulations...
September 2016: Archives of Disease in Childhood
David M Foreman
OBJECTIVES: The impact of policy and funding on Child and Adolescent Mental Health Service (CAMHS) activity and capacity, from 2003 to 2012, was assessed. The focus was on preschool children (aged 0-4 years), as current and 2003 policy initiatives stressed the importance of 'early intervention'. SETTINGS: National service capacity from English CAMHS mapping was obtained from 2003 to 2008 inclusive. English Hospital Episode Statistics (HES) for English CAMHS was obtained from 2003 to 2012...
2016: BMJ Open
Catharina Widmark, Christer Sandahl, Katarina Piuva, David Bergman
Unit managers and employees in schools, social services, and child and adolescent mental health services (CAMHS) were asked to describe their views on children's and adolescents' psychosocial needs when collaboration was required. A descriptive case study design was employed and data were gathered from 23 professionals in six focus groups. The data were analysed by the use of an inductive content approach. Disparities were identified that were interpreted as different approaches to children's needs, which we designated individual (CAMHS), contextual (social services), and educational (schools) approaches...
September 2016: Journal of Interprofessional Care
Kristin Cleverley, Kathryn Bennett, Lianne Jeffs
INTRODUCTION: A significant proportion of youth need to transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS); however, the transition process is not well understood and often experienced poorly by youth. In the effort to design and evaluate standards of practice for transitions, there is a need to identify key elements of a successful transition. The objectives of this scoping review are to: (1) identify definitions of successful transitions from CAMHS to AMHS; and (2) identify indicators that have been used to measure CAMHS-AMHS transition care processes and quality, and outcomes...
2016: BMJ Open
Christabel Owens, Nigel Charles
BACKGROUND: There are few interventions that directly address self-harming behaviour among adolescents. At the request of clinicians in Child and Adolescent Mental Health Services (CAMHS) in England and working with them, we redeveloped an adult SMS text-messaging intervention to meet the needs of adolescents under the care of CAMHS who self-harm. METHODS: We used normalisation process theory (NPT) to assess the feasibility of delivering it through CAMHS. We planned to recruit 27 young people who self-harm and their clinicians, working as dyads and using the intervention (TeenTEXT) for 6 months...
2016: Child and Adolescent Psychiatry and Mental Health
Hélène N C Yoder, Wietse A Tol, Ria Reis, Joop T V M de Jong
BACKGROUND: This study complements the growing amount of research on the psychosocial impact of war on children in Sierra Leone by examining local perceptions of child mental health, formal and informal care systems, help-seeking behaviour and stigma. METHODS: The study combined: (1) a nationwide survey of mental health care providers, with (2) exploratory qualitative research among service users and providers and other stakeholders concerned with child and adolescent mental health, with a particular emphasis on local explanations and stigma...
2016: International Journal of Mental Health Systems
(no author information available yet)
This book would be useful to nursing students, student social workers and staff new to children and adolescent mental health services (CAMHS) teams.
June 29, 2016: Nursing Standard
Sébastien Urben, Gregory Mantzouranis, Vanessa Baier, Olivier Halfon, Eva Villard, Laurent Holzer
Understanding the trajectories of youths within Child and Adolescents Mental Health Service (CAMHS) is of primary importance. Our objective is to assess the usefulness of the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) to predict inpatient (IP) stay for youths followed by assertive community treatment (ACT) teams. 82 youths followed exclusively by ACT and 42 who needed IP were assessed with the HoNOSCA at admission to the program. The HoNOSCA allowed the computing of three scores: a total score, an externalizing symptoms (Ext) score and an emotional problems (Emo) score...
August 30, 2016: Psychiatry Research
Evelyn Sharples, Chuan Qin, Vinita Goveas, Dawid Gondek, Jessica Deighton, Miranda Wolpert, Julian Edbrooke-Childs
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...
June 23, 2016: Clinical Child Psychology and Psychiatry
Daniel Almirall, Andrea Chronis-Tuscano
The treatment or prevention of child and adolescent mental health (CAMH) disorders often requires an individualized, sequential approach to intervention, whereby treatments (or prevention efforts) are adapted over time based on the youth's evolving status (e.g., early response, adherence). Adaptive interventions are intended to provide a replicable guide for the provision of individualized sequences of interventions in actual clinical practice. Recently, there has been great interest in the development of adaptive intervenions by investigators working in CAMH...
July 2016: Journal of Clinical Child and Adolescent Psychology
Zoebia Islam, Tamsin Ford, Tami Kramer, Moli Paul, Helen Parsons, Katherine Harley, Tim Weaver, Susan McLaren, Swaran P Singh
Aims and method The Transitions of Care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK) study was a multistage, multicentre study of adolescents' transitions between child and adult mental health services undertaken in England. We conducted a secondary analysis of the TRACK study data to investigate healthcare provision for young people (n = 64) with ongoing mental health needs, who were not transferred from child and adolescent mental health services (CAMHS) to adult mental health services mental health services (AMHS)...
June 2016: BJPsych Bulletin
Henrik Sollie, Bo Larsson
BACKGROUND: Limited information exists regarding the associations between impairment, symptoms, helpfulness of treatments, and service needs after initial treatment of children with attention-deficit/hyperactivity disorder (ADHD). AIMS: The aims of this study were to examine persistence rates and associations between parent-reported symptoms, impairment, helpfulness of treatments, and service needs in a retrospective follow-up study of children with ADHD. METHODS: Parents of 214 children with a mean age of 12...
November 2016: Nordic Journal of Psychiatry
H Takeuchi, V Powell, S Geisler, M DeSanti, G Fervaha, O Agid, J M Kane, G Remington
OBJECTIVE: While it is recommended that clozapine be administered in a divided dosing regimen, it is unclear whether this recommendation is followed in real-world clinical practice. In two large datasets, we examined clozapine dosing frequency and patient characteristics across different dosing regimens. METHOD: We conducted a cross-sectional survey, collecting data on patients receiving clozapine in August/September 2015 from the Centre for Addiction and Mental Health (CAMH) in Toronto, Canada, and The Zucker Hillside Hospital (ZHH) in New York, United States...
September 2016: Acta Psychiatrica Scandinavica
Karen Street, Susie Costelloe, Michelle Wootton, Sonja Upton, Julie Brough
BACKGROUND: Restrictive eating disorders in young people are increasingly requiring admission to the hospital and can be a challenge to manage on acute general paediatric wards. METHODS: We have developed a joint working model with Child and Adolescent Mental Health services (CAMHS) using short, structured, supported feeding admissions to supplement outpatient treatment in high risk or 'stuck' cases. RESULTS: We have successfully managed the majority of young people in the community avoiding lengthy, expensive, specialist CAMHS eating disorder inpatient unit admissions (tier 4)...
September 2016: Archives of Disease in Childhood
Toril Sørheim Nilsen, Bjørn Helge Handegård, Martin Eisemann, Siv Kvernmo
BACKGROUND: To examine demographic and clinical characteristics as potential predictors of change for children and youth with emotional disorders treated at two child and adolescent mental health outpatient services (CAMHS) in Norway. METHODS: The study was of naturalistic observational type with "treatment as usual" (TAU). The sample consisted of 84 children and youth with emotional disorders. The Health of the Nation Outcome Scale (HONOSCA), and the Children's Global Assessment Scale (CGAS) were administered at intake (T0), during the assessment (T1) and approximately six months after assessment (T2)...
2016: Child and Adolescent Psychiatry and Mental Health
Ciara Wynne, Caoimhe Doyle, Rachel Kenny, Eileen Brosnan, John Sharry
UNLABELLED: This study is a first-level evaluation of a family intervention targeted at adolescents with social, emotional and behavioural difficulties (SEBD) attending Child and Adolescent Mental Health Services (CAMHS) in Ireland. It is a combined implementation of the Working Things Out adolescent programme and the Parents Plus Adolescent Programme (WTOPPAP). METHOD: A total of 93 adolescents aged 11-17 years (M = 14.64, SD = 1.31; 39% male) and their parents took part in the study...
2016: Journal of Child and Adolescent Mental Health
Sophia T Ulhaq, Aneira Carter, Joan Rutherford
No abstract text is available yet for this article.
April 2016: BJPsych Bulletin
Jane Em Callaghan, Lisa Chiara Fellin, Fiona Warner-Gale
Policy on Child and Adolescent Mental Health Services (CAMHS) in England has undergone radical changes in the last 15 years, with far reaching implications for funding models, access to services and service delivery. Using corpus analysis and critical discourse analysis, we explore how childhood, mental health and CAMHS are constituted in 15 policy documents, 9 pre-2010 and 6 post-2010. We trace how these constructions have changed over time and consider the practice implications of these changes. We identify how children's distress is individualised, through medicalising discourses and shifting understandings of the relationship between socio-economic context and mental health...
April 6, 2016: Clinical Child Psychology and Psychiatry
Hue San Kuay, Sarah Lee, Luna C M Centifanti, Abigail C Parnis, Jennifer H Mrozik, Paul A Tiffin
Although family violence perpetrated by juveniles has been acknowledged as a potentially serious form of violence for over 30years, scientific studies have been limited to examining the incidence and form of home violence. The present study examined the prevalence of family aggression as perpetrated by youths; we examined groups drawn from clinic-referred and forensic samples. Two audits of case files were conducted to systematically document aggression perpetrated by referred youths toward their family members...
July 2016: International Journal of Law and Psychiatry
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