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Access and waiting times in children and young people's mental health services
- Author:
- FRITH Emily
- Publisher:
- Education Policy Institute
- Publication year:
- 2017
- Pagination:
- 16
- Place of publication:
- London
Based on the results of a Freedom of Information request to providers of 67 specialist child and adolescent mental health services, this report examines access and waiting times to specialist treatment for children and young people. It finds that many children with mental health problems face barriers when seeking access to mental health services, with over a quarter of children referred to specialist mental health services were not accepted in 2016-17.Providers in the South of England rejected the highest proportion of referrals (34.0 per cent), with London the lowest (19.3 per cent). Although overall waiting times have fallen from an average of 39 days in 2015-16 to 33 days in 2016-17, the report identified substantial variation across England. The report makes recommendations for policy, including standardised data collection and publication; the provision of early intervention at a local level, and equipping teachers with training and skills. (Edited publisher abstract)
Children and young people's mental health: time to deliver. The report of the Commission on Children and Young People's Mental Health
- Author:
- FRITH Emily
- Publisher:
- Education Policy Institute
- Publication year:
- 2016
- Pagination:
- 39
- Place of publication:
- London
This is the third and final report of the Education Policy Institute’s Independent Commission on Children and Young People’s Mental Health. The first two reports provided analysis of the current prevalence and trends in access to treatment within the child and adolescent mental health system. This report complements that quantitative analysis with further qualitative evidence on the process of transformation from frontline service visits. The report also includes policy recommendations for government based on all the research the Commission has undertaken. It suggests that the Government’s decision not to ring-fence the funding for children’s mental health is putting the young people’s mental health transformation process at risk. The report calls for a new Prime Minister’s Challenge on Children’s Mental Health, which should be adopted as a key priority for the government. This would set out an ambitious reform programme covering research and prevention, early intervention, and improving access to quality services. (Edited publisher abstract)
CentreForum Commission on Children and Young People's Mental Health: state of the nation
- Author:
- FRITH Emily
- Publisher:
- CentreForum
- Publication year:
- 2016
- Pagination:
- 32
- Place of publication:
- London
This report explores the issue of child and adolescent mental health in England. It sets out the latest available data on prevalence and trends over the last five years, and in the process highlights the fractured and inconsistent nature of the data available on this issue. This research identifies a significant ‘treatment gap’, where children and young people are unable to get the help they need; have to wait months for treatment; or are treated in the wrong place. The study reveals that child and adolescent mental health services (CAMHS) are, on average, turning away nearly a quarter (23 per cent) of children referred to them for treatment by concerned parents, GPs, teachers and others. This is often because their condition was not considered serious enough, or not considered suitable for specialist mental health treatment. The median waiting time for all providers was one month for a first appointment and two months until start of treatment. There was wide variation in average waiting times for different providers, from two weeks in Cheshire to 19 weeks in North Staffordshire. The average of the maximum waiting times for all providers has more than doubled since 2011/12. Only 0.7 per cent of NHS funding is spent on young people’s mental health, and only 16 per cent of this funding is on early intervention. This report demonstrates a stark inequality within the NHS where, unlike those who are physically ill, children and young people with mental health problems are still not always getting the right treatment, at the right time, in the right place. (Edited publisher abstract)
Inpatient provision for children and young people with mental health problems
- Author:
- FRITH Emily
- Publisher:
- Education Policy Institute
- Publication year:
- 2017
- Pagination:
- 33
- Place of publication:
- London
This report examines the state of child and adolescent mental health inpatient services in England. It explores the latest evidence and NHS data on admissions, quality of care, staffing and capacity of inpatient services – including geographical distribution and out of area placements. It also looks briefly at community alternatives to hospital admission and delayed discharge. It highlights five challenges in order to raise standards in young people’s mental health provision. These include: addressing workforce shortages, improving access to inpatient beds and reduce geographical disparity in access; and increasing the capacity of community mental health and social care support services to enable young people to be discharged from hospital sooner. (Edited publisher abstract)
Progress and challenges in the transformation of children and young people's mental health care: a report of the Education Policy Institute's Mental Health Commission
- Author:
- FRITH Emily
- Publisher:
- Education Policy Institute
- Publication year:
- 2016
- Pagination:
- 47
- Place of publication:
- London
This report explores progress made since the publication of the Coalition Government’s strategy, Future in Mind, in 2015 to transform mental health care for children and young people in England. It also identifies key barriers and risks that could hinder the process of transformation. The report was based on analysis of local transformation plans, a call for evidence distributed to key stakeholders in the field of children and young people’s mental health, interviews with professionals and a freedom of information request to child and adolescent mental health service (CAMHS) providers. The report shows a wide variation in progress achieved so far. Positive changes identified, including: the development of plans in every area of the country, although these varied in quality with only 15 per cent seen as 'good', 48 per cent 'require improvement' and 37 per cent 'require substantial improvement; gathering of national data to inform service improvement; and local health and care leaders working together to coordinate the design of new services. However the report also identified six barriers to progress, including: workforce, both recruitment difficulties and training needs; funding, with failure to ring-fence budgets allocated to local areas; the complexity and quality of local commissioning; the need for better data to plan services; fragmentation of services; and intervening too late. (Edited publisher abstract)