Search results for ‘Subject term:"mental health problems"’ Sort:
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A collaborative approach to meeting the needs of adolescent offenders with complex needs in custodial settings: an 18-month cohort study
- Authors:
- RYAN Tony, MITCHELL Paul
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 22(3), June 2011, pp.437-454.
- Publisher:
- Taylor and Francis
Previous research has indicated that adolescent offenders have high levels of mental health problems. Although mental health services are provided within all Young Offender Institution (YOIs), these services can find it difficult to meet the needs of young offenders whose mental health needs are compounded and inextricably linked with their behaviours. This study took place in a YOI in North-West England which had undergone a radical overhaul of the mental health services including the establishment of a Complex Needs Unit to meet the needs of the young people who could not be cared for effectively on the main residential wards. The unit provides individualised, highly structured and consistent care to up to 10 young people. It uses a multi-agency approach in which prison officers work in collaboration with mental health staff. This article describes the aims of the unit and reports on a study to evaluate its effectiveness. Data was collected on the first 41 admissions to the unit between February 2008 and July 2009. The results indicate that the young people on the unit derived significant benefit from the intensive and highly structured regime, although many were unable to successfully reintegrate. This collaborative approach between custody staff and mental health professionals can significant improve behavioural and social functioning for young offenders with multiple and complex needs.
Inpatient services for children and young people with an intellectual disability
- Author:
- RIPPON Lisa
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 4(4), December 2010, pp.4-8.
- Publisher:
- Emerald
Children and young people with an intellectual disability have a higher incidence of mental illness and challenging behaviour than individuals without cognitive impairment. An important component of potential treatment options that should be available to these young people is inpatient assessment and treatment in a learning disability-specific provision rather than mainstream inpatient child and adolescent mental health services (CAMHS). This article describes the characteristics of young people who gain most from being admitted to a specialist intellectual disability unit, discusses what should be the core features of the service treating young people with an intellectual disability, and examines how units should be evaluated and the challenges faced by such highly specialised services. The article argues that intellectual disability CAMHS inpatient services provide an essential component in the range of services for young people with an intellectual disability who present with mental illness or challenging behaviour. They can only be effective, however, if they are integrated into community provision, community professionals remain engaged throughout the admission, and all those involved with the young person are committed to implementing recommendations following discharge.
Back to the future of social work: child and adolescent mental health and the post qualifying curriculum in England and Wales
- Author:
- WALKER Steven
- Journal article citation:
- Social Work Education (The International Journal), 29(6), September 2010, pp.616-632.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The author sets out his rationale, knowledge base and outline content for ways in which the post qualifying social work curriculum could be developed to equip social workers with the necessary skills to engage purposively in the area of child and adolescent mental health services (CAMHS). The first social work course to focus on children's mental health in the UK began in 1929 at the London School of Economics and Political Science. The subsequent child guidance movement led to the genesis of CAMHS where social workers held a pivotal and respected role among multi-disciplinary teams. It is suggested that this role has been undermined in recent years. The author believes that post qualifying social work education and training needs to recognise and reflect the potential social work contribution to modern CAMH services to enable social workers in England and Wales to engage and contribute to supporting the increasing numbers of troubled young people. He puts the onus on social work educators to create dedicated modules and pathways in their PSQW curricula to make this happen.
What am I?
- Author:
- REES Dawn
- Journal article citation:
- Young Minds Magazine, 71, July 2004, pp.36-37.
- Publisher:
- YoungMinds
Looks at the changing face of child and adolescent mental health services and asks what it means for professional identity.
Joint targeted area inspection of the multi-agency response to children’s mental health in Sefton
- Authors:
- OFSTED, et al
- Publisher:
- OFSTED
- Publication year:
- 2019
- Pagination:
- 16
- Place of publication:
- Manchester
Outlines the findings from one of a series of joint targeted area inspections to investigate the effectiveness of partnership working and of the work of individual agencies in responding to children living with mental ill health in Sefton. The inspection included an evaluation of the multi-agency ‘front door’, which receives referrals when children may be in need or at risk of significant harm. The report outlines both strengths and areas for improvement. It found there was: ineffective partnership working at both strategic and operational levels; poor information-sharing about children’s needs; and that children are unable to access support from the child and adolescent mental health service (CAMHS) quickly enough. Due to weaknesses in partnership working, the report outlines areas for priority action. (Edited publisher abstract)
Review of children and young people's mental health services: summary of recent policy and literature
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 72
- Place of publication:
- Newcastle upon Tyne
This review looks at the challenges facing children and young people’s mental health services and was carried out to support the Care Quality Commission’s ‘Review of children and young people's mental health services: Phase one report’. It examines national policy and guidance, reviews, and publications by think tanks and non-statutory agencies. It draws largely on documents published since 2014. The review focuses on the role different agencies in the system; how well the system is working, in terms of quality, access and experience; and the gaps, barriers and enablers to change. The results found consensus that improvements in the promotion of mental health and the prevention, early identification, support, care and treatment of mental ill-health in children and young people should be a national priority. The review identifies a number of practical challenges and obstacles, including: funding pressure at a time of increasing demand (across social care, health and education) and geographical variation in the range of provision and accessible, high-quality services. Issues that need to be addressed included: the develop strong leadership; establish clearer pathways and transition between services; clarity of roles and responsibilities; workforce development; focus on prevention and high-quality early intervention; improve the quality of data; increase participation; implement evidence based treatment with measurable outcomes; and ensure effective funding, accountability and commissioning arrangements. (Edited publisher abstract)
Under-nourishment and clinical risk: two concerns of CAMHS clinicians
- Author:
- BRIGGS Andrew
- Journal article citation:
- Journal of Social Work Practice, 26(4), December 2012, pp.427-441.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Noting that Child and Adolescent Mental Health Services (CAMHS) teams are complex working environments, this article discusses risk assessment of mental health and safety issues for children and young people by CAMHS teams. The article suggests that there has been erosion of containment within CAMHS multidisciplinary teams and that containment is essential if these teams are to function in a thoughtful way about clinical work and case management. The author argues that the consequences of workers feeling insufficiently emotionally contained can lead to primitive anxieties taking hold and affecting judgements, and that without nourishment, and its consequent provision of a containing boundary for anxieties, teams can dangerously dysfunction. The article uses a case example of a patient with eating disorder and a multidisciplinary team without a social worker to explore these ideas. It also mentions the role of social workers, noting that in order to realise their full potential when working in CAMHS social workers need specialist training to understand the emotional consequences for staff working with mental ill health.
School-based mental health service for refugee and asylum seeking children: multi-agency working, lessons for good practice
- Authors:
- CHIUMENTO Anna, et al
- Journal article citation:
- Journal of Public Mental Health, 10(3), 2011, pp.164-177.
- Publisher:
- Emerald
The Haven, a school-based Child and Adolescent Mental Health Service which works with refugee children and young people in schools across Liverpool, is the focus of this article. The project is a multi-agency collaboration between the health and education sector and provides school-based interventions and therapeutic support including art psychotherapy, psychodrama and horticulture. The article aims to raise awareness of the multi-agency model, and describes the project, its work and the findings of a service review. Semi-structured review meetings were undertaken with headteachers or link teachers in 8 schools engaging the services. The article discusses the key findings focusing on school outreach, increasing skills and knowledge of teachers through psycho-education, and the relationship between the school and the Haven team. It also describes feedback from refugee children and young people about therapy sessions. The authors conclude that children like this model of working, that there has been a positive response from schools, and that the service achieves its aim of improving refugee children's mental health. They discuss the implications for Child and Adolescent Mental Health Services.
Quick therapy the key to placement stability
- Author:
- HUNT Louise
- Journal article citation:
- Community Care, 3.11.11, 2011, pp.20-21.
- Publisher:
- Reed Business Information
A tiered CAMHS approach is helping to improve access to mental health services for looked after children and reduce placement breakdowns. It uses a team-around-the-child package of care, including a CAMHS psychologist, family placement officer, social workers and foster carer, with other practitioners co-opted as required. The team meets monthly to ensure the needs of the child are understood and acted upon.
Secret practices: interdisciplinary work in child welfare
- Author:
- TAYLOR Alexis A
- Publisher:
- Upfront
- Publication year:
- 2003
- Pagination:
- 202p.,bibliog.
- Place of publication:
- Leicester
This ethnographic study presents a different perspective on Child and Adolescent Mental Health Services: that of the child’s. The author argues that the rights of children encountering this service are as seriously compromised as those of adult mental health service users once were. The evidence challenges the quality of assessments, and shows the powerful influence of technical language and power mongering on constructing realities. Professional work can be self-serving rather than ‘in the best interests of the child’. Some of the fundamental tensions in inter-disciplinary work and ‘joined up thinking’ are exposed. Novel ways of exploring critical decision points and working effectively in groups are presented. There are salutary messages for child welfare practitioners and policy makers, and compelling reasons for radically altering the child welfare system in the UK in order to meet the needs of distressed children. A new ‘architecture of care’ must replace the current monolithic institutions and professional tribes.