Search results for ‘Subject term:"mental health problems"’ Sort:
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Case study: City and Hackney CAMHS extended service
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Pagination:
- 6p.
- Place of publication:
- London
A short case study describing the work of City and Hackney Child and Adolescent Mental Health Service (CAMHS). The service has extended their Tier 3 service provision to young people past the age of 18 years old who do not currently meet the criteria for Adult Mental Health Services (AMHS), but who are considered to require a mental health service. The case study outlines the background to the project, describes how the service was designed, how outcomes and impact of the service will be measured, and explains when the the service may be suitable to transferable to other settings. (Original abstract)
Transition from child to adult mental health services: a French retrospective survey
- Authors:
- SCHANDRIN Aurelie, et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 11(5), 2016, pp.286-293.
- Publisher:
- Emerald
Purpose: Adolescents and young adults’ mental health problems are an important health issue. However, the current organisation of the care pathway is not robust enough and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as a period of risk. The paper aims to discuss these issues. Design/methodology/approach: A retrospective survey was conducted in Montpellier University Hospital concerning transitions organised between CAMHS and AMHS between 2008 and 2009. The aim was to assess if transitions met four criteria identified in literature as warranting an optimal transition. Findings: In total, 31 transitions were included. Transition was accepted by AMHS in 90 per cent of cases but its organisation was rarely optimal. Relational continuity and transition planning were absent in 80 per cent of cases. The age boundary of 16 often justified the triggering of the transition regardless of patient’s needs. Discontinuity was observed in 48 per cent of transition cases, with an average gap of three months without care. Psychiatrists reported difficulties in working together. Finally, at the moment of the survey (one to three years later), 55 per cent of patients were lost to follow-up. Research limitations/implications: This is a retrospective study on a small sample but it reveals important data about transition in France. Practical implications: Transition process should include collaborative working between CAMHS and AMHS, with cross-agency working and periods of parallel care. (Edited publisher abstract)
Working at the CAMHS/adult services interface: good practice guidelines for the provision of psychiatric services to adolescents/young adults
- Authors:
- LAMB C., et al
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2008
- Pagination:
- 25p., bibliog.
- Place of publication:
- London
The transition from adolescence to adulthood is a crucial stage of social, personal and emotional development. It coincides with the emergence of personality disorders and a steep rise in the rates of mental disorder. This report acknowledges the lack of clarity in the UK about where CAMHS ends and adult services begin – a problem that results in service gaps and considerable unmet need. It is argued that there is a need for improved provision of developmentally appropriate mental health services to those over 16-years-old, and planned arrangements and programmes for transition of care from child to adult services. The report recommends that local CAMHS and adult services agree on arrangements for the transfer of care to adult mental health of young people with severe mental disorder. Protocols should be written for the transfer of care of young people who are in treatment with children’s mental health services and are within certain diagnostic groups. Finally, the report suggests that local CAMHS and adult mental health services agree pathways of care and treatment protocols for self-harm and emergency presentations to A&E departments. When admission to an adult unit is unavoidable, it should be short term only and guided by a CAMHS/Adult shared protocol of care.
Improving transition from children to adult mental health services: learning, messages and reflections from the LGA conference
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2019
- Pagination:
- 13
- Place of publication:
- London
A summary of key messages from an event held to discuss improving transitions for young people as they move from children and young people's mental health services (CAHMS) to adult mental health services. The scope was beyond purely medical services, to all the support a young person may need. This report sets out the recommendations, opinions and suggestions of good practice offered by the delegates. The message highlight the importance of partnership working between agencies; the need to adopt a person and family-centred approach; adopting models of pastoral support rather than just medical support through children and adolescent mental health services; and providing better, earlier support for young people. Short summaries providing examples of local initiatives and links to the presentations delivered on the day are also included. (Edited publisher abstract)
The well-being of young people: mental health services
- Author:
- WALES AUDIT OFFICE
- Publisher:
- Wales Audit Office
- Publication year:
- 2019
- Pagination:
- 19
- Place of publication:
- Cardiff
This report focuses on what the Welsh Government does to support organisations to improve young people’s mental health and wellbeing, focusing on young people aged 16-to-24 years. It is one in a series of topic reports on the work of the Welsh Government to support the well-being of young people in Wales. The report covers: key facts and statistics on young people’s mental health; the aims of the Welsh Government, including links to relevant policies and guidance; other organisation involved; and information on how much is spent. It also identifies areas for improvement in the Welsh Government’s approach. An interactive data tool published alongside the report provides more information about young people’s mental health in Wales. (Edited publisher abstract)
A scoping review of care received by young people aged 16-25 when admitted to adult mental health hospital wards
- Journal article citation:
- Journal of Public Mental Health, 15(4), 2016, pp.216-228.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate the extent, range and nature of literature concerning the mental health inpatient care of the young adult population (16-25 years) who have been admitted to adult mental health wards. This paper reports the findings and positions these in the context of the broader nature to adult inpatient care, evaluates the quality of the evidence and identify gaps in the literature. Design/methodology/approach: This paper uses an adapted scoping review methodology, allowing for a broad search but utilised established steps that allowed for a structured, rigorous approach to be used. CINAHL, Cochrane Library, MEDLINE, PsycINFO, Google Scholar, plus a secondary hand search were conducted resulting in eight papers, of quantitative, qualitative and mixed methods papers. Findings: Findings show admissions follow similar paths as to adults; admission reasons are largely unknown beyond simple descriptors; admission lengths are unknown whilst on adult wards; staff feel confident yet lack resources; young people feel the transition from CAMHS ward to adult ward can be beneficial if done sensitively; young people have positive experiences of adult wards, including factors that may not be present on CAMHS wards, e.g. role modelling by older patients; young people feel scared and vulnerable, including when excluded from decision making; however, involving young people can cause stress and be confusing if not done sensitively. Research limitations/implications: The scoping review identified a limited amount of research evidence for the care of young people admitted to adult wards. The research methods used in these papers were varied and none was of a high-quality standard. All studies contained methodological gaps which detract significantly from their findings and conclusions. The studies go some way to fill the gaps in knowledge and evidence base for this group, although in doing this scoping review was to unearth more gaps in knowledge. Originality/value: This scoping review collates findings from the literature regarding young people’s admissions to adult mental health wards. This sensitive and controversial area of mental health care is shown to be lacking in high-quality research. Young people are being admitted to adult wards in increasing numbers year on year in the UK, yet little research has been conducted to identify when and where treatment has been appropriate. This review provides a start to understanding what is known about admission and treatment for this group and what is not known so that these gaps may be investigated in future research. (Publisher abstract)
Investigation into the transition from child and adolescent mental health services to adult mental health services
- Author:
- HEALTHCARE SAFETY INVESTIGATION BRANCH
- Publisher:
- Health Care Safety Investigation Branch
- Publication year:
- 2018
- Pagination:
- 84
- Place of publication:
- London
Investigation report which reviews the transition of care from child and adolescent to adult mental health services to understand how variations in the transition impacts the safe and effective care of young people. The investigation followed the Healthcare Safety Investigation Branch being notified of an 18-year-old who died by suicide after transitioning from child and adolescent to adult mental health services. This report describes the issues identified in relation to the transition process, both in relation to the individual case and in the context of the wider healthcare system. The findings of the national investigation show that young people using mental health services would benefit from a flexible, managed transition from CAMHS that has been planned with the young person, which includes shared care and follow up after transition. There is also evidence that a flexible model providing mental health services up to the age of 25 can reduce the risk associated with transition. The report also identifies initiatives to improve transitions at 18. The report's recommendations include for: commissioners and providers of metal health services to ensure that the care of a young person before, during and after transition is shared in line with best practice, including joint agency working; and that the Care Quality Commission extends the remit of its inspections to ensure that the whole care pathway, from child and adolescent mental health services to adult mental health services is examined. (Edited publisher abstract)
Addressing the needs of young people experiencing depression and substance misuse problems
- Author:
- NATIONAL CHILDREN'S BUREAU
- Publisher:
- National Children's Bureau
- Publication year:
- 2012
- Pagination:
- 15p.
- Place of publication:
- London
Depression linked to substance misuse (problematic use of drugs and alcohol) is an increasing problem among young people in the UK. This briefing summarises key findings from a project exploring how health and children's services respond to the needs of young people experiencing, or at risk of experiencing, depression combined with substance misuse problems. It was developed in consultation with young people, GPs, and mental health and substance misuse services staff, and focuses on young people aged between 13 and 19 years. It discusses barriers to effective service provision, including stigma and lack of integration between services, and the need for increased training and better assessment tools to support the children's workforce, increased access to primary mental health services, substance misuse services and talking therapies for young people, and development of specialist skills in identifying and addressing substance misuse and mental health problems simultaneously. It also considers the impact of forthcoming changes in the way substance misuse services are commissioned, access, quality and integration aspects of specialist services, and managing transitions to adult services. It makes recommendations for Directors of Public Health, commissioners, and other public and voluntary sector partners in health, social care and education.
Transitions in mental health care: a guide for health and social care professionals on the legal framework for the care, treatment and support of young people with emotional and psychological problems during their transition years
- Authors:
- PARKER Camilla, et al
- Publisher:
- YoungMinds
- Publication year:
- 2011
- Pagination:
- 75p.
- Place of publication:
- London
The period in which young people move into adulthood is recognised as being stressful for many young people, and the transition from child and adolescent mental health services (CAMHS) to adult mental health services may cause concern to many young people and their families. This guide is aimed at health and social care professionals working with young people with mental health problems who are receiving care and support from CAMHS but have reached an age where they will need to move on to adult services. The purpose of this guide is to help practitioners understand the scope and purpose of the legislation, policy and guidance relevant to health and social care, and how such law and policy applies to the young people they are seeking to support. First, it highlights the key principles and concepts that are relevant to decisions concerning young people’s health and social care, such as human rights and equality, the general duties on NHS bodies and local authorities, and the importance of involving young people in their care. It then provides an overview of the health and social care legislation and guidance that is relevant to the assessment of the needs and the provision of services to young people with a mental disorder. Finally, it describes 8 different scenarios concerning young people in need of mental health care and suggests how the issues raised by these cases should be addressed.