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Joint targeted area inspection of the multi-agency response to children’s mental health in Plymouth
- Authors:
- OFSTED, et al
- Publisher:
- OFSTED
- Publication year:
- 2020
- Pagination:
- 10
- Place of publication:
- Manchester
Findings from a joint inspection about the effectiveness of partnership working and of the work of individual agencies responding to children’s mental health in Plymouth. The inspection was undertaken by HMI Constabulary and Fire & Rescue Services, Ofsted, the Care Quality Commission and HMI Probation. The report sets out the key strengths of partnership working and identifies areas for improvements. The findings show that partnership working is integral to Plymouth’s approach to improving services for children and ell-established strategic planning and commissioning help to focus on improving services and meet the emotional and mental health needs of children. The Plymouth trauma-informed practice approach is starting to be visible in practice across the partnership. However, the report suggests that quality assurance by the Plymouth and Torbay safeguarding children partnership is underdeveloped – this means that the partnership does not have the benefit of a robust analysis of the impact of statutory training and multi-agency audits. In addition, the governance arrangements for the youth offending team (YOT) are weak and require urgent attention. The emotional well-being and mental health needs of children accessing the YOT are not yet fully known or understood, and the partnership cannot be confident that they are being met. (Edited publisher abstract)
Children living with parents with mental illness
- Author:
- ALDRIDGE Jo
- Publisher:
- Scottish Child Care and Protection Network
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- Stirling
This research briefing looks at the research evidence on outcomes for children of living with a parent with mental illness. It also highlights key messages for health and social care professionals who work with children and families affected by parental mental illness. The briefing summarises why the issue is important, provides key implications for practice, and lists further resources.
Mental health of immigrant children: a new challenge for child and adolescent psychiatry services in Ireland
- Authors:
- SKOKAUSKAS Norbert, CLARKE Dermot
- Journal article citation:
- Child Care in Practice, 15(3), July 2009, pp.227-233.
- Publisher:
- Taylor and Francis
Ethnically, Ireland has diversified greatly over the past few years. Immigration is one of the one of the most stressful events a child can undergo; it involves profound changes, including a disruption of well-established relationships and acculturation. Since the long-established and dominant pattern for years had been emigration, Ireland is poorly equipped to meet mental health needs of immigrant children.
Response to Children and young people in mind: final report of the National CAMHS Review
- Author:
- GREAT BRITAIN. Department for Children, Schools and Families
- Publisher:
- Great Britain. Department for Children, Schools and Families
- Publication year:
- 2008
- Pagination:
- 10p.
- Place of publication:
- London
Following the announcement of the Review of CAMHS (child and adolescent mental health services) in the Children's Plan in December 2007, Ed Balls and Alan Johnson invited Jo Davidson to lead this Review and Dr Bob Jezzard to act as Vice-Chair. The Review represented an excellent opportunity to look at how well services are meeting the educational, health and social needs of children and young people at risk of, and experiencing, mental health problems. It also represented a chance to make recommendations for future progress The remit of the Review was broad and challenging, as the terms of reference show. There was a strong early response, which emphasised that responsibility for psychological well-being and mental health is not confined to specialist child and adolescent mental health services. For the purposes of the Review, 'CAMHS' therefore includes all services that promote psychological well-being and mental health or which respond to and meet the mental health needs of all children and young people. This includes universal services, targeted services and specialist services. With the help of the Expert Group, the Review team set out to find out what progress has been made in recent years in delivering services. They also aimed to work out what can be done to address current challenges and deliver better outcomes for children and young people with mental health problems.
Children with mental disorder and the law: a guide to law and practice
- Author:
- HARBOUR Anthony
- Publisher:
- Jessica Kingsley
- Publication year:
- 2008
- Pagination:
- 245p.
- Place of publication:
- London
Children and young people with complex mental health needs are increasingly being cared for within specialist mental health care settings, either in the community or in in-patient facilities. With rapid social developments, it can be difficult for carers and practitioners to keep track of the law in this area. This book provides a guide to the law relating to mental health care for children and young people, their rights and entitlement to service, and discusses important issues in clinical and social care practice such as parental responsibility, Gillick competency and capacity, emergency intervention and detention, assessment of mental illness and confidentiality in practice. A chapter written by Mary Mitchell considers the diagnosis and management of complex mental illness in young people, and a concluding chapter discusses changes in the law.
Child and family outcomes of the European Early Promotion Project
- Authors:
- DAVIS Hilton, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.63-81.
- Publisher:
- Taylor and Francis
This paper, part of a special issue on the European Early Promotion Project (EEPP), concerns outcomes for families involved in the Project and presents data collected when the children were between 6-8 and 24 months old. A total of 824 families were recruited from the 5 countries involved. At baseline, differences were found between country samples in extent and type of need (Finnish families having the lowest risk factor rates and Serbia the highest, for example), but recruitment was generally successful in including families from the whole range of need, excluding those with the severest physical and psychiatric problems. Although not randomised, intervention families (receiving the EEPP service) were reasonably matched with comparison families (receiving usual services) on most variables initially, except in Greece, where intervention families were somewhat more at risk. At 24 months, in spite of low intensity of service provision and methodological difficulties likely to reduce effects, there was evidence, particularly in Greece, of differences in outcome favouring the intervention group, who also showed significantly higher levels of satisfaction with the intervention received. It was concluded that the service merits further exploration to assist in understanding promotional and preventative processes.
Primary care clinicians’ use of standardized psychiatric diagnoses
- Authors:
- GARNER W., et al
- Journal article citation:
- Child: Care, Health and Development, 30(5), September 2004, pp.401-412.
- Publisher:
- Wiley
Treatment of child mental health (MH) problems should be informed by psychiatric diagnosis. Whether primary care clinicians (PCCs) use standardized psychiatric diagnostic criteria to direct the treatment of child MH problems is unknown. This study investigated PCCs’ use of Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria during office visits. The data were obtained from 3674 children ages 4–15 years who were recognized as having one or more MH problems during office visits by clinicians participating in the Child Behaviour Study. Parents completed questionnaires before seeing the clinician. Clinicians completed a survey after the visit. The primary outcome was whether PCCs used standardized criteria to generate a diagnosis for children with recognized MH problems. Clinicians used DSM criteria in 23% of visits in which a psychosocial problem was recognized, and 57% of PCCs reported no use of DSM. DSM criteria were used most frequently (38% of visits) when PCCs reported attention problems. Medications were much more likely to be prescribed during visits when PCCs diagnosed using DSM criteria (63% of visits vs. 19% when criteria were not used). However, only 51% of psychotropic medication prescriptions were based on a DSM diagnosis. Clinicians used standardized criteria infrequently, and primarily to diagnose attention problems.
Overlooked and forgotten: a review of how well children and young people's mental health is being prioritised in the current commissioning landscape
- Authors:
- OLIVA Laurie, LAVIS Paula
- Publisher:
- Children and Young People's Mental Health Coalition
- Publication year:
- 2013
- Pagination:
- 28
- Place of publication:
- London
This review, carried out by the Children and Young People's Mental Health Coalition, investigates how well children and young people's mental health is being assessed and prioritised by health and wellbeing boards (HWBs). A total of 145 joint strategic needs assessment (JSNAs) and 142 joint health and wellbeing strategies (JHWSs) that were in the public domain in early 2013 were reviewed, from the total 151 HWBs. Two thirds of JSNAs did not have a specific section addressing children and young people's mental health needs; one third of JSNAs did not include an estimated level of need, and data on the needs of young people aged between 16-25 was especially limited, despite the need to improve transition for child to adult services. The findings highlight where there needs to be improvement and also highlight aspects of good practice. Specific recommendations are made for Health and Wellbeing Boards; the Department of Health; and Public Health England. (Original abstract)
The mental and physical health difficulties of children held within a British immigration detention center: a pilot study
- Authors:
- LOREK Ann, et al
- Journal article citation:
- Child Abuse and Neglect, 33(9), September 2009, pp.573-585.
- Publisher:
- Elsevier
The present study aimed to assess the mental and physical health of children held within a British immigration detention centre. A total of 24 detained children (aged 3 months to 17 years) were assessed with their parents or carer after being referred by a registered legal charity. During the psychological assessment of 11 children, 8 met criteria for psychiatric “caseness” on the Strengths and Difficulties Questionnaire. All 11 reported symptoms of depression and anxiety. Sleep problems, somatic complaints, poor appetite, emotional symptoms, and behavioural difficulties were common. Symptoms of global distress were also reported by all 9 parents. According to paediatric assessment 8 out of 20 children had lost weight. Six had missed health appointments and 2 were taken to hospital. Detained children were found to be experiencing mental and physical health difficulties of recent onset, which appeared to be related to the detention experience. These findings suggest that current UK policies regarding the detention of children for purposes of immigration control should be re-examined. Detained families had very limited access to appropriate assessment, support or treatment. The traumatic experience of detention itself also has implications for the sizeable proportion of psychologically distressed children who are eventually released from detention and expected to successfully reintegrate into British society; while those children who are deported are returned with increased vulnerability to future stressors.
Work and family divided across borders: the impact of parental migration on Mexican children in transnational families
- Authors:
- LAHAIE Claudia, et al
- Journal article citation:
- Community Work and Family, 12(3), August 2009, pp.299-312.
- Publisher:
- Taylor and Francis
Using new data collected in high emigration communities within Mexico, the impact of partial family migration on children left behind in Mexico is explored. Multivariate results suggest that households where respondents have a spouse who was a caregiver and who migrated to the USA are more likely to have at least one child with academic, behavioural, and emotional problems than non-migrant households. This finding supports efforts to decrease the need for families to cross borders either by decreasing the economic necessities for migration or by designing immigration policies aimed at decreasing the separation of families across borders and increasing family support after a caregiver's departure to the USA. The end goal of these efforts and policies is to improve children's health and well-being in communities with high levels of migration.