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Who are they? Where are they? 2020: children in tier 4 mental health units: technical report
- Authors:
- CLARKE Tom, NELSON Emma
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2020
- Pagination:
- 45
- Place of publication:
- London
This analysis examines four data extracts covering children in inpatient mental health wards during 2019/20. The extracts cover: all admissions of children to tier 4 units during 2019/20 2; children in a tier 4 unit on 31st March 2020; all discharges from tier 4 beds during 2019/20; admissions to tier 4 wards during 2019/20 where the child had a previous discharge within the same financial year. Key findings include: at 31st March 2020 there were 944 children in a bed in a tier 4 unit in England; over 1 in 5 children are in units that are more than 50 miles from their last known home postcode; children in secure units are notably more likely to be placed more than 50 miles from their last known home postcode; just over a third of children discharged from a tier 4 unit during 2019/20 had been there for more than 3 months (90 days); even after accounting for other factors, children aged under 15 discharged during 2019/20 were 20% more likely to have been in a tier 4 unit for over 3 months; boys are slightly more likely than girls to be discharged to their permanent (or a temporary) place of residence while girls are slightly more likely to be discharged to a subsequent medical institution, with 1 in 5 being discharged to a hospital or subsequent mental health ward (compared to 15% of boys); girls over-represent amongst readmissions to tier 4 wards during 2019/20, accounting for 80% of readmissions compared to 74% of discharges during the year. (Edited publisher abstract)
Whatever life brings: understanding your child's mental health
- Author:
- MENTAL HEALTH FOUNDATION
- Publisher:
- Mental Health Foundation
- Publication year:
- 2008
- Pagination:
- 19p.
- Place of publication:
- London
This booklet from the Mental Health Foundation outlines for parents and carers the things that keep children and young people in good mental health and suggests what can help when children are troubled. It describes the mental health problems that can affect children and young people and outlines the help that is available. The booklet generally refers to children when they are aged 5 to 11 and young people when they are aged 12 to 18. Much of the information applies to any young person up to age 18. It also gives a list of organisations which can provide further information and advice.
The mental health of children and young people: a framework for promotion, prevention and care
- Author:
- SCOTLAND Scottish Executive
- Publisher:
- Scottish Executive
- Publication year:
- 2006
- Pagination:
- 75p.
- Place of publication:
- Edinburgh
This document gives information concerning Scottish Executive policy on preventing and treating mental health problems in children. The context of mental health problems are given, as well as provisions for the development of specialist facilities.
Mental health of children and young people in Great Britain, 2004
- Authors:
- GREEN Hazel, et al
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2005
- Pagination:
- 388p., tables
- Place of publication:
- Basingstoke
This report first describes the prevalence of mental disorders among 5- to 16-year olds in 2004 and notes any changes since the previous survey in 1999. It then provides profiles of children in each of the main disorder categories (emotional, conduct, hyperkinetic and autistic spectrum disorders) and , where the sample size permits, profiles subgroups within these categories. The final chapters examine the characteristics of children with multiple disorders and present a selection of analyses for Scotland. Causal relationships should not be assumed for any of the results presented in this report.
The sociocultural context of the European Early Promotion Project
- Authors:
- DRAGONAS Thalia, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.32-40.
- Publisher:
- Taylor and Francis
Describes the sociocultural settings and relevant health care services within which the European Early Promotion Project was conducted, in order to render the interpretation of study results more meaningful and justify cross-cultural differences. Greece, Cyprus and Serbia are characterised by lower social expenditure and welfare provision and higher poverty rates than the UK and, especially, Finland, the latter having achieved an advanced welfare provision system. Large differences also exist among participating countries in child mental health and primary care services. Finland and the UK have made the biggest advances in promotional work with families, while Greece, Cyprus and Serbia present, to smaller or larger degree, deficiencies in health service infrastructure and their ability to follow social, economic and scientific advances in the area of maternal and child wellbeing. Part of a special issue on the EEPP.
Rights and the mental health of babies, children and young people: a view from YoungMinds
- Author:
- MORLEY Dianh
- Journal article citation:
- Representing Children, 16(4), 2004, pp.244-249.
- Publisher:
- National Youth Advocacy Service
The author, Deputy Director of Youngminds, discusses some key issues about the mental health of children and young people.
A head start: early support for children's mental health
- Author:
- CHILDREN'S COMMISSIONER FOR ENGLAND
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2022
- Pagination:
- 33
- Place of publication:
- London
This report describes six ambitions for early mental health support for children. These are based on the ideas children shared with the Children's Commissioner's Office. Alongside this the report has been shaped by wider engagement and thinking conducted to date on mental health with stakeholders, policymakers, organisations and charities, and parents and carers. The six ambitions are: Ambition 1 - Every family receives support to promote good mental health and wellbeing through pregnancy and the early years through Family Hubs, including mental health support for parents where needed; Ambition 2 - All children are protected from harm and taught the digital skills they need to be safe online, making the online world safe and exciting place for children to have fun, learn and connect with others, and all; Ambition 3 - All children have plentiful access to safe and fun spaces to play with their friends; Ambition 4 - All children's needs are met where they are and they receive support in school, through families of schools; Ambition 5 - The taboo of accessing support needs to be broken by making sure children can access it quickly, locally, in their communities or online; Ambition 6 - Specialist NHS support is available for any child who needs it, with no child turned away or stuck in a spiral of escalation whilst waiting for support. (Edited publisher abstract)
Depression in children and young people: identification and management in primary, community and secondary care: CG28
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2015
- Pagination:
- 63
- Place of publication:
- London
This guideline covers the identification and treatment of depression in children (5-11 years) and young people (12-18 years) in primary, community and secondary care. The guidance covers: the care children and young people with depression can expect to get from their doctor, nurse or counsellor; the information they can expect to be given; what they can expect from treatment; and the kinds of services that can help young people and children with depression, including family doctor (general practitioner or GP), health staff at school, and specialists in clinics or hospitals. (Edited publisher abstract)
Voices of parent advocates within the systems of care model of service delivery
- Authors:
- MUNSON Michelle R., et al
- Journal article citation:
- Children and Youth Services Review, 31(8), August 2009, pp.879-884.
- Publisher:
- Elsevier
A growing body of research suggests that the “systems of care” approach to children's mental health can be effective in improving children's behaviour and reducing stress on their families. What is less understood is how systems of care achieve these improvements. Through a series of focus groups, this study examined parent advocates, a key but understudied element of systems of care. Focus groups were conducted with parent advocates to examine how they themselves perceive their role within the systems of care model of service delivery. A research team identified several consistent themes from the focus group transcripts: unique role of parent advocates; similarities and differences between advocates and care managers; and, the value of having personal experience. For example, parent advocates saw themselves as navigators for families, helping them understand the system and access traditional and non-traditional services. Because of their own experiences with mental health services, parent advocates also believe they can communicate with family members in ways that professionals cannot. Results from this study can help strengthen the role of parent advocates by clarifying their contributions to service delivery. Future research should measure the extent to which parent advocates can produce the benefits identified in this study.
Who stays in treatment? Child and family predictors of youth client retention in a public mental health agency
- Authors:
- MILLER Lauren M., SOUTHAM-GEROW Michael A., ALLIN Robert B.
- Journal article citation:
- Child and Youth Care Forum, 37(4), August 2008, pp.153-170.
- Publisher:
- Springer
The present study examined predictors of youth client retention in therapy in a large community-based sample in the United States. Several conceptualizations of retention were used, including (a) “intake retention” (i.e., returned to treatment after intake session); (b) “mutual termination” (i.e., termination agreed upon by family and therapist), (c) “mean treatment duration” (i.e., completing the mean number of sessions in the agency), and (d) “total treatment duration” (i.e., total number of sessions). Archival data from over 400 children and adolescents who sought treatment at a large public mental health clinic were analyzed using regression analyses. Although different predictors were identified across the various conceptualizations, a few robust predictors emerged including ethnicity and client symptom severity. Clinical implications and future research directions are discussed.