Associations between family and clinician ratings of child mental health: A study of UK CAMHS assessments and outcomes

Terrelonge, Dion N; Fugard, Andrew J. B.

doi:10.1177/1359104517713240

Cited by 3 publications

(4 citation statements)

References 31 publications

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“…On the other hand, it should be noted that, as shown also recently (Terrelonge & Fugard, 2017), for more effective screening, it is appropriate to associate the collection of data from other sources ("multi-informant assessment"), such as teachers and minors themselves, through self-administered tools, especially if they are adolescents…”

Section: Screening On Large Populationsmentioning

confidence: 99%

Predictive validity for the clinical diagnosis of a new parent questionnaire, the CABI, compared with CBCL

Cianchetti

Faedda

Pasculli

et al. 2020

Clin Child Psychol Psychiatry

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Background: The questionnaires completed by the parents give a first general information on the behavioral problems of the child–adolescent, as a useful orientation to the clinical evaluation. The Child and Adolescent Behavior Inventory (CABI) is a 75-item parent questionnaire, which explores a large number of problem areas. The study of its predictive validity for the clinical diagnosis, in comparison with the Diagnostic and Statistical Manual of Mental Disorders ( DSM)-oriented scales of the Child Behavior Checklist (CBCL), can assess whether its use may be advantageous. Material and Methods: Parents/caregivers of 462 children and adolescents responded to both CABI and CBCL as a preliminary routine investigation. The results were compared with those of diagnoses obtained after the completion of the usual clinical procedure. Results: Accuracy values (probability of correct classification) resulted high for both instruments and significantly better for CABI anxiety and attention-deficit hyperactivity disorder (ADHD) scales, and for CBCL oppositional defiant disorder (ODD) and conduct disorder (CD) scales; no significant difference was found for depression scales. All the areas under the curve (AUC) of the receiver operating characteristic analysis reached excellent values, suggesting a very good predictive ability of the five scales of the two instruments. The comparison of AUC showed the CABI’s anxiety and ADHD scales to give significantly higher values than those of CBCL, indicating that these two scales have a better predictive ability. Conclusion: The study indicates a very good comparative (vs CBCL) and predictive validity of the CABI, suggesting an advantage in the use of this shorter questionnaire, available for free use both for clinical practice and supposedly for screening and epidemiological evaluations.

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Section: Screening On Large Populationsmentioning

confidence: 99%

Predictive validity for the clinical diagnosis of a new parent questionnaire, the CABI, compared with CBCL

Cianchetti

Faedda

Pasculli

et al. 2020

Clin Child Psychol Psychiatry

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“…86 Terrelong and Fugard (2017) demonstrated the importance of multi-informant data gathering and integrating multiple clinician perspectives when monitoring outcomes. 151 Welsh et al (2011) identified a need for further training for CAMHS clinicians in relation to the psychosis risk syndrome. 208 One study assessed symptoms and tracked progress 197 using the HoNOSCA to assess global functioning.…”

Section: Impact On Mental Health Assessment Processes and Outcomesmentioning

confidence: 99%

“…health crisis tools for general population of children/adolescents Child Anxiety Life Interference Scale, Children's Revised Impact of Events Scale and Children's Global Assessment230 Predictors of change in global psychiatric functioning at an inpatient adolescent psychiatric unit229 Compares clinician rating on CGAS and family ratings on SDQ151 …”

mentioning

confidence: 99%

Factors within the clinical encounter that impact upon risk assessment within child and adolescent mental health services: a rapid realist synthesis

Cantrell,

Sworn,

Chambers

et al. 2024

Health Soc Care Deliv Res

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Background Risk assessment is a key process when a child or adolescent presents at risk for self-harm or suicide in a mental health crisis or emergency. Risk assessment by a healthcare professional should be included within a biopsychosocial assessment. However, the predictive value of risk-screening tools for self-harm and suicide in children and adolescents is consistently challenged. A review is needed to explore how best to undertake risk assessment and the appropriate role for tools/checklists within the assessment pathway. Aims To map research relating to risk assessment for child and adolescent mental health and to identify features that relate to a successful risk assessment. Objectives To review factors within the clinical encounter that impact upon risk assessments for self-harm and suicide in children and adolescents: to conduct a realist synthesis to understand mechanisms for risk assessment, why they occur and how they vary by context to conduct a mapping review of primary studies/reviews to describe available tools of applicability to the UK. Data sources Databases, including MEDLINE, PsycINFO®, EMBASE, CINAHL, HMIC, Science and Social Sciences Citation Index and the Cochrane Library, were searched (September 2021). Searches were also conducted for reports from websites. Review methods A resource-constrained realist synthesis was conducted exploring factors that impact upon risk assessments for self-harm and suicide. This was accompanied by a mapping review of primary studies/reviews describing risk-assessment tools and approaches used in UK child and adolescent mental health. Following piloting, four reviewers screened retrieved records. Items were coded for the mapping and/or for inclusion in the realist synthesis. The review team examined the validity and limitations of risk-screening tools. In addition, the team identified structured approaches to risk assessment. Reporting of the realist synthesis followed RAMESES guidelines. Results From 4084 unique citations, 249 papers were reviewed and 41 studies (49 tools) were included in the mapping review. Eight reviews were identified following full-text screening. Fifty-seven papers were identified for the realist review. Findings highlight 14 explanations (programme theories) for a successful risk assessment for self-harm and suicide. Forty-nine individual assessment tools/approaches were identified. Few tools were developed in the UK, specifically for children and adolescents. These lacked formal independent evaluation. No risk-screening tool is suitable for risk prediction; optimal approaches incorporate a relationship of trust, involvement of the family, where appropriate, and a patient-centred holistic approach. The objective of risk assessment should be elicitation of information to direct a risk formulation and care plan. Limitations Many identified tools are well-established but lack scientific validity, particularly predictive validity, or clinical utility. Programme theories were generated rapidly from a survey of risk assessment. Conclusions No single checklist/approach meets the needs of risk assessment for self-harm and suicide. A whole-system approach is required, informed by structured clinical judgement. Useful components include a holistic assessment within a climate of trust, facilitated by family involvement. Study registration This study is registered as PROSPERO CRD42021276671. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR135079) and is published in full in Health and Social Care Delivery Research; Vol. 12, No. 1. See the NIHR Funding and Awards website for further award information.

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“…Furthermore, the current service evaluation did not include clinician assessed outcomes, parent/guardian assessed outcomes, or teacher ratings. Outcomes were therefore based solely on the children and young peoples' self-reported change, and consequently lacked multiinformant data and the combination of multiple perspectives recommended when monitoring outcomes (Terrelonge and Fugard, 2017). Goal-based outcomes were, however, collaboratively rated during therapeutic sessions.…”

Section: Limitationsmentioning

confidence: 99%

The effective delivery of digital CBT: a service evaluation exploring the outcomes of young people who completed video conferencing therapy in 2020

Porter¹,

Galloghly²,

Burbach³

2022

tCBT

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Despite its impressive evidence base, there is a widening access gap to receiving cognitive behavioural therapy (CBT). Video conferencing therapy (VCT) offers an effective solution for logistical barriers to treatment, which has been salient throughout the Coronavirus pandemic. However, research concerning the delivery of CBT via VCT for children and young people (CYP) is in its infancy, and clinical outcome data are limited. The aim of this service evaluation was to explore the effectiveness of a VCT CBT intervention for CYP referred from Child and Adolescent Mental Health Services (CAMHS) in the UK. A total of 989 records of CYP who had completed CBT via VCT in 2020 with Healios, a digital mental health company commissioned by the National Health Service (NHS), were examined to determine changes in anxiety, depression and progress towards personalised goals. Routine outcome measures (ROMs) were completed at baseline and endpoint, as well as session by session. Feedback was collected from CYP and their families at the end of treatment. There was a significant reduction in symptoms of anxiety and depression and significant progress towards goals, with pre- to post-effect sizes (Cohen’s d) demonstrating medium to large effects (d=.45 to d=−1.39). Reliable improvement ranged from 31 to 80%, clinical improvement ranged from 33 to 50%, and 25% clinically and reliably improved on at least one measure; 92% reported that they would recommend Healios. This service evaluation demonstrates that Healios’ CBT delivered via VCT is effective for CYP receiving it as part of routine mental health care. Key learning aims (1) To consider whether CBT can be effectively delivered in routine care via VCT. (2) To explore whether CBT delivered in routine care via VCT is acceptable to children, young people and their families. (3) To reflect on the benefits of VCT and the collection of a variety of ROMs via digital platforms.

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Associations between family and clinician ratings of child mental health: A study of UK CAMHS assessments and outcomes

Cited by 3 publications

References 31 publications

Predictive validity for the clinical diagnosis of a new parent questionnaire, the CABI, compared with CBCL

Predictive validity for the clinical diagnosis of a new parent questionnaire, the CABI, compared with CBCL

Factors within the clinical encounter that impact upon risk assessment within child and adolescent mental health services: a rapid realist synthesis

The effective delivery of digital CBT: a service evaluation exploring the outcomes of young people who completed video conferencing therapy in 2020

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