Engagement of commissioners, primary and secondary care for developing successful ADHD services

Ayyash, Hani; Sankar, Sachin; Merriman, Harold L.; Vogt, Carsten; Earl, Tara R.; Shah, Komal; Banerjee, Somnath

doi:10.1007/s00787-012-0321-6

Cited by 3 publications

(4 citation statements)

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“…These findings are consistent with existing literature from the UK and elsewhere 9 10 18–20 25 26. For example, an earlier UK survey in 2006 found that only a third of the paediatricians felt that the mental health needs of their patients were being met by CAMHS 20.…”

Section: Discussionsupporting

confidence: 88%

“…Thornicroft and colleagues27 have highlighted that commissioning and funding can strongly militate against integrated care irrespective of favourable higher macro-policies by national governments. Thus, joint commissioning of adequately funded paediatric and CAMHS services that are colocated and within the same health management organisations could address most of the difficulties identified in this survey 10 11 17 25. The aforementioned commissioning goals would support progress towards the highest level of joint working within the three categories of incremental integration framework described by Heath et al ,43 which are ‘coordinated care’, ‘co-located care’ and ‘integrated care’.…”

Section: Discussionmentioning

confidence: 92%

“…Another hindrance is under-resourcing of CAMHS 24. However, the more powerful and overarching hindrances relate to structural factors such as commissioning and service designs 25–27. Historically, commissioning of services for CYP has favoured vertical care pathways designed for acute medical problems 26.…”

Section: Introductionmentioning

confidence: 99%

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Community paediatricians’ experience of joint working with child and adolescent mental health services: findings from a British national survey

Ani

Ayyash

Ogundele

2022

bmjpo

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ObjectivesChildren and young people (CYP) presenting to paediatric or child and adolescent mental health services (CAMHS) often have needs spanning medical and psychiatric diagnoses. However, joint working between paediatrics and CAMHS remains limited. We surveyed community paediatricians in the UK to inform better strategies to improve joint working with CAMHS.MethodsWe conducted an online survey of community paediatricians through the British Association for Community Child Health (BACCH) on how much joint working they experienced with CAMHS, any hindrances to more collaborative working, and the impact on service users and service provision. This paper is based on thematic analysis of 327 free-text comments by paediatricians.ResultsA total of 245 community paediatricians responded to the survey (22% of BACCH members). However, some responses were made on behalf of teams rather than for individual paediatricians. The following were the key themes identified: a strong support for joint working between community paediatrics and CAMHS; an acknowledgement that current levels of joint working were limited; the main barriers to joint working were splintered commissioning and service structures (eg, where integrated care systems fund different providers to meet overlapping children’s health needs); and the most commonly reported negative impact of non-joint working was severely limited access to CAMHS for CYP judged by paediatricians to require mental health support, particularly those with autism spectrum disorder.ConclusionThere is very limited joint working between community paediatrics and CAMHS in the UK, which is associated with many adverse impacts on service users and providers. A prointegration strategy that includes joint commissioning of adequately funded paediatric and CAMHS services that are colocated and within the same health management organisations is crucial to improving joint working between paediatrics and CAMHS.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 92%

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Community paediatricians’ experience of joint working with child and adolescent mental health services: findings from a British national survey

Ani

Ayyash

Ogundele

2022

bmjpo

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“…Light shed by the various articles in this issue of the journal spurs us to incorporate gold standards and national and international guidelines into our medical clinical training [2], daily practice, and the development of effective services [1]. However, average references established by studies conducted on large or small groups do not exclude, in practice, taking into account the complexity of disorders.…”

mentioning

confidence: 99%

From “ready to wear” to “custom-made”: the benefits of multidimensional approaches to tailor targeted interventions

Barthélémy

2012

Eur Child Adolesc Psychiatry

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Recommendations for a better patient care in daily clinical practice: a joint perspective of ESCAP and ECAP

Rothenberger¹,

Minderaa

2012

Eur Child Adolesc Psychiatry

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Engagement of commissioners, primary and secondary care for developing successful ADHD services

Cited by 3 publications

References 0 publications

Community paediatricians’ experience of joint working with child and adolescent mental health services: findings from a British national survey

Community paediatricians’ experience of joint working with child and adolescent mental health services: findings from a British national survey

From “ready to wear” to “custom-made”: the benefits of multidimensional approaches to tailor targeted interventions

Recommendations for a better patient care in daily clinical practice: a joint perspective of ESCAP and ECAP

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