Evolving the service model for child and adolescent mental health services

Abstract

A new model for a community mental health service for children and young people aged 0-18 years is described. This has been formulated after multi-level consultation including extensive user/carer involvement. The proposed model is multidisciplinary and integrated with multiagency provision, with smooth access onto and through care pathways. This model brings voluntary and statutory agencies into an integrated collaboration. It reinforces that social and emotional development and psychological functioning is everybody's business and creates conditions where a child's needs can be addressed on a day-to-day basis rather than through a "clinic-based model".

Experiences and satisfaction of children, young people and their parents with alternative mental health models to inpatient settings: a systematic review

“…The final sample comprised of 19 articles included in this review and provides outcome evidence in the following four domains: alternative models [21,26,27,29,30]; interventions applied to Crisis [22,[31][32][33]; telepsychiatry and mobile applications applied to mental health crisis [35,38,39,41]; and experience and satisfaction with mental health crisis provision [25,28,34,36,37,40].…”

“…The 19 studies included in this review came from 5 different countries; 8 studies came from the UK [21,22,[25][26][27][28][29][30], 5 from the US [31][32][33][34][35], 3 from Australia [36][37][38], 2 from Canada [39,40] and 1 from Denmark [41]. Eight studies utilised a qualitative methodology [25,28,29,34,[36][37][38]40] and two studies were based on a qualitative case-study approach [22,33].…”

“…Eight studies utilised a qualitative methodology [25,28,29,34,[36][37][38]40] and two studies were based on a qualitative case-study approach [22,33]. In contrast, three studies followed a quantitative descriptive approach [30,35,39], while one study had a mixed-methods design [26]. Two studies followed an RCT design [27,31] and two studies were non-randomised with their methodological approach [21,32].…”

“…• The York model is a multidisciplinary, fully integrated community-based model that works in partnership with both statutory and voluntary sectors to provide multiagency provision for CYP within the UK [26]. The main advantages of this model lie predominantly in its accessibility, responsiveness, single point of entry, 24/7 urgent and emergency provision for CYP, and fully integrated service which enables smooth navigation through care pathways for CYP [26]. These features of the model reduce the need for re-referrals, as all the services are closely integrated, which consequently prevents CYP to fall through the gaps between the services [26].…”

“…The main advantages of this model lie predominantly in its accessibility, responsiveness, single point of entry, 24/7 urgent and emergency provision for CYP, and fully integrated service which enables smooth navigation through care pathways for CYP [26]. These features of the model reduce the need for re-referrals, as all the services are closely integrated, which consequently prevents CYP to fall through the gaps between the services [26]. • A similar multi-agency approach was taken by the UK One Stop Shop model, a nurse-led drop-in clinic for CYP who are affected by ADHD [30].…”