Hartfalen

Roosmalen, M. S. van; Lieshout, Jan van

doi:10.1007/978-90-313-9468-5_6

Werken Aan Kwaliteit in De Huisartsenpraktijk 2005

DOI: 10.1007/978-90-313-9468-5_6

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Hartfalen

M. S. van Roosmalen¹,

Jan van Lieshout²

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2012

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“…However, it became increasingly clear over time that the service did not function in this planned way. Internal audits (van Roosmalen, 2005; van Roosmalen & Gardner, 2007) had shown that more than half the service caseload consisted of hard-to-reach families with complex, multiple difficulties who might have had previously experienced difficulties in accessing Tier 3 CAMH services. In response to this demand, the service had begun to offer more extensive and complex direct and indirect interventions.…”

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confidence: 99%

A systems relations model for Tier 2 early intervention child mental health services with schools: An exploratory study

Roosmalen¹,

Gardner-Elahi

Day

2012

Clin Child Psychol Psychiatry

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Over the last 15 years, policy initiatives have aimed at the provision of more comprehensive Child and Adolescent Mental Health care. These presented a series of new challenges in organising and delivering Tier 2 child mental health services, particularly in schools. This exploratory study aimed to examine and clarify the service model underpinning a Tier 2 child mental health service offering school-based mental health work. Using semi-structured interviews, clinician descriptions of operational experiences were gathered. These were analysed using grounded theory methods. Analysis was validated by respondents at two stages. A pathway for casework emerged that included a systemic consultative function, as part of an overall three-function service model, which required: (1) activity as a member of the multi-agency system; (2) activity to improve the system working around a particular child; and (3) activity to universally develop a Tier 1 workforce confident in supporting children at risk of or experiencing mental health problems. The study challenged the perception of such a service serving solely a Tier 2 function, the requisite workforce to deliver the service model, and could give service providers a rationale for negotiating service models that include an explicit focus on improving the children's environments.

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mentioning

confidence: 99%

A systems relations model for Tier 2 early intervention child mental health services with schools: An exploratory study

Roosmalen¹,

Gardner-Elahi

Day

2012

Clin Child Psychol Psychiatry

View full text Add to dashboard Cite

show abstract

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Hartfalen

Cited by 1 publication

References 1 publication

A systems relations model for Tier 2 early intervention child mental health services with schools: An exploratory study

A systems relations model for Tier 2 early intervention child mental health services with schools: An exploratory study

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