What next for adolescent forensic mental health research?

Hales, Heidi; Holt, Clare; Delmage, Enys; Lengua, César

doi:10.1002/cbm.2124

Cited by 5 publications

(1 citation statement)

References 30 publications

(35 reference statements)

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“…However, only 16% of young people receive mental health treatment in secure hospitals in England, despite increased rates of 46%–81% custody youth presenting with mental health problems (Hindley et al., 2017). Adolescents in secure hospitals (Tier 4) present with high‐risk, emerging personality disorders (Hill et al., 2014), complex mental health issues, developmental trauma (Mcara & Mcvie, 2010) and offending histories (Livanou, Furtado, & Singh, 2017), which are additional risk factors to poor mental health, high reoffending, and reinstitutionalisation rates (Hales, Holt, Delmage, & Lengua, 2019). Adolescent secure hospitals provide inpatient care, specifically tailored to these high‐risk youth, where treatment and nursing address acute needs which are otherwise not manageable in general adolescent inpatient hospitals (National Health Service; NHS, 2018).…”

Section: Introductionmentioning

confidence: 99%

Co‐producing a complex psychosocial intervention during COVID‐19 with young people transitioning from adolescent secure hospitals to adult services in England: Moving Forward intervention (MFi)

Livanou

Bull

Manitsa

et al. 2023

Child Adoles Ment Health

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BackgroundYoung people moving from adolescent secure hospitals to adult care present with multiple and complex needs which often remain unmet during transition periods. This paper delineates the process of developing and co‐producing the moving forward intervention (MFi), which aims to address the psychosocial needs of transitioning youth who have limited access to well‐researched and tailored service provisions.MethodAn extensive search of the relevant literature was conducted to generate themes and guide the co‐production phase. Fourteen Advisory Group Meetings were held virtually during COVID‐19 to design the MFi module content with 17 keyworkers, 2 parents and 13 young people aged 17–18 years across six adolescent secure hospitals in England. Thematic analysis was used to reflect on the field notes discussed in the Advisory Groups.ResultsCo‐produced themes from the literature and the Advisory Groups informed the development of the proposed intervention. Three overarching themes pertinent to expectations in adult services, improving communication gaps between services and facilitating the letting go period emerged from the co‐production phase. It was suggested the MFi is co‐delivered by a peer with lived experience to build trust and create hopefulness among young people. The importance of promoting graded transitions through standardised procedures was highlighted.ConclusionsThe current findings promote evidence‐based initiatives and build robust practice frameworks that inform treatment and policy guidelines. The young people, parents and keyworkers found the MFi supportive and valued the co‐production experience. As such, co‐production has been a vital tool in promoting patient engagement and empowerment, and reducing service inequalities, especially in adolescent secure hospitals.

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Section: Introductionmentioning

confidence: 99%

Co‐producing a complex psychosocial intervention during COVID‐19 with young people transitioning from adolescent secure hospitals to adult services in England: Moving Forward intervention (MFi)

Livanou

Bull

Manitsa

et al. 2023

Child Adoles Ment Health

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Challenges and Facilitators During Transitions from Adolescent Medium Secure Units to Adult Services in England: Interviews with Mental Healthcare Professionals

Livanou

D’Souza

Lane

et al. 2021

Adm Policy Ment Health

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Young people moving from child and adolescent secure hospitals present with complex needs and vulnerabilities and are more likely to experience poor transition outcomes. Previous research has indicated the presence of several risk factors in periods of transition, such as poor liaison among services, lack of proper planning, shortage of beds in adult services, multiple transitions and lack of emotional readiness. However, little evidence exists about the processes and outcomes of transitions from adolescent secure services to adult settings. This study aims to bridge the gap in the existing literature by exploring the views and experiences of key professionals involved in the transition process from six adolescent medium secure units to nine adult secure and community services in England. Thirty-four key workers from 15 child and adolescent (N = 21) and adult (N = 13) forensic hospitals were interviewed to provide information about potential barriers and facilitators to transitions. Face-to-face semi-structured interviews were conducted between January 2016 and December 2017. Thematic analysis was used to identify challenges and facilitators to transitions. Three primary themes were identified: (1) transition processes and preparation; (2) transition barriers and challenges; (3) success factors to transition. Key differences in adult and adolescent service care-models and lack of emotional and developmental readiness to moving onto adult-oriented settings constitute major barriers to positive transition outcomes. Practice and policy implications are considered to address the need for service transformations.

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The Profile and Characteristics of Young People Accessing Recently Implemented Community Forensic Child and Adolescent Mental Health Services (F:CAMHS) in Northern Ireland

Walsh,

Anderson,

Caldwell

2024

Journ Child Adol Trauma

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Children under the age of 18 who are known to forensic child and adolescent mental health services often present with complex psychosocial and behavioural needs that are elevated compared with those in the general youth population. The Forensic Child and Adolescent Mental Health Service for Northern Ireland (FCAMHSNI) was commissioned in 2014 to support these children. Despite almost a decade of implementation, the profile and characteristics in the service remain under-analysed, impeding service improvement and making international comparisons more difficult. The primary aim of the current study was to address the regional gaps in how the needs of those accessing FCAMHSNI are understood. A secondary aim was to capture comparable data. Data on 107 accepted referrals are included in the analyses. The majority of cases within this time period were male (81.1%, n = 86) and the majority of presenting behaviours were related to violence and aggression 62.3% (n = 48). However, some forms of violence, such as harmful sexual behaviour, was relatively low when compared with other jurisdictions. Specific demographic characteristics such as gender and religious background appeared to be significant risk factors for referral to the service. Almost all of the sample are known to have experienced at least one potentially traumatic event (95.2%) and in more than one-third of cases, service users presented with co-morbid issues (35.6%, n = 37). These observations are discussed. This study adds to the growing international literature around the needs of forensically involved youth and helps to inform future service development and provision.

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What next for adolescent forensic mental health research?

Cited by 5 publications

References 30 publications

Co‐producing a complex psychosocial intervention during COVID‐19 with young people transitioning from adolescent secure hospitals to adult services in England: Moving Forward intervention (MFi)

Co‐producing a complex psychosocial intervention during COVID‐19 with young people transitioning from adolescent secure hospitals to adult services in England: Moving Forward intervention (MFi)

Challenges and Facilitators During Transitions from Adolescent Medium Secure Units to Adult Services in England: Interviews with Mental Healthcare Professionals

The Profile and Characteristics of Young People Accessing Recently Implemented Community Forensic Child and Adolescent Mental Health Services (F:CAMHS) in Northern Ireland

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