Providing 24-hour child and adolescent mental health services: demand and outcomes
| Autor: | Carole Boylan, Lorna Power, Mohammed Iqbal, Patricia Byrne, Margo Anglim, Carol Fitzpatrick |
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| Rok vydání: | 2011 |
| Předmět: |
Service (business)
Working hours medicine.medical_specialty Referral business.industry Service delivery framework Mental health 030227 psychiatry Child and adolescent 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Nursing Family medicine Medicine 030212 general & internal medicine medicine.symptom business Suicidal ideation Service development |
| Zdroj: | The Psychiatrist. 35:374-379 |
| ISSN: | 1758-3217 1758-3209 |
| DOI: | 10.1192/pb.bp.110.033316 |
| Popis: | Aims and methodThe provision of 24-hour specialist child and adolescent mental health services (CAMHS) is a key target for service commissioners. However, a lack of data exist on models of service delivery or levels of need for out-of-hours specialist CAMHS to guide service development. We aim to describe a model of 24-hour service provision and provide information on the demand for and outcome of assessments of a service in Dublin, Ireland, using a 6-year retrospective case study design.ResultsA total of 468 emergency presentations occurred during the study period; 80% presented with self-harm or suicidal ideation. Two-thirds presented outside of working hours. All presentations received a specialist CAMHS consultation. Over 50% required admission to a paediatric ward and 80% required onward referral to specialist CAMHS.Clinical implicationsThere is a need for a 24-hour specialist CAMHS and this allows increased rates of specialist assessment and onward referral for a high-risk group. |
| Databáze: | OpenAIRE |
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