The clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services.

Hdl Handle:
http://hdl.handle.net/10147/136753
Title:
The clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services.
Authors:
McGarry, Joan; McNicholas, Fiona; Buckley, Hannah; Kelly, Brendan D; Atkin, Louise; Ross, Niamh
Affiliation:
Lucena CAMHS, County Wicklow, Ireland. joan.mcgarry@sjog.ie
Citation:
The clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services. 2008, 13 (3):365-76 Clin Child Psychol Psychiatry
Publisher:
Sage Publications
Journal:
Clinical child psychology and psychiatry
Issue Date:
Jul-2008
URI:
http://hdl.handle.net/10147/136753
PubMed ID:
18783120
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed?term=18783120%5Buid%5D
Abstract:
A brief consultation and advice (BCA) approach to dealing with routine referrals was introduced into a child and adolescent mental health service (CAMHS) over an 18-month period. This is a time-limited, client-centred and solution-focused approach to dealing with common non-complex referrals. The model proposes that all families are seen for an initial 'consultation' appointment followed by a maximum of two further appointments. A randomized controlled study compared the clinical effectiveness of BCA treatment with treatment as usual (TAU) over a 6-month period. The parents of children referred to CAMHS were eligible to participate if their child was deemed 'non-complex'. Ethical approval was granted by the relevant ethics committee. Families who consented to participate in the study were randomly allocated to either the BCA or TAU group. Sixty children enrolled in the study. Both groups showed improvements on a number of variables at 3 months post treatment, but only those receiving BCA showed continued improvement at 6 months. Participants in both groups showed high levels of satisfaction with the treatment received. Participants in the TAU group expressed dissatisfaction with long waiting times and had a higher drop out rate than the BCA treatment group. During the time frame studied, the introduction of the BCA approach did not lead to a decrease in overall mean waiting time. These results and the usefulness of a BCA model are discussed.
Item Type:
Article
Language:
en
Description:
A brief consultation and advice (BCA) approach to dealing with routine referrals was introduced into a child and adolescent mental health service (CAMHS) over an 18-month period. This is a time-limited, client-centred and solution-focused approach to dealing with common non-complex referrals. The model proposes that all families are seen for an initial 'consultation' appointment followed by a maximum of two further appointments. A randomized controlled study compared the clinical effectiveness of BCA treatment with treatment as usual (TAU) over a 6-month period. The parents of children referred to CAMHS were eligible to participate if their child was deemed 'non-complex'. Ethical approval was granted by the relevant ethics committee. Families who consented to participate in the study were randomly allocated to either the BCA or TAU group. Sixty children enrolled in the study. Both groups showed improvements on a number of variables at 3 months post treatment, but only those receiving BCA showed continued improvement at 6 months. Participants in both groups showed high levels of satisfaction with the treatment received. Participants in the TAU group expressed dissatisfaction with long waiting times and had a higher drop out rate than the BCA treatment group. During the time frame studied, the introduction of the BCA approach did not lead to a decrease in overall mean waiting time. These results and the usefulness of a BCA model are discussed.
Keywords:
brief consultation; CAMHS; two-plus-one-model; waiting lists
MeSH:
Adolescent; Adolescent Health Services; Bibliotherapy; Child; Child Health Services; Child, Preschool; Control Groups; Counseling; Family Therapy; Female; Humans; Male; Mental Disorders; Mental Health Services; Parents; Patient Dropouts; Patient-Centered Care; Psychotherapy, Brief; Psychotherapy, Group; Questionnaires; Referral and Consultation; Treatment Outcome; Waiting Lists
ISSN:
1359-1045
Sponsors:
St. John of God Research Grant Committee

Full metadata record

DC FieldValue Language
dc.contributor.authorMcGarry, Joanen
dc.contributor.authorMcNicholas, Fionaen
dc.contributor.authorBuckley, Hannahen
dc.contributor.authorKelly, Brendan Den
dc.contributor.authorAtkin, Louiseen
dc.contributor.authorRoss, Niamhen
dc.date.accessioned2011-07-25T08:16:21Z-
dc.date.available2011-07-25T08:16:21Z-
dc.date.issued2008-07-
dc.identifier.citationThe clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services. 2008, 13 (3):365-76 Clin Child Psychol Psychiatryen
dc.identifier.issn1359-1045-
dc.identifier.pmid18783120-
dc.identifier.urihttp://hdl.handle.net/10147/136753-
dc.descriptionA brief consultation and advice (BCA) approach to dealing with routine referrals was introduced into a child and adolescent mental health service (CAMHS) over an 18-month period. This is a time-limited, client-centred and solution-focused approach to dealing with common non-complex referrals. The model proposes that all families are seen for an initial 'consultation' appointment followed by a maximum of two further appointments. A randomized controlled study compared the clinical effectiveness of BCA treatment with treatment as usual (TAU) over a 6-month period. The parents of children referred to CAMHS were eligible to participate if their child was deemed 'non-complex'. Ethical approval was granted by the relevant ethics committee. Families who consented to participate in the study were randomly allocated to either the BCA or TAU group. Sixty children enrolled in the study. Both groups showed improvements on a number of variables at 3 months post treatment, but only those receiving BCA showed continued improvement at 6 months. Participants in both groups showed high levels of satisfaction with the treatment received. Participants in the TAU group expressed dissatisfaction with long waiting times and had a higher drop out rate than the BCA treatment group. During the time frame studied, the introduction of the BCA approach did not lead to a decrease in overall mean waiting time. These results and the usefulness of a BCA model are discussed.en
dc.description.abstractA brief consultation and advice (BCA) approach to dealing with routine referrals was introduced into a child and adolescent mental health service (CAMHS) over an 18-month period. This is a time-limited, client-centred and solution-focused approach to dealing with common non-complex referrals. The model proposes that all families are seen for an initial 'consultation' appointment followed by a maximum of two further appointments. A randomized controlled study compared the clinical effectiveness of BCA treatment with treatment as usual (TAU) over a 6-month period. The parents of children referred to CAMHS were eligible to participate if their child was deemed 'non-complex'. Ethical approval was granted by the relevant ethics committee. Families who consented to participate in the study were randomly allocated to either the BCA or TAU group. Sixty children enrolled in the study. Both groups showed improvements on a number of variables at 3 months post treatment, but only those receiving BCA showed continued improvement at 6 months. Participants in both groups showed high levels of satisfaction with the treatment received. Participants in the TAU group expressed dissatisfaction with long waiting times and had a higher drop out rate than the BCA treatment group. During the time frame studied, the introduction of the BCA approach did not lead to a decrease in overall mean waiting time. These results and the usefulness of a BCA model are discussed.-
dc.description.sponsorshipSt. John of God Research Grant Committeeen
dc.language.isoenen
dc.publisherSage Publicationsen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed?term=18783120%5Buid%5Den
dc.subjectbrief consultationen
dc.subjectCAMHSen
dc.subjecttwo-plus-one-modelen
dc.subjectwaiting listsen
dc.subject.meshAdolescent-
dc.subject.meshAdolescent Health Services-
dc.subject.meshBibliotherapy-
dc.subject.meshChild-
dc.subject.meshChild Health Services-
dc.subject.meshChild, Preschool-
dc.subject.meshControl Groups-
dc.subject.meshCounseling-
dc.subject.meshFamily Therapy-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMental Disorders-
dc.subject.meshMental Health Services-
dc.subject.meshParents-
dc.subject.meshPatient Dropouts-
dc.subject.meshPatient-Centered Care-
dc.subject.meshPsychotherapy, Brief-
dc.subject.meshPsychotherapy, Group-
dc.subject.meshQuestionnaires-
dc.subject.meshReferral and Consultation-
dc.subject.meshTreatment Outcome-
dc.subject.meshWaiting Lists-
dc.titleThe clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services.en
dc.typeArticleen
dc.contributor.departmentLucena CAMHS, County Wicklow, Ireland. joan.mcgarry@sjog.ieen
dc.identifier.journalClinical child psychology and psychiatryen

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.