The clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services.
AffiliationLucena CAMHS, County Wicklow, Ireland. email@example.com
Adolescent Health Services
Child Health Services
Mental Health Services
Referral and Consultation
MetadataShow full item record
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 Psychiatry
JournalClinical child psychology and psychiatry
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.
SponsorsSt. John of God Research Grant Committee
- Identifying the determinants of perceived quality in outpatient child and adolescent mental health services from the perspectives of parents and patients.
- Authors: Kapp C, Perlini T, Jeanneret T, Stéphan P, Rojas-Urrego A, Macias M, Halfon O, Holzer L, Urben S
- Issue date: 2017 Oct
- The effectiveness of single session therapy in child and adolescent mental health. Part 2: an 18-month follow-up study.
- Authors: Perkins R, Scarlett G
- Issue date: 2008 Jun
- Treatment patterns in prepaid psychiatric care.
- Authors: Spoerl OH
- Issue date: 1974 Jan
- 'They're not witches. …' Young children and their parents' perceptions and experiences of Child and Adolescent Mental Health Services.
- Authors: Bone C, O'Reilly M, Karim K, Vostanis P
- Issue date: 2015 May
- Consumer satisfaction with the Child and Adolescent Mental Health Service and its association with treatment outcome: a 3-4-year follow-up study.
- Authors: Solberg C, Larsson B, Jozefiak T
- Issue date: 2015 Apr