The clinical effectiveness of a brief consultation and advisory approach compared to treatment as usual in child and adolescent mental health services.
Affiliation
Lucena CAMHS, County Wicklow, Ireland. joan.mcgarry@sjog.ieIssue Date
2008-07Keywords
brief consultationCAMHS
two-plus-one-model
waiting lists
MeSH
AdolescentAdolescent 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
Metadata
Show full item recordCitation
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 PsychiatryPublisher
Sage PublicationsJournal
Clinical child psychology and psychiatryPubMed ID
18783120Additional Links
http://www.ncbi.nlm.nih.gov/pubmed?term=18783120%5Buid%5DAbstract
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
ArticleLanguage
enISSN
1359-1045Sponsors
St. John of God Research Grant CommitteeCollections
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