Evaluation of a Waiting List Initiative in a Child and Adolescent Mental Health Service

Clemente, Carmen; McGrath, Rita Gunther; Stevenson, Clare; Barnes, Jacqueline

doi:10.1111/j.1475-3588.2005.00386.x

Cited by 20 publications

(26 citation statements)

References 10 publications

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“…Implementing flexible appointment hours to improve treatment access and attendance in child mental health treatment is essential. Pre-waitlist strategies (e.g., centralized intake process, triage incorporated into the intake process for prioritization of cases by clinical severity) are among the strategies used by agencies and found to demonstrate significant reductions in wait times and missed appointments (Clemente, McGrath, Stevenson, & Barnes, 2006; Williams, Latta, & Conversano, 2008). Other strategies may include providing immediate intervention services during assessment and prior to treatment, weekly monitoring of children and families on the waitlist, collaboration with other providers and agencies, and utilization of clinical pathways (Ingoldsby, 2010).…”

Section: Discussionmentioning

confidence: 99%

Understanding Barriers to Initial Treatment Engagement among Underserved Families Seeking Mental Health Services

et al. 2016

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This mixed method study examined factors associated with parents not attending their child’s mental health treatment after initially seeking help for their 2–5 year old child. It was part of a larger study comparing two evidence-based treatments among low-income racial/ethnic minority families seeking child mental health services. Of 123 parents who initiated mental health treatment (71% African American or multi-racial; 97.6% low-income), 36 (29.3%) never attended their child’s first treatment session. Socio-demographic characteristics, parenting stress, depression, severity of child behavior problems, and length of treatment delay from intake to first scheduled treatment session were compared for families who did and did not attend their first treatment session. Parents who never attended their child’s first treatment session were more likely to live with more than 4 adults and children (p=.007) and have more depressive symptoms (p=.003). Median length of treatment delay was 80 days (IQR =55) for those who attended and 85 days (IQR =67.5) for those who did not attend their child’s first treatment session (p=.142). Three themes emerged from caregiver interviews: (a) expectations about the treatment, (b) delays in getting help, and (c) ambivalence about research participation. Findings suggest the need to develop better strategies for addressing risk factors early in the treatment process and reducing the length of time families with adverse psychosocial circumstances must wait for child mental health treatment.

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Section: Discussionmentioning

confidence: 99%

Understanding Barriers to Initial Treatment Engagement among Underserved Families Seeking Mental Health Services

et al. 2016

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“…12 Changes in intake procedures appear to have positively influenced waiting for mental health services. 10,13,14 Adapting services to brief counselling sessions 15 or moving to consultative models of care may also improve wait times. 16 New models of service are a pragmatic alternative to an increase in funding.…”

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confidence: 99%

Wait Time Impact of Co-Located Primary Care Mental Health Services: The Effect of Adding Collaborative Care in Northern Ontario

et al. 2012

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Objectives: In the shared care model, psychiatrists and physicians work in the same office areas, write their notes in the same casebooks, and can more rapidly exchange information about referrals and health conditions of their patients. We evaluated the impact of the introduction of a shared mental health care service, co-located with a primary care site, on wait times for mental health services in a northern Ontario city. Method: Chart reviews were conducted to examine a total of 3589 referrals for 5 mental health outpatient services (1 shared care and 4 existing services) from January 2001 to the end of June 2004. The shared mental health care service site was started in July 2001. Wait time was measured 6 months prior to and up to 3 years after the introduction of the shared care service. Results: The shared care site offered services more than 40 days sooner and also helped to reduce wait time on the nonshared care sites. After shared care began, the pre-existing, nonshared care services had wait times of about 13 days shorter during the 3 subsequent years. Conclusions: The shared care service maintained the lowest overall wait times, compared with the existing nonshared care services. The existing services experienced a decrease in the number of days waiting when the baseline wait time was compared with that of the following year. W W W Objectifs : Dans le modèle des soins partagés, psychiatres et médecins travaillent dans les mêmes bureaux, rédigent leurs notes dans les mêmes recueils, et peuvent échanger plus rapidement l'information sur l'aiguillage et l'état de santé de leurs patients. Nous avons évalué l'effet de l'introduction d'un service de soins de santé mentale partagés, installé au même endroit que des soins de première ligne, sur les temps d'attente des services de santé mentale dans une ville du nord de l'Ontario. Méthode : Une étude des dossiers a été menée pour examiner un total de 3589 consultations pour 5 services externes de santé mentale (1 de soins partagés et 4 services existants) de janvier 2001 à la fin de juin 2004. Le service de soins de santé mentale partagés a ouvert ses portes en juillet 2001. Les temps d'attente ont été mesurés 6 mois avant et jusqu'à 3 ans après l'ouverture du service de soins partagés. Résultats : Le site des soins partagés offrait des services plus de 40 jours plus tôt et contribuait également à réduire les temps d'attente des sites de soins non partagés. Après le début des soins partagés, les services de soins non partagés préexistants ont eu des temps d'attente de quelque 13 jours plus courts durant les 3 années subséquentes. Conclusions : Le service des soins partagés a maintenu les temps d'attente les plus faibles en général, comparativement aux services de soins non partagés existants. Les services existants ont connu une diminution du nombre de jours d'attente, lorsque les temps d'attente de départ ont été comparés avec ceux de l'année suivante.

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“…Those studies aimed at child populations include Clemente and colleagues’ () findings from the evaluation of a system designed to manage referrals to London‐based CAMHS services and reduce DNA rates. The authors found that the new system was associated with a significantly shorter average waiting time for the first appointment (nine weeks) and a lower DNA rate.…”

Section: Resultsmentioning

confidence: 99%

‘Did not attends’ in children 0–10: a scoping review

Arai

Stapley

Roberts³

2013

Child

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Patients who do not attend (‘DNA’) health appointments have been identified as a service problem incurring significant costs to the NHS. In order to explore the causes, effects and costs of child DNAs, we carried out a scoping study to map the literature and identify gaps in the research. Given the breadth of issues underpinning DNAs, a scoping study, including research studies, audits, policy documents and conference abstracts, was the most useful way to map the field. To foster public and patient participation, we sought advice from parents participating in the National Children's Bureau's Family Research Advisory Group. From a pool of 1997 items, we found few UK studies with non‐attendance of 0–10 year olds as a primary focus, though many more incidentally reported DNA rates. Overall, four topics predominated: the conceptualization of DNAs; the correlates of non‐attendance; initiatives to reduce non‐attendance; and the relationship between non‐attendance and safeguarding. The Family Research Advisory Group identified broadly similar issues, but with a stronger emphasis on communication and practical matters. While there may be circumstances where failing to attend appointments makes little or no difference to a child (or even benefits them) it is likely that there are children whose health or well‐being are compromised as a result of failing to attend appointments. Both ‘over’ and ‘under'‐attendance can be a source of anxiety to health professionals. Areas where further work is needed include robust evaluation of the effectiveness, cost‐effectiveness and maintenance of measures to reduce DNAs and a better understanding of the relationship of safeguarding to non‐attendance.

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Evaluation of a Waiting List Initiative in a Child and Adolescent Mental Health Service

Cited by 20 publications

References 10 publications

Understanding Barriers to Initial Treatment Engagement among Underserved Families Seeking Mental Health Services

Understanding Barriers to Initial Treatment Engagement among Underserved Families Seeking Mental Health Services

Wait Time Impact of Co-Located Primary Care Mental Health Services: The Effect of Adding Collaborative Care in Northern Ontario

‘Did not attends’ in children 0–10: a scoping review

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