Informing Best Practices for Children in Psychiatric Crises: Perspectives and Insights from Families

Walter, Uta M.; Petr, Christopher G.; Davis, Sharah

doi:10.1606/1044-3894.3578

Cited by 6 publications

(22 citation statements)

References 18 publications

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“…For the research studies, there were 31 quantitative studies (reported across 37 reports 32,34,57-69,71-75, 77-89,92,93,98,132 ) and 11 qualitative studies. 70,76,90,91,[94][95][96][97]99,100,133 The quantitative studies included a prospective cohort study (n = 132), retrospective cohort studies (n = 12 34,62,[65][66][67][68]71,72,74,75,87,89 ), quasi-experimental studies (four studies across six reports 82,83,86,92,93,132 ), randomised controlled trials (RCTs) (four studies across eight reports 57,61,64,[78][79][80][81]84 ) and descriptive cross-sectional studies (n = 10 58-60, 63,69,73,77,85,88,98 ).…”

Section: Study Designs and Methodsmentioning

confidence: 99%

“…• CYP experiencing, or who had experienced, a crisis (31 studies across 34 reports 32,34,[58][59][60][61][62][63][65][66][67][68][69][70][71][72][73][74][75]77,[82][83][84]86,87,89,[91][92][93][94][95]97,98,100,132 ) • CYP experiencing crisis and their family members (two studies across six reports 57,64,[78][79][80][81] • family members/parents of CYP experiencing crisis (n = 2 76,88 )…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…The methodological quality of each of the 11 qualitative studies 70,76,90,91,[94][95][96][97]99,100,133 were judged against the 10 quality criteria used in the CASP qualitative checklist 44 and are summarised in Table 11. Only one study 100 discussed whether or not the relationship between researcher and participants had been adequately considered, indicating an overall weakness in reporting this concept.…”

Section: Qualitative Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Mental health crisis care for children and young people aged 5 to 25 years: the CAMH-Crisis evidence synthesis

Evans

Edwards

Carrier

et al. 2023

Health Soc Care Deliv Res

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Background Mental health care for children and young people is a rising concern, with one in six children aged 5–19 years in England having a probable diagnosable mental disorder. Care for children and young people in crisis is known to be delivered by multiple agencies using a range of approaches. Objectives The review objectives of this study were to critically appraise, synthesise and present the best-available international evidence related to crisis services for children and young people aged 5–25 years, specifically looking at the organisation of crisis services across education, health, social care and the third sector, and the experiences and perceptions of young people, families and staff, to determine the effectiveness of current models and the goals of crisis intervention. Methods All relevant English-language international evidence specifically relating to the provision and receipt of crisis support for children and young people aged 5–25 years, from January 1995 to January 2021, was sought. Comprehensive searches were conducted across 17 databases and supplementary searching was undertaken to identify grey literature. Two team members appraised all the retrieved research reports (except grey literature) using critical appraisal checklists. A separate analysis was conducted for each objective. Confidence in research findings was assessed using the Grading of Recommendations Assessment, Development and Evaluation and the Confidence in the Evidence from Reviews of Qualitative research approaches. Findings One hundred and thirty-eight reports were used to inform this evidence synthesis, including 39 descriptive accounts of the organisation of crisis services (across 36 reports), 42 research studies (across 48 reports) and 54 grey literature documents. The organisation of crisis services has been categorised as follows: triage/assessment only, digitally mediated support approaches, and intervention approaches and models. When looking at experiences of crisis care, the following four themes were identified: (1) barriers to and facilitators of seeking and accessing appropriate support; (2) what children and young people want from crisis services; (3) children’s, young people’s and families’ experiences of crisis services; and (4) service provision. In determining effectiveness, the findings are summarised by type of service and were generated from single heterogenous studies. The goals of a crisis service should be to (1) keep children and young people in their home environment as an alternative to admission; (2) assess need and plan; (3) improve children’s and young people’s and/or their families’ engagement with community treatment; (4) link children and young people and/or their families to additional mental health services, as necessary; (5) provide peer support; (6) stabilise and manage the present crisis over the immediate period; and (7) train and/or supervise staff. The key limitation of this review was that much of the literature was drawn from the USA. Owing to the differences between USA and UK in terms of commissioning and delivering services, approaches to crisis care operating in the USA may not be directly applicable to the UK. Future work As only three research studies included in this evidence synthesis had been completed in the UK, a clear case exists for the commissioning of new high-quality studies to generate knowledge about the efficacy and acceptability of crisis care approaches operating in the UK. Future empirical research in this area is planned. Study registration: This study is registered as PROSPERO CRD42019160134. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme and will be published in full in Health and Social Care Delivery Research; Vol. 11, No. 3. See the NIHR Journals Library website for further project information.

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Section: Study Designs and Methodsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Qualitative Studiesmentioning

confidence: 99%

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Mental health crisis care for children and young people aged 5 to 25 years: the CAMH-Crisis evidence synthesis

Evans

Edwards

Carrier

et al. 2023

Health Soc Care Deliv Res

View full text Add to dashboard Cite

show abstract

“…The full-data extraction and thematic summaries can be found in Appendix S10. Five services in which crisis care for CYP was provided did not present any details of their goals (Bolger et al, 2004;Idenfors et al, 2015;Liegghio & Jaswal, 2015;Nirui & Chenoweth, 1999;Walter et al, 2006). Seven distinct goals of crisis services were described across the included literature.…”

Section: Objective 4: Goals Of Crisis Interventionsmentioning

confidence: 99%

Review: Crisis responses for children and young people – a systematic review of effectiveness, experiences and service organisation (CAMH‐Crisis)

Edwards

Carrier

Csontos

et al. 2023

Child Adoles Ment Health

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BackgroundIn England, one in six children aged 5–19 has a probable diagnosable mental health disorder. This is a major public health problem, with multiple agencies adopting varying approaches to care delivery for children and young people (CYP) in crisis.ObjectivesTo examine the organisation of crisis services across education, health, social care and voluntary sectors; the experiences and perceptions of CYP, families and staff; the effectiveness of current approaches to care and the goals of crisis intervention.MethodsA systematic review of all relevant English language evidence regarding the provision and receipt of crisis support for CYP aged 5–25 (PROSPERO‐CRD42019160134). Seventeen databases were searched from 1995 to 2021 and relevant UK‐only grey literature was identified. Critical appraisal was conducted using appropriate design specific appraisal tools. A narrative approach to synthesis was conducted.ResultsIn total, 138 reports (48 reports covering 42 primary research studies; 36 reports covering 39 descriptive accounts of the organisation services and 54 UK‐only grey literature reports) were included. The evidence suggests that crisis services were organised as follows: triage/assessment‐only, digitally mediated support approaches, and intervention approaches and models. When looking at experiences of crisis care, four themes were identified: (a) barriers and facilitators to seeking and accessing appropriate support; (b) what children and young people want from crisis services; (c) children's, young people's and families' experiences of crisis services; and (d) service provision. In determining effectiveness, the findings are summarised by type of service and were generated from single heterogenous studies. The goals of crisis services were identified.DiscussionDespite a lack of high‐quality international studies, findings suggest that support prior to reaching crisis point is important. From this work, various aspects of crisis care have been identified that can be incorporated into existing services across education, health, social care and the voluntary sector.

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“…Encouraging creativity, or being playful, in family therapy is a key ingredient in attachment building among family members (Creed & Kendall, 2005; Gil, 1994; Walter & Petr, 2006). Attachment injuries can occur through family difficulties adjusting to child illness or mental illness, damaging secure relationships (Cloutier, Manion, Walker, & Johnson, 2002).…”

Section: Components and Rationale For Real Therapymentioning

confidence: 99%

R.E.A.L. Therapy

Armstrong

2016

The Family Journal

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R.E.A.L. therapy is a novel approach that merges rational emotive and logotherapy techniques in a creative manner for families. This model teaches skills aimed at enhancing meaning and attachment in the family, building social literacy skills and personal insight through emotion recognition, and addressing negative thinking patterns through evidence testing. As traditional “talk therapy” may exclude young children from participating in family psychotherapy, the hands-on activities presented in this article may serve to engage the whole family in the therapy process.

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Informing Best Practices for Children in Psychiatric Crises: Perspectives and Insights from Families

Cited by 6 publications

References 18 publications

Mental health crisis care for children and young people aged 5 to 25 years: the CAMH-Crisis evidence synthesis

Mental health crisis care for children and young people aged 5 to 25 years: the CAMH-Crisis evidence synthesis

Review: Crisis responses for children and young people – a systematic review of effectiveness, experiences and service organisation (CAMH‐Crisis)

R.E.A.L. Therapy

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