Reviewing Mental Health Services and Support for Children and Young People in Northern Ireland: A Rights-Based Approach

Irvine, Christine

doi:10.1080/13575279.2020.1809347

Cited by 2 publications

(6 citation statements)

References 5 publications

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“…The majority of studies did not conceptualise quality. 46 47 53 54 56–61 64 Where it was conceptualised, it was in reference to high quality care, defined as healthcare provider fidelity to evidence-based treatment models and adolescents’ engagement in the treatment process (satisfaction and quality of engagement with therapists and adolescents) 45 ; as quality indicators in terms of information and access, facilities and services and quality of care 62 ; as quality indicators in child and adolescent mental health services, specifically around patient satisfaction and quality engagement between the therapist and adolescent 63 ; or follow-up after hospitalisation for a mental illness. 52 Common themes within these studies were a focus on the processes of care and quality impacts (improved mental health and greater confidence of the health service and system).…”

Section: Resultsmentioning

confidence: 99%

“… 53 Another evaluated adolescents’ experience with mental health services; specifically, whether they were given useful information to understand their mental health needs and if they had a choice in their treatment and/or support. 62 EDs and general practitioner (GPs) scored poorly on these measures (<50% of adolescents experiencing this) while more than 50% of adolescents reported that they had experienced this in community Child an Adolescent Mental Health Service (CAMHS) and inpatient care. 62 The quality of evidence from these studies was fair.…”

Section: Resultsmentioning

confidence: 99%

“… 62 EDs and general practitioner (GPs) scored poorly on these measures (<50% of adolescents experiencing this) while more than 50% of adolescents reported that they had experienced this in community Child an Adolescent Mental Health Service (CAMHS) and inpatient care. 62 The quality of evidence from these studies was fair.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies were conducted in high-income countries, namely the USA (eight studies), [45][46][47][48][49][50][51][52] Australia (three studies), [53][54][55] UK (two studies), 56 57 Canada (two studies), 58 59 the Netherlands (two studies), 60 61 Ireland 62 and Switzerland (one study). 63 One study was conducted in Uganda.…”

Section: Study Characteristics and Settingsmentioning

confidence: 99%

“…54 Irvine 62 evaluated adolescents' experience at different types of health facilities; specifically, whether they felt involved in the decisions that were made about their treatment plan and if they found the support to be helpful 62 ; 16%, 30%, 36% and 42% of adolescents stated that they felt involved in decisions about their care from in-patient facilities, EDs, community CAMHS and GPs, respectively, and 34%, 39%, 44% and 45% felt the support they received was helpful from EDs, in-patient care, GPs and community CAMHS, respectively. 62 Two of the 15 studies 60 61 focused on patient-centred communication in the Netherlands, finding that adolescents who did not experience patient-centred communication were less likely to adhere (OR: 2.8, 95% CI 1.1 to 6.8) and have confidence (OR 4.5, 95% CI 1.8 to 11.6) in their course of treatment. 61 They also were less likely to experience a significant reduction in their mental health problems, compared with those who experienced patientcentred communication.…”

Section: Appropriate Package Of Servicesmentioning

confidence: 99%

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Evaluating quality in adolescent mental health services: a systematic review

et al. 2021

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ObjectivesTo evaluate the quality of adolescent mental health service provision globally, according to the WHO Global Standards of adolescent mental health literacy, appropriate package of services and provider competencies.Design and data sourcesSystematic review of 5 databases, and screening of eligible articles, from 1 January 2008 to 31 December 2020.Study eligibility criteriaWe focused on quantitative and mixed-method studies that evaluated adolescent mental health literacy, appropriate package of services and provider competencies in mental health services, and that targeted depression, anxiety and post-traumatic stress disorder among adolescents (10–19 years). This included adolescents exposed to interventions or strategies within mental health services.Study appraisal and synthesis methodsStudy quality was assessed using the National Institutes for Health Study Quality Assessment Tools. Data were extracted and grouped based on WHO quality Standards.ResultsOf the 20 104 studies identified, 20 articles were included. The majority of studies came from high-income countries, with one from a low-income country. Most of the studies did not conceptualise quality. Results found that an online decision aid was evaluated to increase adolescent mental health literacy. Studies that targeted an appropriate package of services evaluated the quality of engagement between the therapist and adolescent, patient-centred communication, mental health service use, linkages to mental health services, health facility culture and intensive community treatment. Provider competencies focused on studies that evaluated confidence in managing and referring adolescents, collaboration between health facility levels, evidence-based practices and technology use.Conclusions and implicationsThere is limited evidence on quality measures in adolescent mental health services (as conforms to the WHO Global Standards), pointing to a global evidence gap for adolescent mental health services. There are several challenges to overcome, including a need to develop consensus on quality and methods to measure quality in mental health settings.PROSPERO registration numberCRD42020161318.

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