The Relationship Between Caregiver Capacity and Intensive Community Treatment for Children with a Mental Health Crisis

Epstein, Richard A.; Jordan, Neil; Rhee, YongJoo; McClelland, Gary M.; Lyons, John S.

doi:10.1007/s10826-008-9231-0

Cited by 8 publications

(9 citation statements)

References 18 publications

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“…Initial certification and annual recertification to 70% reliability is required of all trained raters. Previous research has demonstrated that the CANS has adequate interrater and internal consistency reliability (Anderson, Lyons, Giles, Price, & Estle, 2003;Epstein, Jordan, Rhee, McClelland, & Lyons, 2009;Leon, Lyons, & Uziel-Miller, 2000;Leon, Uziel-Miller, Lyons, & Tracy, 1999;Lyons, Rawal, Yeh, & Leon, 2002;Lyons, Weiner, & Lyons, 2004). Findings from an audit comparing prospective screening with retrospective chart review, for example, found reliability above 70%, and comparison of 188 training participant ratings of test case vignette to those of the CANS developer resulted in average reliability using intraclass correlation of .76 (Lyons et al, 2004).…”

Section: Measurementmentioning

confidence: 99%

Transitions of Youth in Mental Health Residential Care to Less Restrictive Settings: The Role of Strengths and Gender

Tabone

Thompson

Jordan

2016

Journal of Social Service Research

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Changes in youth's behavioral/psychosocial functioning has been found to play an important role in the transitions from mental health residential care to less restrictive settings, and this functioning differs significantly by gender. However, there has been little attention paid to the roles played by psychosocial strength and gender in transitions out of residential care. The current study examined gender differences in the role of strengths in transitions to less restrictive settings using data on 675 youth's admission and discharge records collected from Illinois Residential Treatment Outcome System during 2005-2007 (Mean age D 15 years, SD D 2.0; 57.5% D boys). The results of multivariate logistic regression model indicated that positive recreational activities and lack of chronic illness were related to a higher likelihood of transitions to less restrictive settings among girls, while appropriate sexual development, psychological strengths, and strong spiritual/religious strengths were related to the transitions among boys. This study demonstrates the potential importance of youth strengths in the provision of mental health services and suggests a need to develop models of outcomes that take gender into account. Additional research based on multiple informants including youth self-report is needed to understand the role of gender in transitions out of residential care.

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Section: Measurementmentioning

confidence: 99%

Transitions of Youth in Mental Health Residential Care to Less Restrictive Settings: The Role of Strengths and Gender

Tabone

Thompson

Jordan

2016

Journal of Social Service Research

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“…The majority of the research reports were conducted within the USA (25 studies across 30 reports 32,34,57-84 ), followed by Canada (eight studies across nine reports [85][86][87][88][89][90][91][92][93] ), the UK (n = 3 [94][95][96] ) and Australia (n = 291,92), and one study from each of the following countries: Ireland, 97 the Netherlands, 98 New Zealand 99 and Sweden. 100 The descriptive accounts of the organisation of crisis services were mainly from the USA (19 descriptions across 15 reports 33,[101][102][103][104][105][106][107][108][109][110][111][112][113][114] ) and Canada (n = 10 [115][116][117][118][119][120][121][122][123][124] ). Three reports [125][126][127] were from Australia and one report from each of the following countries: Germany, 128 Switzerland,…”

Section: Country Of Originmentioning

confidence: 99%

“…two reports 102,110 described crisis telephone services within the USA in which onward referrals were made to appropriate services. One case study 110 described a triage approach that responded to CYP presenting with mental health crises.…”

Section: Telephone Triagementioning

confidence: 99%

“…63 Two different mobile crisis services were described, which respond wherever in the community the need arises and also have the explicit goal of helping CYP remain at home. 68,113 To assess need and to plan Forty-five services described in 61 reports [32][33][34]57,[60][61][62]66,68,69,[72][73][74][75][77][78][79][80][81][82][83][84][87][88][89]92,93,98,[102][103][104][105][106][107][108][109][110][111][112][113][114][115][116][117][118][119]…”

Section: To Keep Children and Young People In Their Home Environment ...mentioning

confidence: 99%

“…34 Examples of telephone, text and internet services as vehicles for the direct assessment of CYP in crisis exist and include the screening, assessment and support services programme, which takes calls from concerned adults or directly from CYP in crisis, with telephone operators then able to direct people onward for face-to-face assessment as necessary. 102 Similar services exist for students, underpinned by the idea that out-of-hours telephone contact, involving safety assessment and crisis planning with people associated with the university, is less stigmatising than contact with external agencies. 102 two text-based services were also described, providing assessment and safety planning.…”

Section: To Keep Children and Young People In Their Home Environment ...mentioning

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

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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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The Child and Adolescent Needs and Strengths as an Outcome Measure in Community Mental Health: Factor Analysis and a Validation of the Short Form

Alamdari

Kelber

2016

Community Ment Health J

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The goal of the study was to create a short-form measure based on the child and adolescent needs and strengths assessment tool. The measure was designed to be short and easy to use, relevant to youth treated in community-based mental health settings, useful for both treatment planning and program evaluation, and psychometrically valid. Factor analyses of the chosen items revealed two mental health factors and four functioning factors. The mental health factors included internalization and externalization, and the functioning factors included family, social, caregiver, and educational functioning. In support of validity, internalization and externalization subscales distinguished between clients diagnosed with internalizing and externalizing disorders and correlated with caregiver and self-report scores on the Youth Outcome Questionnaire.

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The Relationship Between Caregiver Capacity and Intensive Community Treatment for Children with a Mental Health Crisis

Cited by 8 publications

References 18 publications

Transitions of Youth in Mental Health Residential Care to Less Restrictive Settings: The Role of Strengths and Gender

Transitions of Youth in Mental Health Residential Care to Less Restrictive Settings: The Role of Strengths and Gender

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

The Child and Adolescent Needs and Strengths as an Outcome Measure in Community Mental Health: Factor Analysis and a Validation of the Short Form

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