PMID- 34088218
OWN - NLM
STAT- MEDLINE
DCOM- 20211117
LR  - 20211117
IS  - 1461-7021 (Electronic)
IS  - 1359-1045 (Linking)
VI  - 26
IP  - 4
DP  - 2021 Oct
TI  - A new consultation, Assessment and reflection model (CARM) used in child and 
      adolescence mental health services (CAMHS).
PG  - 1046-1052
LID - 10.1177/13591045211016512 [doi]
AB  - UK National Guidelines stress the importance of reducing waiting times for mental 
      health assessments and interventions for children. They stress the importance of 
      early help, multidisciplinary working, and collaboration with families regarding 
      treatment plans. We piloted a new assessment model (CARM) within a CAMHS service 
      to: reduce non-attendance rates and subsequently waiting times; increase staff 
      and patient satisfaction; and improve the quality of assessment. All waiting list 
      patients and new referrals over a three-month period were contacted to self-book 
      an hour session to meet two clinicians who utilised collaborative reflection and 
      formulation to produce a care plan (CARM). Results revealed that non-attendance 
      rates dropped from 33% over the month prior to CARM to 7% during CARM. 
      Satisfaction levels were high. Qualitative feedback regarding satisfaction 
      revealed the most common themes was feeling listened to and having the 
      opportunity to listen to staff reflections. The themes of staff satisfaction 
      included 'feeling more supported' and 'feeling safer in their decision making'. 
      All assessments were completed in the one appointment. A formulation-driven care 
      plan was developed and discussed with the family. This approach has the potential 
      to make services more effective, efficient and satisfying for both staff and 
      families.
FAU - Mansell, Louise
AU  - Mansell L
AUID- ORCID: 0000-0003-3600-8082
AD  - Beyond Psychology Ltd, Rochdale, UK.
FAU - Hughes, Kirsty
AU  - Hughes K
AD  - Beyond Psychology Ltd, Rochdale, UK.
FAU - Heyes, Jane-Ward
AU  - Heyes JW
AD  - NHS Pennine Care, Ashton-under-Lyne, Lancashire, UK.
FAU - Brownlee, Adrian
AU  - Brownlee A
AD  - Argyll and Bute Council, Lochgilphead, Argyll, UK.
FAU - Charm, Clare
AU  - Charm C
AD  - University of Leeds, Leeds, UK.
FAU - Blake, Daniel
AU  - Blake D
AD  - South West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK.
FAU - Collinge, Sarah
AU  - Collinge S
AD  - CAMHS, East Lancashire Hospitals NHS Trust, Blackburn, Lancashire, UK.
FAU - Smith, Jason
AU  - Smith J
AD  - Jigsaw National Site, Bandon, Ireland.
LA  - eng
PT  - Journal Article
DEP - 20210604
PL  - England
TA  - Clin Child Psychol Psychiatry
JT  - Clinical child psychology and psychiatry
JID - 9604507
SB  - IM
MH  - Adolescent
MH  - *Adolescent Health Services
MH  - Child
MH  - Humans
MH  - *Mental Health Services
MH  - Patient Satisfaction
MH  - Referral and Consultation
OTO - NOTNLM
OT  - Trauma
OT  - assessment
OT  - case work
OT  - empathy
OT  - family interview
EDAT- 2021/06/06 06:00
MHDA- 2021/11/18 06:00
CRDT- 2021/06/05 05:18
PHST- 2021/06/06 06:00 [pubmed]
PHST- 2021/11/18 06:00 [medline]
PHST- 2021/06/05 05:18 [entrez]
AID - 10.1177/13591045211016512 [doi]
PST - ppublish
SO  - Clin Child Psychol Psychiatry. 2021 Oct;26(4):1046-1052. doi: 
      10.1177/13591045211016512. Epub 2021 Jun 4.