Cargando…

Assessing recovery in treatment as usual provided by community child and adolescent mental health services

BACKGROUND: Despite the importance of routinely assessing the outcomes of everyday practice, few studies have reported outcome metrics for child and adolescent mental health services (CAMHS). AIMS: Our aim is to investigate reliable change and recovery rates for treatment as usual, provided by one c...

Descripción completa

Detalles Bibliográficos
Autores principales: Gibbons, Naomi, Harrison, Emma, Stallard, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8086392/
https://www.ncbi.nlm.nih.gov/pubmed/33888176
http://dx.doi.org/10.1192/bjo.2021.44
_version_ 1783686513216716800
author Gibbons, Naomi
Harrison, Emma
Stallard, Paul
author_facet Gibbons, Naomi
Harrison, Emma
Stallard, Paul
author_sort Gibbons, Naomi
collection PubMed
description BACKGROUND: Despite the importance of routinely assessing the outcomes of everyday practice, few studies have reported outcome metrics for child and adolescent mental health services (CAMHS). AIMS: Our aim is to investigate reliable change and recovery rates for treatment as usual, provided by one community CAMHS over two time periods. METHOD: We prospectively audited accepted consecutive referrals from November 2017 to January 2018, and April to September 2019. Cases with paired outcomes were identified, and reliable change and recovery rates were calculated. RESULTS: Baseline outcome data were obtained for 672 (78.2%) and 744 (77.5%) young people in 2018 and 2019, respectively. Of eligible participants, 174 (59.2%) and 155 (45.7%) completed at least one follow-up outcome measure in 2018 and 2019, respectively. Pre- and post-test scores on the Revised Child Anxiety and Depression Scale (RCADS) and Strengths and Difficulties Questionnaire (SDQ) showed a reduction in symptoms. Total RCADS scores showed 21–25% of participants reliably improved, with 44–49% showing reliable improvement on one or more subscale. On the SDQ, 11 (15.5%) and 19 (25.3%) participants reported reliable improvement on at least one subscale in 2018 and 2019, respectively. Reliable recovery rates ranged from 48 to 51% for youth-completed and 40 to 42% for parent-completed RCADS. CONCLUSIONS: Half of young people receiving treatment as usual from CAMHS reliably improved on at least one routine outcome measure subscale, improvement rates comparable with adult psychological therapies services. Our findings indicate that reliable change and recovery on subscale rather than total scores may be a better indication of outcomes.
format Online
Article
Text
id pubmed-8086392
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cambridge University Press
record_format MEDLINE/PubMed
spelling pubmed-80863922021-05-13 Assessing recovery in treatment as usual provided by community child and adolescent mental health services Gibbons, Naomi Harrison, Emma Stallard, Paul BJPsych Open Papers BACKGROUND: Despite the importance of routinely assessing the outcomes of everyday practice, few studies have reported outcome metrics for child and adolescent mental health services (CAMHS). AIMS: Our aim is to investigate reliable change and recovery rates for treatment as usual, provided by one community CAMHS over two time periods. METHOD: We prospectively audited accepted consecutive referrals from November 2017 to January 2018, and April to September 2019. Cases with paired outcomes were identified, and reliable change and recovery rates were calculated. RESULTS: Baseline outcome data were obtained for 672 (78.2%) and 744 (77.5%) young people in 2018 and 2019, respectively. Of eligible participants, 174 (59.2%) and 155 (45.7%) completed at least one follow-up outcome measure in 2018 and 2019, respectively. Pre- and post-test scores on the Revised Child Anxiety and Depression Scale (RCADS) and Strengths and Difficulties Questionnaire (SDQ) showed a reduction in symptoms. Total RCADS scores showed 21–25% of participants reliably improved, with 44–49% showing reliable improvement on one or more subscale. On the SDQ, 11 (15.5%) and 19 (25.3%) participants reported reliable improvement on at least one subscale in 2018 and 2019, respectively. Reliable recovery rates ranged from 48 to 51% for youth-completed and 40 to 42% for parent-completed RCADS. CONCLUSIONS: Half of young people receiving treatment as usual from CAMHS reliably improved on at least one routine outcome measure subscale, improvement rates comparable with adult psychological therapies services. Our findings indicate that reliable change and recovery on subscale rather than total scores may be a better indication of outcomes. Cambridge University Press 2021-04-23 /pmc/articles/PMC8086392/ /pubmed/33888176 http://dx.doi.org/10.1192/bjo.2021.44 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Papers
Gibbons, Naomi
Harrison, Emma
Stallard, Paul
Assessing recovery in treatment as usual provided by community child and adolescent mental health services
title Assessing recovery in treatment as usual provided by community child and adolescent mental health services
title_full Assessing recovery in treatment as usual provided by community child and adolescent mental health services
title_fullStr Assessing recovery in treatment as usual provided by community child and adolescent mental health services
title_full_unstemmed Assessing recovery in treatment as usual provided by community child and adolescent mental health services
title_short Assessing recovery in treatment as usual provided by community child and adolescent mental health services
title_sort assessing recovery in treatment as usual provided by community child and adolescent mental health services
topic Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8086392/
https://www.ncbi.nlm.nih.gov/pubmed/33888176
http://dx.doi.org/10.1192/bjo.2021.44
work_keys_str_mv AT gibbonsnaomi assessingrecoveryintreatmentasusualprovidedbycommunitychildandadolescentmentalhealthservices
AT harrisonemma assessingrecoveryintreatmentasusualprovidedbycommunitychildandadolescentmentalhealthservices
AT stallardpaul assessingrecoveryintreatmentasusualprovidedbycommunitychildandadolescentmentalhealthservices