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CPRU produces evaluation of Ages & Stages Questionnaires for use in the Healthy Child Programme two year review.

Further information and final report

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Selected Outputs

CPRU and SCIE have joined together to produce a range of materials to support partnership working in child protection. Cross-cutting lead for social care, Amanda Edwards, coordinated the project that focused specifically on liaison between acute paediatric and child protection services.

Further information

Mental Health Projects

Routinely Collected Outcome Data to Improve Practice

A feasibility study of the use of feedback to practitioners of routinely collected outcome data to inform and improve practice

Key initiatives are proposing the national collection of outcome data for child and adolescent mental health services (CAMHS) (e.g., Children and Young People’s increasing Access to Psychological Therapies, CYP IAPT, Children’s Outcome Forum, Payment by Results, PbR) but little evidence existed in the UK for which measures are suitable for assessing change, what approaches to measuring change are most appropriate and what the most feasible and acceptable ways of implementing these approaches according to practitioners and service users are.

We carried out literature reviews; consultations with practitioners, service user advocates and child mental health researchers; and analysis of existing datasets that held routine outcome data from UK CAMHS in order to establish

1. Which outcome measures can provide information about improvement in mental health symptoms over time.

2. What are the best ways to model change using routinely collected outcome measures

3. What the acceptability and feasibility is of introduction of routine outcome monitoring in CAMHS

For further information contact: Miranda.Wolpert(@)annafreud.org or Jessica.Deighton(@)annafreud.org

Project completed December 2012

Conduct Disorder and Susceptibility to Intervention

Conduct disorder, parenting practices and long term susceptibility to intervention

Conduct disorder has been identified as one of the most pervasive and engrained types of mental health difficulty that children can experience, affecting around 6% of children in the UK. The duration of conduct problems are typically long-lasting and the impact of these problems on other aspects of a child’s life (e.g., accessing education and criminality) can be severe. While recommendations have been developed around best practice for treating conduct problems (predominantly based on RCT findings), little is known about how conduct problems progress, and how they are typically assessed and supported in community-based interventions as well as in CAMHS.

 Our study carried out:

  1. review and consultation with expert groups to identify measures of conduct problems suitable for routine use in child and adolescent mental health services (CAMHS)
  2. analysis of a pre-existing dataset to identify trajectories of conduct problems across the population and
  3. analysis of a pre-existing clinic-based sample to consider comorbidity of conduct problems, what kind of support is offered to those with conduct problems and how conduct problems change with CAMHS intervention relative to other types of problems

For further information contact: Jessica.Deighton(@)annafreud.org

Project completed December 2012

Experiences of Routine Patient Data Collection in CAMHS and Paediatric Diabetes

Key stakeholders’ experiences and understandings of routine patient data collection in CAMHS and paediatric diabetes: a scoping study

This qualitative study explored the views of clinicians and patients in relation to the use of Patient Reported Outcome Measures (PROMs) in paediatric diabetes and CAMHS settings. The findings have informed a collaborative application for funding for a larger project on how PROMS can be implemented in these two settings.

For further information contact: Miranda.Wolpert(@)annafreud.org

Exploring the transformation of CAMHS

What factors make a difference to outcomes and what part does case complexity play in this?

Using large routinely collected datasets (the CAMHS Outcomes Research Consortium – CORC; Children and Young People Increasing Access to Psychological Therapies - CYP IAPT; Payment by Results - PbR) the project will explore aspects of CAMH services that are associated with the most positive outcomes for children and young people, focusing specifically on the on-going collection of outcomes data as part of collaborative practice. In particular the research will answer the following questions:

  1. Do those services routinely using outcome data as part of collaborative practice show more pronounced improvements than those using outcome data without collaborative practice?
  2. Do those services routinely using outcome data as part of evidence based practice show more pronounced improvements that those using outcome data without evidence based practice?
  3. Are different schedules of outcome monitoring associated with different mental health outcomes?
  4. What other aspects of services and service satisfaction lead to improvements in mental health?
  5. Does the impact of these factors vary according to case type, complexity and contextual issues?
  6. What are the factors most likely to facilitate transformation of CAMHS into those where use of evidence based treatments and outcomes monitoring are the norm?

For further information contact: Miranda.Wolpert(@)annafreud.org

Camden and Westminster Council's Children's Services

Grand Challenges Project: Assessing Data Aggregation for Camden and Westminster Council’s Children’s Services

This is a small scale focused project which will investigate what data is held in common by Westminster and Camden council’s children’s services and equivalent child and adolescent mental health services (CAMHS), and to investigate opportunities for appropriate data sharing and linkage. The project builds upon the Improved Data Sharing Across Multi-Agency Boundaries: Proposal for a UCL and Westminster City Council Children’s Services research partnership. A report will be produced by July 2013 to include the following:

  • an analysis of key common data items
  • a gap analysis how data can be shared more effectively
  • aggregation of data (what data should be used, technical issues)
  • how legal consent issues might be addressed
  • benefits and challenges to sharing information
  • how organisational cross working might be enhanced
  • user interface issues
  • data sharing and data protection issues.

For further information contact: Miranda.Wolpert(@)annafreud.org

How to Evaluate and Assess Service Transformation in CAMHS

Response Mode Project

This project will consider ways of measuring service level changes within CAMHS in order to support the CYP IAPT programme, and in particular the learning about the success of using the CYP IAPT approach to transform child and adolescent mental health services (CAMHS).

For further information contact: Miranda.Wolpert(@)annafreud.org

Defining and Measuring Mental Health and Wellbeing in Children

Response Mode Project

This project will explore what constitutes a good outcome and how to measure recovery. It will involve enlisting a group of key experts and stakeholders (including advocates for young people and families accessing mental health services), and employ a Delphi method to carry out the following:

1) Appraisal of what exists in national datasets for currently used measures

2) Exploration of what age children can reliably self-report

3) Consideration of feasibility and fit with existing data collection

4) Consideration how recovery can be defined and what constitutes a good outcome.

For further information contact: Miranda.Wolpert(@)annafreud.org

Page last modified on 26 sep 13 09:01