A critical analysis of Child and Adolescent Mental Health Services policy in England, 2000‐2015

Article


Callaghan, J. E. M., Fellin, L. and Warner-Gale, Fiona 2016. A critical analysis of Child and Adolescent Mental Health Services policy in England, 2000‐2015. Clinical Child Psychology and Psychiatry. 22 (1), pp. 109-127.
AuthorsCallaghan, J. E. M., Fellin, L. and Warner-Gale, Fiona
Abstract

Policy in Child and Adolescent Mental Health (CAMH) in England has undergone radical changes in the last 15
years, with far reaching implications for funding models, access to services and service delivery. Using corpus
analysis and critical discourse analysis, we explore how childhood, mental health, and CAMHS are constituted
in 15 policy documents, 9 pre‐2010, and 6 post 2010. We trace how these constructions have changed over
time, and consider the practice implications of these changes. We identify how children’s distress is
individualised, through medicalising discourses and shifting understandings of the relationship between
socioeconomic context and mental health. This is evidenced in a shift from seeing children’s mental health
challenges as produced by social and economic inequities, to a view that children’s mental health must be
addressed early to prevent future socio‐economic burden. We consider the implications CAMHS policies for
the relationship between children, families, mental health services and the state. The paper concludes by
exploring how concepts of ‘parity of esteem’ and ‘stigma reduction’ may inadvertently exacerbate the
individualisation of children’s mental health.

JournalClinical Child Psychology and Psychiatry
Journal citation22 (1), pp. 109-127
ISSN1359-1045
Year2016
PublisherSAGE Publications
Accepted author manuscript
Digital Object Identifier (DOI)doi:10.1177/1359104516640318
Publication dates
Print06 May 2016
Publication process dates
Deposited02 Mar 2016
AcceptedDec 2015
Copyright informationCallaghan, J. E. M. and Fellin, Lisa and Warner-Gale, Fiona (2016) ‘A critical analysis of Child and Adolescent Mental Health Services policy in England, 2000‐2015’, Clinical Child Psychology and Psychiatry, 22(1), pp. 109-127. © 2017 SAGE. Reprinted by permission of SAGE Publications.
Additional information

Print issue published 01.01.17

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