Developing a model of consultees' understanding of mental health consultation in a school setting

Prof Doc Thesis

Gardner-Elahi, Catherine 2011. Developing a model of consultees' understanding of mental health consultation in a school setting. Prof Doc Thesis University of East London School of Psychology
AuthorsGardner-Elahi, Catherine
TypeProf Doc Thesis

Recent development of comprehensive Child and Adolescent Mental Health
Services (CAMHS) has seen the growth of Tier 2 mental health consultation in
school settings. Little of the literature considers consultees' perspectives on this, nor
presents systematic studies of interpersonal process in consultation.
Using interviews with consultees and a constructivist grounded theory methodology,
I explored parent and school staff consultees' understanding of their experience of
mental health consultation in a school setting. Consultees talked about the school,
service, consultee and consultant conditions that created the context for
consultation. They described the process they experienced through the consultative
relationship overtime, and within consultation meetings; this included their
experience of being supported, learning new strategies and changing their thinking
through sharing perspectives and becoming more reflective. Finally, they talked
about the outcomes of consultation for consultants, consultees, the school and the
referral process to Tier 3 CAMHS.
Consultees' descriptions of support and change connected to psychodynamic
understandings of containment and systemic theories of conceptual change.
Consultation service models should be designed in a way that supports these
processes. Consultees' description of a disparity in consultees' and consultants'
expectations of use of the expert stance in consultation suggests that more research
is needed to explore the value of this stance. Consultees' understanding of the
changes in the referral process suggested that consultation may bring referrers and
CAMHS workers closer together in their construction of the referral process, thereby
streamlining the referral process. This raised questions about how consultation
affects referral rates, and whether it holds potential for improving access for hard-toreach
clients. Finally, the extension from consultation about cases to consultation
about organisational level processes suggests that training about consultancy and
psychological processes at the organisational level may be useful.

Publication dates
PrintMay 2011
Publication process dates
Deposited12 Jun 2014
Additional information

This thesis supplied via ROAR to UEL-registered users is protected by copyright and other intellectual property rights, and duplication of any part of the material is not permitted, except for your personal use for the purposes of non-commercial research and private study in electronic or print form. You must obtain permission from the copyright-holder for any other use. Electronic or print copies may not be offered, for sale or otherwise, to anyone. No quotation from the thesis may be published without proper acknowledgement.

Publisher's version
File Access Level
Registered users only
Permalink -

  • 164
    total views
  • 1
    total downloads
  • 7
    views this month
  • 0
    downloads this month

Export as