Delphi study to identify key features of community-based child and adolescent mental health services in the East of England

Article


Howarth, E., Vainre, M., Humphrey, A., Lombardo, C., Hanafiah, A., Anderson, J. K. and Jones, P. B. 2019. Delphi study to identify key features of community-based child and adolescent mental health services in the East of England. BMJ Open. 9 (Art. e022936). https://doi.org/10.1136/bmjopen-2018-022936
AuthorsHowarth, E., Vainre, M., Humphrey, A., Lombardo, C., Hanafiah, A., Anderson, J. K. and Jones, P. B.
Abstract

Objective To identify priorities for the delivery of community-based Child and Adolescent Mental health Services (CAMHS).

Design (1) Qualitative methods to gather public and professional opinions regarding the key principles and components of effective service delivery. (2) Two-round, two-panel adapted Delphi study. The Delphi method was adapted so professionals received additional feedback about the public panel scores. Descriptive statistics were computed. Items rated 8–10 on a scale of importance by ≥80% of both panels were identified as shared priorities.

Setting Eastern region of England.

Participants (1) 53 members of the public; 95 professionals from the children’s workforce. (2) Two panels. Public panel: round 1,n=23; round 2,n=16. Professional panel: round 1,n=44; round 2,n=33.

Results 51 items met the criterion for between group consensus. Thematic grouping of these items revealed three key findings: the perceived importance of schools in mental health promotion and prevention of mental illness; an emphasis on how specialist mental health services are delivered rather than what is delivered (ie, specific treatments/programmes), and the need to monitor and evaluate service impact against shared outcomes that reflect well-being and function, in addition to the mere absence of mental health symptoms or disorders.

Conclusions Areas of consensus represent shared priorities for service provision in the East of England. These findings help to operationalise high level plans for service transformation in line with the goals and needs of those using and working in the local system and may be particularly useful for identifying gaps in ongoing transformation efforts. More broadly, the method used here offers a blueprint that could be replicated by other areas to support the ongoing transformation of CAMHS.

JournalBMJ Open
Journal citation9 (Art. e022936)
ISSN2044-6055
Year2019
PublisherBMJ Publishing Group
Publisher's version
License
File Access Level
Anyone
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2018-022936
Web address (URL)http://dx.doi.org/10.1136/bmjopen-2018-022936
Publication dates
Online19 Jun 2019
Publication process dates
Accepted12 Apr 2019
Deposited25 Jun 2019
FunderNational Institute for Health Research
Copyright holder© 2019 The Authors.
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