Child and adolescent mental health service: extension for community health care options [CAMHS ECHO]

ABSTRACT

Aims To explore the feasibility and identify the perceived barriers and enablers of developing an ECHO programme for CAMHs in Ireland. Methods The study adopted a qualitative research design incorporating a CAMHSECHO seminar and workshops with (N=29) healthcare professionals working in primary care/ mental health services. Participant consent was received, and thematic analysis conducted on rapporteur notes. Results Clinicians reported a high-level of interest in the project. Perceived opportunities included potential reduction in CAMHS waiting lists, opportunity for shared care of ADHD, improved time management, clinical skills, and access to advice on referrals. Perceived challenges included the issue of clinical governance, increased GP workload and the issue of incentives. Conclusion Barriers to successful rollout of an ECHO model in CAMHS were outweighed by perceived benefits and enablers identified by participants. Given the increased use and acceptability of telepsychiatry during COVID-19, coupled with the positive support offered by attendees, consideration should be given to more formally piloting CAMHSECHO.