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'Space to hide': experiences of remote provision across child and adolescent mental health services (CAMHS).
Worsley, Joanne; Hassan, Shaima; Nolan, Lisa; Corcoran, Rhiannon.
  • Worsley J; Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK. jworsley@liverpool.ac.uk.
  • Hassan S; NIHR Applied Research Collaboration North West Coast (ARC NWC), Liverpool, UK. jworsley@liverpool.ac.uk.
  • Nolan L; Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
  • Corcoran R; NIHR Applied Research Collaboration North West Coast (ARC NWC), Liverpool, UK.
BMC Health Serv Res ; 22(1): 1350, 2022 Nov 14.
Article in English | MEDLINE | ID: covidwho-2115845
ABSTRACT

BACKGROUND:

The global COVID-19 pandemic necessitated rapid adoption of remote provision across child and adolescent mental health services (CAMHS). The study aimed to understand young people's, parents'/carers', and professionals' experiences of remote provision across CAMHS in one NHS Trust in the North West of England to inform future recovery practice so that remote sessions can continue where they have been well received but re-thought or replaced where they have not.

METHODS:

The study sample comprised three groups (i) young people, (ii) parents/carers, and (iii) clinical staff. Semi-structured interviews and focus groups were used to collect data. Data were analysed using thematic analysis.

RESULTS:

Three overarching themes were identified 'Remote therapeutic experiences'; 'Spaces and places of therapy'; and 'Future of CAMHS'. Although remote appointments increased flexibility within the service, the quality of the relational experience was altered, typically for the worse. Clinicians felt less able to examine vital forms of non-verbal communication, which were considered instrumental in assessing and engaging people experiencing difficulties, leaving some questioning their professionalism. Although some young people suggested that remote provision increased comfort levels, others felt their place of comfort and safety was invaded.

CONCLUSIONS:

Reduced travel time for both clinicians and families may increase capacity, enabling the service to meet the increased demand if clinical effectiveness can be preserved. In considering future models of provision, assessing clinical need, patient and family preference, and access to space and hardware are all critical when deciding which modality to use for the best outcomes for each individual.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Adolescent Health Services / COVID-19 / Mental Health Services Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adolescent / Child / Humans Language: English Journal: BMC Health Serv Res Journal subject: Health Services Research Year: 2022 Document Type: Article Affiliation country: S12913-022-08806-5

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Adolescent Health Services / COVID-19 / Mental Health Services Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adolescent / Child / Humans Language: English Journal: BMC Health Serv Res Journal subject: Health Services Research Year: 2022 Document Type: Article Affiliation country: S12913-022-08806-5