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BACKGROUND: Clinical outcomes are now routinely collected in most services. However, there is a need to make full use of the information collected in order to improve the use of limited Child and Adolescent Mental Health Service (CAMHS) resources. This paper describes a method of improving service decision making by making the interpretation of outcomes data accessible to frontline staff. METHOD: Clinician ratings of child outcomes for 2876 cases were routinely collected between 2009 and 2013 in a single CAMHS service. These outcomes were assessed against seven 'point of entry' and 'treatment' variables. RESULTS: Older children, referred by social care and presenting with multiple problems were associated with worse treatment outcomes than other service users. These findings were used to create an accessible Service Evaluation Chart of outcomes, to support discussion and decision making within the service. This process enabled the identification of a group who had particularly poor outcomes and resulted in consideration about service changes to try to improve outcomes for this specific group. CONCLUSIONS: Providing clinicians with accessible information about outcomes promotes the likelihood of outcomes being used in service decision making.
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BACKGROUND: Discrepancies are often found between child and parent reports of child psychopathology, nevertheless the role of the child's presenting difficulties in relation to these is underexplored. This study investigates whether parent-child agreement on the conduct and emotional scales of the Strengths and Difficulties Questionnaire (SDQ) varied as a result of certain child characteristics, including the child's presenting problems to clinical services, age and gender. METHODS: The UK-based sample consisted of 16,754 clinical records of children aged 11-17, the majority of which were female (57%) and White (76%). The dataset was provided by the Child Outcomes Research Consortium , which collects outcome measures from child services across the UK. Clinicians reported the child's presenting difficulties, and parents and children completed the SDQ. RESULTS: Using correlation analysis, the main findings indicated that agreement varied as a result of the child's difficulties for reports of conduct problems, and this seemed to be related to the presence or absence of externalising difficulties in the child's presentation. This was not the case for reports of emotional difficulties. In addition, agreement was higher when reporting problems not consistent with the child's presentation; for instance, agreement on conduct problems was greater for children presenting with internalising problems. Lastly, the children's age and gender did not seem to have an impact on agreement. CONCLUSIONS: These findings demonstrate that certain child presenting difficulties, and in particular conduct problems, may be related to informant agreement and need to be considered in clinical practice and research. Trial Registration This study was observational and as such did not require trial registration.
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AIM: This study explored the influence of gender on the mental health literacy (MHL) of young people. METHOD: In all, 370 young people (aged 17-22 years) completed one of two questionnaires, in which they had to label/provide a diagnosis for nine vignettes of people with different mental health disorders. Half the vignettes had a male and the other half had a female character. They also rated the vignette person on nine scales. RESULTS: There was much variance in recognition for the different disorders, with a range of 77.0%-27.3% of participants "correctly" labeling the vignettes. Very few gender differences were found, but age and experience of/education in mental health were found to be positively correlated with MHL. CONCLUSION: Gender differences in MHL may not be as great as previously thought. Although some disorders were recognized by the majority of participants, there are still common disorders that were not.
