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Child mental health services. Side by side.

E Neira-Munoz1, D Ward

  • 1Portsmouth and South East Hampshire Health Authority, UK.

The Health Service Journal
|July 18, 1998
PubMed
Summary

Integrating primary care mental health workers eased the burden on child and adolescent mental health services. Practices with these workers saw fewer referrals, with more deemed appropriate and high priority.

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Area of Science:

  • Mental Health Services Research
  • Primary Care Integration
  • Child and Adolescent Psychiatry

Background:

  • Child and adolescent mental health services (CAMHS) face significant pressure.
  • Primary care serves as a crucial first point of contact for mental health concerns.
  • Effective referral pathways are essential for timely and appropriate care.

Purpose of the Study:

  • To evaluate the impact of primary care mental health workers on CAMHS.
  • To assess referral patterns and appropriateness from GP practices with and without integrated mental health support.

Main Methods:

  • Comparative analysis of referral data from GP practices.
  • Inclusion of practices with access to a primary care mental health worker liaison clinic.
  • Comparison with practices lacking such integrated support.

Main Results:

  • Practices with primary care mental health workers referred 33% fewer cases to CAMHS.
  • Referrals from practices with integrated support were more likely to be appropriate.
  • These referrals also had a higher likelihood of being assessed as high priority.

Conclusions:

  • Primary care mental health workers can effectively reduce pressure on specialist CAMHS.
  • Integration improves the appropriateness and prioritization of referrals.
  • This model offers a potential solution for optimizing mental health service delivery.

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