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Reducing Waiting Times: Using an Opt-In System and Changing Prioritisation Criteria
1Clinical Psychology Service for Children and Young People, NHS Highland, The Alligin Centre, Larch House, Stoneyfield, Inverness IV2 7PA, Scotland.
Child and Adolescent Mental Health
|August 20, 2020
Summary
Implementing an opt-in appointment system and prioritizing cases significantly reduced waiting times and increased attendance for children's psychology services. This approach efficiently manages resources for better child mental health outcomes.
Area of Science:
- Clinical Psychology
- Child and Adolescent Mental Health Services (CAMHS)
Background:
- Highland Clinical Psychology Service faced long waiting lists and resource limitations.
- A need for improved waiting list management was identified to enhance service delivery.
Purpose of the Study:
- To optimize waiting list management within a child and adolescent mental health service.
- To improve service accessibility and reduce patient waiting times.
Main Methods:
- Implementation of an opt-in appointment system for referrals.
- Utilization of outcome research to inform prioritization criteria.
- Prioritization of cases with characteristics indicating positive response to psychological interventions.
Main Results:
- Significant increase in attendance rates for initial appointments.
- Significant reduction in overall waiting times for services.
- Successful replication of opt-in system benefits seen in other CAMHS.
Conclusions:
- The opt-in system is effective in improving service delivery for children's mental health.
- Prioritizing treatable cases is an ethical and effective use of limited resources.
- Further research is needed to validate the impact of new prioritization criteria.
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