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Mental Health Admissions to Paediatric Wards Study (MAPS): a protocol for the analysis of Hospital Episode Statistics

Lee Duncan Hudson1,2, Joseph Ward3, Adriana Vázquez-Vázquez3

  • 1Population, Policy and Practice Research Programme, UCL Great Ormond Street Institute of Child Health, London, UK l.hudson@ucl.ac.uk.

BMJ Paediatrics Open
|January 29, 2024
PubMed

Insights

Children and young people experiencing mental health crises are often admitted to paediatric wards. This study aims to develop a theory of change model to improve their care quality in these settings.

Area of Science:

  • Child and Adolescent Mental Health
  • Healthcare Quality Improvement
  • Paediatric Inpatient Care

Background:

  • Children and young people (CYP) with mental health (MH) crises are frequently admitted to general acute paediatric wards.
  • Concerns exist regarding the quality of care for these CYP in paediatric settings.
  • CYP occupied 6% of general paediatric inpatient beds due to MH crises pre-pandemic in England.

Purpose of the Study:

  • To generate a theory of change (ToC) model to enhance care quality for CYP in acute paediatric services during MH crises.
  • To address longstanding concerns about the adequacy of support for CYP with MH crises in general paediatric wards.

Main Methods:

  • A national (England), sequential, mixed-methods study over 30 months.
  • Informing a ToC framework with a stakeholder group (patients, families, healthcare professionals).
  • Work Package 1 (WP1) utilizes national administrative data (2015-2022) to analyze trends in MH admissions to acute paediatric wards.

Main Results:

  • Ethical approval obtained for WP1 (Ref 23/NW/0192).
  • Analysis of national administrative data to characterize trends in MH admissions.
  • Synthesis of data to inform the development of the ToC model.

Conclusions:

  • The study will publish the data synthesis and final ToC to improve care for CYP with MH crises in paediatric settings.
  • Findings will be disseminated widely through collaboration with the stakeholder group.
  • Potential impacts include service development, new care models, and workforce planning.
Abstract

Keywords:
adolescent healthchild psychiatryepidemiologypsychologystatistics

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