How does reorganisation in child and adolescent mental health services affect access to services? An observational study of two services in England.

ABSTRACT:

Background

Child and Adolescent Mental Health Services (CAMHS) in England are making significant changes to improve access and effectiveness. This 'transformation' variously involves easier access to services through a Single Point of Access (SPA), more integrated services within CAMHS and enhanced co-provision across education and third sector or non-profit organisations.

Methods

A mixed-methods observational study was conducted to explore the process and impact of transformation over four years in two services. Ethnographic observations and in-depth interviews were conducted and Electronic Patient Records with over one million contacts analysed. Difference-in-differences analysis with propensity score matching to estimate the causal impact of the transformation on patient

SUBMITTER: Fazel M 

PROVIDER: S-EPMC8099077 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature