Vusio, Frane, Thompson, Andrew D., Birchwood, Max and Clarke, Latoya (2020) Experiences and satisfaction of children, young people and their parents with alternative mental health models to inpatient settings : a systematic review. European Child & Adolescent Psychiatry, 29 . pp. 1621-1633. doi:10.1007/s00787-019-01420-7 ISSN 1018-8827.

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Abstract

Community-based mental health services for children and young people (CYP) can offer alternatives to inpatient settings and treat CYP in less restrictive environments. However, there has been limited implementation of such alternative models, and their efficacy is still inconclusive. Notably, little is known of the experiences of CYP and their parents with these alternative models and their level of satisfaction with the care provided. Therefore, the main aim of this review was to understand those experiences of the accessibility of alternative models to inpatient care, as well as overall CYP/parental satisfaction. A searching strategy of peer-reviewed articles was conducted from January 1990 to December 2018, with updated searches conducted in June 2019. The initial search resulted in 495 articles, of which 19 were included in this review. A narrative synthesis grouped the studies according to emerging themes: alternative models, tele-psychiatry and interventions applied to crisis, and experiences and satisfaction with crisis provision. The identified articles highlighted increased satisfaction in CYP with alternative models in comparison with care as usual. However, the parental experiential data identified high levels of parental burden and a range of complex emotional reactions associated with engagement with crisis services. Furthermore, we identified a number of interventions, telepsychiatric and mobile solutions that may be effective when applied to urgent and emergency care for CYP experiencing a mental health crisis. Lastly, both parental and CYP experiences highlighted a number of perceived barriers associated with help-seeking from crisis services.

Item Type:	Journal Article
Subjects:	R Medicine > RJ Pediatrics
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor:	Library Publications Router
Library of Congress Subject Headings (LCSH):	Child mental health -- Great Britain, Teenagers -- Mental health, Youth -- Medical care -- Great Britain, Child psychotherapy -- Residential treatment, Adolescent psychotherapy -- Residential treatment, Community mental health services -- Great Britain -- Evaluation, Children -- Counseling of
Journal or Publication Title:	European Child & Adolescent Psychiatry
Publisher:	Springer Medizin
ISSN:	1018-8827
Official Date:	December 2020
Dates:	Date Event December 2020 Published 21 October 2019 Available 7 October 2019 Accepted
Volume:	29
Page Range:	pp. 1621-1633
DOI:	10.1007/s00787-019-01420-7
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	20 November 2019
Date of first compliant Open Access:	20 November 2019
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID UNSPECIFIED NHS Solihull Clinical Commissioning Group UNSPECIFIED

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