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Architecture and functioning of child and adolescent mental health services : a 28-country survey in Europe
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MILESTONE Consortium (Including:
). (2017) Architecture and functioning of child and adolescent mental health services : a 28-country survey in Europe. The Lancet Psychiatry, 4 (9). pp. 715-724. doi:10.1016/S2215-0366(17)30127-X ISSN 2215-0366.
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WRAP-architecture-functioning-child-adolescent-mental-health-services-Warwick-2017.pdf - Accepted Version - Requires a PDF viewer. Download (807Kb) | Preview |
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Official URL: http://dx.doi.org/10.1016/S2215-0366(17)30127-X
Abstract
The WHO Child and Adolescent Mental Health Atlas, published in 2005, reported that child and adolescent mental health services (CAMHS) in Europe differed substantially in their architecture and functioning. We assessed the characteristics of national CAMHS across the European Union (EU), including legal aspects of adolescent care. Using an online mapping survey aimed at expert(s) in each country, we obtained data for all 28 countries in the EU. The characteristics and activities of CAMHS (ie, availability of services, inpatient beds, and clinicians and organisations, and delivery of specific CAMHS services and treatments) varied considerably between countries, as did funding sources and user access. Neurodevelopmental disorders were the most frequent diagnostic group (up to 81%) for people seen at CAMHS (data available from only 13 [46%] countries). 20 (70%) countries reported having an official national child and adolescent mental health policy, covering young people until their official age of transition to adulthood. The heterogeneity in resource allocation did not seem to match epidemiological burden. Substantial improvements in the planning, monitoring, and delivery of mental health services for children and adolescents are needed.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RJ Pediatrics | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit 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 |
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| Library of Congress Subject Headings (LCSH): | Child mental health services -- European Union countries | ||||||||
| Journal or Publication Title: | The Lancet Psychiatry | ||||||||
| Publisher: | Elsevier Ltd. | ||||||||
| ISSN: | 2215-0366 | ||||||||
| Official Date: | 1 September 2017 | ||||||||
| Dates: |
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| Volume: | 4 | ||||||||
| Number: | 9 | ||||||||
| Page Range: | pp. 715-724 | ||||||||
| DOI: | 10.1016/S2215-0366(17)30127-X | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 13 June 2017 | ||||||||
| Date of first compliant Open Access: | 13 June 2017 | ||||||||
| Funder: | Seventh Framework Programme (European Commission) (FP7) | ||||||||
| Grant number: | Grant agreement no 602442 |
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