Skip to main content
×
Home
    • Aa
    • Aa

Attuned Practice: a service user study of specialist child and adolescent mental health, UK

Summary
Summary

Aims – Best practice emphasises user involvement. This exploratory study addresses the views of teenage clients and their parents on service delivery in a specialist Child and Adolescent Mental Health Service (CAMHS) serving a population of 250,000. It aims to explore some of the complexities inherent in children's services when parents are integral to modes of treatment. Methods — Twenty-seven teenage clients from specialist CAMHS were recruited with their parents (n=30). All were white British, 11 boys and 16 girls, from a range of socioeconomic backgrounds. Focus groups were employed using a series of structured interactive technique to elicit information, preceded by home visits. Analysis of interview data followed standard approaches to qualitative data analysis. Descriptive statistics were generated from both home interview data and focus groups. Results – Three themes emerged: the core values implicated in establishing a therapeutic alliance; the style of therapy and mode of practice (i.e. its inclusiveness of different family members). Practice implications – Core therapeutic skills are of fundamental importance. Our paper supplements a model of organisational user involvement with a model of therapeutic user involvement for use in negotiating mode of practice. Conclusions – This exploratory study was a collaboration between service users, researchers and health professionals exploring three important themes of therapy and the complexities inherent in children's services. The process of eliciting views was therapeutic in itself leading to the formation of a parent-led self-help group. The design can be replicated in other specialist CAMHS to achieve attuned practice.

Declaration of Interest: none.

Copyright
Corresponding author
Address for correspondence: Dr. A. Hart, Faculty of Health. University of Brighton, Westlain House. Falmer. Brighton. East Sussex BN1 9PH (UK). Fax: +44 (0)1273 644010 E-mail: a.hart@brighton.ac.uk
References
Hide All
Anderson H. & Goolishian H. (1988). Human sytems as linguistic systems: preliminary and evolving ideas about the implications for clincial theory. Family Process 27, 371393.
Archer C. & Burnell A. (Eds.) (2003). Trauma, Attachment and Family Permanence: Fear Can Slop You Loving. Jessica Kingley Publishers: London and New York.
Arnstein S. (1969). A ladder of citizen participation. Journal of the American Institute of Planners 35. 216224.
Boote J.. Telford R. & Cooper C. (2002). Literature review: consumer involvement in health research: a review and research agenda. Health Policy 61, 213236.
Byas A.H.D.Meech C.Read L.. Stacey K.. Thompson E.. & Wood A. (2002). Co-researching consumer experiences of child and adolescent mental health services: reflections and implications. Families, Systems and Health 20(1). 7589.
Cameron G. (2002). Motivation to join and benefits from participation in Parent Mutual Aid Organizations. Child Welfare 81(1), 3357.
Charles C. & De Maio S. (1993). Lay participation in health care decision making: a conceptual framework. Journal of Health Politics Policy and Law 18(4). 881904.
Chorpita B.F.. Yim L.M., Donkervoet J.C., Arensdort A., Amundsen M.J., Yates A.. Burns J. A. & Morelli P. (2002). Towards large-scale implementation of empirically supported treatments for children: a review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice 9(2), 165190.
Clark A.M. & Moss P. (2001). Listening to Young Children: The Mosaic Approach. National Children's Bureau: London.
Cornwall A. & Jewkes R. (1995). What is participatory research? Social Science and Medicine 41(12), 16671676.
Daniels D. & Jenkins P. (2000). Therapy with Children: Children's Rights, Confidentiality and the Law. Sage: London.
Department for Education and Skills (2003). Every Child Matters (Green Paper). Stationery Office: London.
Department for Education and Skills and Department of Health (2004). National Sen'ice Framework for Children, Young People and Maternity Sen'ices. London.
Department of Health (2001). Building the Information Core: Implementing the NHS Plan. Department of Health: London.
Department of Health (2003). Strengthening Accountability: Involving Patients and the Public. Policy and Practice Guidance, Section 11 of the Health and Social Care Act, 2001. Department of Health Publications: London.
Dozier M. (2003). Attachment based treatment for vulnerable children. Attachment and Human Developmen 5(3), 253257.
Dozier M., Higley E.. Bernier A.. Albus K.E. & Nutter A. (2002). Partners in Relationships: an Invention Targeting the Relationship between Foster Parent and Child. [Training programme]. University of Delaware: Delaware.
Farnfield S. & Kaszap M. (1998). What makes a helpful grown up? Children's views of professionals in the mental health services. Health Informatics Journal 4, 314.
Fonagy P., Target M., Cottrell D., Phillips J. & Kurtz Z. (2001). What Works for Whom? A Critical Review of Treatments for Children and Adolescents. Guildford Press: New York.
Foote R., Eyberg S. & Schuhmann E. (1998). Parent-child interaction approaches to the treatment of child behavior problems. Advances in Clinical Child Psychology 20, 125151.
Ford S., Schofield T. & Hope T. (2003). What are the ingredients for a successful evidence-based patient choice consultation? A qualitative study. Social Science & Medicine 56(3). 589602.
Great Ormond Street Hospital (2003). Children and Carers of Children: Copies of Letters About Children. Areas of Consensus and Potential Conflict between Professionals, Parents and Children. Great Ormond Street Hospital: London.
Gross V. (1995). A child-aware approach in systems practice. Human systems: Journal of Systemic Consultation and Management 6. 189200.
Hart A. & Luckock B. (2004). Developing Adoption Support and Therapy: New Approaches for Practice. Jessica Kingsley: London.
Hart A. & Thomas H. (2000). Controversial attachments: the indirect treatment of fostered and adopted children via parent co-therapy. Attachment & Human Development 2(3), 306327.
Hart A.. Henwood F. & Wyatt S. (2004a). The role of the Internet in patient-practitioner relationships: Findings from a qualititative reserach study. Journal of Medical Internet Research 6(3), e36.
Hart A.. Saunders A.. Booth M.. Thomas H.. Riodan J., Batchelor J. & Gillingham T. (2004b) Child and Adolescent Mental Health Sen-ices in Brighton & Hove: What Do Young People and Their Parents/Carers Think about Them? Centre for Nursing and Midwifery Research, University of Brighton/South Downs Health NHS Trust: Brighton & Hove.
Henwood F., Wyatt S.. Han A. & Smith J. (2003). “Ignorance is bliss sometimes”. Constraints on the emergence of the informed patient. Sociology of Health and Illness 25(6), 589607.
Hughes D.A. (1997). Facilitating Developmental Attachment: the Road to Emotional Recovery and Behavioral Change in Foster and Adopted Children. Jason Aronson: Northvale, New Jersey & London.
Hunter M. (2001). Psychotherapy with Young People in Care: Lost and Found. Routledge: London.
Kenrick J. (2000). “Be a kid”: the traumatic impact of repeated separations on children we are fostered and adopted. Journal of Child Psychotherapy 26(3), 393412.
Laugharne R. (1999). Evidence-based medicine, user involvement and the post-modern paradigm. Psychiatric Bulletin 23, 614643.
Laws S. (1998). Consulting children and young people on what they want from mental health services. Mental Health Care 2(2), 6366.
Lobatto W. (2002). Talking to children about family therapy: a qualitative research study. Journal of Family Therapy 24, 330343.
Loff C.D., Trigg L.J. & Cassels C. (1987). An evaluation of consumer satisfaction in a child psychiatric service: viewpoints of patients and parents. American Orthopsvchiatric Association 57(1), 132134.
Milne D.L. (1999). Social Therapy: a Guide to Social Support Interventions for Mental Health Practitioners. Wiley: Chichester.
Nuttall E.V., Nuttall R.L., Polit D. & Clark K. (1977). Assessing adolescent mental health needs: The views of consumers, providers, and others. Adolescence 12(46), 277285.
Pleace N., Burrows R., Loader B., Muncer S. & Nettleton S. (2003). From self-service welfare to virtual self-help. In Information and Communication Technologies in the Welfare Sen'ices (ed. Harlow E. and Webb S.A.). Jessica Kingsley: London/Philadelphia.
Pugh R.L., Ackerman B.J., McColgan E.B., de Mesquita P., Worley P. & Goodman N. (1994). Attitudes of adolescents toward adolescent psychiatric treatment. Journal of Child and Family Studies 3(4), 351363.
Ramon S. (Ed.) (2003). Users Researching Health and Social Care: An Empowering Agenda? Venture Press: Birmingham.
Rivett M. & Street E. (2003). Family Therapy in Focus. Sage Publications: London.
Rogers C.R. (1951). Client-centred Therapy: Its Current Practice, Implications and Therapy. Constable: London.
Roose G.J.A. (2003). A focus group investigation into young children's understanding of mental health and their views on appropriate services for their age group. In Child Care, Health & Development, Vol. 29, pp. 545550. BlackwelI Publishing: London.
Rushdie S. (1999) In Guardian. Rustin M.Q.E (Ed.) (2004). Assessment in Child Psychotherapy. Karnak: London.
Tsiantis J. (2000). Work with Parents: Psychoanalytic Psychotherapy with Children and Adolescents. Karnac: London.
Wahl O. (2002). Children's views of mental illness: a review of the literature. Psychiatric Rehabilitation Skills 6(2), 134158.
White S. & Stancombe J. (2003). Clinical Judgement in the Health and Welfare Professions. Open University Press: Maidenhead.
Wilson J. (1998) Child-Focused Practice: a Collaborative Systemic Approach. Karnac: London.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Epidemiology and Psychiatric Sciences
  • ISSN: 2045-7960
  • EISSN: 2045-7979
  • URL: /core/journals/epidemiology-and-psychiatric-sciences
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 2 *
Loading metrics...

Abstract views

Total abstract views: 207 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 24th October 2017. This data will be updated every 24 hours.