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Provision of child and adolescent mental health in-patient services in England between 1999 and 2006

  • Anne O'Herlihy (a1), Paul Lelliott (a2), Debbie Bannister (a3), Andrew Cotgrove (a3), Hannah Farr (a3) and Simon Tulloch (a3)...
Abstract
AIMS AND METHOD

In 1999, child and adolescent mental health (CAMH) in-patient provision was unevenly distributed across England. A repeat of a1999 bed count survey was conducted in 2006 to determine whether change had occurred in response to government policy.

RESULTS

Total bed numbers in England were found to have increased by 284; 69% of the increase is due to the independent sector, whose market share has risen from 25% in 1999 to 36% in 2006. Regions with the highest number of beds in 1999 have increased bed numbers more than areas with the lowest number of beds in1999 (8.3 v. 3.6 beds per million population). In units that admit only children under the age of 14, there has been a 30% reduction in beds available (123 to 86).

CLINICAL IMPLICATIONS

Inequity in provision of CAMH inpatient services has increased despite government policy to the contrary. We speculate that this might be partly due to fragmented and local commissioning, and the effects of market forces operating as a result of increasing privatisation.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health (2002) Improvement, Expansion and Reform: The Next Three Years. Priorities and Planning Framework 2003–06. Department of Health.
Department of Health (2004) National Service Framework for Children, Young People and Maternity Services. Department of Health.
Gowers, S. G., Clarke, J., Alldis, M., et al (2001) In-patient admission of adolescents with mental disorder. Clinical Child Psychology and Psychiatry, 6, 537544.
Mental Health Act Commission (2001) Ninth Biennial Report 1999–2001, ch. 6.43, p.73. TSO (The Stationery Office).
Mental Health Act Commission (2004) Safeguarding Children and Adolescents Detained under the Mental Health Act 1983 on Adult Psychiatric Wards. TSO (The Stationery Office).
National Collaborating Centre for Mental Health (2005) Depression in Children and Young People: Identification and Management in Primary, Community and Secondary Care. British Psychological Society & Royal College of Psychiatrists.
O'Herlihy, A., Worrall, A., Lelliott, P., et al (2003) Distribution and characteristics of in-patient child and adolescent mental health services in England and Wales. British Journal of Psychiatry, 183, 547551.
Royal College of Psychiatrists (2006) Building and Sustaining Specialist Child and Adolescent Mental Health Services (Council Report CR137). Royal College of Psychiatrists.
Worrall, A., O'Herlihy, A., Banerjee, S., et al (2004) Admissions of young people with a mental disorder to adult psychiatric and paediatric wards. BMJ, 328, 867.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Provision of child and adolescent mental health in-patient services in England between 1999 and 2006

  • Anne O'Herlihy (a1), Paul Lelliott (a2), Debbie Bannister (a3), Andrew Cotgrove (a3), Hannah Farr (a3) and Simon Tulloch (a3)...
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