Skip to main content
×
×
Home

Child abuse and neglect: a major public health issue and the role of child and adolescent mental health services

  • Mike Shaw (a1) and Margaret De Jong (a2)
Summary

Child and adolescent mental health services (CAMHS) make an important contribution to the assessment and treatment of abuse and neglect in children. However, the provision of services is patchy and we see the present political and economic environment as providing opportunities but also threats. In this editorial we examine some of the barriers to CAMHS involvement, emphasise the potential public health benefits of improving the service, and provide some examples of how CAMHS could develop its involvement in partnership with Social Services and the family courts.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Child abuse and neglect: a major public health issue and the role of child and adolescent mental health services
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Child abuse and neglect: a major public health issue and the role of child and adolescent mental health services
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Child abuse and neglect: a major public health issue and the role of child and adolescent mental health services
      Available formats
      ×
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.
Corresponding author
Mike Shaw (mshaw@tavi-port.nhs.uk)
Footnotes
Hide All

Declaration of interest

None.

Footnotes
References
Hide All
1 Munro, E. The Munro Review of Child Protection: Final Report – A Child-Centred System. Department for Education, 2011.
2 HM Government. Healthy Lives, Healthy People: Update and Way Forward. TSO (The Stationery Office), 2011.
3 Department of Health. Bearing Good Witness: Proposals for Reforming the Delivery of Medical Expert Evidence in Family Law Cases. A Report by the Chief Medical Officer. Department of Health, 2006.
4 Tucker, J, Moorehead, R, Doughty, J. Evaluation of the ‘Alternative Commissioning of Experts Pilot’ Final Report. Cardiff Law School, 2011.
5 Family Justice Review Panel. Family Justice Review – Final Report. Ministry of Justice, Department for Education, Welsh Government, 2011.
6 Ministry of Justice. Proposals for the Reform of Legal Aid in England and Wales. Ministry of Justice, 2010.
7 Gilbert, R, Widom, C, Browne, K, Fergusson, D, Webb, E, Janson, S. Burden and consequences of child maltreatment in high-income countries. Lancet 2009; 373: 6881.
8 National Society for the Prevention of Cruelty to Children. Child Abuse and Neglect in the UK Today. NSPCC Research, 2011.
9 Jonas, S, Bebbington, P, McManus, S, Meltzer, H, Jenkins, R, Kuipers, E, et al. Sexual abuse and psychiatric disorder in England: results from the 2007 Adult Psychiatric Morbidity Survey. Psychol Med 2011; 41: 709–20.
10 Bebbington, P, Jonas, S, Kuipers, E, King, M, Cooper, C, Brugha, T, et al. Childhood sexual abuse and psychosis: data from a cross-sectional national psychiatric survey in England. Br J Psychiatry 2011; 199: 2937.
11 Cutajar, MC, Mullen, PE, Ogloff, JRP, Thomas, SD, Wells, DL, Spataro, J. Schizophrenia and other psychotic disorders in a cohort of sexually abused children. Arch Gen Psychiatry 2010; 67: 1114–9.
12 Northridge, ME. Public health methods – attributable risk as a link between causality and public health action. Am J Public Health 1995; 85: 1202–3.
13 Fergusson, DM, Boden, JM, Horwood, LJ. Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse Neglect 2008; 32: 607–19.
14 Kessler, RC, McLaughlin, KA, Greif Green, J, Gruber, MJ, Sampson, NA, Zaslavsky, AM, et al. Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. Br J Psychiatry 2010; 197: 378–85.
15 Read, J, Bentall, RP. Negative childhood experiences and mental health: theoretical, clinical and primary prevention implications. Br J Psychiatry 2012; 200: 8991.
16 Ford, T, Vostanis, P, Meltzer, H, Goodman, R. Psychiatric disorder among British children looked after by local authorities: comparison with children living in private households. Br J Psychiatry 2007; 190: 319–25.
17 MacMillan, HL, Wathen, NC, Barlow, J, Fergusson, DM, Leventhal, JM, Tuassig, HN. Interventions to prevent child maltreatment and associated impairment. Lancet 2008; 3: 3551.
18 Cohen, J, Deblinger, E, Mannarino, AP, Steer, RA. A multisite, randomized controlled trial for children with sexual-abuse-related PTSD symptoms. J Am Acad Child Adolesc Psychiatry 2004; 43: 393402.
19 Macdonald, G, Higgins, JPT, Ramchandani, P. Cognitive-behavioural interventions for children who have been sexually abused. Cochrane Database Syst Rev 2006; 4: CD001930.
20 Van Horn, P, Lieberman, AF. Using dyadic therapies to treat traumatized children. In Treating Traumatised Children: Risk, Resilience and Recovery (eds Brom, D, Pat-Horenczyck, R, Ford, J): 210–24. Routledge, 2008.
21 Tanaka, M, Jamieson, E, Wathen, M, MacMillan, HL. Methodological standards for randomized controlled trials of interventions for preventing recurrence of child physical abuse and neglect. Child Abuse Rev 2010; 19: 2138.
22 Chamberlain, P, Reid, JB. Comparison of two community alternatives to incarceration for chronic juvenile offenders. J Consult Clin Psychol 1998; 66: 624–33.
23 HM Government. Working Together to Safeguard Children: A Guide to Inter-Agency Working to Safeguard and Promote the Welfare of Children. Department for Children, Schools and Families, 2010.
24 Conway, P. Falling between minds: the effects of unbearable experiences on multi-agency communication in the care system. Adoption Fostering 2009; 33: 1829.
25 Wakelyn, J. Transitional psychotherapy for looked-after children in ‘short term’ foster care. J Soc Work Practice 2008; 22: 2736.
26 Golding, KS. Multi-agency and specialist working to meet the mental health needs of children in care and adopted. Clin Child Psychol Psychiatry 2010; 15: 573–87.
27 Rushton, A. A scoping and scanning review of research on the adoption of children placed from public care. Clin Child Psychol Psychiatry 2010; 9: 89106.
28 Harwin, J, Ryan, M, Tunnard, J, Pokhrel, S, Alrouh, B, Matias, C, et al. The Family Drug and Alcohol Court (FDAC) Evaluation Project Final Report. Brunel University, 2011.
29 Romanelli, L, Landsverk, J, Levitt, J, Leslie, L, Hurley, M, Gries, L, et al. Best practices for mental health in child welfare: screening, assessment and treatment guidelines. Child Welfare 2009; 88: 163–88.
30 Tarren-Sweeney, M. It's time to re-think mental health services for children in care, and those adopted from care. Clin Child Psychol Psychiatry 2010; 15: 613–26.
31 Street, E, Davies, M. Constructing mental health services for looked after children. Adoption Fostering 2002; 26: 6575.
32 Rao, P, Ali, A, Vostanis, P. Looked after and adopted children: how should specialist CAMHS be involved? Adoption Fostering 2010; 34: 5872.
33 DeJong, M. Some reflections on the use of psychiatric diagnosis in the looked after or ‘in care’ population. Clin Child Psychol Psychiatry 2010; 15: 589–99.
34 Tarren-Sweeney, M. The mental health needs of children in out-of-home care. Curr Opin Psychiatry 2008; 21: 345–9.
35 Department for Education. Family Drug and Alcohol Court (FDAC) Development Project: Options for Sustainability and Rollout. Department for Education, 2012 (in press).
Recommend this journal

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

BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 1
Total number of PDF views: 53 *
Loading metrics...

Abstract views

Total abstract views: 274 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 17th July 2018. This data will be updated every 24 hours.

Child abuse and neglect: a major public health issue and the role of child and adolescent mental health services

  • Mike Shaw (a1) and Margaret De Jong (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *