Top PDF Children and Young People’s Mental Health: State of the Nation: April 2016

Children and Young People’s Mental Health: State of the Nation: April 2016

Children and Young People’s Mental Health: State of the Nation: April 2016

These factors include having a history of abuse or living in local authority care. There is a risk that young people from more mainstream backgrounds may not get access to support even where their mental health condition is severe. This is not about placing blame on providers. These criteria are put in place in order to cope with rising demand and inadequate funding. There are also different viewpoints as to the nature and role of specialist mental health services and a need for more preventive services in the community. There were some good examples of services changing these rigid criteria or which had already adopted a different approach. For example, some services had introduced a Single Point of Access so that young people, or their parents or teachers could get the right help by coming to one place for a range of levels of service. CentreForum’s commission will explore these issues in more detail in our subsequent reports, identifying the reasons behind the difficulties in access to services and highlighting positive practice and potential solutions to these complex problems.
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Are the Children Well? A Model and Recommendations for Promoting the Mental Wellness of the Nation s Young People

Are the Children Well? A Model and Recommendations for Promoting the Mental Wellness of the Nation s Young People

Another pressing need for research is in the area of multi-cultural conceptions of illness and wellness. Cultural and linguistic competence have assumed greater importance as our nation has experienced an historic demographic shift with recent immigration. However, some observers emphasize that culture and language sensitivity is also required when considering other distinct populations, such as rural, youth, racial minority, and low-income families that may share certain features of culture. 211 Much of current practice in the U.S. context—whether targeted or universal—is based exclusively on western-European norms, and—understandably—feels foreign to people living in the United States whose heritage is elsewhere. Yet, relatively little work has been done to clarify which, if any, mental health constructs are broadly held across diverse cultures, and which are predicated on traditions and understandings specific to a particular group. 212 Nevertheless, it is clear that how symptoms are expressed, how people cope with their illness, their willingness to get treatment, and what family and community supports they have, are all affected by culture. In addition, the cultures represented by the clinician and the service system play a part in how conditions are diagnosed and treated, and how services are delivered. 213 A culturally sensitive approach to intervention is essentially one which requires problem-solving skills that have only begun to be articulated in the guidance professionals receive. 214
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

We are also indebted to the team of ONS and NatCen interviewers who spent countless hours interviewing participants who took part in this survey. Clinical raters undertook the enormous task of reviewing information on all the children and young people who took part. From the University of Exeter College of Medicine and Health these included Carmen Apostu, Pamela Bowman, Tamsin Newlove- Delgado, Oana Mitrofan and Eva Wooding. From Kings College London: Sophie Epstein, Andrew McWilliams, Helena Hamilton, Christine Kuhn. Thanks to Bruce Clark and the Body Dysmorphic Disorder team from South London and Maudsley Hospital for independently rating the BDD diagnoses.
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

They can occur when the young person thinks about going out, or travelling as well as in the actual situation. Panic disorder Characterised by recurrent attacks of severe anxiety or panic which are not restricted to a particular situation and often ‘come out of the blue’. Symptoms of anxiety in this condition are intense. They start suddenly, peak in a few minutes and include the sudden onset of palpitations, chest pain, choking sensations and dizziness . Post-traumatic stress disorder (PTSD)

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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

Certain groups of children are more likely than others to have a behavioural disorder. Boys remain more likely than girls, and rates peaked in 11 to 16 year olds and were lowest in those aged 17 to 19. Caution, however, is needed with interpretation of the tail off in rates in this older age group. A diagnosis of behavioural disorder ideally needs evidence of impairment in different settings: and valid reports of this are easier to achieve with parent and/or teacher reports. Teacher reports were not obtained for any 17 to 19 year olds on the survey, and about half of 17 to 19 year olds did not have a responding parent. Given non-compliance is an aspect of behavioural disorder, it is likely that survey non-response will also be higher in this group. Another feature of this analysis also impacts on the ability to compare 5 to 16 year old participants with those aged 17 to 19: prevalence in the younger group was uprated with a small adjustment factor (1.06) that took account of the fact that some in this age group did not have a teacher report. Adjustment factors – their rationale, calculation, and impact – are discussed more fully in the Survey Design and Methods Report.
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

We are also indebted to the team of ONS and NatCen interviewers who spent countless hours interviewing participants who took part in this survey. Clinical raters undertook the enormous task of reviewing information on all the children and young people who took part. From the University of Exeter College of Medicine and Health these included Carmen Apostu, Pamela Bowman, Tamsin Newlove-Delgado, Oana Mitrofan and Eva Wooding. From Kings College London:

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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

While the rate of ASD appeared to be higher in younger age groups, this was not statistically significant. If the sample had been larger, it is possible that a difference in rates by age group might have been significant. Although developmental problems are often more common among younger children, research suggests that most adults with an ASD diagnosed in childhood struggle with significant impairment (Howlin et al., 2004). Because few parent reports and no teacher reports were obtained for those in the oldest age group, it had been expected that some cases of ASD might have been missed in this group. Other methodological factors, described in detail in the Survey Design and Methods Report, may also have affected the reliability of age group comparisons.
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

Rowland, Adam White, Alexandra Pop, Salah Merad and Dean Fletcher. We are also indebted to the team of ONS and NatCen interviewers who spent countless hours interviewing participants who took part in this survey. Clinical raters undertook the enormous task of reviewing information on all the children and young people who took part. From the University of Exeter College of Medicine and Health these included Carmen Apostu, Pamela Bowman, Tamsin Newlove- Delgado, Oana Mitrofan and Eva Wooding. From Kings College London: Sophie Epstein, Andrew McWilliams, Helena Hamilton, Christine Kuhn. Thanks to Bruce Clark and the Body Dysmorphic Disorder team from South London and Maudsley Hospital for independently rating the BDD diagnoses.
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

Measuring recognition of difficulties with emotions, concentration, behaviour or getting along with people The perception of a problem is one of the key requirements to accessing support, so the extent to which poor mental health is recognised as such is an important factor to consider when thinking about access to services (Wolpert and Ford, 2015). Children, particularly those of primary school age, rarely access services on their own behalf, which means the perception of important adults is crucial to their access to services in relation to their mental health. The extent to which parents or young people recognise mental health difficulties can be inferred from response to the first question on the impact supplement of the Strengths and Difficulties Questionnaire. This asks the parent or young person whether they consider that the child or they have a problem with emotions, concentration, behaviour or getting along with people. A report of definite or severe difficulties was considered to indicate the recognition of poor mental health and a report of no or minor problems to suggest that the parent or young
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

38 Discussion The effects of new technology and social media on overall health and wellbeing are still relatively unknown. Sampasa-Kanyinga and Lewis (2015) found an independent association between using social media sites for more than two hours per day and self-reported poor mental health, increased levels of psychological distress and suicidal ideation. This prevalence survey also found an association between mental disorders and spending more than four hours on social media per day, whether it was a school or non-school day. Young people with a disorder were also more likely to agree that they spend longer online than they intend to.
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

We are also indebted to the team of ONS and NatCen interviewers who spent countless hours interviewing participants who took part in this survey. Clinical raters undertook the enormous task of reviewing information on all the children and young people who took part. From the University of Exeter College of Medicine and Health these included Carmen Apostu, Pamela Bowman, Tamsin Newlove- Delgado and Oana Mitrofan. From Kings College London: Sophie Epstein, Andrew McWilliams, Helena Hamilton, Christine Kuhn. Thanks to Bruce Clark and the Body Dysmorphic Disorder team from South London and Maudsley Hospital for
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

We are also indebted to team of ONS and NatCen interviewers who spent countless hours interviewing participants who took part in this this survey. Clinical raters undertook the enormous task of reviewing information on all the children and young people who took part. From the University of Exeter College of Medicine and Health these included Carmen Apostu, Pamela Bowman, Tamsin Newlove- Delgado, Oana Mitrofan and Eva Wooding. From Kings College London: Sophie Epstein, Andrew McWilliams, Helena Hamilton, Christine Kuhn. Thanks to Bruce Clark and the Body Dysmorphic Disorder team from South London and Maudsley Hospital for independently rating BDD diagnoses.
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

Around one in sixteen (6.4%) of 17 to 19 year olds experienced more than one mental disorder at the same time. The Mental Health of Children and Young People (MHCYP) surveywas previously conducted with 5 to 15 year olds in 1999 and 5 to 16 year olds in 2004, who were living in Britain and sampled from Child Benefit records. For the 2017 survey, a stratified multistage random probability sample of children was drawn from the NHS Patient Register in October 2016. Children and young people were eligible to take part if they were aged 2 to 19, lived in England, and were registered with a GP.
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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

Many children and young people have some rituals or superstitions, e.g. not stepping on the cracks in the pavement, having to go through a special goodnight ritual, having to wear lucky clothes for exams, or needing a lucky mascot for school sports matches. It is also common for young people to go through phases when they seem obsessed by one particular subject or activity, e.g. cars, a pop group, a football team. But what we want to know is whether the child has any rituals or obsessions that go beyond this.

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Mental Health of Children and Young People in England, 2017

Mental Health of Children and Young People in England, 2017

inappropriate treatment. This information would not be available if other methods of collection were used, such as sampling from lists of patients in contact with mental health services, or patients registered with a general practitioner. This approach has quality implications for other survey aims. For example, a survey of the resident population excludes those who were living in a care home (for example mental health units and young offender institutions). As discussed in this publication, people living in such settings are likely to have worse mental health than those living in private households, which may have an effect on the quality of the prevalence estimates produced by this survey. However, the proportion of the overall population not living in private households is so small that this would have little (or no significant) impact on the prevalence estimates for the disorders examined, as such the decision was made that the improvement in the survey’s ability to provide an estimate of the treatment gap justified this trade-off between these two survey outcomes. Details of the strengths and limitations of the results of this survey are detailed in full in the Survey Design and Methods Report.
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Care in mind : improving the mental health of children and young people in state care in Scotland

Care in mind : improving the mental health of children and young people in state care in Scotland

accommodated children and young people. The service consists of a psychiatrist, a psycho-therapist, three psychologists, a family therapist and three psychiatric nurses, along with administrative support. This new service has been built upon the foundation of two pilot projects, Open Door and LACES, which ran between 1999 and 2003. The former operated in East Dunbartonshire, a small local authority on the edge of Glasgow city, and the latter which served the ‘East Sector’ of Glasgow city itself. Open Door (Scottish Health Feedback 2003b, van Beinum et al., 2002) mainly worked with children and staff in residential units while LACES worked with children under the age of twelve, the majority of whom were placed with foster carers. In the same period, the Acorn Project was set up in the West Dunbartonshire local authority area under the auspices of Lomond and Argyll NHS Primary Care Trust, part of the Argyll and Clyde Health Board area. The Acorn project consisted of a mental health professional and a social worker and also aimed to serve the needs of children and young people in residential and foster care. Meanwhile in Ayrshire, the LEAP Project had been established with a diverse team of nurses and youth workers to provide an
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Children and Young People s Mental Health Services Workforce Report for Local Authorities

Children and Young People s Mental Health Services Workforce Report for Local Authorities

Background • This bespoke report for Local Authorities outlines details of the second comprehensive national stocktake of the CYP MH workforce, which builds on a previous data collection performed by the NHS Benchmarking Network in 2016. Children and Young People’s mental health services are a high profile service area that has been identified for investment and development in a number of recent national strategies including the NHS Five Year Forward View (2014) and NHS Long Term Plan (2019). CYP MH was also discussed in a recent Government green paper “Transforming Children and Young People’s Mental Health” (2017) which outlined aspirations for an inclusive multi-agency portfolio of CYP MH services that would form the backbone of an expanded delivery model in future years. Much of this vision is articulated in the NHS Long Term Plan with workforce growth central to plans to expand CYP MH services in future.
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Transformation of mental health services for children and young people in England

Transformation of mental health services for children and young people in England

Using the outcome measures is just one part of the collaborative approach that is critical to the success of CYP IAPT. The project is making a concerted effort to empower young service users by establishing their position as equal partners in the therapeutic relationship (http://www.youtube.com/watch?v=vSM9Z1oDYjw). All services involved in the project are committed to hearing the views of children, young people, and families, and acting on them to make improvements and share good practice. As well as working closely with children and adolescents who are seeing CYP IAPT practitioners, the implementation team is also being advised by groups of young advisors from across the country who have had a key role in the development of every stage of the project, from interviewing potential teams and presenting at conferences to helping with the design of training courses and even teaching on them. Services are considering how to change to accept self-referrals or referrals from schools rather than necessitating a referral via the primary care physician. Many
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Enhancing the care of children and young people with mental health issues

Enhancing the care of children and young people with mental health issues

and Newton (2014), suggest nurses desire ongoing development and postulate that a ward environment is the best place to achieve this with education at a ward-based level enabling healthcare professionals to feel empowered in the care of patients with mental illnesses. To ensure any education plan for ongoing development is sustainable it is recommended the ward regularly review the training needs of the ward staff to ensure nurses are receiving relevant and up-to-date knowledge (Holloway et al., 2018). Champion models have been developed for many years and are widely used in the NHS (Sutton et al., 2018). An adolescent champion model was implemented in a UK hospital (Riley, Patterson, Lane, Won, and Ranalli, 2018), and analysis of the model was from the perspective of the patient; identifying that patient feedback was positive and there was an increase in patient
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Mental health of children and young people in Great Britain, 2004

Mental health of children and young people in Great Britain, 2004

He just will not do what he is told. He answers back and throws huge temper tantrums if he cannot get his own way. He has always been like this, but it is getting more of a problem now he has started junior school. He winds others up, particularly his younger brothers, and is glad when he gets other children into trouble because he has provoked them into shouting at him or hitting him. He is just the same at school; he is always in trouble for being rude, doing things that he has been asked not to and upsetting other children. He just will not admit when he is in the wrong. He is so stroppy, it does not take much to set him off and it feels like we all tip toe around him to avoid arguments.
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