Improving access and flow within Child and Adolescent Mental Health Services: a collaborative learning system approach.

BMJ Open Quality
Jamie StaffordAmar Shah

Abstract

Long waiting times for Child and Adolescent Mental Health Services (CAMHS) have been linked to poorer outcomes for those seeking care. CAMHS teams in England have seen recent increases in referrals, resulting in challenging waiting times nationally. Although recent health policy has brought an increase in funding and staffing, it is believed that only 25% of those needing care receive it. Between trusts, there is considerable variation in waiting times, leaving many waiting longer than others waiting for care. East London Foundation Trust has been seen to have higher waiting times for CAMHS than other organisations across the country between June 2017 and September 2018, seven CAMHS teams were supported to use quality improvement (QI) as part of a collaborative learning system with the aim of improving access and flow. Each team was encouraged to understand their system using basic demand and capacity modelling alongside process mapping. From this teams created project aims, driver diagrams and used Plan Do Study Act cycles to test changes iteratively. Measurement and data were displayed on control charts to help teams learn from changes. Teams were brought together to help learn from each other and accelerate change through a ...Continue Reading

References

Dec 7, 2002·Quality & Safety in Health Care·J ØVretveitT Wilson
Dec 3, 2003·Quality & Safety in Health Care·J C BenneyanP E Plsek
Oct 5, 2007·Quality & Safety in Health Care·Johan ThorMats Brommels
Jun 26, 2008·BMJ : British Medical Journal·Peter K Lindenauer
Mar 17, 2011·Clinical Medicine : Journal of the Royal College of Physicians of London·Steven AllderKate Silvester
Mar 20, 2012·Social Science & Medicine·Mauro LaudicellaRichard Cookson
Jan 4, 2013·Community Mental Health Journal·Anna M L WestinSharon H Stephan
Dec 25, 2015·BMJ Quality & Safety·Julie E Reed, Alan J Card
Oct 23, 2017·BMJ Quality & Safety·Susan WellsDon Goldmann
Nov 22, 2019·BMJ Open Quality·Laura Ann Roughan, Jamie Stafford

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ELFT Dashboard
ELFT
Rio
PDSA
SQL Server Reporting Services ( SSRS )
CAMHS
Life QI

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