Innovations in Practice: Evaluating clinical outcome and service utilization in an AMBIT-trained Tier 4 child and adolescent mental health service

Child and Adolescent Mental Health
Helen GriffithsMatthias Schwannauer

Abstract

To present clinical outcome data of the Adolescent Mentalization-based Integrative Treatment (AMBIT)-trained NHS Lothian Tier 4 child and adolescent mental health service in the context of service utilization and engagement. Data were obtained for a 2-year period that included details of all face-to-face contacts between young people and clinicians along with routinely collected clinical outcomes data relating to anxiety, depression, symptoms of psychosis and quality of life. Improvements were observed in quality of life, symptoms and distress across the course of the intervention. Overall attendance rates were high (80%). Relative to those who were better engaged, the less well-engaged group received the same number of appointments but spent longer in the service (χ2 (1) = 5.26, p = .022), had more professionals involved in their care (χ2 (1) = 4.91, p = .027) and showed a nonsignificant trend to more inpatient admissions. Later engagement was not associated with distress or symptoms at entry into the service with the exception of negative symptoms in the Early Psychosis Support Service cohort. Age and two quality of life factors were associated with later engagement (p < .05). Our AMBIT-trained Tier 4 CAMH service demonstrate...Continue Reading

References

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Citations

Aug 10, 2018·Psychology and Psychotherapy·Javier Malda-CastilloGuillermo Perez-Algorta
Jan 29, 2019·Early Intervention in Psychiatry·Alice ThomsonMatthias Schwannauer
Jun 5, 2020·Clinical Child Psychology and Psychiatry·Gary ByrneGraham Connon
Mar 11, 2019·Current Psychiatry Reports·Jana VolkertSvenja Taubner

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