When is Sessional Monitoring More Likely in Child and Adolescent Mental Health Services?

Administration and Policy in Mental Health
Julian Edbrooke-ChildsMiranda Wolpert

Abstract

Sessional monitoring of patient progress or experience of therapy is an evidence-based intervention recommended by healthcare systems internationally. It is being rolled out across child and adolescent mental health services (CAMHS) in England to inform clinical practice and service evaluation. We explored whether patient demographic and case characteristics were associated with the likelihood of using sessional monitoring. Multilevel regressions were conducted on N = 2609 youths from a routinely collected dataset from 10 CAMHS. Girls (odds ratio, OR 1.26), older youths (OR 1.10), White youths (OR 1.35), and youths presenting with mood (OR 1.46) or anxiety problems (OR 1.59) were more likely to have sessional monitoring. In contrast, youths under state care (OR 0.20) or in need of social service input (OR 0.39) were less likely to have sessional monitoring. Findings of the present research may suggest that sessional monitoring is more likely with common problems such as mood and anxiety problems but less likely with more complex cases, such as those involving youths under state care or those in need of social service input.

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Citations

Oct 21, 2017·Early Intervention in Psychiatry·Abner Weng Cheong PoonBrendan O'Hanlon
Nov 4, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Evelyn ChoKristin M Hawley

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