Introduction
Aims
Method
Sample
Data retrieval and instruments
Analysis
Ethics
Results
Sample description
Total % (n) | Not referred % (n) | Referred % (n) | |
---|---|---|---|
Gender | |||
Male | 39.7 (148) | 21.6 (32) | 78.4 (116) |
Female | 60.3 (225) | 32.0 (72) | 68.0 (153) |
Deprivation levels (based on NI-MDM employment domain) | |||
Most deprived quartile | 28.1 (96) | 29.2 (28) | 70.8 (68) |
2 | 24.3 (83) | 19.3 (16) | 80.7 (67) |
3 | 21.6 (74) | 20.2 (15) | 79.7 (59) |
Least deprived | 26.0 (89) | 39.3 (35) | 60.7 (54) |
Deprivation levels (based on NI_MDM summary domain) | |||
Most deprived quartile | 28.1 (96) | 28.1 (27) | 71.9 (69) |
2 | 22.8 (78) | 25.6 (20) | 74.4 (58) |
3 | 21.1 (72) | 20.8 (13) | 79.2 (57) |
Least deprived | 28.1 (96) | 33.3 (32) | 66.7 (64) |
Structure of family associated with client | |||
Both parents present | 53.7 (197) | 27.4 (54) | 73.7 (143) |
Single parent household | 36.2 (132) | 28.0 (37) | 72.0 (95) |
Other | 10.0 (36) | 27.8 (10) | 72.2 (26) |
Years involved with CAMHS services | |||
Up to 1 year | 28.4 (106) | 29.3 (31) | 71.8 (75) |
2 years | 22.8 (85) | 36.4 (31) | 63.5 (54) |
3–4 years | 27.4 (102) | 31.4 (32) | 68.6 (70) |
5 or more years | 21.5 (80) | 9.6 (10) | 87.5 (70) |
Mental health problems within family | |||
Mother or father | 49.6 (183) | 22.7 (44) | 76.3 (142) |
Other family | 16.5 (61) | 40.3 (25) | 59.7 (37) |
None recorded | 33.9 (125) | 28.0 (35) | 72.0 (90) |
Age of client at first contact with CAMHS | |||
1–9 years | 10.8 (39) | 10.3 (4) | 89.7 (35) |
10–14 years | 29.1 (105) | 26.7 (28) | 73.3 (77) |
15–16 years | 31.8 (115) | 34.8 (40) | 65.2 (75) |
17 + years | 28.5 (103) | 30.1 (31) | 69.9 (72) |
Family history, deprivation and mental health
Referral to CAMHS
Transition pathways
Referral breach
Transfer of care
Meeting optimal TRACK criteria for transition
Components of TRACK criteria | Number of cases (n = 252) |
---|---|
Continuity of care | 184 (73%) |
Transition-planning meeting | 96 (38%) |
Period of parallel care | 46 (18%) |
Optimal information transfer | 8 (3%) |
All four criteria | 0 (0%) |
Factors associated with transition to AMHS
Univariate analysis | Multivariate analysis | |||
---|---|---|---|---|
OR (and 95% CI) | Model 1: OR (and 95% CI) | Model 2: OR (and 95% CI) | Model 3: OR (and 95% CI) | |
Sex | ||||
Female | 1.00 | 1.00 | 1.00 | 1.00 |
Male | 1.71 (1.05, 2.76) * | 1.46 (0.87, 2.44) | 1.37 (0.77, 2.46) | 1.38 (0.76, 2.52) |
Occupation at transition | ||||
Working/in education | 1.00 | 1.00 | 1.00 | 1.00 |
NEETa | 2.02 (1.07, 3.82)* | 2.37 (1.20, 4.69)* | 3.09 (1.43, 6.70)** | 3.04 (1.34, 6.91)** |
Other | 1.33 (0.67, 2.64) | 1.30 (0.62, 2.74) | 1.73 (0.75, 3.96) | 1.52 (0.64, 3.60) |
Age: first referral to CAMHS | ||||
Aged 2–13 years | 1.00 | 1.00 | 1.00 | 1.00 |
14–16 | 0.36 (0.19, 0.68)** | 0.47 (0.24, 0.92)* | 0.45 (0.21, 0.93)* | 0.54 (0.25, 1.16) |
17 or more | 0.44 (0.22, 0.88)* | 0.60 (0.29, 1.24) | 0.74 (0.32, 1.69) | 1.18 (0.48, 2.89) |
MH problems within family | ||||
None | 1.00 | 1.00 | 1.00 | 1.00 |
Mother | 1.29 (0.73, 2.28) | 1.34 (0.73, 2.44) | 1.77 (0.91, 3.45) | 1.87 (0.92, 3.77) |
Father | 5.06 (1.13, 22.44)* | 4.50 (0.99, 20.51) | 10.46 (1.27, 86.44)* | 12.51 (1.39, 112.5)* |
Both parents | 0.58 (0.33, 1.03) | 0.57 (0.31, 1.02) | 0.60 (0.31, 1.18) | 0.55 (0.27, 1.14) |
Mother: regular attendance at CAMHS | ||||
No | 1.00 | 1.00 | 1.00 | 1.00 |
Yes | 1.62 (1.02, 2.56)* | 1.78 (1.08, 2.96)* | 1.16 (0.65, 2.08) | 1.23 (0.66, 2.28) |
Diagnosis available at transition | ||||
No | 1.00 | 1.00 | 1.00 | |
Yes | 3.94 (2.42, 6.43)*** | 3.86 (2.14, 6.95)*** | 3.36 (1.78, 6.34)*** | |
Risk assessment at transition | ||||
No | 1.00 | 1.00 | 1.00 | |
Yes | 3.51(4.72, 19.68)*** | 5.45 (2.78, 10.67)*** | 4.89 (2.45, 9.80)*** | |
Prescribed medications | ||||
Antipsychotics | ||||
No | 1.00 | 1.00 | ||
Yes | 2.60 (1.33, 5.06)** | 3.88 (1.79, 8.40)** | ||
Antidepressants | ||||
No | 1.00 | 1.00 | ||
Yes | 2.14 (1.34, 3.41)** | 1.95 (1.04, 3.68)* | ||
Stimulants | ||||
No | 1.00 | 1.00 | ||
Medication | ||||
Yes | 2.48 (1.07, 5.77)* | 2.93 (1.05, 8.19)* |