Monitoring Change in Families Receiving Primary Mental Health Specialist Services: A Pragmatic Evaluation Within an Existing Service for the Under-Fives, Child and Adolescent Mental Health, 2011, 15 (2) pp. 120–124
Jon Pollock and Sue Horrocks
School of Health & Social Care, Faculty of Health & Life Sciences, University of the West of England, Glenside Campus, Blackberry Hill, Bristol BS16 1DD, UK
Background: Specialist CAMHS-based services for pre-school age children are being introduced in the UK using different models of care. The clinical value of these new services requires assessment.
Method: Over 20 months a Primary Mental Health Specialist (Under 5s) service operating in South West UK was evaluated on a variety of themes including effectiveness. Recruited clients completed questionnaires on their own well-being (on two occasions) and their child’s behaviour (on three occasions) over the intervention period.
Results: Of the 67 carers assessed at or shortly after recruitment using the General Health Questionnaire, 55.2% were at high risk of having a clinically significant affective mental condition. Despite a trend towards improvement, neither the GHQ-12 total score nor the proportion meeting the clinical criterion was statistically significantly reduced. The main index of child behaviour and emotional state demonstrated a statistically significant reduction in the number of disturbance-indicating behaviours over the service intervention period. The largest changes occurred between recruitment and the 4th visit. Selection bias cannot be excluded.
Conclusions: Significant changes determined over a relatively short period of intervention is consistent with an effect of service, but direct attribution demands care as no control groups were included.
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