Books and journals Case studies Expert Briefings Open Access
Advanced search

Search results

1 – 10 of over 5000
To view the access options for this content please click here
Article
Publication date: 21 March 2016

Adolescent mental health: new hope for a “Survive, Thrive and Transform” policy response

Valentina Baltag and Chiara Servili

Mental health problems make a significant contribution to morbidity and mortality in adolescents worldwide. To address mental health in adolescents policy response should…

HTML
PDF (192 KB)

Abstract

Purpose

Mental health problems make a significant contribution to morbidity and mortality in adolescents worldwide. To address mental health in adolescents policy response should intertwine the life course approach and the ecological model that positions adolescents in the context of multifactorial influences. The purpose of this paper is to describe policy response at four levels: multisector policies and interventions, health systems policies and interventions, evidence-based clinical interventions and actions to monitor progress. It aims to analyse the implications for adolescent mental health of key recent global commitments including the sustainable development goals (SDGs) and the Global Strategy for Women’s, Children’s and Adolescents’ Health.

Design/methodology/approach

Multisector policies and interventions on determinants of adolescent mental health and well-being are drawn from the Global Strategy for Women’s, Children’s and Adolescents’ Health. Key health systems actions are derived from the Comprehensive Mental Health Action Plan (2013-2020). In both cases, policies and interventions are made specific for provisions relevant to adolescents. Examples of implementation of policies and interventions are drawn from a World Health Organization (WHO) review of national policy documents found in WHO MiNDbank. A list of indicators to monitor progress is being proposed based on Mental Health Atlas and WHO indicators for adolescent health.

Findings

With some notable exceptions, the mental health of adolescents is not adequately addressed by national health policies. There is a considerable body of evidence on the effectiveness of policies and interventions, and recent global commitments give new hope for promoting adolescent mental health through a multisectoral response, within which the health sector has an important role to play. Global reporting mechanisms, including the Mental Health Atlas, should be “adolescent-sensitive”, meaning that adolescent specific impact, outcomes, inputs and determinants should be measured, reported and acted upon.

Originality/value

This paper analyses the meaning specific to adolescents in the policies and interventions promoted in the SDGs, the Global Strategy for Women’s, Children’s and Adolescents’ Health and the Comprehensive Mental Health Action Plan (2013-2020). For the first time a four-levels policy response specific to adolescent mental health is put together: multisector policies and interventions, health systems policies and interventions, evidence-based clinical interventions and actions to monitor progress.

Details

Journal of Public Mental Health, vol. 15 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/JPMH-12-2015-0054
ISSN: 1746-5729

Keywords

  • Policy
  • Interventions
  • Adolescent
  • Mental health
  • Policy response

To view the access options for this content please click here
Article
Publication date: 17 September 2020

Transitioning from child to adult mental health services: what role for social services? Insights from a European survey

Giulia Signorini, Nikolina Davidovic, Gwen Dieleman, Tomislav Franic, Jason Madan, Athanasios Maras, Fiona Mc Nicholas, Lesley O'Hara, Moli Paul, Diane Purper-Ouakil, Paramala Santosh, Ulrike Schulze, Swaran Preet Singh, Cathy Street, Sabine Tremmery, Helena Tuomainen, Frank Verhulst, Jane Warwick, Dieter Wolke and Giovanni de Girolamo

Young people transitioning from child to adult mental health services are frequently also known to social services, but the role of such services in this study and their…

HTML
PDF (581 KB)

Abstract

Purpose

Young people transitioning from child to adult mental health services are frequently also known to social services, but the role of such services in this study and their interplay with mental healthcare system lacks evidence in the European panorama. This study aims to gather information on the characteristics and the involvement of social services supporting young people approaching transition.

Design/methodology/approach

A survey of 16 European Union countries was conducted. Country respondents, representing social services’ point of view, completed an ad hoc questionnaire. Information sought included details on social service availability and the characteristics of their interplay with mental health services.

Findings

Service availability ranges from a low of 3/100,000 social workers working with young people of transition age in Spain to a high 500/100,000 social workers in Poland, with heterogeneous involvement in youth health care. Community-based residential facilities and services for youth under custodial measures were the most commonly type of social service involved. In 80% of the surveyed countries, youth protection from abuse/neglect is overall regulated by national protocols or written agreements between mental health and social services, with the exception of Czech Republic and Greece, where poor or no protocols apply. Lack of connection between child and adult mental health services has been identified as the major obstacles to transition (93.8%), together with insufficient involvement of stakeholders throughout the process.

Research limitations/implications

Marked heterogeneity across countries may suggest weaknesses in youth mental health policy-making at the European level. Greater inclusion of relevant stakeholders is needed to inform the development and implementation of person-centered health-care models. Disconnection between child and adult mental health services is widely recognized in the social services arena as the major barrier faced by young service users in transition; this “outside” perspective provides further support for an urgent re-configuration of services and the need to address unaligned working practices and service cultures.

Originality/value

This is the first survey gathering information on social service provision at the time of mental health services transition at a European level; its findings may help to inform services to offer a better coordinated social health care for young people with mental health disorders.

Details

Journal of Children's Services, vol. 15 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/JCS-05-2020-0014
ISSN: 1746-6660

Keywords

  • Europe
  • Transition
  • Social services
  • Child and adolescent mental health services
  • Surveys
  • Youth mental health

To view the access options for this content please click here
Article
Publication date: 14 April 2010

Child and adolescent mental health: infrastructure, policies and practices in England: the CAMHEE project

Rachel Jenkins, Howard Meltzer, Brian Jacobs and David McDaid

The European Union‐supported Child and Adolescent Mental Health in an Enlarged Europe (CAMHEE) project aimed to provide an overview of the challenges, current practice and…

HTML
PDF (238 KB)

Abstract

The European Union‐supported Child and Adolescent Mental Health in an Enlarged Europe (CAMHEE) project aimed to provide an overview of the challenges, current practice and guidelines for developing effective mental health promotion and mental illness prevention policy and practice across Europe. As part of this work, an analysis was undertaken of the situation in England, making use of a bespoke data collection instrument and protocol.Our analysis suggests that there has been significant effort and investment in research, needs assessment, policy, human resource and service developments in CAMHS over the last 20 years, leading to a more detailed understanding and availability of services. Much of the emphasis has been on assessment and management of difficulties, however in recent years attention has begun to focus on mental health promotion. National standards and programmes such as Every Child Matters (Department for Education and Skills, 2004) have acted as catalysts for a number of national initiatives.

Details

Journal of Public Mental Health, vol. 9 no. 1
Type: Research Article
DOI: https://doi.org/10.5042/jpmh.2010.0161
ISSN: 1746-5729

Keywords

  • Child and adolescent mental health
  • England
  • Policy
  • Health promotion

To view the access options for this content please click here
Article
Publication date: 1 September 2008

An evaluation of an innovative project designed to enhance child and adolescent mental health provision

Steven Walker

This paper describes and discusses the evaluation of an innovative child and adolescent mental health project located in a large county in eastern England. The project was…

HTML
PDF (96 KB)

Abstract

This paper describes and discusses the evaluation of an innovative child and adolescent mental health project located in a large county in eastern England. The project was one of eight located in the voluntary sector and supported by the Mental Health Foundation as part of a national initiative aimed at responding in new, accessible ways to young people requiring help for emotional and mental health problems. Traditional specialist CAMH services are overwhelmed by demand while also failing to engage many young people. This study provides evidence of how new services can develop to meet the needs of troubled young people in appropriate and acceptable ways.

Details

The Journal of Mental Health Training, Education and Practice, vol. 3 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/17556228200800016
ISSN: 1755-6228

Keywords

  • Child and adolescent mental health
  • Evaluation
  • Innovative
  • Service development

To view the access options for this content please click here
Article
Publication date: 2 April 2010

Access to and experience of child and adolescent mental health services: barriers to children and young people with learning disabilities and their families

Chih Sin, Rob Francis and Chloe Cook

Despite laudable intentions and evidence of progress, significant barriers remain in relation to the access to and experiences of child and adolescent mental health…

HTML
PDF (130 KB)

Abstract

Despite laudable intentions and evidence of progress, significant barriers remain in relation to the access to and experiences of child and adolescent mental health services (CAMHS). This article draws on the findings of a literature review and reports a number of barriers and their impact on children and young people with learning disabilities. Children and young people with learning disabilities are at a disproportionate risk of experiencing mental health problems yet access and experience of CAMHS can be highly uneven. Families are often unclear about how to access mental health services and what services are available. Such information and knowledge‐related barriers are particularly significant for certain minority ethnic groups. Barriers related to the CAMHS workforce mix, skills and staff attitudes can also mean that skills required for working with people with both mental health conditions and learning disabilities can be lacking. At a macro level, systems‐related barriers include a lack of joint commissioning and planning, unclear care pathways, the lack of a single point of referral, difficult transition to adult mental health services and a lack of inappropriate services.

Details

Mental Health Review Journal, vol. 15 no. 1
Type: Research Article
DOI: https://doi.org/10.5042/mhrj.2010.0199
ISSN: 1361-9322

Keywords

  • Child and adolescent mental health services
  • Learning disabilities
  • Barriers
  • Workforce
  • Systems

To view the access options for this content please click here
Article
Publication date: 21 June 2013

The mental health surveillance of adolescents, within a school setting

John Sinclair and Stephanie Holden

This article aims to demonstrate a different approach to identify and assess adolescents experiencing mental health problems, within a school setting. Presently we rely on…

HTML
PDF (189 KB)

Abstract

Purpose

This article aims to demonstrate a different approach to identify and assess adolescents experiencing mental health problems, within a school setting. Presently we rely on primary care professionals to identify mental health problems and adolescents are often reluctant to access such services. One of the benefits of utilising a mental health surveillance screening tool is to identify mental health problems in adolescents and to implement early intervention.

Design/methodology/approach

A cross‐sectional survey of school pupils from a secondary school was conducted, using the Paediatric Symptom Checklist for Youths (PSCY). The self‐administered questionnaire was completed and identified adolescents were then assessed by the Child and Adolescent Mental Health Services (CAMHS). Out of 247 pupils, 84 per cent of the adolescents completed the questionnaire.

Findings

From the screening tool, 25 per cent were identified for assessment. During their assessment 64 per cent of the young people were given self‐help guides and health promotion advice. The remaining 26 per cent of the adolescents were provided treatment sessions by CAMHS or by Children's Service Worker. Only 10 per cent of these adolescents had been previously seen within the CAMHS.

Research limitations/implications

The PSCY is a useful tool for identifying and assessing adolescents with mental health problems. However, these results are the preliminary findings of a feasibility study. This subject area is a rich source for future research.

Practical implications

Findings from this project will influence wider mental health surveillance of our adolescent population.

Social implications

This approach will also influence future service provision, for such a vulnerable population.

Originality/value

No comparative studies of this nature were found in the United Kingdom.

Details

Mental Health Review Journal, vol. 18 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/MHRJ-10-2012-0028
ISSN: 1361-9322

Keywords

  • Child and Adolescent Mental Health Services
  • Adolescents
  • Health surveillance
  • Health promotion
  • Education
  • Mental health services

To view the access options for this content please click here
Book part
Publication date: 28 December 2006

Challenges for a System of Care

Kathleen Biebel and Jeffrey L. Geller

A system of care is a function-specific, rather than agency-specific approach defined as a “comprehensive spectrum of mental health and other necessary services which are…

HTML
PDF (186 KB)

Abstract

A system of care is a function-specific, rather than agency-specific approach defined as a “comprehensive spectrum of mental health and other necessary services which are organized into a coordinated network to meet the multiple and changing needs of children and adolescents with severe emotional disturbances and their families” (Stroul & Friedman, 1986). A system of care provides a mental health delivery system for children with SED with a wide array of accessible, community-based services that focus on children's individual needs, include the family in treatment planning, and provide culturally competent services. System of care services are provided by multiple child serving agencies and are collaborative and coordinated (Stroul & Friedman, 1986).

Details

Research on Community-Based Mental Health Services for Children and Adolescents
Type: Book
DOI: https://doi.org/10.1016/S0192-0812(06)14009-X
ISBN: 978-1-84950-416-4

To view the access options for this content please click here
Article
Publication date: 11 July 2016

Frequent peer problems in Australian children and adolescents

Renee Denham, Tara Renae McGee, Li Eriksson, John McGrath, Rosana Norman, Michael Sawyer and James Scott

Whilst overt bullying has received considerable attention for its negative impact on the emotional well-being of children and adolescents, peer problems such as excessive…

HTML
PDF (137 KB)

Abstract

Purpose

Whilst overt bullying has received considerable attention for its negative impact on the emotional well-being of children and adolescents, peer problems such as excessive teasing and social exclusion have received less consideration. The purpose of this paper is to examine the prevalence, demographic, and clinical correlates of frequent peer problems in children and adolescents who participated in the Australian National Survey of Mental Health and Well-Being.

Design/methodology/approach

Participants were a nationally representative sample of 2,107 children (aged 6-12 years), and 1,490 adolescents (aged 13-17 years). Frequent peer problems (excessive teasing or social exclusion) were measured by parental report for children, and self and parental report for adolescents. Associations with a number of mental health problems were examined, including being in the clinical range for internalising and externalising symptoms, having major depressive disorder, attention deficit hyperactivity disorder or conduct disorder, low self-esteem, experiencing suicidal ideation and behaviour, or using marijuana and alcohol.

Findings

One in 30 children and one in 20 adolescents experienced frequent peer problems. Parents less commonly identified frequent peer problems than were self-reported by their adolescent children. Frequent peer problems were strongly associated with all mental health problems except alcohol and marijuana use.

Originality/value

Frequent peer problems are associated with a greatly increased risk of mental health problems. Identifying those children and adolescents with frequent peer problems provides opportunity for assessment and intervention of emotional and behavioural problems.

Details

Journal of Aggression, Conflict and Peace Research, vol. 8 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/JACPR-11-2015-0196
ISSN: 1759-6599

Keywords

  • Children
  • Adolescents
  • Bullying
  • Social exclusion
  • Frequent peer problems
  • Teasing

To view the access options for this content please click here
Article
Publication date: 2 December 2010

Growing up with a parent with schizophrenia: what children say they need

Siu Chan and Ying Heidi

Despite the rich literature on the effects of parental mental health problems on child development, the needs of children of mentally ill parents have been overlooked in…

HTML
PDF (132 KB)

Abstract

Despite the rich literature on the effects of parental mental health problems on child development, the needs of children of mentally ill parents have been overlooked in both research and services. This study investigated the needs of a neglected group, namely Chinese adolescent children of parents with schizophrenia, in order to gain insights into the design of programmes for these adolescents. In‐depth interviews were conducted individually with five Chinese adolescent girls whose mother or father was diagnosed with schizophrenia. Analysis of the interview data revealed four common themes: stigma and discrimination; mixed feelings of love and anger; the role of being a carer; and positive gains. The results shed light on the importance of taking cultural context into consideration when providing services for these children and further conducting research in this area. Although mental health problems are regarded as a taboo and associated with shame in Chinese culture, these children, out of a respect for their parents (‘filial piety’1), showed a strong sense of loyalty to their parents and suppressed their anger and sorrow for their parents' sake. Implications for social services for children whose parents have mental health problems and suggestions for future research are discussed.

Details

Journal of Children's Services, vol. 5 no. 4
Type: Research Article
DOI: https://doi.org/10.5042/jcs.2010.0693
ISSN: 1746-6660

Keywords

  • Schizophrenia
  • Mental health problems
  • Parents
  • Stigma
  • Young carer
  • Chinese culture

To view the access options for this content please click here
Article
Publication date: 11 December 2007

Understanding the key workforce issues facing child and adolescent mental health services

Barry Nixon

Workforce pressures are the key constraining factor in effective delivery of the CAMHS agenda (Kurtz et al, 2006). The continuing investment and expansion of Child and…

HTML
PDF (198 KB)

Abstract

Workforce pressures are the key constraining factor in effective delivery of the CAMHS agenda (Kurtz et al, 2006). The continuing investment and expansion of Child and Adolescent Mental Health Services (CAMHS) has key implications for workforce planning, and improving outcomes for children and young people requires an adequately resourced, trained and motivated workforce. Every Child Matters: Change for children in health services and the National Service Framework for Children, Young People and Maternity Services establishes for the first time, clear standards for promoting the health and well‐being of children and young people, and for providing high quality services that meet their needs. This paper explores the key workforce issues facing child and adolescent mental health services as identified by child and adolescent practitioners. A number of key themes are identified along with the associated challenges.

Details

The Journal of Mental Health Training, Education and Practice, vol. 2 no. 4
Type: Research Article
DOI: https://doi.org/10.1108/17556228200700025
ISSN: 1755-6228

Keywords

  • Child and adolescent
  • Workforce planning
  • Recruitment and retention
  • New ways of working
  • New roles
  • Education and training
  • Leadership

Access
Only content I have access to
Only Open Access
Year
  • Last week (10)
  • Last month (38)
  • Last 3 months (145)
  • Last 6 months (319)
  • Last 12 months (600)
  • All dates (5062)
Content type
  • Article (3728)
  • Book part (1170)
  • Earlycite article (157)
  • Case study (6)
  • Expert briefing (1)
1 – 10 of over 5000
Emerald Publishing
  • Opens in new window
  • Opens in new window
  • Opens in new window
  • Opens in new window
© 2021 Emerald Publishing Limited

Services

  • Authors Opens in new window
  • Editors Opens in new window
  • Librarians Opens in new window
  • Researchers Opens in new window
  • Reviewers Opens in new window

About

  • About Emerald Opens in new window
  • Working for Emerald Opens in new window
  • Contact us Opens in new window
  • Publication sitemap

Policies and information

  • Privacy notice
  • Site policies
  • Modern Slavery Act Opens in new window
  • Chair of Trustees governance statement Opens in new window
  • COVID-19 policy Opens in new window
Manage cookies

We’re listening — tell us what you think

  • Something didn’t work…

    Report bugs here

  • All feedback is valuable

    Please share your general feedback

  • Member of Emerald Engage?

    You can join in the discussion by joining the community or logging in here.
    You can also find out more about Emerald Engage.

Join us on our journey

  • Platform update page

    Visit emeraldpublishing.com/platformupdate to discover the latest news and updates

  • Questions & More Information

    Answers to the most commonly asked questions here