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dc.contributor.authorCamilleri, Nigel-
dc.contributor.authorNewbury-Birch, Dorothy-
dc.contributor.authorMcArdle, Paul-
dc.contributor.authorStocken, Deborah D.-
dc.contributor.authorThick, Tony-
dc.contributor.authorLe Couteur, Ann-
dc.identifier.citationCamilleri, N., Newbury‐Birch, D., McArdle, P., Stocken, D. D., Thick, T., & Le Couteur, A. (2017). Innovations in practice: a case control and follow‐up study of ‘hard to reach’young people who suffered from multiple complex mental disorders. Child and Adolescent Mental Health, 22(1), 49-57.en_GB
dc.description.abstractBackground: Innovations Project (IP) was a new multidisciplinary team based within an inner city, walk-in health centre, North East England (throughout 2011). The aim was to describe the social and mental disorders of the hard to reach young people (HTRYP) from the IP and compare with a matched sample who attended a Community Mental Health Team (CMHT) and follow-up both samples 24 months after discharge. Methods: A retrospective review of clinical case notes of YP who attended the IP and CMHT. A 24-month (postdischarge) follow-up evaluation of the mental state and social function of the YP in both groups using Health of the Nation Outcome Scales for Child and Adolescent Mental Health (HoNOSCA) and Children's Global Assessment Scale (CGAS). Results: Thirty-six referrals were accepted over a one-year period by the IP, 31 met criteria for the HTRYP, 15 were offered individually tailored therapy. The HTRYP who were more deprived compared to the CMHT matched sample (n = 115), experienced a higher median number of mental disorders (n = 3 compared to CMHT n = 1), higher severity scores and lower levels of social function (HTRYP HoNOSCA mean: 19.1 (95% CI 15.9–22.2) and CMHT mean: 11.2 (95% CI 2.0–23.0) p = <.001, and HTRYP CGAS mean: 51.0 (95% CI 46.0–56.2) and CMHT mean: 58.9 (95% CI 52.9–64.8), p =.05). The HTRYP made significantly greater improvement compared to CMHTYP; (HoNOSCA p = <.001 and CGAS p = <.002) at discharge. A total of 13 HTRYP and 9 CMHT YP attended the follow-up review at 24 months. There was substantial variability in terms of social function between the YP within each sample. Conclusions: The term ‘HTR’ describes a state that may be often temporary, as opposed to lifelong. A bespoke service offering a developmental theoretical framework, regular reviews and an individualised care plan, was able to engage and had the potential to reduce morbidity suffered by HTRYP.en_GB
dc.publisherAssociation for Child and Adolescent Mental Healthen_GB
dc.subjectMental healthen_GB
dc.subjectMental illnessen_GB
dc.subjectMental health servicesen_GB
dc.titleInnovations in practice : a case control and follow-up study of ‘hard to reach’ young people who suffered from multiple complex mental disordersen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.publication.titleChild and Adolescent Mental Healthen_GB
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