Architecture and functioning of child and adolescent mental health services : a 28-country survey in Europe
Signorini, Giulia Singh, Swaran P Boricevic-Marsanic, Vlatka Dieleman, Gwen Dodig-Ćurković, Katarina Franic, Tomislav Gerritsen, Suzanne E Griffin, James Maras, Athanasios McNicholas, Fiona
Signorini, Giulia
Singh, Swaran P
Boricevic-Marsanic, Vlatka
Dieleman, Gwen
Dodig-Ćurković, Katarina
Franic, Tomislav
Gerritsen, Suzanne E
Griffin, James
Maras, Athanasios
McNicholas, Fiona
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Affiliation
Saint John of God Clinical Research Center; University of Warwick; Coventry and Warwickshire Partnership NHS Trust; Psychiatric Hospital for Children and Youth, Zagreb; Erasmus University Medical Centre; University Health Center, Osijek; Clinical Hospital Center Split; Yulius Academy, Rotterdam; University College Dublin; Our Lady's Hospital for Sick Children, Crumlin; Lucena Clinic; CHU Montpellier-St Eloi Hôpital; King's College London; Maudsley Hospital; HealthTracker Ltd; University of Ulm; University of Leuven; Department of Child and Adolescent Psychiatry and Psychology, Rotterdam
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Publication date
2017-06-05
Subject
Research Projects
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Abstract
The WHO Child and Adolescent Mental Health Atlas, published in 2005, reported that child and adolescent mental health services (CAMHS) in Europe differed substantially in their architecture and functioning. We assessed the characteristics of national CAMHS across the European Union (EU), including legal aspects of adolescent care. Using an online mapping survey aimed at expert(s) in each country, we obtained data for all 28 countries in the EU. The characteristics and activities of CAMHS (ie, availability of services, inpatient beds, and clinicians and organisations, and delivery of specific CAMHS services and treatments) varied considerably between countries, as did funding sources and user access. Neurodevelopmental disorders were the most frequent diagnostic group (up to 81%) for people seen at CAMHS (data available from only 13 [46%] countries). 20 (70%) countries reported having an official national child and adolescent mental health policy, covering young people until their official age of transition to adulthood. The heterogeneity in resource allocation did not seem to match epidemiological burden. Substantial improvements in the planning, monitoring, and delivery of mental health services for children and adolescents are needed.
Citation
Signorini, G., Singh, S. P., Boricevic-Marsanic, V., Dieleman, G., Dodig-Ćurković, K., Franic, T., Gerritsen, S. E., Griffin, J., Maras, A., McNicholas, F., O’Hara, L., Purper-Ouakil, D., Paul, M., Santosh, P., Schulze, U., Street, C., Tremmery, S., Tuomainen, H., Verhulst, F., & Warwick, J. (2017). Architecture and functioning of child and adolescent mental health services: a 28-country survey in Europe. The Lancet Psychiatry, 4(9), 715–724. https://doi.org/10.1016/S2215-0366(17)30127-X
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Article