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Experiences of commissioning services for child and adolescent mental health in England (UK): a qualitative framework analysis
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Experiences of commissioning services for child and adolescent mental health in England (UK): a qualitative framework analysis
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Experiences of commissioning services for child and adolescent mental health in England (UK): a qualitative framework analysis
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Journal Article
Experiences of commissioning services for child and adolescent mental health in England (UK): a qualitative framework analysis
2024
Overview
ObjectivesTo explore commissioners’ experiences of commissioning services for child and adolescent mental health, their perspectives on the needs of their populations, the challenges they face and their needs for support and data.DesignQualitative study involving semi-structured interviews. All interviews were audio-recorded and transcribed verbatim. Data were analysed using framework analysis.SettingEngland, UK.Participants12 integrated care board commissioners, responsible for commissioning NHS England Child and Adolescent Mental Health Services (CAMHS).ResultsWe identified five themes: ‘reflections on role’; ‘priorities and tensions: working in a complex and evolving integrated care system’; ‘insights and evidence: the role and use of data and informants’; ‘children’s mental health in the limelight: influences and expectations’; and ‘responding to need \"CAMHS as the answer to everything\"’. Combined, these themes highlight the integral role commissioners play in providing oversight over the local system and challenges to this role including disproportionate funding for services for child and adolescent mental health, different use and value ascribed to ‘qualitative’ and ‘quantitative’ data, rises in demand and the limited focus on early intervention and prevention.ConclusionsCAMHS commissioners are currently negotiating a complex and changing political, social and economic environment with competing priorities and pressures. Our research indicates that commissioners require greater support as their roles continue to evolve.
Publisher
British Medical Journal Publishing Group,BMJ Publishing Group LTD,BMJ Publishing Group
Subject
/ Adolescent Health Services - organization & administration
/ Child
/ Child & adolescent mental health
/ Child Health Services - organization & administration
/ England
/ Funding
/ Humans
/ Mental Health Services - organization & administration
/ Planning
/ State Medicine - organization & administration
/ Trends
