Approach to development of standards for integrated care pathways
for child and adolescent mental health services
We held a CAMH
consultation event in March 2009.
Stakeholders from across the range of agencies and organisations
involved in CAMH came together to discuss the principles of ICPs
and whether ICPs could add value within CAMH services. In addition
to this event, our CAMH clinical advisor consulted a number of
relevant national groups. The feedback from this consultation
process was overwhelmingly positive with regard to applying the
principles of ICPs to CAMH services. It was also agreed that a
similar multidisciplinary and multi-agency standards development
model would work well.
A CAMH ICP steering group was
established in October 2009. This group agreed that the adult ICP
standards should be used as the basis for development of CAMH
specific standards. It was agreed that work would initially focus
on the development of standards for a generic CAMH pathway.
The steering group also highlighted
the importance of ensuring that the standards for CAMH services can
stand alone and are not seen as an ‘add-on’ to the adult work. The
steering group advised that two working subgroups should be
established to take forward the review and adaptation of the
existing standards. We established a service user and parent/carer
subgroup and a generic subgroup to take this work
The members of our service user and
parent/carer subgroup helped us to ensure that these standards are
centred on the child or young person and reflect what they, and
their parents/carers, see as important and helpful. In addition,
they contributed to the design and development of the ‘Your Story’
consultation tool that was completed by 30 children and young
people aged 7–18 years from across Scotland. An amended electronic
version of the consultation tool and a separate ‘Your Story’ report
will be produced.
Our knowledge management unit
undertook a targeted literature search for up-to-date evidence and
policy documents related to ICPs and CAMH services. Where no
significant new evidence was identified, the adult ICP standards
document, and its underpinning evidence base, is referenced within
the standards for CAMH services. The subgroups appraised the
relevant new literature, and comprehensive evidence and background
reading tables were produced. The transferable aspects of the
process, generic care and service improvement adult standards were
updated to ensure that they fully reflect CAMH service organisation
and delivery; CAMH specific standards were added as necessary. The
standards for CAMH services are based on the available literature
and the expertise of the subgroups and steering group members.
The steering group oversaw the work of
the subgroups and the drawing together of these standards.