Please use this identifier to cite or link to this item:
Title: Evaluating the implementation and impact of a new model of care for integrating children and young people's acute mental healthcare in a paediatric setting: A protocol for a realist, mixed-methods approach
Authors: Otis, M
Barber, S
Green Hofer, S
Straus, J
Kay, M
Hargreaves, DS
Hayhoe, B
Anokye, N
Lennox, L
Nicholls, D
Issue Date: 20-Jan-2023
Publisher: BMJ Publishing Group
Citation: Otis, M. et al. (2023) 'Evaluating the implementation and impact of a new model of care for integrating children and young people's acute mental healthcare in a paediatric setting: A protocol for a realist, mixed-methods approach', BMJ Open, 2023, 13 (1), e067074, pp. 1 - 9. doi: 10.1136/bmjopen-2022-067074.
Abstract: Copyright information © Author(s) (or their employer(s)) 2023. Introduction: The mental health of children and young people in the UK has been declining and has continued to worsen throughout the pandemic, leading to an increase in mental health-related emergencies. In response, the Best for You programme was developed as a new service designed to integrate mental healthcare for children and young people between acute hospital and community services. The programme is comprised of four new services: a rapid assessment young people’s centre with dual-trained staff, a co-located day service offering family-based care,a digital hub, designed to integrate with the fourth element of the model, namely community support and mental health services. This evaluation protocol aims to assess the development, implementation and outcomes of the Best for You programme and develops a scalable model that could be implemented in other parts of the National Health Service (NHS). Methods and analysis: This mixed-methods realist evaluation aims to delineate the components of the system to assess their interdependent relationships within a wider context. Data collection will include interviews, participant observations, focus groups and the collection of local quantitative healthcare data. The research will be conducted across four phases. Phase 1—captures the development of the underlying programme theory. Phase 2—a process evaluation testing the programme theory. Phase 3— an outcome and economic evaluation. Phase 4—consolidation of learning from phases 1–3 to identify barriers, facilitators and wider contextual factors that have shaped implementation drawing on the Consolidated Framework for Implementation Research. Ethics and dissemination:: Ethical approval for the evaluation was received from the NHS local ethics committee. Embedded within the evaluation is a formative review to feedback and share learning with stakeholders to scale-up the programme. Findings from this study will be disseminated in peer-reviewed journals as well as presentations o be useful to service user organisations and networks.
Description: Mental health protocol
ISSN: 2044-6055
Other Identifiers: ORCID iDs: Michaela Otis; Susan Barber; Stuart Green Hofer; Dougal S Hargreaves; Benedict Hayhoe; Nana Anokye; Laura Lennox; Dasha Nicholls
Appears in Collections:Dept of Health Sciences Research Papers

Files in This Item:
File Description SizeFormat 
FullText.pdfCopyright information © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: MBAdobe PDFView/Open

This item is licensed under a Creative Commons License Creative Commons