Display options
Cite
Edbrooke-Childs J, Boehnke JR, Zamperoni V, et al. Service- and practitioner-level variation in non-consensual dropout from child mental health services. Eur Child Adolesc Psychiatry. 2019;29(7):929-934doi: 10.1007/s00787-019-01405-6.
Edbrooke-Childs, J., Boehnke, J. R., Zamperoni, V., Calderon, A., & Whale, A. (2020). Service- and practitioner-level variation in non-consensual dropout from child mental health services. European child & adolescent psychiatry, 29(7), 929-934. https://doi.org/10.1007/s00787-019-01405-6
Edbrooke-Childs, Julian, et al. "Service- and practitioner-level variation in non-consensual dropout from child mental health services." European child & adolescent psychiatry vol. 29,7 (2020): 929-934. doi: https://doi.org/10.1007/s00787-019-01405-6
Edbrooke-Childs J, Boehnke JR, Zamperoni V, Calderon A, Whale A. Service- and practitioner-level variation in non-consensual dropout from child mental health services. Eur Child Adolesc Psychiatry. 2020 Jul;29(7):929-934. doi: 10.1007/s00787-019-01405-6. Epub 2019 Sep 21. PMID: 31542793; PMCID: PMC7321904.
Copy Download .nbib Format: NLM
Share it on

Eur Child Adolesc Psychiatry. 2020 Jul;29(7):929-934. doi: 10.1007/s00787-019-01405-6. Epub 2019 Sep 21.

Service- and practitioner-level variation in non-consensual dropout from child mental health services.

European child & adolescent psychiatry

Julian Edbrooke-Childs, Jan R Boehnke, Victoria Zamperoni, Ana Calderon, Andy Whale

Affiliations

  1. Evidence Based Practice Unit, UCL and Anna Freud National Centre for Children and Families, 12 Maresfield Gardens, London, NW3 5SU, UK. [email protected].
  2. School of Nursing and Health Sciences, University of Dundee, London, DD1 4HJ, UK.
  3. Child Outcomes Research Consortium, Anna Freud National Centre for Children and Families, London, UK.
  4. Evidence Based Practice Unit, UCL and Anna Freud National Centre for Children and Families, 12 Maresfield Gardens, London, NW3 5SU, UK.

PMID: 31542793 PMCID: PMC7321904 DOI: 10.1007/s00787-019-01405-6

Abstract

Non-attendance of mental health service appointments is an international problem. In the UK, for example, the estimated cost of non-attendance in child mental health services is over £45 million (US dollar 60.94 million) per annum. The objective of this study was to examine whether there were service- and practitioner-level variation in non-consensual dropout in child mental health services. This was an analysis of routinely collected data. Service-level variation (as services covered different geographic areas) and practitioner-level variation were examined in N = 3622 children (mean age 12.70 years; SD 3.62, 57% female, 50% white or white British) seen by 896 practitioners across 39 services. Overall, 35% of the variation in non-consensual dropout was explained at the service level and 15% at the practitioner level. Children were almost four times more likely to drop out depending on which service they attended (median odds ratio = 3.92) and were two-and-a-half times more likely to drop out depending on which practitioner they saw (median odds ratio = 2.53). These levels of variation were not explained by levels of deprivation in areas covered by services or by children's demographic and case characteristics. The findings of the present research may suggest that, beyond service-level variation, there is also practitioner-level variation in non-consensual dropout in child mental health services.

Keywords: Adolescent mental health; Non-consensual dropout; Risk adjustment; Service-level variation

References

  1. Psychother Res. 2018 Sep;28(5):708-721 - PubMed
  2. Psychother Res. 2014;24(6):724-37 - PubMed
  3. BMJ. 2009 Mar 18;338:b780 - PubMed
  4. BMJ Open. 2015 May 08;5(5):e007328 - PubMed
  5. Psychother Res. 2013;23(4):394-418 - PubMed
  6. Psychotherapy (Chic). 2010 Dec;47(4):637-45 - PubMed
  7. Clin Psychol Psychother. 2017 May;24(3):575-588 - PubMed
  8. Behav Res Ther. 2014 Jan;52:26-34 - PubMed
  9. Br J Psychiatry. 2016 Nov;209(5):429-430 - PubMed
  10. Child Care Health Dev. 2014 Nov;40(6):797-805 - PubMed
  11. Arch Dis Child. 2015 Jun;100(6):517-20 - PubMed
  12. Clin Psychol Rev. 2013 Jul;33(5):698-711 - PubMed
  13. Clin Psychol Psychother. 2017 Mar;24(2):312-321 - PubMed
  14. J Epidemiol Community Health. 2006 Apr;60(4):290-7 - PubMed
  15. BJPsych Int. 2015 May 01;12(2):36-37 - PubMed

MeSH terms

Publication Types

Grant support