Child and Family Mental Health, Oxford Health National Health Service Foundation Trust, Melksham Community Hospital, Melksham, UK.
Child and Adolescent Mental Health Group, Department for Health, University of Bath, Bath, UK.
Clin Child Psychol Psychiatry. 2021 Jul;26(3):760-769. doi: 10.1177/1359104521999709. Epub 2021 Mar 11.
There is increased emphasis on the national reporting of Routine Outcome Measures (ROMS) as a way of improving Child and Adolescent Mental Health Services (CAMHS). This data needs to be viewed in context so that reasons for outcome completion rates are understood and monitored over time.
We undertook an in-depth prospective audit of consecutive referrals accepted into the Bath and North East Somerset, Swindon and Wiltshire (BSW) CAMHS service from November 2017 to January 2018 ( = 1074) and April to September 2019 ( = 1172).
Across both audits 90% of those offered an appointment were seen with three quarters completing baseline ROMS. One in three were not seen again with around 30% still being open to the service at the end of each audit. Of those closed to the service, paired ROMS were obtained for 46% to 60% of cases. There were few changes in referral problems or complexity factors over time.
Understanding the referral journey and the reasons for attrition will help to put nationally collected data in context and can inform and monitor service transformation over time.
越来越重视国家报告常规结果测量（ROMS），以此作为改善儿童和青少年心理健康服务（CAMHS）的一种方式。为了理解和随时间监测完成结果的原因，需要在上下文中查看这些数据。
我们对 2017 年 11 月至 2018 年 1 月（ = 1074）和 2019 年 4 月至 9 月（ = 1172）连续接受的巴斯、北萨默塞特、斯温顿和威尔特郡（BSW）CAMHS 服务的连续转诊进行了深入的前瞻性审核。
在两次审核中，提供预约的人中，有 90%接受了预约，其中四分之三的人完成了基线 ROMS。三分之一的人没有再次接受治疗，大约 30%的人在每次审核结束时仍在接受服务。在已关闭服务的患者中，有 46%至 60%的患者获得了配对的 ROMS。随着时间的推移，转诊问题或复杂性因素几乎没有变化。
了解转诊过程和流失的原因将有助于将全国收集的数据置于上下文中，并能为服务转型提供信息和随时间进行监测。
