Department of Child and Adolescent Psychiatry North Lee North, Unit 9 St Stephen's Hospital, Glanmire, Cork, Ireland.
Child and Adolescent Psychiatry, University College Dublin, Dublin, Ireland.
Ir J Psychol Med. 2024 Mar;41(1):107-118. doi: 10.1017/ipm.2021.9. Epub 2021 Mar 24.
Increasing numbers of youth experience mental illness, and also require and benefit from specialist child and adolescent mental health services (CAMHS). Worldwide, such services are underfunded and under-resourced, and services in Ireland are no different. It is vital that existing services are regularly reviewed for both efficacy and acceptability. Our objective was to review published studies evaluating service user satisfaction with CAMHS in Ireland and CAMHS therapeutic efficacy.
MEDLINE, PsycINFO and CINAHL databases were systematically searched. Studies were included if they reported on service user satisfaction or an evaluation of CAMHS in Ireland.
From an initial 125 articles identified, 15 studies meet the inclusion criteria: four reporting on overall CAMHS satisfaction, three on satisfaction where a specific diagnosis was present, while eight evaluated various interventions offered. Whilst most service users perceived services to be satisfactory, important issues relating to accessibility were present. Evidence of efficacy was present for a small number of interventions, but studies were limited by methodological issues.
There is a dearth of studies evaluating CAMHS in Ireland. The extant literature suggests a positive experience once accessed, but long waiting times and poor collaboration are seen to limit services users' experience. More robust methodologically sound studies are urgently required. Given the expected increased demand linked to the current COVID-19 pandemic, coupled with the resultant compromised financial position, it is essential that scant resources are appropriately directed.
越来越多的年轻人患有精神疾病，他们也需要并受益于专门的儿童和青少年心理健康服务（CAMHS）。在全球范围内，此类服务资金不足且资源匮乏，爱尔兰的服务也不例外。至关重要的是，要定期对现有服务进行评估，以评估其疗效和可接受性。我们的目的是审查评估爱尔兰 CAMHS 和 CAMHS 治疗效果的已发表研究。
系统搜索了 MEDLINE、PsycINFO 和 CINAHL 数据库。如果研究报告了 CAMHS 的服务使用者满意度或对爱尔兰 CAMHS 的评估，则将其纳入研究。
从最初确定的 125 篇文章中，有 15 项研究符合纳入标准：4 项报告了总体 CAMHS 满意度，3 项报告了特定诊断存在时的满意度，而 8 项评估了提供的各种干预措施。尽管大多数服务使用者认为服务令人满意，但存在与可及性相关的重要问题。少数干预措施有疗效的证据，但研究受到方法学问题的限制。
评估爱尔兰 CAMHS 的研究很少。现有文献表明，一旦获得服务，就会有积极的体验，但漫长的等待时间和不佳的合作关系被认为限制了服务使用者的体验。迫切需要更具稳健性和更合理的研究方法。鉴于当前 COVID-19 大流行导致的预期需求增加，再加上由此导致的财务状况受损，必须将稀缺资源合理引导。
