Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Child Care Health Dev. 2022 Mar;48(2):217-224. doi: 10.1111/cch.12920. Epub 2021 Nov 26.
Infant regulatory disturbances are common and stable over time and can compromise infant outcomes across a range of developmental domains. Many such problems have their origins within the parent-infant relationship and specialized parent-infant relationship teams provide support and intervention that is explicitly aimed at addressing such relationship difficulties. However, there are currently only around 27 such teams across the United Kingdom, and just under half of CAMHS do not accept referrals of children under 2 years of age.
The current research aimed to examine the views of commissioners of children's services regarding the reasons for commissioning (or not) infant mental health services.
Fourteen in-depth interviews were conducted with a range of stakeholders involved in commissioning children's services across 14 areas of England, half of which were commissioning specialized infant mental health services. A thematic analysis was undertaken.
A total of five themes emerged from the data as being key factors in the commissioning of infant mental health services: pressure from local practitioners, policy transfer through policy networks, opportunity for long-term cost reduction, potential to embed the service model within existing services and perinatal mental health funding.
As with commissioning more widely, the commissioning of infant mental health services is a complex process, with a range of factors influencing whether such services are commissioned or not, and data to suggest that the process is currently driven by informal and contingent factors, as much as by the evidence regarding what works.
婴儿的调节障碍是常见且稳定的，会影响一系列发展领域的婴儿发育结果。许多此类问题都源于母婴关系，专门的母婴关系团队提供的支持和干预措施明确针对解决此类关系困难。然而，目前全英国仅有约 27 个这样的团队，只有不到一半的儿童与青少年心理健康服务机构接受 2 岁以下儿童的转介。
目前的研究旨在探讨儿童服务专员对委托（或不委托）婴儿心理健康服务的原因的看法。
对英格兰 14 个地区的儿童服务相关的利益相关者进行了 14 次深入访谈，其中一半的利益相关者在委托专门的婴儿心理健康服务。采用主题分析。
从数据中得出了五个主题，这些主题是委托婴儿心理健康服务的关键因素：当地从业者的压力、通过政策网络进行政策转移、长期降低成本的机会、将服务模式嵌入现有服务中的潜力以及围产期心理健康资金。
与更广泛的委托一样，婴儿心理健康服务的委托是一个复杂的过程，有一系列因素会影响是否委托此类服务，有数据表明，目前这个过程是由非正式和偶然因素驱动的，而不是基于什么有效。
