Department of Primary Care and Public Health, Imperial College London School of Public Health, London, UK.
NIHR ARC Northwest London, London, UK.
BMJ Open. 2023 Jan 20;13(1):e067074. doi: 10.1136/bmjopen-2022-067074.
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).
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.
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 to be useful to service user organisations and networks.
英国儿童和青少年的心理健康状况一直在下降，并在整个大流行期间持续恶化，导致与心理健康相关的紧急情况增加。为此，开发了“为你而设”计划，作为一项新服务，旨在整合儿童和青少年在急症医院和社区服务之间的精神保健服务。该计划由四个新服务组成：一个拥有双重培训人员的快速评估青年中心、一个提供家庭护理的同地日间服务、一个数字中心，旨在与该模型的第四个要素即社区支持和精神健康服务相整合。本评价方案旨在评估“为你而设”计划的发展、实施和结果，并开发一种可在国民保健服务（NHS）其他部门实施的可扩展模式。
这项混合方法的真实评估旨在描绘系统的组成部分，以评估它们在更广泛背景下的相互依存关系。数据收集将包括访谈、参与者观察、焦点小组和当地定量医疗保健数据的收集。该研究将分四个阶段进行。第 1 阶段——捕捉基本方案理论的发展。第 2 阶段——方案理论的过程评价。第 3 阶段——结果和经济评价。第 4 阶段——从第 1-3 阶段总结学习，确定实施过程中的障碍、促进因素和更广泛的背景因素，借鉴实施研究综合框架。
该评估获得了当地 NHS 伦理委员会的伦理批准。评价中嵌入了一个形成性审查，以向利益攸关方反馈和分享学习，从而扩大该方案。本研究的结果将在同行评议的期刊上发表，并在演讲中展示，以便为服务使用者组织和网络提供有用的信息。
