Service Design and Care Pathways
Recent Submissions
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The Oxford and Reading Cognitive Comorbidity, Frailty and Ageing Research Database exploiting hospital Electronic Patient Records (ORCHARD-EPR): protocol
(2023-11)With population ageing, a wide range of hospital specialties now manage older people with complex conditions and cognitive or physically frailty with associated poor outcomes as highlighted in current guidelines aimed at ... -
Investigating the association between characteristics of local crisis care systems and service use in an English national survey
(2023-11)In England, a range of mental health crisis care models and approaches to organising crisis care systems have been implemented, but characteristics associated with their effectiveness are poorly understood. Aims To (a) ... -
Implementation of significant mental health service change: perceptions and concerns of a mental health workforce in the context of transformation
(2022-02)Purpose – As part of an evaluation of the nationally mandated Child and Adolescent Mental Health Services (CAMHS)“transformation” in one foundation NHS trust, the authors explored the experiences of mental health staff ... -
Debate: If not us, then who?
(2022-02)Child and Adolescent Psychiatrists have stressful jobs and huge caseloads, and are ideally placed to play an influential and meaningful role in responding to 'the biggest global health threat of the 21st Century': the ... -
Characteristics of young people accessing recently implemented Community Forensic Child and Adolescent Mental Health Services (F:CAMHS) in England: insights from national service activity data
(2021-09)Children and young people in contact with forensic child and adolescent mental health services present with more complex needs than young people in the general population. Recent policy in child and adolescent mental health ... -
Protocol for a scoping review exploring the use of patient-reported outcomes in adult social care
(2021-04)Introduction Patient-reported outcomes (PROs) are measures of a person’s own views of their health, functioning and quality of life. They are typically assessed using validated, self-completed questionnaires known as ... -
Making sense of child and adolescent mental health services (CAMHS): An audit of the referral journey and the use of routine outcome measures (ROMS)
(2021-03)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 ... -
Waiting list eradication in secondary care psychology: Addressing a National Health Service blind spot
(2021)Objectives: Waiting times for secondary care psychological therapy remain a 'blind spot' in serious mental illness (SMI) provision, and their reduction is a priority within the National Health Service (NHS) Five Year Forward ... -
Sustain and reinforce transition from child to adult mental health care in Switzerland: study protocol
(2020-11)A suboptimal transition in mental health care affects a young person’s wellbeing and health in the long run. We aim to identify a large cohort of young people approaching the transition boundary between child and adolescent ... -
Using an implementation science approach to implement and evaluate patient-reported outcome measures (PROM) initiatives in routine care settings
(2020-07)Purpose Patient-reported outcome and experience measures (PROMs/PREMs) are well established in research for many health conditions, but barriers persist for implementing them in routine care. Implementation science (IS) ... -
The prognostic value of national early warning scores (NEWS) during transfer of care from community settings to hospital: a retrospective service evaluation
(2020-06)Background The National Early Warning Score (NEWS) calculated from physiological observations provides a simple away to identify and respond to the deteriorating patient. There is increasing interest in the application of ... -
Carers’ experiences of involuntary admission under mental health legislation: systematic review and qualitative meta-synthesis
(2020-02)Carers are key providers of care and support to mental health patients and mental health policies consistently mandate carer involvement. Understanding carers’ experiences of and views about assessment for involuntary ... -
An evaluation of the characteristics and outcomes of users of a street triage service: retrospective case note review
(2019-03)Street triage services are now common but the population they serve is poorly understood. We aimed to evaluate a local service to determine the characteristics of those using it and their outcomes in the 90 day ... -
The CORE service improvement programme for mental health crisis resolution teams: results from a cluster-randomised trial
(2019-02)Crisis resolution teams (CRTs) offer brief, intensive home treatment for people experiencing mental health crisis. CRT implementation is highly variable; positive trial outcomes have not been reproduced in scaled-up CRT ... -
Out-of-area placements in acute mental health care: the outcomes
(2019-02)Out-of-area placements (OAPs) are heavily relied upon by the NHS to meet growing demand but they are expensive, disruptive for patients, and may reduce quality of care and outcomes for patients. Here, the authors compared ... -
Barriers and facilitators to implementing dementia care mapping in care homes: results from the DCM™ EPIC trial process evaluation
(2019-02)Background: Psychosocial person-centred interventions are considered best practice for addressing complex behaviours and care needs such as agitation and anxiety, and for improving the quality of life of people with ... -
Street triage services in England: service models
(2018)Aims and method: Street triage services are increasingly common and part of standard responses to mental health crises in the community, but little is understood about them. We conducted a national survey of mental health ... -
Discharge pathways and relapse following treatment from early intervention in psychosis services
(2018-04)Early intervention in psychosis (EIP) services are the dominant service model in the treatment of first-episode psychosis. They are a time-limited intervention and little is known about discharge destinations and outcomes ... -
Absconding: reducing failure to return in adult mental health wards
(2016-11)Failing to return from leave from acute psychiatric wards can have a range of negative consequences for patients, relatives and staff. This study used quality improvement methodology to improve the processes around patient ... -
What proportion of patients at the end of life contact out-of-hours primary care? A data linkage study in Oxfordshire
(2018-04)Objectives: Out-of-hours (OOH) primary care services are a key element of community care at the end of life, yet there have been no previous attempts to describe the scope of this activity. We aimed to establish the ...
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