Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
Child and Adolescent Psychiatry and Mental Health
Published in: Child and Adolescent Psychiatry and Mental Health 1/2013

Open Access 01-12-2013 | Research

Soliciting stakeholders’ views on the organization of child and adolescent mental health services: a system in trouble

Authors: Philippe Vandenbroeck, Rachel Dechenne, Kim Becher, Maria Eyssen, Koen Van den Heede

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2013

Login to get access

Abstract

Background

Despite a high prevalence of mental health problems among children and adolescents Belgium, like many other Western countries, does not have a clear strategy for the organization of child and adolescent mental healthcare services (CAMHS).

Methods

This paper describes stakeholders’ views on the organization of CAMHS based on a qualitative study. Ten in-depth interviews with high profile stakeholders were complemented by roundtable discussions (n = 30).

Results

This diagnostic analysis illustrated that the system is in serious trouble characterized by fragmentation and compartmentalization.

Conclusion

The findings create a sense of urgency that should be used to initiate a system reform of the Belgian CAMHS system.
Literature
1.
Kutcher S, McLuckie A: Evergreen: towards a child and youth mental health framework for Canada. J Can Acad Child Adolesc Psychiatry. 2009, 18 (2): 2-3.
2.
WHO: Child and adolescent mental health policies and plans. 2005, Geneva: World Health Organization
3.
Eyssen M, Leys M, Desomer A, Arnaud S, Léonard C: Organisatie van geestelijke gezondheidszorg voor mensen met een ernstige en persisterende mentale aandoening. Wat is de wetenschappelijke basis?. Health Services Research (HSR). 2010, Brussel: Federaal Kenniscentrum voor de Gezondheidszorg (KCE)
4.
WHO: World Health Report 2001-mental health: new understanding, new hope. 2001, Geneva: World Health Organization
5.
WHO: Atlas: child and adolescent mental health resources:global concerns, implications for the future. 2005, Geneva: WHO, 48.
6.
Belfer ML: Critical review of world policies for mental healthcare for children and adolescents. Curr Opin Psychiatry. 2007, 20 (4): 349-352. 10.1097/YCO.0b013e3281bc0cf4.CrossRefPubMed
7.
Hoagwood KB, Kiser BJ, Ringeisen L, Schoenwald H, Shoenwald SK: Evidence-based practice in child and adolescent mental health services. Psychiatr Serv. 2001, 52 (9): 1179-1189. 10.1176/appi.ps.52.9.1179.CrossRefPubMed
8.
Mommerency G, Van Den Heede K, Verhaeghe N, Swartenbroekx N, Annemans L, Schoentjes E, Eyssen M: Organisation of child and adolescent mental health care: study of the literature and an international overview. KCE Reports, Volume 170. 2011, Brussels: Belgian Health Care Knowledge Centre (KCE), IV, 121
9.
Vandenbroeck P, Dechenne R, Becher K, Eyssen M, Van den Heede K: Recommendations for the organization of mental health services for children and adolescents in Belgium: use of the soft systems methodology. Health Policy. 2013, [Article in Press]
10.
11.
Stroul BMB: GM: The System of Care Handbook. 2008, Baltimore: Paul. H. Brooks Publishing Co
12.
Meadows DH: Thinking in Systems. A Primer. 2008, London: Earthscan
13.
Vandenbroeck PD, Becher R, Van den Heede K, Eyssen K, Geeraerts M, Stroul GB: The organisation of mental health services for children and adolescents in Belgium: development of a policy scenario. Health Services Research (HSR). 2012, Brussels: Belgian Health Care Knowledge Centre (KCE)
14.
Kutcher S, Hampton MJ, Wilson J: Child and adolescent mental health policy and plans in Canada: an analytical review. Can J Psychiatry. 2010, 55 (2): 100-107.PubMed
15.
16.
Bickman L, Noser K, Summerfelt WT: Long-term effects of a system of care on children and adolescents. J Behav Health Serv Res. 1999, 26 (2): 185-202. 10.1007/BF02287490.CrossRefPubMed
17.
York AK, Kingsbury S: Choice and partnership approach: service transformation model. 2013, London: CAMHS Network
18.
Bruns EJ, Walker JS, Zabel M, Matarese M, Estep K, Harburger D, Mosby M, Pires SA: Intervening in the lives of youth with complex behavioral health challenges and their families: the role of the wraparound process. Am J Community Psychol. 2010, 46 (3–4): 314-331.PubMedCentralCrossRefPubMed
19.
Littell JH, Popa M, Forsythe B: Multisystemic Therapy for social, emotional, and behavioral problems in youth aged 10–17. Cochrane Database Syst Rev. 2005, 3: CD004797
20.
Shepperd S, Doll H, Gowers S, James A, Fazel M, Fitzpatrick R, Pollock J: Alternatives to inpatient mental health care for children and young people. Cochrane Database Syst Rev. 2009, 2: CD006410
21.
Kohn L, Christiaens W: The use of Qualitative Research Methods in KCE studies. Method. 2012, Brussels: Belgian Health Care Knowledge Centre (KCE)
22.
Malterud K: Qualitative research: standards, challenges, and guidelines. Lancet. 2001, 358 (9280): 483-488. 10.1016/S0140-6736(01)05627-6.CrossRefPubMed
Metadata
Title
Soliciting stakeholders’ views on the organization of child and adolescent mental health services: a system in trouble
Authors
Philippe Vandenbroeck
Rachel Dechenne
Kim Becher
Maria Eyssen
Koen Van den Heede
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Child and Adolescent Psychiatry and Mental Health / Issue 1/2013
Electronic ISSN: 1753-2000
DOI
https://doi.org/10.1186/1753-2000-7-42

Other articles of this Issue 1/2013

Child and Adolescent Psychiatry and Mental Health 1/2013 Go to the issue

Research

Prevalence, comorbidity and predictors of anxiety disorders in children and adolescents in rural north-eastern Uganda

Research

Resource factors for mental health resilience in early childhood: An analysis with multiple methodologies

Research

Baseline characteristics of European and non-European adult patients with attention deficit hyperactivity disorder participating in a placebo-controlled, randomized treatment study with atomoxetine

Reviewer acknowledgement

Child and Adolescent Psychiatry and Mental Health reviewer acknowledgement 2012

Research

A school based study of psychological disturbance in children following the Omagh bomb

Research

Analysis of prevalence of PTSD and its influencing factors among college students after the Wenchuan earthquake