Community-based forensic child and adolescent mental health services in England, Scotland and Wales: a national mapping exercise

Aim: We sought to ascertain the current nature of specialist community mental health provision for young people presenting with risk of harm to others or involvement with the youth justice system in England, Wales and Scotland. Methods: Questionnaire-based survey. Results: Fifty-five services were c...

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Bibliographic Details
Published in:The journal of forensic psychiatry & psychology 2015-05, Vol.26 (3), p.283-296
Main Authors: Peto, L.M., Dent, M., Griffin, M., Hindley, N.
Format: Article
Language:English
Subjects:
adolescent
Adolescents
child
Children
Children & youth
Community
community forensic team
England
forensic mental health
Forensic psychiatry
Health services
Mental health
Scotland
United Kingdom
Wales
young offenders
Youth
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Summary:Aim: We sought to ascertain the current nature of specialist community mental health provision for young people presenting with risk of harm to others or involvement with the youth justice system in England, Wales and Scotland. Methods: Questionnaire-based survey. Results: Fifty-five services were contacted, 48 responded and 35 of these were found to be providing some form of community mental health provision to high-risk young people. Thirteen services provided comprehensive community forensic child and adolescent mental health (FCAMH) services, whilst the remainder offered more ad hoc clinical input. Amongst the comprehensive FCAMH services, staffing, function, commissioning arrangements and population served varied widely. Conclusions: There is patchy geographical provision of comprehensive community FCAMH services across England, Scotland and Wales with heterogeneous commissioning arrangements, staffing and function. Development of a national commissioning strategy for community FCAMH services is required to ensure that the complex needs of high-risk young people are adequately addressed.
ISSN:1478-9949
1478-9957
DOI:10.1080/14789949.2015.1004635