Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methods
Introduction Children and young people (CYP) presenting with a mental health (MH) crisis are frequently admitted to general acute paediatric wards as a place of safety. Prior to the pandemic, a survey in England showed that CYP occupied 6% of general paediatric inpatient beds due to an MH crisis, an...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-01-01
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| Series: | BMJ Paediatrics Open |
| Online Access: | https://bmjpaedsopen.bmj.com/content/8/1/e002186.full |
| _version_ | 1797346356362215424 |
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| author | Helen Roberts Damian Roland Faith Gibson Russell Viner Joseph Ward Gabrielle Mathews Dasha E Nicholls Lee Duncan Hudson Adriana Vázquez-Vázquez Kirsty Phillips Francesca Cornaglia Holly Elphinstone |
| author_facet | Helen Roberts Damian Roland Faith Gibson Russell Viner Joseph Ward Gabrielle Mathews Dasha E Nicholls Lee Duncan Hudson Adriana Vázquez-Vázquez Kirsty Phillips Francesca Cornaglia Holly Elphinstone |
| author_sort | Helen Roberts |
| collection | DOAJ |
| description | Introduction Children and young people (CYP) presenting with a mental health (MH) crisis are frequently admitted to general acute paediatric wards as a place of safety. Prior to the pandemic, a survey in England showed that CYP occupied 6% of general paediatric inpatient beds due to an MH crisis, and there have been longstanding concerns about the quality of care to support these patients in this setting. MAPS aims to generate a Theory of Change (ToC) model to improve the quality of care for CYP admitted to acute paediatric services after presenting with an MH crisis. Here, we describe work packages (WPs) 2 and 3 of the study, which have been granted ethics approval.Methods and analysis We will undertake a national (England), sequential, mixed-methods study to inform a ToC framework alongside a stakeholder group consisting of patients, families/carers and healthcare professionals (HCPs). Our study consists of four WPs undertaken over 30 months. WP2 is limited to working with stakeholders to develop a data collection instrument and then use this in a prospective study of MH admissions over 6 months in 15 purposively recruited acute paediatric wards across England. WP3 consists of gathering the views of CYP, their families/carers and HCPs during admissions using semistructured interviews.Ethics and dissemination WP2 and WP3 received ethical approval (ref: 23/LO/0349). We will publish the overall synthesis of data and the final ToC to improve care of CYP with MH crisis admitted to general acute paediatric settings. As co-producers of the ToC, we will work with our stakeholder group to ensure wide dissemination of findings. Potential impacts will be upon service development, new models of care, training and workforce planning.PROSPERO registration number CRD42022350655. |
| first_indexed | 2024-03-08T11:32:18Z |
| format | Article |
| id | doaj.art-579cb527fa3442fb934121b7e8ac4171 |
| institution | Directory Open Access Journal |
| issn | 2399-9772 |
| language | English |
| last_indexed | 2024-03-08T11:32:18Z |
| publishDate | 2024-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Paediatrics Open |
| spelling | doaj.art-579cb527fa3442fb934121b7e8ac41712024-01-25T17:05:09ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722024-01-018110.1136/bmjpo-2023-002186Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methodsHelen Roberts0Damian Roland1Faith Gibson2Russell Viner3Joseph Ward4Gabrielle Mathews5Dasha E Nicholls6Lee Duncan Hudson7Adriana Vázquez-Vázquez8Kirsty Phillips9Francesca Cornaglia10Holly Elphinstone112 All Wales Molecular Genetics Laboratory, All Wales Medical Genetics Service, University Hospital of Wales, Cardiff, UKPaediatric Emergency Medicine Leicester Academic Group, Children’s Emergency Department, Leicester Royal Infirmary, Leicester, UKCentre for Outcomes and Experience Research in Children’s Health, Illness and Disability (ORCHID), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UKPopulation, Policy and Practice Research Programme, UCL Institute Great Ormond Street Institute of Child Health Population Policy and Practice, London, UKDepartment of Oncology, The Christie NHS Foundation Trust, Manchester, UK12 CYP Transformation Team, NHS England and NHS Improvement London, London, UKDepartment of Feeding and Eating Disorders, Great Ormond Street Hospital, London, UKDepartment of Psychology and Mental Health Services, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UKPopulation, Policy and Practice, University College London Great Ormond Street Institute of Child Health, London, UKUniversity College London Great Ormond Street Institute of Child Health, London, UKQueen Mary University of London, London, UKUniversity College London Great Ormond Street Institute of Child Health, London, UKIntroduction Children and young people (CYP) presenting with a mental health (MH) crisis are frequently admitted to general acute paediatric wards as a place of safety. Prior to the pandemic, a survey in England showed that CYP occupied 6% of general paediatric inpatient beds due to an MH crisis, and there have been longstanding concerns about the quality of care to support these patients in this setting. MAPS aims to generate a Theory of Change (ToC) model to improve the quality of care for CYP admitted to acute paediatric services after presenting with an MH crisis. Here, we describe work packages (WPs) 2 and 3 of the study, which have been granted ethics approval.Methods and analysis We will undertake a national (England), sequential, mixed-methods study to inform a ToC framework alongside a stakeholder group consisting of patients, families/carers and healthcare professionals (HCPs). Our study consists of four WPs undertaken over 30 months. WP2 is limited to working with stakeholders to develop a data collection instrument and then use this in a prospective study of MH admissions over 6 months in 15 purposively recruited acute paediatric wards across England. WP3 consists of gathering the views of CYP, their families/carers and HCPs during admissions using semistructured interviews.Ethics and dissemination WP2 and WP3 received ethical approval (ref: 23/LO/0349). We will publish the overall synthesis of data and the final ToC to improve care of CYP with MH crisis admitted to general acute paediatric settings. As co-producers of the ToC, we will work with our stakeholder group to ensure wide dissemination of findings. Potential impacts will be upon service development, new models of care, training and workforce planning.PROSPERO registration number CRD42022350655.https://bmjpaedsopen.bmj.com/content/8/1/e002186.full |
| spellingShingle | Helen Roberts Damian Roland Faith Gibson Russell Viner Joseph Ward Gabrielle Mathews Dasha E Nicholls Lee Duncan Hudson Adriana Vázquez-Vázquez Kirsty Phillips Francesca Cornaglia Holly Elphinstone Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methods BMJ Paediatrics Open |
| title | Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methods |
| title_full | Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methods |
| title_fullStr | Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methods |
| title_full_unstemmed | Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methods |
| title_short | Mental Health Admissions to Paediatric Wards Study (MAPS): protocol of a prospective study of mental health admissions to paediatric wards in England using surveillance and qualitative methods |
| title_sort | mental health admissions to paediatric wards study maps protocol of a prospective study of mental health admissions to paediatric wards in england using surveillance and qualitative methods |
| url | https://bmjpaedsopen.bmj.com/content/8/1/e002186.full |
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