Children in care constitute a deprived and needy group of young people, who are at high risk of developing mental-health problems and disorders.
This article describes the development of a direct access child and adolescent mental-health service for children living in residential units or with foster families, with data on the pattern and characteristics of referrals, and discussion on the arising difficulties.
The main aims of this service are, to be responsive and flexible, to provide mental-health assessment and treatment, and to work with residential care staff, foster parents and field social workers.
Young people referred to the mental-health service had high rates of abuse, history of offending behaviour, poor school attendance and frequent previous contacts with child mental-health services.
There were also high rates of child mental-health disorders, particularly mixed conduct and depressive disorders, and history of self-harm.
Anticipated benefits include a coordinated and cost-effective assessment, improved mental-health outcome, contribution to the care plan and prevention of further difficulties.
Joint commissioning between health and local authorities should prioritize children in care.
Different models of mental-health provision may be appropriate and require evaluation.
Mots-clés Pascal : Placement familial, Trouble psychiatrique, Facteur risque, Santé mentale, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Service santé, Psychiatrie, Accessibilité, Diagnostic, Traitement, Travail social, Organisation santé, Enfant, Homme, Age préscolaire, Age scolaire, Préadolescent, Adolescent
Mots-clés Pascal anglais : Foster care placement, Mental disorder, Risk factor, Mental health, England, Great Britain, United Kingdom, Europe, Wales, Health service, Psychiatry, Accessibility, Diagnosis, Treatment, Social work, Public health organization, Child, Human, Preschool age, School age, Preadolescent, Adolescent
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0340110
Code Inist : 002B18I09. Création : 14/12/1999.