Little young models11/8/2023 Similarly, in Germany, although a larger overall population than the UK, 62,224 CYPs were admitted in 2021 this figure increased from 54,626 the previous year. BetwCYPs were admitted to inpatient mental health care in the UK’s National Health Service (NHS). Following, and in response to such worsening, record numbers of CYPs are now seeking psychiatric and mental health care. The COVID-19 pandemic prompted the worsening of mental health symptoms, namely anxiety and depression, of children and young people (CYPs) around the world. Using the parameters laid out herein, clinicians, academics, and related colleagues working in ICCS should seek to further develop the evidence base for this treatment model. This paper presents the agreed minimum requirements of intensive community-based psychiatric care. Finally, the importance of robust evaluation utilising tools including the Children’s Global Assessment Scale were agreed. The group also confirmed the importance of supporting CYPs engagement with their communities and the need to remain flexible in treatment provision. The maximum caseload should be approximately 5 clients per full time equivalent (FTE), and the minimum number of staff for an ICCS team should be 4 FTE. Alongside this, ICCS should provide at least some out-of-hours support, and a minimum of 90% of CYPs should be supported at least twice per week. ICCS was defined as a service which provides treatment primarily outside of hospital in community settings such as the school or home. Following the meeting, the agreed features of ICCS, as described in this paper, were written up. The discussion was semi-structured and used the Dartmouth Assertive Community Treatment Fidelity Scale as a framework. They met to discuss and agree upon the minimum requirements of ICCS. MethodsĪ group of child and adolescent mental health clinicians, researchers and academics convened in London in January 2023. Although ICCS have been developed in a number of settings, there is, at present, little to no consensus of what ICCS entails. In response to such limitations, and in order to effectively support CYPs with complex mental health needs, intensive community-based treatment models, which are known in this paper as intensive community care services (ICCS), have been developed. Amongst other things, inpatient stays often isolate CYPs from their support networks and disrupt their education. Although necessary in many cases, inpatient care can be distressing for CYPs and their families. Whilst many CYPs with low-to-medium levels of psychiatric distress can be treated in outpatient services, CYPs in crisis often require inpatient hospital treatment. Children and young people’s (CYP) mental health is worsening, and an increasing number are seeking psychiatric and mental health care.
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