ArticleBMJ open2012
General practitioner experience and perception of Child and Adolescent Mental Health Services (CAMHS) care pathways: a multimethod research study.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07399106 (EN-CAMHS 2), which is not on this map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
EN-CAMHS 2: Enhancing CAMHS Referrals
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Barriers and facilitators to training delivery and subsequent implementation of a localised child and adolescent mental health initiative: a qualitative content analysis.BMC medical education · 2023Pooled it
- Perspectives of young people who access support for mental health in primary care: a systematic review of their experiences and needs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Pooled it
- Delivering and implementing child and adolescent mental health training for mental health and allied professionals: a systematic review and qualitative meta-aggregation.BMC medical education · 2021Pooled it
- Barriers to managing child and adolescent mental health problems: a systematic review of primary care practitioners' perceptions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Pooled it
- Detecting young people with mental disorders: a cluster-randomised trial of multidisciplinary health teams at the GP office.BMJ open · 2021Trial
- Experiences of general practitioners in supporting the mental health of children and young people: An exploratory qualitative study in the United Kingdom.Journal of child health care : for professionals working with children in the hospital and community · 2026Article
- Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services.Clinical child psychology and psychiatry · 2025Article
- Psychological therapists' perceptions of adolescent depression and its treatment: A mixed methods online survey.Clinical child psychology and psychiatry · 2023Article
- Informative value of referral letters from general practice for child and adolescent mental healthcare.European child & adolescent psychiatry · 2023Article
- GPs' and practice nurses' views on their management of paediatric anxiety problems: an interview study.BMC primary care · 2022Article
- Young people who have fallen through the mental health transition gap: a qualitative study on primary care support.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Referral patterns to outpatient child and adolescent mental health services and factors associated with referrals being rejected. A cross-sectional observational study.BMC health services research · 2021Observational
- Adverse childhood experiences and child mental health: an electronic birth cohort study.BMC medicine · 2021Article
- New models of care in general practice for the youth mental health transition boundary.BJGP open · 2020Article
- GP perceptions of community-based children's mental health services in Pennine Lancashire: a qualitative study.BJGP open · 2020Article
- Young Minds: Mental Health and Transitional Care in Adolescent and Young Adult Rheumatology.Open access rheumatology : research and reviews · 2020Review
- Article
- GPs' experiences of children with anxiety disorders in primary care: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Recent trends in primary-care antidepressant prescribing to children and young people: an e-cohort study.Psychological medicine · 2016Article
- The association between ethnicity and care pathway for children with emotional problems in routinely collected child and adolescent mental health services data.European child & adolescent psychiatry · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectivesThis is a pilot study with the objective of investigating general practitioner (GP) perceptions and experiences in the referral of mentally ill and behaviourally disturbed children and adolescents.
designQuantitative analyses on patient databases were used to ascertain the source of referrals into Child and Adolescent Mental Health Services (CAMHS) and identify the relative contribution from GP practices. Qualitative semistructured interviews were then used to explore challenges faced by GPs in referring to CAMHS.
settingGPs were chosen from the five localities that deliver CAMHS within the local Trust (Peterborough City, Fenland, Huntingdon, Cambridge City and South Cambridgeshire).
participantsFor the quantitative portion, data involving 19 466 separate referrals were used. Seven GPs took part in the qualitative interviews.
resultsThe likelihood of a referral from GPs being rejected by CAMHS was over three times higher compared to all other referral sources combined within the Cambridge and Peterborough NHS Foundation Trust. Interviews showed that detecting the signs and symptoms of mental illness in young people is a challenge for GPs. Communication with referral agencies varies and depends on individual relationships. GPs determine whether to refer on a mixture of the presenting conditions and their perceived likelihood of acceptance by CAMHS; the criteria for the latter were poorly understood by the interviewed GPs.
conclusionsThere are longstanding structural weaknesses in the services for children and young people in general, reflected in poor multiagency cooperation at the primary care level. GP-friendly guidelines and standards are required that will aid in decision-making and help with understanding the referrals process. We look to managers of both commissioning and providing organisations, as well as future research, to drive forward the development of tools, protocols, and health service structures to help aid the recognition and treatment of mental illness in young people.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.