ArticleBMJ open quality2020
Improving access and flow within Child and Adolescent Mental Health Services: a collaborative learning system approach.
Article in BMJ open quality, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Jointly held care documents in child and adolescent mental health services: a systematic review.Frontiers in child and adolescent psychiatry · 2026Pooled it
- Improving patient flow in inpatient mental health wards at Central and North West London NHS Foundation Trust (CNWL).BMJ open quality · 2026Article
- A trust-wide quality improvement programme to reduce out-of-area placements, length of stay and costs across inpatient mental health services.Future healthcare journal · 2026Article
- Improving the quality of child and youth mental health care through an implementation science lens.Frontiers in health services · 2026Article
- Mood instability as a transdiagnostic predictor of cannabis use in attention-deficit/hyperactivity disorder and depression: A natural language processing analysis of electronic health records from 13,025 adolescents.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiative.BMJ open quality · 2025Article
- Using Quality Improvement to improve serious incident reporting in the English NHS.BMJ open quality · 2025Article
- Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services.Clinical child psychology and psychiatry · 2025Article
- Improving capacity and flow in a children and young people's Community Eating Disorder Service (CEDS): how a quality improvement initiative led to a reduction in waiting times in the service.BMJ open quality · 2025Article
- Predicting ADHD in alcohol dependence using polygenic risk scores for ADHD.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2024Article
- Evaluating Strategies to Promote Effective, Multidisciplinary Team Collaboration in School Mental Health.Journal of applied school psychology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Long waiting times for Child and Adolescent Mental Health Services (CAMHS) have been linked to poorer outcomes for those seeking care. CAMHS teams in England have seen recent increases in referrals, resulting in challenging waiting times nationally. Although recent health policy has brought an increase in funding and staffing, it is believed that only 25% of those needing care receive it. Between trusts, there is considerable variation in waiting times, leaving many waiting longer than others waiting for care. East London Foundation Trust has been seen to have higher waiting times for CAMHS than other organisations across the country between June 2017 and September 2018, seven CAMHS teams were supported to use quality improvement (QI) as part of a collaborative learning system with the aim of improving access and flow. Each team was encouraged to understand their system using basic demand and capacity modelling alongside process mapping. From this teams created project aims, driver diagrams and used Plan Do Study Act cycles to test changes iteratively. Measurement and data were displayed on control charts to help teams learn from changes. Teams were brought together to help learn from each other and accelerate change through a facilitated collaborative learning system. Of the seven teams that began the collaborative learning system, six completed a project. Across the collaborative learning system collectively there were improvements in average waiting times for first, second and third appointments, and an improvement in the number of appointments cancelled. For the individual teams involved, three saw an improvement in their project outcome measures, two just saw improvements in their process measures and one did not see an improvement in any measure. In addition to service improvements, teams used the process to learn more about their pathway, engage with service users and staff, build QI capability and learn together.
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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.