Evidence map›Paper›PMID 35641951›Full record

ReviewBMC public health2022

An analysis of English national policy approaches to health inequalities: 'transforming children and young people's mental health provision' and its consultation process.

Naomi Griffin, Jonathan Wistow, Hannah Fairbrother, Eleanor Holding, Mihirini Sirisena, Katie Powell, Carolyn Summerbell

Open access · goldAbstract readReview
In one paragraph

Review in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Naomi GriffinDurham University, Durham, UK. naomi.griffin@newcastle.ac.uk.
Jonathan WistowDurham University, Durham, UK.
Hannah FairbrotherUniversity of Sheffield, Sheffield, UK.
Eleanor HoldingUniversity of Sheffield, Sheffield, UK.
Mihirini SirisenaFuse, The UK Centre for Translational Research in Public Health, Newcastle, UK.
Katie PowellUniversity of Sheffield, Sheffield, UK.
Carolyn SummerbellDurham University, Durham, UK.
University of Sheffield · GBDurham University · GBNewcastle University · GBUnited Kingdom Clinical Research Collaboration · GB

Funding

Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundA national policy for England, published in 2017, entitled 'Transforming Children and Young People's Mental Health Provision' aimed to address the increasing prevalence mental health problems in children and tackle inequalities. In the context of this policy's implementation as ongoing and the effects of the Covid-19 pandemic, the need for appropriate, timely and ongoing national government commitment is vital.

methodsA narrative review using a problem representation evaluation [1], we critiqued the policy and related consultation documents using a social determinants of health perspective. We also reviewed wider policy discourses through engaging with stakeholder responses, providing an innovative methodological contribution to scholarship on public health policy and health inequalities.

resultsWe found absences and oversights in relation to inequalities (most notably the lack of acknowledgement that mental health can cause inequalities), access, workforce capacity, and the impacts of cuts and austerity on service provision. We suggest these inadequacies may have been avoided if stakeholder responses to the consultation process had been more meaningfully addressed. We illustrate how 'problems' are discursively created through the process of policy development, justified using specific types of evidence, and that this process is politically motivated. Local policy makers have a critical role in translating and adapting national policy for their communities but are constrained by absences and oversights in relation to health inequalities.

conclusionsThis narrative review illustrates how policy discourse frames and produces 'problems', and how the evidence used is selected and justified politically. This review contributes to the existing transdisciplinary field of knowledge about how using methods from political and social science disciplines can reveal new insights when critiquing and influencing policy approaches to health inequalities.

Indexed as

COVID-19Mental HealthAdolescentChildHealth PolicyHealth Status DisparitiesHumansPandemicsReferral and ConsultationChildrenHealth inequalitiesMental healthNarrative reviewNational Policy

Identifiers

PMID35641951
PMCPMC9153869
OpenAlexW4281871110

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.