Evidence map›Paper›PMID 36053652›Full record

ArticleBMJ paediatrics open2022

Variation in initial health assessment of unaccompanied asylum-seeking children: a cross-sectional survey across England.

Behrouz Nezafat Maldonado, Alice Jane Armitage, Bhanu Williams

Open access · diamondAbstract read
In one paragraph

Article in BMJ paediatrics open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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  5. Review
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

3 authors at 2 institutions in 1 country.

Behrouz Nezafat MaldonadoDepartment of Primary Care & Public Health, School of Public Health, Imperial College London, London, UK b.nezafat-maldonado@imperial.ac.uk.ORCID 0000-0002-7488-5564
Alice Jane ArmitageUCL Great Ormond Street Institute of Child Health, UCL, London, UK.ORCID 0000-0001-6972-3651
Bhanu WilliamsNorthwick Park Hospital, Department of Paediatrics & Child Health, London North West Healthcare NHS Trust, London, UK.
London North West Healthcare NHS Trust · GBGreat Ormond Street Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess variation in current practice of initial health assessments (IHAs) for unaccompanied asylum-seeking children (UASC) across England.

designCross-sectional survey. MAIN OUTCOMES MEASURES: Type of routine assessment carried out, threshold to specialist referrals and facilities available to complete IHA.

resultsEighty-six health professionals responded across England; 47% had received training in UASC IHA and 33% in UASC mental health issues. The majority (80%) of IHAs were conducted with translator support and 7% of participants reported Child and Adolescent Mental Health Services (CAMHS) input. Around half of clinicians (53%) performed tuberculosis and bloodborne virus screening for all UASC, while other infectious diseases (IDs) screening was symptom and risk factor dependent. Overall, 14% of clinicians routinely comment on age assessment and 76% share the IHA report and health plan with UASC. The time allocated for assessment range between 30 and 90 min.

conclusionThere is significant variation in practice around UASC IHAs across England, notably around CAMHS input, time allocated, translation facilities and ID screening. The results suggest that, an increase in resources available for UASC teams, improved access to specialist services and further training on UASC health are all needed. Guidance that aims to set a best practice framework for UASC IHA delivery such as a 'one-stop shop' model would help to standardise UASC IHA across the country.

Indexed as

RefugeesAdolescentChildCross-Sectional StudiesEnglandHospitals, PsychiatricHumansMass Screeningadolescent healthepidemiologyhealth services research

Identifiers

PMID36053652
PMCPMC9036427
OpenAlexW4281384060

What OpenQuestion holds

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LicenceCC BY-NC
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.