Evidence map›Paper›PMID 41627966›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2026

Investigating the Applicability of the SAFER-YCL Care Bundle for Transitions From CAMHS Crisis and Liaison Services: The Barriers and Enablers.

James Roe, Neve Jones, Leonie Lewis, Natasha Tyler, Maria Panagioti, Sewanu Awhangansi, Nisha Balan, Nicola Wright, Richard Morriss, Kapil Sayal and 2 more

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Investigating the Applicability of the SAFER-YCL Care Bundle for Transitions From CAMHS Crisis and Liaison Services: The Barriers and Enablers.Health expectations : an international journal of public participation in health care and health policy · 2026
    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

12 authors.

James RoeNational Institute for Health and Care Research, Applied Research Collaboration (ARC) East Midlands, University of Nottingham, Nottingham, UK.ORCID 0000-0002-9514-5629
Neve JonesMental Health and Clinical Neurosciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Leonie LewisMental Health and Clinical Neurosciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Natasha TylerDivision of Population Health, Health Services Research and Primary Care, National Institute for Health and Care Research Greater Manchester Patient Safety Research Collaborations, NIHR School for Primary Care Research, University of Manchester, Manchester, UK.ORCID 0000-0001-8257-1090
Maria PanagiotiDivision of Population Health, Health Services Research and Primary Care, National Institute for Health and Care Research Greater Manchester Patient Safety Research Collaborations, NIHR School for Primary Care Research, University of Manchester, Manchester, UK.ORCID 0000-0002-7153-5745
Sewanu AwhangansiLeicestershire Partnership NHS Trust, Leicester, UK.ORCID 0000-0002-1972-3132
Nisha BalanLeicestershire Partnership NHS Trust, Leicester, UK.
Nicola WrightSchool of Health Sciences, University of Nottingham, Nottingham, UK.
Richard MorrissMental Health and Clinical Neurosciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Kapil SayalMental Health and Clinical Neurosciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Pallab MajumderMental Health and Clinical Neurosciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.ORCID 0000-0002-5078-1023
Josephine HollandMental Health and Clinical Neurosciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.ORCID 0000-0002-6343-8443

Funding

National Institute for Health and Care Research (NIHR) Applied Research Collaboration East Midlands NIHR200171
6 · The paper itself

Abstract

backgroundCrisis and Liaison teams in Child and Adolescent Mental Health Services (CAMHS) offer intensive, short-term support to young people experiencing mental health crisis in the community (Crisis) or admitted to acute hospitals (Liaison). There is no evidence-based model for how these teams operate. The SAFER care bundle, designed to improve discharges from acute hospitals, has been adapted for use in mental health inpatient discharges for adults (SAFER-MH) and young people (SAFER-YMH). This study took a care bundle designed to improve discharges from CAMHS inpatient care (SAFER-YMH) and used stakeholder feedback to adapt it for use in CAMHS Crisis and Liaison teams.

designFocus groups were carried out with healthcare professionals (HCPs), young people and parents/carers to present the SAFER care bundle and discuss necessary adaptations for use in CAMHS Crisis and Liaison teams. Analysis of transcripts followed a Normalisation Process Theory (NPT) framework to identify barriers and facilitators to implementation and necessary adaptations.

resultsParticipants expressed that integrating the SAFER-YCL care bundle into the electronic patient record, automatically pulling information from other forms, and providing a template for discharge letters and safety plans could serve as an aide-memoire and potentially replace current discharge documents. It would need to avoid increasing documentation burden for staff and have flexibility to be administered by different staff members and at an appropriate time.

conclusionsThe SAFER-YCL care bundle has been successfully developed for implementation in CAMHS Crisis and Liaison services, demonstrating potential to enhance transition experiences. Feasibility testing will be crucial to validate its effectiveness and facilitate successful integration into clinical practice. PATIENT OR PUBLIC CONTRIBUTION: This study was initially presented at the Nottinghamshire Healthcare NHS Foundation Trust's Involvement group of young people to gather their thoughts on it. They were supportive of the study design and gave constructive feedback on the study. A PPI representative with lived experience was part of the study team who was involved in developing and reviewing all study materials, was part of monthly reviews of the study's progress and supported data collection, analysis and write-up of the study results.

Indexed as

Adolescent Health ServicesMental DisordersMental Health ServicesPatient Care BundlesPatient DischargeAdolescentChildFocus GroupsHumansCAMHSclinical practiceCrisis and Liaison servicesdischargemental healthtransitionyouth mental health

Identifiers

PMID41627966
PMCPMC12863418

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.