Abstract

Parent/carer involvement in their child’s support for mental health difficulties is a critical component of effective care. 13 Community Forensic Child and Adolescent Mental Health Services (F:CAMHS) across England were developed to provide specialist support to young people at high risk of harm to self and in particular others, and their families. The aim of this study is to explore parent/carer experiences of Community F:CAMHS. Thematic analysis of interviews (N = 18, from 5 sites) was conducted. Superordinate themes generated focused on 1) facilitators; and 2) barriers to support. Subthemes generated relate primarily to facilitators, particularly empowering parents/carers through the co-production of strategies to help, “holding” cases (taking ownership), and acting on behalf of and supporting parents/carers. Managing clear, joined-up communication across multi-agencies is also of key importance. Barriers to effective support are a lack of joined-up communication at the beginning of the implementation of the services, awareness of Community F:CAMHS, and limited contact. Implications, including the need to further embed the Community F:CAMHS offering in the overall provision of support for this population are discussed. Areas for future research are identified, including the exploration of how young people's characteristics and outcomes may impact parents/carers’ experiences of interacting with services.

摘要

父母/照顾者参与他们的孩子对心理健康困难的支持是有效护理的重要组成部分。13 英格兰各地的社区法医儿童和青少年心理健康服务 (F:CAMHS) 旨在为自我伤害风险高的年轻人及其家人提供专业支持。本研究的目的是探索社区 F:CAMHS 的父母/照顾者体验。对采访进行了主题分析（N = 18，来自 5 个站点）。生成的上级主题集中于 1) 促进者；2) 支持障碍。产生的子主题主要与促进者有关，特别是通过共同制定帮助父母/照顾者的策略、“持有”案例（拥有所有权）以及代表父母/照顾者行事和支持父母/照顾者。管理清晰，跨多个机构的联合沟通也至关重要。有效支持的障碍是在服务实施之初缺乏联合沟通、对社区 F:CAMHS 的认识以及接触有限。讨论了影响，包括需要进一步将社区 F:CAMHS 产品嵌入到为该人群提供的整体支持中。确定了未来研究的领域，包括探索年轻人的特征和结果如何影响父母/照顾者与服务互动的体验。包括需要进一步将社区 F:CAMHS 产品嵌入到对该人群的整体支持中。确定了未来研究的领域，包括探索年轻人的特征和结果如何影响父母/照顾者与服务互动的体验。包括需要进一步将社区 F:CAMHS 产品嵌入到对该人群的整体支持中。确定了未来研究的领域，包括探索年轻人的特征和结果如何影响父母/照顾者与服务互动的体验。