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Addressing the Population Burden of Child and Adolescent Mental Health Problems: A Primary Care Model

Published online by Cambridge University Press:  01 February 2000

Peter L. Appleton  and
Sara Hammond-Rowley
Peter L. Appleton
Affiliation:
School of Psychology, University of Wales, Bangor, Gwynedd, LL57 2DG, Wales Flintshire Primary Care Service for Children, 9/13 Victoria Road, Shotton, Deeside, Flintshire CH5 1EY, Wales
Sara Hammond-Rowley
Affiliation:
Flintshire Primary Care Service for Children, 9/13 Victoria Road, Shotton, Deeside, Flintshire CH5 1EY, Wales
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Abstract

A model for primary care child and adolescent mental health (CAMH) services is presented, the overall goal of which is to reduce population burden of CAMH problems. The theoretical orientation of the model is based on ecological systems theories. Features of the model include: local population outcome measures; small area service focus; primary-care-based CAMH specialists; a locally comprehensive service framework based in primary care (schools and general practices); and an explicit process of community engagement. The model is illustrated by reference to a primary care CAMH service (currently the subject of a controlled trial) in Flintshire, North Wales.

Keywords

Primary carechild and adolescent mental health servicespopulationpreventionecological systems theory
Type
Original Article
Information
Child Psychology and Psychiatry Review , Volume 5 , Issue 1 , February 2000 , pp. 9 - 16
Copyright
© 2000 Association for Child Psychology and Psychiatry

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