What are the experiences of young-people who following their discharge from child and adolescent mental health services (CAMHS) do not transfer into adult mental health services (AMHS)?ud

摘要

This thesis is submitted in partial fulfilment of the requirements for the degree of Doctorate in Clinical Psychology (D.Clin.Psy.) at the School of Psychology, University of Birmingham, UK. It comprises two volumes. Volume I consists of the research component whilst Volume II comprises the written clinical component based on work completed during training. udVolume I comprises of a systematic literature review, an empirical research paper and a public domain paper. The systematic literature review considers available literature investigating mental health literacy and help-seeking behaviours in young people. The empirical research paper explores young people’s experiences who upon reaching the upper age limit for Child Adolescent Mental Health Services (CAMHS) are discharged rather than being transferred into Adult Mental Health Services (AMHS). udVolume II contains five Clinical Practice Reports (CPR’s). CPR1 presents both cognitive behavioural and systemic formulations of a 16 year old female referred to CAMHS due to symptoms of depression. CPR2 is a service evaluation which aimed to assess service users’ perspectives of the Choice And Partnership Approach (CAPA), a newly implemented way of working within CAMHS. CPR3 presents a case-study of a 67 year old man, referred to mental health services for older people, due to long-standing symptoms of depression. CPR4 documents a single-case experimental design that udassessed the effectiveness of a behavioural intervention implemented to reduce symptoms of Obsessive Compulsive Disorder (OCD) in a 13 year old male with a moderate learning disability. An abstract outlining CPR5, a clinical presentation about a 21 year old female referred to a systemic service following developing symptoms of depression related to difficult family relationships is also included.ud