Investigating the Applicability of the SAFER‐YCL Care Bundle for Transitions From CAMHS Crisis and Liaison Services: The Barriers and Enablers.
Background: Crisis 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 o...
| Publicado en: | Health Expectations Vol. 29; no. 1; pp. 1 - 9 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191835417&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191835417 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Feb2026 vid: 29 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 191835417 191835417 191835417 10.1111/hex.70579 191835417 ppf: 1 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Investigating the Applicability of the SAFER‐YCL Care Bundle for Transitions From CAMHS Crisis and Liaison Services: The Barriers and Enablers. aug: au: Roe, James Jones, Neve Lewis, Leonie Tyler, Natasha Panagioti, Maria Awhangansi, Sewanu Balan, Nisha Wright, Nicola Morriss, Richard Sayal, Kapil Majumder, Pallab Holland, Josephine affil: National Institute for Health and Care Research, Applied Research Collaboration (ARC) East Midlands, University of Nottingham, Nottingham, UK sug: subj: Mental Health Services In Adolescence Mental Disorders Therapy Crisis Intervention Transitional Care Patient Discharge In Adolescence Medical Practice, Evidence-Based Quality Improvement Human Male Female Adult Middle Age Focus Groups Funding Source Adolescence Sociological Theory Health Information Management Cognition Organizational Efficiency Thematic Analysis Time Factors Guideline Adherence Implementation Science Electronic Health Records Health Care Delivery, Integrated Continuity of Patient Care Multidisciplinary Care Team Health Services Administration Organizational Change Documentation Communication Health Care Costs Discharge Planning Conceptual Framework Inpatients Adult: 19-44 years Middle Aged: 45-64 years Adolescent: 13-18 years Male Female ab: Background: Crisis 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. Design: Focus 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. Results: Participants 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. Conclusions: The 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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