Condition category
Mental and Behavioural Disorders
Date applied
18/06/2010
Date assigned
18/06/2010
Last edited
13/12/2013
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Ms Tamsin Ford

ORCID ID

Contact details

Institute of Health Services Research
St Luke's Campus
School Of Education
Heavitree Road
Exeter
EX1 2LU
United Kingdom
Tamsin.ford@pms.ac.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

4604

Study information

Scientific title

Factors influencing the outcome of children attending Croydon Child and Adolescent Mental Health Services (CAMHS): a multicentre cohort study

Acronym

Croydon CAMHS Outcome Project

Study hypothesis

This project will focus on the effectiveness of Child and Adolescent Mental Health Services (CAMHS). It will evaluate a methodology for assessing the effectiveness of attendance at CAMHS by judging clinical outcome measures against normative data from national epidemiological studies. It will also identify factors predicting the outcome of children attending CAMHS with the aim of generating an empirically derived prognostic index. It will also assess the feasibility of the adoption of a standardized diagnostic assessment into routine practice. It will study the attitudes of CAMHS clinicians toward routine outcome monitoring and how these change over the course of the project. Finally, it will compare the rates of public sector service use over 18 months by CAMHS attenders as compared with a community sample of untreated children with similar psychopathology from a national study with a view to planning a more detailed cost-effectiveness study in the longer term.

Ethics approval

Joint South London and Maudsley and the Institute of Psychiatry NHS Research Ethics Committees, 14/09/2005, ref: 150/05

Study design

Multicentre randomised interventional diagnosis and treatment trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Hospitals

Trial type

Treatment

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet

Condition

Topic: Mental Health Research Network, Generic Health Relevance and Cross Cutting Themes; Subtopic: All Diagnoses, Generic Health Relevance (all Subtopics); Disease: Not Applicable, Paediatrics

Intervention

1. To evaluate the utility of the SDQ "added value" computer algorithm as a tool to allow clinics to measure their performance with that of untreated children in the community
2. To explore staff perceptions, about the use of a standardized diagnostic assessment and routine outcome monitoring
3. To gather preliminary data, to establish whether an in depth study of cost effectiveness is feasible
4. To identify factors, influencing the outcome of children attending Croydon CAMHS in order to generate an empirically based measure of case complexity

There was no treatment arm – children were assessed at baseline using the Development and Well-being Assessment which includes a brief measure call the SDQ (completed by parents) prior to assessment, and a brief in house questionnaire completed by the assessing clinician about what difficulties the child had, their level of function according to the CGAS, and was their assessment completed.

Every six months for two subsequent years the parents completed an SDQ, while the clinicians reported on how they perceived the child’s difficulties, the CGAS and what interventions had happened in the previous six months – if the child's was discharged, clinician follow up ceased (for obvious reasons) but parental follow up did not – we are just chasing the final follow ups for the final patients and data collection will close at the end of this month.

Follow-up length: 26 months
Study entry: single randomisation only

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

SDQ total difficulties and impact scores, according to parents at six monthly intervals.

Secondary outcome measures

1. CGAS scores at 6 monthly intervals
2. Parental rating of whether coming to the clinic has changed the child's difficulties according to the follow up SDQ at six monthly intervals
2. The SDQ "added value", as produced by the computer algorithm

Overall trial start date

01/03/2006

Overall trial end date

31/05/2008

Reason abandoned

Eligibility

Participant inclusion criteria

1. Subsequent referrals accepted to the waiting list of two district tier 2 - 3 CAMHS services
2. Aged between 5 - 10 years and 9 months over 2 years and 2 months

Participant type

Patient

Age group

Child

Gender

Both

Target number of participants

Planned sample size: 300; UK sample size: 300

Participant exclusion criteria

1. Younger than five or older than 10 years and 9 months at the time of they are accepted onto the waiting list
2. Child is looked after by their local authority, because of the difficulty of parental responsibility changing during the course of the study and because of the difficulty in finding informants that know the child well enough
3. The parent has insufficient English to complete the questionnaires
4. Emergency and paediatric liaison referrals because of the difficulty in gaining consent and completing the base line assessment between referral and first assessment

Recruitment start date

01/03/2006

Recruitment end date

31/05/2008

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Institute of Health Services Research
Exeter
EX1 2LU
United Kingdom

Sponsor information

Organisation

South London and Maudsley NHS Foundation Trust (SLaM) (UK)

Sponsor details

Institute of Psychiatry
16 De Crespigny Park
London
SE5 8AF
United Kingdom

Sponsor type

Not defined

Website

http://www.slam.nhs.uk/

Funders

Funder type

Research council

Funder name

Medical Research Council (MRC) (UK) - Clinician Scientist Fellowship (ref: G108/625)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

2013 results in: http://www.ncbi.nlm.nih.gov/pubmed/22886389

Publication citations

  1. Results

    Ford T, Last A, Henley W, Norman S, Guglani S, Kelesidi K, Martin AM, Moran P, Latham-Cork H, Goodman R, Can standardized diagnostic assessment be a useful adjunct to clinical assessment in child mental health services? A randomized controlled trial of disclosure of the Development and Well-Being Assessment to practitioners., Soc Psychiatry Psychiatr Epidemiol, 2013, 48, 4, 583-593, doi: 10.1007/s00127-012-0564-z.

Additional files

Editorial Notes