Factors influencing the outcome of children attending Croydon CAMHS

ISRCTN	ISRCTN42914685
DOI	https://doi.org/10.1186/ISRCTN42914685
Protocol serial number	4604
Sponsor	South London and Maudsley NHS Foundation Trust (SLaM) (UK)
Funder	Medical Research Council (MRC) (UK) - Clinician Scientist Fellowship (ref: G108/625)

Submission date: 18/06/2010
Registration date: 18/06/2010
Last edited: 13/12/2013

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Mental and Behavioural Disorders

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Tamsin Ford
Scientific

Institute of Health Services Research
St Luke's Campus
School Of Education
Heavitree Road
Exeter
EX1 2LU
United Kingdom

Email	Tamsin.ford@pms.ac.uk

Study information

Primary study design	Interventional
Study design	Multicentre randomised interventional diagnosis and treatment trial
Secondary study design	Randomised controlled trial
Study type	Participant information sheet
Scientific title	Factors influencing the outcome of children attending Croydon Child and Adolescent Mental Health Services (CAMHS): a multicentre cohort study
Study acronym	Croydon CAMHS Outcome Project
Study objectives	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(s)	Joint South London and Maudsley and the Institute of Psychiatry NHS Research Ethics Committees, 14/09/2005, ref: 150/05
Health condition(s) or problem(s) studied	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 childs 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
Primary outcome measure(s)	SDQ total difficulties and impact scores, according to parents at six monthly intervals.
Key secondary outcome measure(s)	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
Completion date	31/05/2008

Eligibility

Participant type(s)	Patient
Age group	Child
Lower age limit	5 Years
Upper age limit	10 Years
Sex	All
Target sample size at registration	300
Key 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
Key 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
Date of first enrolment	01/03/2006
Date of final enrolment	31/05/2008

Locations

Countries of recruitment

United Kingdom
England

Study participating centre

Institute of Health Services Research

Exeter
EX1 2LU
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	01/04/2013		Yes	No
Participant information sheet	Participant information sheet	11/11/2025	11/11/2025	No	Yes