Background:

There is increased emphasis on the national reporting of Routine Outcome Measures (ROMS) as a way of improving Child and Adolescent Mental Health Services (CAMHS). This data needs to be viewed in context so that reasons for outcome completion rates are understood and monitored over time.

Method:

We undertook an in-depth prospective audit of consecutive referrals accepted into the Bath and North East Somerset, Swindon and Wiltshire (BSW) CAMHS service from November 2017 to January 2018 (n = 1074) and April to September 2019 (n = 1172).

Results:

Across both audits 90% of those offered an appointment were seen with three quarters completing baseline ROMS. One in three were not seen again with around 30% still being open to the service at the end of each audit. Of those closed to the service, paired ROMS were obtained for 46% to 60% of cases. There were few changes in referral problems or complexity factors over time.

Conclusion:

Understanding the referral journey and the reasons for attrition will help to put nationally collected data in context and can inform and monitor service transformation over time.

中文翻译：

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理解儿童和青少年心理健康服务 (CAMHS)：对转诊过程和常规结果测量 (ROMS) 使用的审核

背景：

人们越来越重视将常规结果措施 (ROMS) 的国家报告作为改善儿童和青少年心理健康服务 (CAMHS) 的一种方式。需要在上下文中查看这些数据，以便随着时间的推移了解和监控结果完成率的原因。

方法：

我们对 2017 年 11 月至 2018 年 1 月（n  = 1074）和 2019 年 4 月至 2019 年 9 月（n  = 1172）的巴斯和东北萨默塞特、斯温顿和威尔特郡 (BSW) CAMHS 服务接受的连续推荐进行了深入前瞻性审计。

结果：

在两次审计中，有 90% 的预约者完成了基准 ROMS 的四分之三。三分之一的人没有再次出现，在每次审计结束时，大约 30% 的人仍然对服务开放。在关闭服务的那些人中，46% 到 60% 的情况下获得了成对的 ROMS。随着时间的推移，转诊问题或复杂性因素几乎没有变化。

结论：

了解转诊过程和流失的原因将有助于将全国收集的数据放在上下文中，并可以随着时间的推移为服务转型提供信息和监控。