UK National Guidelines stress the importance of reducing waiting times for mental health assessments and interventions for children. They stress the importance of early help, multidisciplinary working, and collaboration with families regarding treatment plans. We piloted a new assessment model (CARM) within a CAMHS service to: reduce non-attendance rates and subsequently waiting times; increase staff and patient satisfaction; and improve the quality of assessment. All waiting list patients and new referrals over a three-month period were contacted to self-book an hour session to meet two clinicians who utilised collaborative reflection and formulation to produce a care plan (CARM). Results revealed that non-attendance rates dropped from 33% over the month prior to CARM to 7% during CARM. Satisfaction levels were high. Qualitative feedback regarding satisfaction revealed the most common themes was feeling listened to and having the opportunity to listen to staff reflections. The themes of staff satisfaction included ‘feeling more supported’ and ‘feeling safer in their decision making’. All assessments were completed in the one appointment. A formulation-driven care plan was developed and discussed with the family. This approach has the potential to make services more effective, efficient and satisfying for both staff and families.

英国国家指南强调了减少儿童心理健康评估和干预等待时间的重要性。他们强调早期帮助、多学科工作以及与家庭就治疗计划进行合作的重要性。我们在 CAMHS 服务中试行了一种新的评估模型 (CARM)，以： 降低缺勤率和随后的等待时间；提高员工和患者的满意度；并提高评估质量。联系了三个月内的所有候补名单患者和新转诊者，自行预订一个小时的会议，与两名临床医生会面，他们利用协作反思和制定制定护理计划 (CARM)。结果显示，缺勤率从 CARM 之前一个月的 33% 下降到 CARM 期间的 7%。满意度很高。关于满意度的定性反馈显示，最常见的主题是感觉被倾听并有机会倾听员工的反映。员工满意度的主题包括“感觉得到更多支持”和“在决策过程中感觉更安全”。所有评估均在一次预约中完成。制定并与家人讨论了以配方为导向的护理计划。这种方法有可能使服务更加有效、高效和令员工和家庭都满意。制定并与家人讨论了以配方为导向的护理计划。这种方法有可能使服务更加有效、高效和令员工和家庭都满意。制定并与家人讨论了以配方为导向的护理计划。这种方法有可能使服务更加有效、高效和令员工和家庭都满意。