TY  - JOUR
PY  - 2013//
TI  - A systems relations model for Tier 2 early intervention child mental health services with schools: An exploratory study
JO  - Clinical child psychology and psychiatry
A1  - van Roosmalen, Marc
A1  - Gardner-Elahi, Catherine
A1  - Day, Crispin
SP  - 25
EP  - 43
VL  - 18
IS  - 1
N2  - Over the last 15 years, policy initiatives have aimed at the provision of more comprehensive Child and Adolescent Mental Health care. These presented a series of new challenges in organising and delivering Tier 2 child mental health services, particularly in schools. This exploratory study aimed to examine and clarify the service model underpinning a Tier 2 child mental health service offering school-based mental health work. Using semi-structured interviews, clinician descriptions of operational experiences were gathered. These were analysed using grounded theory methods. Analysis was validated by respondents at two stages. A pathway for casework emerged that included a systemic consultative function, as part of an overall three-function service model, which required: (1) activity as a member of the multi-agency system; (2) activity to improve the system working around a particular child; and (3) activity to universally develop a Tier 1 workforce confident in supporting children at risk of or experiencing mental health problems. The study challenged the perception of such a service serving solely a Tier 2 function, the requisite workforce to deliver the service model, and could give service providers a rationale for negotiating service models that include an explicit focus on improving the children's environments.<p />  <p>Language: en</p>
LA  - en
SN  - 1359-1045
UR  - http://dx.doi.org/10.1177/1359104511431660
ID  - ref1
ER  -