TY - JOUR KW - Adolescent KW - Adolescent Health Services/organization & administration KW - Attitude of Health Personnel KW - Child KW - Child Health Services/organization & administration KW - Community Mental Health Services/manpower/methods/organization & administration KW - Comprehensive Health Care/methods/organization & administration KW - Delivery of Health Care/manpower/methods/standards KW - Focus Groups/methods KW - Great Britain KW - Health Personnel/education/psychology KW - Health Services Needs and Demand/statistics & numerical data KW - Humans KW - London KW - Mental Disorders/psychology/therapy KW - Patient Care Team/organization & administration/standards KW - Primary Health Care/manpower/methods/organization & administration KW - Questionnaires KW - State Medicine/organization & administration KW - Teaching/organization & administration/standards AU - N. Madge AU - D. Foreman AU - F. Baksh A1 - AB - Current UK child mental health policy seeks to engage primary care personnel in improving service delivery under the heading of 'Comprehensive CAMHS' but little is known about the size of this resource, the sufficiency of its training or its commitment to children's mental health. We surveyed local health, education and social services agencies within a UK Unitary Authority just outside London, using both questionnaire and focus group methodologies: 150 primary care personnel were identified in 14 teams. Of these 122 participated in the questionnaire survey, and 60 took part in focus groups. There was, approximately, one such team member for every 30 children with a mental health problem. Respondents reported deficiencies in skills and knowledge, but wanted training and support to increase their involvement provided it related to their daily practice, professional roles, and was developed in accordance with local needs and resources. Lack of training and organization impedes the effective deployment of a potentially huge resource for children with mental health problems. This could be addressed by appropriately tailored training courses, combined with managerial work on systems and remits. Such a programme would be needed to realize the National Service Framework's concept of a 'comprehensive CAMHS'. BT - Clinical child psychology and psychiatry C5 - Education & Workforce CP - 3 CY - England IS - 3 JF - Clinical child psychology and psychiatry N2 - Current UK child mental health policy seeks to engage primary care personnel in improving service delivery under the heading of 'Comprehensive CAMHS' but little is known about the size of this resource, the sufficiency of its training or its commitment to children's mental health. We surveyed local health, education and social services agencies within a UK Unitary Authority just outside London, using both questionnaire and focus group methodologies: 150 primary care personnel were identified in 14 teams. Of these 122 participated in the questionnaire survey, and 60 took part in focus groups. There was, approximately, one such team member for every 30 children with a mental health problem. Respondents reported deficiencies in skills and knowledge, but wanted training and support to increase their involvement provided it related to their daily practice, professional roles, and was developed in accordance with local needs and resources. Lack of training and organization impedes the effective deployment of a potentially huge resource for children with mental health problems. This could be addressed by appropriately tailored training courses, combined with managerial work on systems and remits. Such a programme would be needed to realize the National Service Framework's concept of a 'comprehensive CAMHS'. PP - England PY - 2008 SN - 1359-1045; 1359-1045 SP - 463 EP - 478 EP - T1 - Starving in the midst of plenty? A study of training needs for child and adolescent mental health service delivery in primary care T2 - Clinical child psychology and psychiatry TI - Starving in the midst of plenty? A study of training needs for child and adolescent mental health service delivery in primary care U1 - Education & Workforce U2 - 18783127 VL - 13 VO - 1359-1045; 1359-1045 Y1 - 2008 ER -