TY - JOUR KW - Benchmarking KW - Child KW - Cooperative Behavior KW - Cultural Diversity KW - Education, Professional/methods KW - Evidence-Based Medicine KW - Family/ethnology/psychology KW - Great Britain KW - Humans KW - Mental Health Services/organization & administration/standards KW - Patient-Centered Care KW - Professional-Patient Relations KW - Teaching/methods AU - N. Dogra AU - P. Vostanis AU - C. Frake A1 - AB - We are supportive of the desire to ensure that CAMHS staff provide appropriate care that is tailor made for each child and family they encounter, and would argue that this is a benchmark for quality. It is important to qualify that this is not just a case of giving the consumer what they want, but rather helping families think about the issues they present with, and then arriving collaboratively at a management plan that is coherent to all parties. However, we would be more cautious about what can be achieved through individual strategies such as cultural competence or diversity training, that are not linked to other strategies. There is a need to reflect on what we are doing rather than responding in a knee jerk fashion. We also need to consider the evidence we use to frame our interventions. Sometimes there is no evidence available and action is needed. In these situations we need to be transparent about our approaches and be prepared to change them in light of emerging evidence. Delivering appropriate services to diverse populations is so much more than having a checklist and sending the workforce to be superficially trained. Before we embark on training, we should ask what we anticipate the training to achieve. This has to be set within an educational rather than political -framework, if educational objectives are to be met. It is also inexcusable to fund or support any kind of intervention without building in evaluation processes. Finally, we need to find out what kind of training improves the patient experience and health care outcomes. Unless we take all these factors into account, paying attention to diverse populations may end up being nothing more than a passing fad. BT - Clinical child psychology and psychiatry C5 - Education & Workforce CP - 1 CY - England IS - 1 JF - Clinical child psychology and psychiatry N2 - We are supportive of the desire to ensure that CAMHS staff provide appropriate care that is tailor made for each child and family they encounter, and would argue that this is a benchmark for quality. It is important to qualify that this is not just a case of giving the consumer what they want, but rather helping families think about the issues they present with, and then arriving collaboratively at a management plan that is coherent to all parties. However, we would be more cautious about what can be achieved through individual strategies such as cultural competence or diversity training, that are not linked to other strategies. There is a need to reflect on what we are doing rather than responding in a knee jerk fashion. We also need to consider the evidence we use to frame our interventions. Sometimes there is no evidence available and action is needed. In these situations we need to be transparent about our approaches and be prepared to change them in light of emerging evidence. Delivering appropriate services to diverse populations is so much more than having a checklist and sending the workforce to be superficially trained. Before we embark on training, we should ask what we anticipate the training to achieve. This has to be set within an educational rather than political -framework, if educational objectives are to be met. It is also inexcusable to fund or support any kind of intervention without building in evaluation processes. Finally, we need to find out what kind of training improves the patient experience and health care outcomes. Unless we take all these factors into account, paying attention to diverse populations may end up being nothing more than a passing fad. PP - England PY - 2007 SN - 1359-1045; 1359-1045 SP - 137 EP - 142 EP - T1 - Child mental health services: Cultural diversity training and its impact on practice T2 - Clinical child psychology and psychiatry TI - Child mental health services: Cultural diversity training and its impact on practice U1 - Education & Workforce U2 - 17375815 VL - 12 VO - 1359-1045; 1359-1045 Y1 - 2007 ER -