TY - JOUR
AU - J. Roe
AU - N. Jones
AU - L. Lewis
AU - N. Tyler
AU - M. Panagioti
AU - S. Awhangansi
AU - N. Balan
AU - N. Wright
AU - R. Morriss
AU - K. Sayal
AU - P. Majumder
AU - J. Holland
A1 - 
AB - BACKGROUND: Crisis and Liaison teams in Child and Adolescent Mental Health Services (CAMHS) offer intensive, short-term support to young people experiencing mental health crisis in the community (Crisis) or admitted to acute hospitals (Liaison). There is no evidence-based model for how these teams operate. The SAFER care bundle, designed to improve discharges from acute hospitals, has been adapted for use in mental health inpatient discharges for adults (SAFER-MH) and young people (SAFER-YMH). This study took a care bundle designed to improve discharges from CAMHS inpatient care (SAFER-YMH) and used stakeholder feedback to adapt it for use in CAMHS Crisis and Liaison teams. DESIGN: Focus groups were carried out with healthcare professionals (HCPs), young people and parents/carers to present the SAFER care bundle and discuss necessary adaptations for use in CAMHS Crisis and Liaison teams. Analysis of transcripts followed a Normalisation Process Theory (NPT) framework to identify barriers and facilitators to implementation and necessary adaptations. RESULTS: Participants expressed that integrating the SAFER-YCL care bundle into the electronic patient record, automatically pulling information from other forms, and providing a template for discharge letters and safety plans could serve as an aide-memoire and potentially replace current discharge documents. It would need to avoid increasing documentation burden for staff and have flexibility to be administered by different staff members and at an appropriate time. CONCLUSIONS: The SAFER-YCL care bundle has been successfully developed for implementation in CAMHS Crisis and Liaison services, demonstrating potential to enhance transition experiences. Feasibility testing will be crucial to validate its effectiveness and facilitate successful integration into clinical practice. PATIENT OR PUBLIC CONTRIBUTION: This study was initially presented at the Nottinghamshire Healthcare NHS Foundation Trust's Involvement group of young people to gather their thoughts on it. They were supportive of the study design and gave constructive feedback on the study. A PPI representative with lived experience was part of the study team who was involved in developing and reviewing all study materials, was part of monthly reviews of the study's progress and supported data collection, analysis and write-up of the study results.
AD - National Institute for Health and Care Research, Applied Research Collaboration (ARC) East Midlands, University of Nottingham, Nottingham, UK.; Mental Health and Clinical Neurosciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.; Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.; Division of Population Health, Health Services Research and Primary Care, National Institute for Health and Care Research Greater Manchester Patient Safety Research Collaborations, NIHR School for Primary Care Research, University of Manchester, Manchester, UK.; Leicestershire Partnership NHS Trust, Leicester, UK.; School of Health Sciences, University of Nottingham, Nottingham, UK.
AN - 41627966
BT - Health Expect
C5 - Healthcare Disparities; HIT & Telehealth
CP - 1
DA - Feb
DO - 10.1111/hex.70579
DP - NLM
IS - 1
JF - Health Expect
LA - eng
N2 - BACKGROUND: Crisis and Liaison teams in Child and Adolescent Mental Health Services (CAMHS) offer intensive, short-term support to young people experiencing mental health crisis in the community (Crisis) or admitted to acute hospitals (Liaison). There is no evidence-based model for how these teams operate. The SAFER care bundle, designed to improve discharges from acute hospitals, has been adapted for use in mental health inpatient discharges for adults (SAFER-MH) and young people (SAFER-YMH). This study took a care bundle designed to improve discharges from CAMHS inpatient care (SAFER-YMH) and used stakeholder feedback to adapt it for use in CAMHS Crisis and Liaison teams. DESIGN: Focus groups were carried out with healthcare professionals (HCPs), young people and parents/carers to present the SAFER care bundle and discuss necessary adaptations for use in CAMHS Crisis and Liaison teams. Analysis of transcripts followed a Normalisation Process Theory (NPT) framework to identify barriers and facilitators to implementation and necessary adaptations. RESULTS: Participants expressed that integrating the SAFER-YCL care bundle into the electronic patient record, automatically pulling information from other forms, and providing a template for discharge letters and safety plans could serve as an aide-memoire and potentially replace current discharge documents. It would need to avoid increasing documentation burden for staff and have flexibility to be administered by different staff members and at an appropriate time. CONCLUSIONS: The SAFER-YCL care bundle has been successfully developed for implementation in CAMHS Crisis and Liaison services, demonstrating potential to enhance transition experiences. Feasibility testing will be crucial to validate its effectiveness and facilitate successful integration into clinical practice. PATIENT OR PUBLIC CONTRIBUTION: This study was initially presented at the Nottinghamshire Healthcare NHS Foundation Trust's Involvement group of young people to gather their thoughts on it. They were supportive of the study design and gave constructive feedback on the study. A PPI representative with lived experience was part of the study team who was involved in developing and reviewing all study materials, was part of monthly reviews of the study's progress and supported data collection, analysis and write-up of the study results.
PY - 2026
SN - 1369-6513 (Print); 1369-6513
SP - e70579
ST - Investigating the Applicability of the SAFER-YCL Care Bundle for Transitions From CAMHS Crisis and Liaison Services: The Barriers and Enablers
T1 - Investigating the Applicability of the SAFER-YCL Care Bundle for Transitions From CAMHS Crisis and Liaison Services: The Barriers and Enablers
T2 - Health Expect
TI - Investigating the Applicability of the SAFER-YCL Care Bundle for Transitions From CAMHS Crisis and Liaison Services: The Barriers and Enablers
U1 - Healthcare Disparities; HIT & Telehealth
U3 - 10.1111/hex.70579
VL - 29
VO - 1369-6513 (Print); 1369-6513
Y1 - 2026
ER -