Crisis care for children and young people with mental health problems: national mapping, models of delivery, sustainability and experience (CAMH-Crisis2). A study protocol.

Background One in six five 16-year-olds have a probable mental health difficulty. Of these, almost half of older teenagers and quarter 11–16-year-olds report having self-harmed or attempted suicide. Currently, there is little research into crisis services for young people, with understanding what exist, who uses them, works best. Question ‘How are responses children people up to the age 25 sustained, experienced integrated within their local systems services’? Objectives To describe National Health Service (NHS), authority, education third sector approaches implementation organisation care across England Wales.To identify eight contrasting case studies which evaluate how developed currently organised, context services.To compare contrast these available international evidence, drawing out disseminating clear implications design delivery future families. Methods A sequential mixed methods approach, underpinned by normalisation process theory will be employed. survey create detailed record Wales implemented used. Subsequently, relation geographic socioeconomic setting, populations served, service configuration identified as studies. Interviews conducted children, parents/carers used service, well commissioners, managers practitioners. Operational policies usage data also examined. Analysis each provided, experienced, sustained both inductively deductively, reflecting constructs.