The Evidence Based Practice Unit (EBPU) and the Child Outcomes Research Consortium are commissioned by NHS England and NHS Improvement (NHSE&I) to evaluate the implementation and impact of Community Forensic Child and Adolescent Mental Health Services (F:CAMHS) across England. Community F:CAMHS are 13 new Tier 4 highly specialist services providing input to the network around children and young people who are experiencing mental health and/or learning difficulties, and who are in contact with the youth justice system or present with a high risk of harm to self and/or to others.
Broadly, Community F:CAMHS provide three types of support: advice and consultation; case co-ordination for young people involved with a number of different organisations; and direct clinical work for young people with complex cases and who need highly specialised assessment and intervention. While there is no ‘typical case’ seen by Community F:CAMHS, common characteristics of those requiring Community F:CAMHS input include: harmful sexual behaviour, concerns about violent behaviour and aggression towards peers and adults/professionals.
The evaluation study comprises a mixed-methods design, combining quantitative service activity and feedback data, questionnaires with young people or their parents and carers, and interviews with staff, referrers and young people or their parents and carers. Observations of staff meetings are also undertaken, to explore the implementation and impact of Community F:CAMHS. An economic evaluation is also taking place.
Data collection is taking place between August 2018 and December 2020. Findings will be submitted to NHSE&I to inform policy and practice.