OReilly2014b

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OReilly2014b
BibType ARTICLE
Key OReilly2015
Author(s) Michelle O'Reilly, Khalid Karim, Victoria Stafford, Ian Hutchby
Title Identifying the interactional processes in the first assessments in child mental health
Editor(s)
Tag(s) Medical EMCA, Applied
Publisher
Year 2015
Language English
City
Month
Journal Child and Adolescent Mental Health
Volume 20
Number 4
Pages 195–201
URL Link
DOI 10.1111/camh.12077
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Background A comprehensive assessment is essential to contemporary practice in child and adolescent mental health. In addition to determining diagnosis and management, it is seen as important for clinical engagement and forming a therapeutic relationship. However, there has been little research on the processes which occur during this interaction, particularly in first assessments.

Method Twenty-eight naturally occurring child mental health initial assessments were video recorded and subjected to the basic principles of the conversation analytic method.

Results Several processes were identified in a typical child and adolescent mental health assessment. These included introductions, reasons for attendance, problem presentation, decision-making and session closure.

Conclusions Initial assessments provide a platform for all future engagement with services and an understanding of the processes occurring within this setting is important for the eventual outcomes, particularly in respect to new ways of working such as the Choice and Partnership Approach (CAPA).

Notes