A novel CAMHS risk assessment system : clinicians’ views

Abstract

Purpose The purpose of this paper is to record and analyse clinicians’ views of the proposed FACE Child and Adolescent Risk Assessment Suite (CARAS). This is a novel risk assessment system comprising a set of screening questions and domain specific sub-schedules intended to be implemented in electronic format within a youth mental health setting. Design/methodology/approach A qualitative approach was adopted with a series of focus groups conducted with three Child and Adolescent Mental Health Service (CAMHS) teams drawn from general and specialised services in a large NHS Trust in North-East England. A thematic analysis was used to explore the perceived clinical relevance, clarity and utility of the items that are contained within the FACE Child and Adolescent Risk Assessment Suite. Findings Emerging themes highlighted that items such as criminality and fire-setting be added to the violence risk assessment schedule; a structured approach for risk of sexual harm be utilised; and an eating disorder risk assessment be included. Practical implications Clinicians viewed the FACE Child and Adolescent Risk Assessment Suite as a structured and comprehensive risk management tool that also demonstrated potential clinical utility. CAMHS clinicians’ views of the potential benefits of risk assessment schedules appear to be influenced by the perceived balance between comprehensiveness and ease and rapidity of administration. Further studies relating to validity and reliability are currently ongoing. Originality/value This is the first qualitative exploration of a comprehensive and flexible approach to risk assessment in a youth mental health setting.