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Table 2 Mapping of themes and key concepts onto the model components

From: A collaboratively produced model of service design for children and young people with common mental health problems

Model component

Explanation

Derived from theme (key concepts)

CORE CHARACTERISTICS (BLUE ELEMENTS)

 Rapid access and short waiting times

CYP can access services quickly and, once accessed, therapies and support are provided in a timely manner

Pathways to support (referral routes; speed of access; waiting lists; accessibility at all stages of the CYP’s journey)

Service engagement (confidentiality)

 Opportunities to learn practical skills and strategies for self-care

The key to providing effective and acceptable support for CYP experiencing common mental health problems is the provision of skills to enable CYP and families to help themselves

Learning and understanding (acquiring skills for self-care; impact of learning skills for self-care)

 Individualised support

Services offer choice and flexibility to CYP/families, considering the needs, views interests and hobbies of CYP

Service engagement (personalised services; involvement; choice)

Learning and understanding (acquiring skills for self-care; personalised approaches to learning; involvement)

 Clear and accessible information

Clear information about services is provided to CYP, parents and professionals using a variety of media (not all families have private access to the internet); information is available to help CYP and families navigate the most appropriate services when given a choice

Pathways to support (referral routes; availability of information)

 Compassionate and competent staff

Staff are approachable, caring, empathic and person-centred; staff are appropriately qualified and experienced

Service engagement (practitioner qualities; positive relationships; continuity of care)

Learning and understanding (practitioner learning)

 Aftercare planning

Processes and systems for navigating out of services as well as into services are available; covers transitions to adult services, ongoing support, potential for re-referrals and continuity of care

Pathways to support (post-service support)

Service engagement (positive relationships; continuity of care)

UNDERPINNING CHARACTERISTICS (GREEN ELEMENTS)

 Values that respect confidentiality

CYP’s autonomy and perspectives on confidentiality are prioritised and balanced against any safeguarding concerns

Service engagement (confidentiality)

 Engagement and involvement of CYP at the core

Activities and therapies provided are accessible, engaging, developmentally appropriate, creative and fun; CYP are involved in shared decision-making for their own care as well as for service design and delivery

Pathways to support (physical accessibility and convenience of service)

Service engagement (personalised services; involvement)

Learning and understanding (personalised approaches to learning; involvement)

 Collaborative relationships: with CYP, families and other disciplines and agencies

Trust is predicated on good interagency/interprofessional relationships and good therapeutic (practitioner-CYP/family) relationships

Pathways to support (referral routes; post-service support)

Service engagement (positive relationships)

Learning and understanding (practitioner learning)

 A learning culture

A learning culture is demonstrated through good team relationships and a reflective learning environment that includes learning from each other as well as from those using services

Service engagement (choice; practitioner qualities; positive relationships)

Learning and understanding (practitioner learning)