Northampton Electronic Collection of Theses and Research

A critical analysis of Child and Adolescent Mental Health Services policy in England

Callaghan, J., Fellin, L. C. and Warner-Gale, F. (2017) A critical analysis of Child and Adolescent Mental Health Services policy in England. Clinical Child Psychology and Psychiatry. 22(1) 1359-1045.

Item Type: Article
Abstract: Policy in Child and Adolescent Mental Health (CAMH) in England has undergone radical changes in the last 15 years, with far reaching implications for funding models, access to services and service delivery. Using corpus analysis and critical discourse analysis, we explore how childhood, mental health, and CAMHS are constituted in 15 policy documents, 9 pre-2010, and 6 post 2010. We trace how these constructions have changed over time, and consider the practice implications of these changes. We identify how children’s distress is individualised, through medicalising discourses and shifting understandings of the relationship between socioeconomic context and mental health. This is evidenced in a shift from seeing children’s mental health challenges as produced by social and economic inequities, to a view that children’s mental health must be addressed early to prevent future socio-economic burden. We consider the implications CAMHS policies for the relationship between children, families, mental health services and the state. The paper concludes by exploring how concepts of ‘parity of esteem’ and ‘stigma reduction’ may inadvertently exacerbate the individualisation of children’s mental health.
Uncontrolled Keywords: CAMHS, Child and adolescent mental health, health inequalities, medicalisation, parity of esteem, policy
Creators: Callaghan, Jane, Fellin, Lisa C and Warner-Gale, Fiona
Faculties, Divisions and Institutes: Faculties > Faculty of Health & Society > Psychology
Research Centres > Centre for Health Sciences and Services
Research Centres > Centre for Psychology and Social Sciences
Date: 1 January 2017
Date Type: Publication
Journal or Publication Title: Clinical Child Psychology and Psychiatry
Volume: 22
Number: 1
Language: English
DOI: https://doi.org/10.1177/1359104516640318
ISSN: 1359-1045
Status: Published / Disseminated
Refereed: Yes
URI: http://nectar.northampton.ac.uk/id/eprint/10978

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