Psychiatric Bulletin (2006) 30: 394. doi: 10.1192/pb.30.10.394-a
© 2006 The Royal College of Psychiatrists
Psychiatric Bulletin (2006) 30: 394
© 2006 The Royal College of Psychiatrists
Impact of a waiting list initiative of a child and family out-patient mental health team
Anna Beaglehole, Senior House Officer in Psychiatry and
Fiona Forbes, Consultant in Child and Adolescent Psychiatry
Child and Family Mental Health Service, Royal Hospital for Sick Children,
Edinburgh EH9 1LL, email:
Fiona.Forbes{at}lpct.scot.nhs.uk
This initiative sought to reduce the waiting list and to improve the
triaging process of an out-patient multidisciplinary team based at the Royal
Hospital for Sick Children in Edinburgh. The team consists of 6.5 whole-time
equivalent clinicians and receives 250 referrals of children aged under 14
each year. All referrals (n=66) on the waiting list were offered an
initial assessment during a 2-week period in July 2005. Interdisciplinary
pairs were formed and each pair was assigned a clinic session comprising two
1-h assessments. A weekly meeting was held to discuss all cases and to
prioritise and allocate according to need and the skills required to manage
the problems.
Sixty-six patients were offered appointments and 46 of these attended.
Thirty-seven patients (56%) were allocated to clinicians for further
management, 21 (32%) cases were closed and 8 patients (12%) remained on the
waiting list for further management. After 6 months, there were 33 on the
waiting list, with an average waiting time of 5 weeks, which was down from 4.5
months.
The initiative was an effective way of assessing and allocating patients in
a more appropriate and timely fashion, and resulted in a considerable
improvement in the service offered. It also resulted in the establishment of
regular initial assessment clinics. The experience had the
effect of motivating the team, encouraging the sharing of ideas and generating
action.