Open access

Who Should Be Seen When? Establishing Wait Time Benchmarks for Children’s Mental Health

Publication: Canadian Journal of Community Mental Health
20 May 2021

Abstract

To develop wait time guidelines, case vignettes were designed corresponding to varying levels of clinical urgency based on an objective measure (Western Canada Waitlist Mental Health Priority Criteria). Experts provided maximum acceptable wait times (MAWT) for each vignette. Raters’ estimates of urgency aligned with the vignettes’ designed ranking. “Very high” and “high” clinical urgency cases were assigned a mean MAWT of approximately 2 weeks and a month, respectively. For “moderate” urgent cases, the mean MAWT was 3.5 months, with a MAWT over 4 months estimated for “low” urgency cases. These results may inform local children’s mental health service triage practices.

Résumé

Afin de développer des directives concernant les temps d’attente, des vignettes cliniques ont été conçues pour les différents niveaux d’urgence selon le Western Canada Waitlist Mental Health Priority Criteria. Des spécialistes ont identifié un temps d’attente maximal acceptable (MAWT) pour chaque vignette, concordant avec le classement objectif. Des MAWT de 2 semaines et de 1 mois ont été attribués aux cas de priorité clinique dits « très élevés » et « élevés », de 3,5 mois pour les cas « modérés » et de plus de 4 mois pour les cas « faibles ». Ces résultats pourraient aider les pratiques de triage des services locaux de santé mentale pour enfants.

Formats available

You can view the full content in the following formats:

References

Angold A., Messer S. C., Stangl D., Farmer E. M., Costello E. J., and Burns B. J. 1998 Perceived parental burden and service use for child and adolescent psychiatric disorders American Journal of Public Health 88 1 75 -80
Blake J. T. 2005 Shooting arrows in the dark: The policies and practices of waitlist management in Canada Clinical and Investigative Medicine 28 6 308 -311
Brown S. A., Parker J. D., and Godding P. R. 2002 Administrative, clinical, and ethical issues surrounding the use of waiting lists in the delivery of mental health services The Journal of Behavioral Health Services & Research 29 2 217 -228
Canadian Psychiatric Association. (2006). Wait Time Benchmarks for Patients with Serious Psychiatric Illnesses. Retrieved from https://www.cpa-apc.org/wp-content/uploads/Wait_times-CPA_policy_paper_1-web-EN.pdf
Cawthorpe D., Wilkes T. C. R., Rahman A., Smith D. H., Conner-Spady B., McGurran J. J., and Noseworthy T. W. 2007 Priority-setting for children’s mental health: Clinical usefulness and validity of the priority criteria score Journal of the Canadian Academy of Child and Adolescent Psychiatry 16 1 18 -26
Conner-Spady B., Estey A., Arnett G., Ness K., McGurran J., Bear R., Noseworthy T., and The Steering Committee of the Western Canada Waiting List Project 2005 Determinants of patient and surgeon perspectives on maximum acceptable waiting times for hip and knee arthroplasty Journal of Health Services Research and Policy 10 2 84 -90
Conner-Spady B. L., Johnston G., Sanmartin C., McGurran J. J., Noseworthy T. W., and Saskatchewan Surgical Care Network/Western Canada Waiting List Project Research and Evaluation Working Group Committee 2007 Patient and surgeon views on maximum acceptable waiting times for joint replacement Healthcare Policy/ Politiques De Santé 3 2 102 -116
Crocker, L. M., & Algina, J. (1986). Introduction to classical and modern test theory. Holt, Rinehart and Winston.
Kaltiala-Heino R., Fröjd S., Autio V., Laukkanen E., Närhi P., and Rantanen P. 2007 Transparent criteria for specialist level adolescent psychiatric care European Child & Adolescent Psychiatry 16 4 260 -270
Kowalewski K., McLennan J. D., and McGrath P. J. 2011 A preliminary investigation of wait times for child and adolescent mental health services in Canada Journal of the Canadian Academy of Child and Adolescent Psychiatry 20 2 112 -119
McCaffrey E. S. N., Chang S., Farrelly G., Rahman A., and Cawthorpe D. 2017 Mental health literacy in primary care: Canadian research and education for the advancement of child health (CanREACH) Evidence Based Medicine 22 4 123 -131
Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Retrieved from: https://www.mentalhealthcommission.ca/sites/default/files/MHStrategy_Strategy_ENG.pdf
Novick J., Cawthorpe D., and McLuckie A. 2016 The validation of the Western Canada Waiting List Children’s Mental Health-Priority Criteria Score Instrument: 2002–2015 results Journal of Hospital Administration 5 4 1 -8
Novick J., Cawthorpe D., and McLuckie A. 2017 A measurable treatment plan: Using the Children’s Global Assessment and the Problem Severity scales as outcomes of clinical treatment Journal of Hospital Administration 6 1 9 -15
Owens P. L., Hoagwood K., Horwitz S. M., Leaf P. J., Poduska J. M., Kellam S. G., and Ialongo N. S. 2002 Barriers to children’s mental health services Journal of the American Academy of Child and Adolescent Psychiatry 41 6 731 -738
Potter R., Langley K., and Sakhuja D. 2005 All things to all people: What referrers want from their child and adolescent mental health service Psychiatric Bulletin 29 7 262 -265
Rahman A., Perri A., Deegan A., Kuntz J., and Cawthorpe D. 2018 On becoming trauma-informed: Role of the adverse childhood experiences survey in tertiary child and adolescent mental health services and the association with standard measures of impairment and severity The Permanente Journal 22
Reid G. J. and Brown J. B. 2008 Money, case complexity, and wait lists: Perspectives on problems and solutions at children’s mental health centers in Ontario The Journal of Behavioral Health Services & Research 35 3 334 -346
Sanmartin C., Shortt S. E., Barer M. L., Sheps S., Lewis S., and McDonald P. W. 2000 Waiting for medical services in Canada: Lots of heat, but little light Canadian Medical Association Journal 162 9 1305 -1310
Shaffer D., Gould M. S., Brasic J., Ambrosini P., Fisher P., Bird H., and Aluwahlia S. 1983 A children’s global assessment scale (CGAS) Archives of General Psychiatry 40 11 1228 -1231
Smith D. H., Hadorn D. C., and Steering Committee of The Western Canada Waiting List Project 2002 Lining up for children’s mental health services: A tool for prioritizing waiting lists Journal of the American Academy of Child & Adolescent Psychiatry 41 4 367 -376
Tarico V. S., Low B. P., Trupin E., and Forsyth-Stephens A. 1989 Children’s mental health services: A parent perspective Community Mental Health Journal 25 4 313 -326
U.S. Public Health Service. (2000). Report of the Surgeon General’s Conference on Children’s Mental Health: A National Action Agenda. Department of Health and Human Services.
Williams M. E., Latta J., and Conversano P. 2008 Eliminating the wait for mental health services The Journal of Behavioral Health Services & Research 35 1 107 -114

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 40Number 1May 2021
Pages: 105 - 122

History

Version of record online: 20 May 2021

Key Words

  1. wait times
  2. children
  3. mental health
  4. triage
  5. guidelines

Mots-clés

  1. temps d’attente
  2. enfants
  3. santé mentale
  4. triage
  5. directives

Authors

Affiliations

Julie A. Eichstedt [email protected]
Children’s Hospital, London Health Sciences Centre
Devita Singh
Children’s Hospital, London Health Sciences Centre
Samantha Chen
Kerry A. Collins
Children’s Hospital, London Health Sciences Centre
David Cawthorpe

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

There are no citations for this item

View Options

View options

PDF

View PDF

Get Access

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Community Mental Health

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media