Figure 1
A flow diagram of the processes associated with the Safeguards Teams.
* Notes: ED- Emergency Department; LHD- Local Health District; MDT Mtg- Multidisciplinary Team Meeting; MHT- Mental Health Team; MHAL- Mental Health Access Line; YP- Young Person.
Table 1
Primary and secondary outcomes.
| OUTCOME | OUTCOME DOMAIN | PRIMARY SOURCE | SECONDARY SOURCE |
|---|---|---|---|
| Primary | To compare the overall utilization of ED, acute adolescent inpatient and community CAMHS and other acute care services pre and post implementation of the safeguard program. | Cohort study questionnaires and EMR data for the participants of the STP program and EMR data from another CAMHS service site where CYP presenting in acute crisis received ‘care as usual’ | EMR data |
| Engagement with services | EMR data for STP program and for ‘care as usual’ group | Focus groups/interviews with CYP, parents and service providers; ethnographic observations/reflections | |
| Secondary | Mental health outcomes | Cohort study questionnaires EMR data | Focus groups/interviews with consumers, service providers and stakeholders |
| School attendance/social participation | |||
| Parenting and relationship | |||
| Service satisfaction |
Table 2
Schedule of quantitative data collection assessments at time points 1, 2 and 3.
| Pediatric Symptom Checklist—Youth Report (Y-PSC) [9] (for CYP: 12–17 years) [10] Pictorial version (6–11 years) [11] Pediatric Symptom Checklist – Parent report [10] |
| Your Experience of Service (YES) [12] Carer Experience Survey (CES) [13] Kessler Psychological Distress Scale (K10) [14, 15] |
| Clinician | Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) [16] Children’s Global Assessment Scale (CGAS) [17] The Clinical Global Impression – Improvement and severity scale (CGI-I & CGI-S) [18] |
Table 3
Schedule of qualitative data collection assessments collected at time points 1, 2 and 3.
| COHORT | MEASUREMENT NAME |
|---|---|
| Qualitative in-depth interviews |
| Focus groups |
| Ethnographic study – observations and self-reflections |
Table 4
Implementation evaluation metrics.
| MEASURE | QUESTIONS ADDRESSED BY EACH IMPLEMENTATION MEASURE |
|---|---|
| Acceptability | Do all stakeholders including consumers, caregivers/families, and service providers, perceive the STP as acceptable? |
| Adoption | To what extent do consumers and service providers utilise/find it easy to use the STP? |
| Appropriateness | Do stakeholders perceive the STP as relevant and useful? |
| Fidelity | Is the STP applied as intended? Are all components delivered as planned? |
| Coverage | Are all eligible service users reached? |
| Cost | How much does it cost to successfully implement the STP? |
| Sustainability | What are the factors that will allow STP to be scaled-up and sustained in the long term? |