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Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: A critical analysis of Child and Adolescent Mental Health Services policy in England
Author(s): Callaghan, Jane
Fellin, Lisa C
Warner-Gale, Fiona
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Keywords: Child and adolescent mental health
health inequalities
parity of esteem
discourse analysis
CAMHS policy
Issue Date: 1-Jan-2017
Date Deposited: 5-Nov-2017
Citation: Callaghan J, Fellin LC & Warner-Gale F (2017) A critical analysis of Child and Adolescent Mental Health Services policy in England. Clinical Child Psychology and Psychiatry, 22 (1), pp. 109-127.
Abstract: Policy on Child and Adolescent Mental Health Services (CAMHS) 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 socio-economic 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 of CAMHS policies for the relationship between children, families, mental health services and the state. The article concludes by exploring how concepts of ‘parity of esteem’ and ‘stigma reduction’ may inadvertently exacerbate the individualisation of children’s mental health.
DOI Link: 10.1177/1359104516640318
Rights: Publisher policy allows this work to be made available in this repository. Published in Clinical Child Psychology and Psychiatry, Volume: 22 issue: 1, page(s): 109-127 by SAGE. The original publication is available at:

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