The SAPhE Pathway Study (Study 2)
Research type
Research Study
Full title
The ‘SAPhE Pathway’ Study: Understanding the feasibility of Implementing and Co-creating a prototype digital risk mitigation pathway for Children and Young People (CYP) admitted with mental health crisis to acute paediatric NHS care
IRAS ID
316340
Contact name
Joseph Manning
Contact email
Sponsor organisation
Nottingham University Hospitals NHS Trust, Research and Innovation Department
Duration of Study in the UK
0 years, 6 months, 31 days
Research summary
Summary of Research:
This study has two aims; 1) to understand the feasibility of implementing a novel digital risk mitigation pathway, 2) to co-create with key stakeholders a prototype digital risk mitigation pathway for CYP in mental health crisis admitted to acute paediatric NHS care across three different hospital settings.We will achieve this aim by conducting a mixed methods study, intervention development study comprised of two parts. Part 1 involves two Work Packages (WPs 1 and 2) in each of the three different hospital settings selected in the East Midlands and Northwest. Part 2 has one WP (WP3).
For part 1: Health Care Professionals (HCPs) and digital experts will be recruited to understand the organisational digital readiness. In WP1, aiming to recruit 1 participant from each site (n=3) to complete a survey, while for WP2 aiming to recruit 10 participants from each site (n=30) in focus groups/ interviews.
For part 2: In WP3 will aim to recruit a maximum of 20 participants from stakeholder’s groups of HCPs, clinicians, strategic leaders and academics as well as CYP from each hospital site to co-create a risk mitigation prototype pathway through workshops.
After finishing all work packages, we will be able to develop through Experience Based Co-Design (EBCD) a prototype digital risk mitigation pathway, and how to implement it for CYP admitted to acute paediatric NHS care in mental health crisis across different NHS settings including those currently with a high unmet mental health burden.
Total study period: June 2022 – December 2022.
Summary of Results:
Background Across England, Children and Young People (CYP) who are admitted in the hospital with mental health problems.
They are mainly cared by non-mental health specialists who may lack experience in caring for this group. This can affect CYP’s safety and experiences. A tool/pathway is needed to recognise, respond and reduce risk for CYP admitted to NHS care (Emergency departments and children’s wards) in mental health crisis.A valid and reliable tool called the CYP-MH SAPhE© has already been created to assess suicidality and self-harm risk in CYP for use in Emergency departments and children’s ward areas. This was used as the basis for this risk mitigation pathway/tool.
Aim
To develop a risk mitigation tool for use with CYP in mental health crisis admitted to the hospital.
Methods and Findings:
After gathering evidence from published literature we worked through three different stages of our project, in partnership with CYP, HCPs and other experts. We used interviews and online workshops to understand how to further develop and implement, a digital reducing risk pathway for CYP admitted to hospital in mental health crisis.
Barriers and enablers in using a risk mitigation tool were explored across three different hospitals. CYP and HCPs suggested and further rated the different mitigation strategies. At a final workshop we asked about reality issues of creating and using the new technology.
We found
Many obstacles were found that need to be resolved before using this new technology. A blueprint for a digital risk mitigation pathway was created which we believe can be implemented in different NHS organisations.
Disseminations and future plans:
The findings will be shared with CYP and families in national organisations through a project summary, conference presentations, publications and funder’s report. Future research is needed to test how effective this technology is.REC name
South Central - Hampshire A Research Ethics Committee
REC reference
22/SC/0237
Date of REC Opinion
4 Aug 2022
REC opinion
Further Information Favourable Opinion