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Developing a prototype digital risk mitigation pathway for children and young people admitted to acute paediatric NHS care in mental health crisis: Protocol of the Safety Assessment in Paediatric healthcare Environments (SAPhE) pathway study

Manning, Joseph C.; Marufu, Takawira C.; Carter, Tim; Bolton, Sarah; Breedon, Philip; Craven, Michael; Frost, Kate; Harbottle, Anthony; Hendron, Elizabeth; Patel, Julian; Rad, Laura; White, Peter; Wood, Damian; Albelbisi, Zaki; Kaltsa, Aikaterina; Stevenson, Callum; Landa, Pavan; Coad, Jane; APhE Pathway Study Investigators, APhE Pathway Study Investigators

Developing a prototype digital risk mitigation pathway for children and young people admitted to acute paediatric NHS care in mental health crisis: Protocol of the Safety Assessment in Paediatric healthcare Environments (SAPhE) pathway study Thumbnail


Authors

Joseph C. Manning

Takawira C. Marufu

Sarah Bolton

Philip Breedon

Kate Frost

Anthony Harbottle

Elizabeth Hendron

Julian Patel

Laura Rad

Peter White

Damian Wood

Zaki Albelbisi

Aikaterina Kaltsa

Callum Stevenson

Pavan Landa

JANE COAD Jane.Coad@nottingham.ac.uk
Professor of Children and Family Nursing

APhE Pathway Study Investigators APhE Pathway Study Investigators



Abstract

Background: Globally, there are increasing numbers of Children and young people (CYPs) experiencing a mental health crisis requiring admission to acute paediatric inpatient care. These CYPs can often experience fluctuating emotional states accompanied by urges to self-harm or attempt to end their life, leading to reduced safety and poorer experiences. Currently, in the UK National Health Service (NHS) there are no standardised, evidence-based interventions in acute paediatric care to mitigate or minimise immediate risk of self-harm and suicide in CYP admitted with mental health crisis. Objective: To outline the protocol for the SAPhE Pathway study which aims to: 1) identify and prioritise risk mitigation strategies to include in the digital prototype, 2) understand the feasibility of implementing a novel digital risk mitigation pathway in differing NHS contexts, and 3) co-create a prototype digital risk mitigation pathway. Methods: This is a multi-centre study uses a mixed-methods design. A systematic review and exploratory methods (interviews, surveys, and focus groups) will be used to identify the content and feasibility of implementing a digital risk mitigation pathway. Participants will include healthcare professionals, digital experts and CYP with experience of mental health conditions. Data will be collected between January 2022 and March 2023 and analysed using content and thematic analysis, case study, cross-case analysis for qualitative data and descriptive statistics for quantitative data. Findings will inform the experience-based co-design workshops. Ethics and Dissemination: The study received full ethical approval from NHS REC [Ref: 22/SC/0237 and 22/WM/0167]. Findings will be made available to all stakeholders using multiple approaches.

Citation

Manning, J. C., Marufu, T. C., Carter, T., Bolton, S., Breedon, P., Craven, M., …APhE Pathway Study Investigators, A. P. S. I. (2023). Developing a prototype digital risk mitigation pathway for children and young people admitted to acute paediatric NHS care in mental health crisis: Protocol of the Safety Assessment in Paediatric healthcare Environments (SAPhE) pathway study. Digital Health, 9, https://doi.org/10.1177/20552076231205753

Journal Article Type Article
Acceptance Date Sep 18, 2023
Online Publication Date Oct 12, 2023
Publication Date Oct 12, 2023
Deposit Date Oct 14, 2023
Publicly Available Date Oct 16, 2023
Journal Digital Health
Electronic ISSN 2055-2076
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 9
DOI https://doi.org/10.1177/20552076231205753
Keywords Risk mitigation, patient safety, mixed-methods, mental health crisis, self-harm, pathways, children and young people, suicide
Public URL https://nottingham-repository.worktribe.com/output/25956760
Publisher URL https://journals.sagepub.com/doi/10.1177/20552076231205753

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Developing a prototype digital risk mitigation pathway for children and young people admitted to acute paediatric NHS care in mental health crisis: Protocol of the Safety Assessment in Paediatric healthcare Environments (SAPhE) pathway study (1.1 Mb)
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Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/





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