Multi-agency working: Challenges in getting it right

Abstract

Aims and method: Multidisciplinary approaches to complex cases referred to child and adolescent mental health services (CAMHS) are both mandated and necessary. However, multidisciplinary Working is time-consuming and resource-intensive, especially where processes are not functioning optimally. We describe a completed audit cycle: auditing the consultation and liaison service within a community CAMHS, introducing service modifications and repeating the audit 6 months later. Results: During the first audit over 80% of data were lost; in the re-audit only 30% were lost. Audit results were successfully used to stimulate, design and implement change, with service improvement. Clinical implications: Auditing the process of interdisciplinary consultations is challenging, but possible. Where staff seek service improvement, audit can result in positive change without alienating staff.