Exploring the ability of child and adolescent mental health services (CAMHS) to respond to new valuable knowledge: the influence of professionals and internal organisational processes

IF 1 Q4 PSYCHIATRY Mental Health Review Journal Pub Date : 2022-09-08 DOI:10.1108/mhrj-11-2021-0083
L. Efstathopoulou, P. Sanderson, H. Bungay
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Abstract

Purpose Health policies in England highlight the need for child and adolescent mental health services (CAMHS) to embed new knowledge in practice, yet evidence remains scarce about the services’ ability to learn from the external environment. This paper aims to present a critical analysis of the CAMHS’ ability to implement new knowledge through the lens of absorptive capacity, an organisation’s ability to identify, assimilate and use new valuable knowledge. Design/methodology/approach Sixteen semi-structured interviews were conducted with staff from the CAMHS department of a mental health organisation in England to explore the services’ absorptive capacity. Findings Professionals were identified having an impact on the main absorptive capacity components in the following ways: professional background and perceived reliability of knowledge sources appeared to affect knowledge identification; informal communication was found to facilitate knowledge assimilation and exploitation; trust was found to enable knowledge exploitation, particularly between senior management and frontline professionals. At an organisational level, team meetings and internal reporting were identified as enablers to knowledge assimilation and exploitation, while organisational hierarchy and patient data management systems were identified as barriers to knowledge assimilation. No organisational processes were found regarding knowledge identification, indicating an imbalanced investment in the main components of absorptive capacity. Practical implications Investing in these underpinning factors of absorptive capacity can assist CAMHS with capitalising on new knowledge that is valuable to service provision. Originality/value This study offers novel insights into the learning ability of CAMHS through the lens of absorptive capacity.
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探索儿童和青少年心理健康服务(CAMHS)对新的有价值知识的反应能力:专业人员和内部组织过程的影响
目的:英格兰的卫生政策强调儿童和青少年心理健康服务(CAMHS)需要将新知识融入实践,但关于这些服务从外部环境中学习的能力的证据仍然很少。本文旨在通过吸收能力对CAMHS实施新知识的能力进行批判性分析,吸收能力是一个组织识别、吸收和使用新的有价值知识的能力。设计/方法/方法与英国一家精神卫生组织CAMHS部门的工作人员进行了16次半结构化访谈,以探讨服务的吸收能力。研究发现:专业人员对吸收能力的主要成分有以下影响:专业背景和知识来源的感知可靠性似乎会影响知识识别;非正式交流有助于知识的吸收和利用;研究发现,信任有助于知识开发,尤其是在高级管理人员和一线专业人员之间。在组织层面,团队会议和内部报告被认为是知识吸收和利用的推动者,而组织层级和患者数据管理系统被认为是知识吸收的障碍。没有发现关于知识识别的组织过程,表明在吸收能力的主要组成部分的投资不平衡。对这些吸收能力的基础因素进行投资可以帮助CAMHS利用对服务提供有价值的新知识。原创性/价值本研究从吸收能力的角度对CAMHS的学习能力提供了新的见解。
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CiteScore
2.20
自引率
8.30%
发文量
32
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