Mental Health Delphi Study
The Kids are not ok: A Delphi study to identify consensus research priorities and core outcome sets in paediatric emergency department mental health presentations.
Recently there has been an alarming increase in Emergency Department (ED) mental health presentations (self-harm, depression, and behavioural disorders) by children and adolescents. For young people, EDs are increasingly an initial or recurrent point of contact with the mental health system. They provide an opportunity to address acute risk and provide early intervention. Despite this mental health crisis, currently very little is known about the patterns, triggers, healthcare costs, and outcomes for these vulnerable patients.
To address these issues related to paediatric ED mental health presentations, we are conducting the “Kids are not Okay” program of research. The Mental Health Delphi study is a project within the program of research. The aim of the Delphi project is to come up with an agreed set of research priorities, and an understanding of what is most important to measure in future research studies involving children and adolescents attending ED with mental health presentations.
A multi-site study using the Delphi method will be undertaken in Australasia. The Delphi method is a tool to identify a consensus set of opinions from a group of experts with knowledge on the subject of interest. This consensus is reached via a series of survey questionnaires administered over three rounds for this study to seek the opinions of the participants – consumers (young people, their parents and guardians) and of those providing care (emergency department staff, acute psychiatry staff, ambulance paramedics, hospital security and community mental health workers). Each round will be reviewed and interpreted by a Steering group consisting of medical, mental health and research experts. An advisory group consisting of police, paramedics, community-based mental health organisations, young people and carers, will provide input and advice to the Steering group.
Australasia, multicentre, non-interventional, Delphi Study.
Simon Craig (Monash Health), Franz Babl (MCRI), Meredith Borland (Perth Children’s Hospital), Vicki Anderson (MCRI), Rohan Borschmann (MCRI), Kylie Gray (Warwick University), Michael Gordon (Monash University), Glenn Melvin (Deakin), Harriet Hiscock (MCRI), Katherine Lee (MCRI), Frank Muscara (MCRI), Bruce Tonge (Monash University), Amit Kochar (Women’s and Children’s Hospital), Richard Haslam (MCRI), Emma Tavender (MCRI).
2019 – 2021
NHMRC Medical Research Future Fund Million Minds Mission.
- Children’s Hospital at Westmead, NSW, Australia
- Royal North Shore Hospital, NSW, Australia
- Tamworth Rural Referral Hospital, NSW, Australia
- Gold Coast University Hospital, QLD, Australia
- Robina Hospital, QLD, Australia
- The Prince Charles Hospital, QLD, Australia
- Queensland Children’s Hospital, QLD, Australia
- Logan Hospital, QLD, Australia
- Women’s and Children’s Hospital, North Adelaide, SA, Australia
- Austin Health, VIC, Australia
- Royal Children’s Hospital, VIC, Australia
- Monash Medical Centre, VIC, Australia
- Casey Hospital, VIC, Australia
- Barwon Health University Hospital, VIC, Australia
- Angliss Hospital, VIC, Australia
- Box Hill Hospital, VIC, Australia
- Maroondah Hospital, VIC, Australia
- Sunshine Hospital, VIC, Australia
- The Northern Hospital, VIC, Australia
- Frankston Hospital, VIC, Australia
- Warrnambool Hospital, VIC, Australia
- Ballarat Hospital, VIC, Australia
- Perth Children’s Hospital, WA, Australia
- Albany Hospital, WA, Australia
- Royal Hobart Hospital, TAS, Australia
- Tauranga Hospital, Tauranga, New Zealand
- Starship Children’s Hospital, Auckland, New Zealand
Approximately 10-15 participants per site, with a total estimate of 200 children and young adults aged <18 years. Participants will also include the children/young adult’s guardians and those providing care (ED staff, acute psychiatry and paediatric staff, ambulance paramedics, police, hospital security, and community mental health workers).