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Title: Developing a model of consultees' understanding of mental health consultation in a school setting
Author: Gardner-Elahi, Catherine
ISNI:       0000 0004 2711 2424
Awarding Body: University of East London
Current Institution: University of East London
Date of Award: 2011
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Recent development of comprehensive Child and Adolescent Mental Health Services (CAMHS) has seen the growth of Tier 2 mental health consultation in school settings. Little of the literature considers consultees' perspectives on this, nor presents systematic studies of interpersonal process in consultation. Using interviews with consultees and a constructivist grounded theory methodology, I explored parent and school staff consultees' understanding of their experience of mental health consultation in a school setting. Consultees talked about the school, service, consultee and consultant conditions that created the context for consultation. They described the process they experienced through the consultative relationship overtime, and within consultation meetings; this included their experience of being supported, learning new strategies and changing their thinking through sharing perspectives and becoming more reflective. Finally, they talked about the outcomes of consultation for consultants, consultees, the school and the referral process to Tier 3 CAMHS. Consultees' descriptions of support and change connected to psychodynamic understandings of containment and systemic theories of conceptual change. Consultation service models should be designed in a way that supports these processes. Consultees' description of a disparity in consultees' and consultants' expectations of use of the expert stance in consultation suggests that more research is needed to explore the value of this stance. Consultees' understanding of the changes in the referral process suggested that consultation may bring referrers and CAMHS workers closer together in their construction of the referral process, thereby streamlining the referral process. This raised questions about how consultation affects referral rates, and whether it holds potential for improving access for hard-toreach clients. Finally, the extension from consultation about cases to consultation about organisational level processes suggests that training about consultancy and psychological processes at the organisational level may be useful.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psych.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available