Detailed contribution information
| Contribution title | Evaluating the Impact of the Maskey Report on CAMHS: Stakeholder Perspectives, Systemic Challenges, and Pathways to Reform |
|---|---|
| Contribution code | D2.172 |
| Authors | |
| Form of presentation | Poster |
| Topic |
|
| Abstract |
Introduction The Maskey Report reviewed South Kerry CAMHS, exposing critical failures in governance, supervision, and prescribing practices. It identified risks to 227 children and called for systemic reform. This study examines the report's quantitative and qualitative impacts on key stakeholders, including clinicians, allied health professionals (AHPs), caregivers, and general practitioners (GPs). Methods A mixed-methods approach was used, involving surveys and interviews with psychiatrists (n=102), AHPs (n=84), caregivers (n=236), and GPs (n=208). Quantitative data analysed changes in stress, motivation, prescribing practices, and perceptions, while qualitative data provided thematic insights. Results Quantitative data showed significant impacts: Clinicians: 61.8% improved adherence to prescribing guidelines; 43.1% were less likely to prescribe psychotropic medications (p < 0.001). Stress increased in 75% (p = 0.003), with workload inequity linked to reduced motivation (p = 0.004). AHPs: 66.7% reported higher workloads, and 71.4% experienced increased stress. While governance improved, 56% noted a decline in caregiver trust. Caregivers: Confidence in prescribing dropped from 85% to 42% (p < 0.001), with 39% unlikely to seek CAMHS support, reflecting reduced trust. GPs: 24% observed fewer CAMHS referrals, while 86% noted worsening public perceptions of CAMHS. Only 11.5% saw improved communication. Qualitative themes included demoralisation among staff, caregiver frustration over access barriers, and the need for neuroinclusive services. Positive outcomes included improved prescribing vigilance (57.8%) and governance (35.2%). Discussion The Maskey Report prompted reforms, including stricter prescribing oversight, yet heightened stress and prescribing hesitancy among professionals. Significant correlations between public perceptions, workloads, and motivation underscore the need for systemic support. Initiatives like the UCD Child and Adolescent Psychopharmacology Masterclass Series aim to address gaps in training and governance, fostering improvements in CAMHS. These findings offer actionable insights for policymakers to rebuild trust and strengthen mental health services. |