Enabling Child and Adolescent Mental Health Services (CAMHS) to provide efficient remote treatment for child anxiety problems in the COVID-19 context

NHS儿童和青少年心理健康服务（CAMHS）目前面临着提供心理治疗的重大挑战，这些心理治疗（i）在远程交付时有效，（ii）可以有效地提供，以管理随着社交距离措施放松而预期增加的转诊。焦虑问题是转诊到CAMHS的常见原因，先前存在焦虑问题的儿童在COVID-19的背景下特别脆弱，我们与儿童、家长和NHS临床医生合作开发了一个在线程序（OSI），患有焦虑症的儿童的家长/照顾者在CAMHS临床医生的远程支持下进行工作。我们现在将测试OSI是否有效，以及CAMHS目前提供的帮助有焦虑问题的儿童（在社交距离措施到位和处于COVID-19后恢复阶段的情况下），以及OSI是否为家庭和CAMHS带来更广泛的好处。我们还将提供在COVID-19背景下家长和临床医生对CAMHS数字治疗的经验的了解。这项研究有可能在CAMHS的数字治疗提供中创造一个步骤的变化，在COVID-19背景下带来好处。

NHS Child and Adolescent Mental Health Services (CAMHS) currently face major challenges in providing psychological treatments that (i) work when delivered remotely, and (ii) can be delivered efficiently to manage an anticipated increase in referrals as social distancing measures are relaxed.Anxiety problems are a common reason for referral to CAMHS, children with pre-existing anxiety problems are particulary vulnerable in the context of COVID-19, and there are concerns about likely increases in childhood anxiety as schools reopen.We worked with children, parents and NHS clinicians to develop an online program (OSI) that parents/carers of children with anxiety disorders work through with remote support from a CAMHS clinician. We will now test whether OSI works as well as what CAMHS are currently offering to help children with anxiety problems (while social distancing measures are in place and in the post COVID-19 recovery phase), and whether OSI brings wider benefits to families and CAMHS. We will also provide an understanding of parents' and clinicians' experiences of digital treatments in CAMHS in the context of COVID-19.This research has the potential to create a step change in the digital delivery of treatments in CAMHS, bringing benefits in the COVID-19 context and beyond.