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

国民保健制度儿童和青少年心理健康服务（CAMHS）目前在提供心理治疗方面面临重大挑战，这些治疗(i)远程提供时有效，（ii）可以有效提供，以管理随着社会距离措施放松而预期增加的转诊。焦虑问题是转介到CAMHS的常见原因，在COVID-19的背景下，已有焦虑问题的儿童特别容易受到伤害，人们担心随着学校重新开放，儿童焦虑可能会增加。我们与儿童、家长和NHS临床医生合作，开发了一个在线项目（OSI），焦虑症儿童的父母/照顾者可以在CAMHS临床医生的远程支持下完成该项目。我们现在将测试OSI是否有效，以及CAMHS目前为帮助有焦虑问题的儿童提供的服务（在社会距离措施到位和COVID-19后恢复阶段），以及OSI是否为家庭和CAMHS带来更广泛的利益。我们还将介绍2019冠状病毒病背景下家长和临床医生在CAMHS中进行数字治疗的经验。这项研究有可能在CAMHS的数字化治疗提供方面实现跨步变革，为2019冠状病毒病及其他方面带来益处。

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.