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You pays your money and you takes your choice

Helping purchasers to commission an appropriate child and adolescent mental health service

Family Counselling Service, Health Centre, High Street, Winsford, CW7 2AS

Stephen Littlewood, Consultant Child and Adolescent Psychiatrist

Family and Child Therapy Service, Clinic Centre, Stanney Lane, Ellesmere Port, South Wirral, L65 9AE

Correspondence: ^* Correspondence

Health services are now commissioned at a local rather than a regional level. It is essential for local consultants to have an input to the planning and commissioning process. For the child and adolescent psychiatrist this task is complicated by an absence of nationally agreed guidelines on the level of resourcing required for a district child and adolescent mental health service. This paper describes an approach to advising purchasers which offers them a choice of service models that differ in their levels of resourcing. Each of the service models is described briefly. The advantages and flexibility of this approach are discussed.

This article has been cited by other articles:

				S. Littlewood, P. Case, R. Gater, and C. Lindsey Recruitment, retention, satisfaction and stress in child and adolescent psychiatrists Psychiatr. Bull., February 1, 2003; 27(2): 61 - 67. [Abstract] [Full Text] [PDF]