Billions are spent on child mental health services without knowing if they work in the long term

By Ian Kelleher, Professor of Child and Adolescent Psychiatry, University of Edinburgh

Modern medicine increasingly judges itself by long-term outcomes. In cancer care, we routinely compare treatments according to whether patients survive longer. In cardiology, we ask whether interventions prevent future heart attacks and extend life. This long-term data allows healthcare to continually improve.

Child and adolescent mental health services are different. Long-term outcomes have received little attention. Success, instead, is largely judged using measures such as waiting times, access targets and…

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