Although child mental health problems are among the most important worldwide issues, development of culturally acceptable mental health services to serve the clinical needs of children and their families is especially lacking in regions outside Europe and North America.
Outcomes from this study will also inform future research investigating health service needs and clinical needs for comparable populations.
In the utilization stage (attrition or continuation), caregivers made the decision to continue service based on their clinical needs and technology aptitude.
(ID7, commissioner) The above quotation links to an earlier theme which explored the risks of commissioning for patient access and the complexities associated with locating new NHS dental services to meet patients' clinical needs.
So as well as celebrating its many achievements, in our landmark year we must also reaffirm our commitment to a taxpayer-funded service, based on clinical need and not the ability to pay.
It's comprehensive, it's national, it's free at the point of use and it's not based on ability to pay, so if you want to ramp up rationing then you call into question the extent to which it's still a comprehensive service based on clinical need.
This is because risk ratios do not adjust for variability in individual children's clinical needs for services.
Stephanie Bell, public affairs manager for Whizz-Kidz, says: "NHS services are historically structured around clinical needs of the child, which has meant they have been given heavy equipment that hasn't enabled them to do much independently as they have had to be pushed".
Our study highlights the existence of parallel subgroups among PSMD related to their socio-demographic status, clinical needs and service-use profiles, which could be used to focus more appropriate interventions.
However, in terms of frontline services, none of them address how clinical needs will be prioritised at a time of spending cuts when simultaneously we hear promises which increase patients' expectations.
Differences in the use of health services may reflect differences in health and clinical needs, but they may also reflect differences in access to these services.
