Consumer satisfaction with the Child and Adolescent Mental Health Service and its association with treatment outcome: a 3-4-year follow-up study.

BACKGROUND: Consumer satisfaction studies with the Child and Adolescent Mental Health Service (CAMHS) have mainly assessed evaluations in a short-term follow-up perspective. Adolescent reports with CAMHS have not been included nationally. AIMS: The purposes of this study were to explore adolescent and parental satisfaction with the CAMHS in a 3-4-year follow-up perspective, and to examine the relationships between reported consumer satisfaction and clinical parameters such as reason for adolescent referral, emotional/behavioral symptoms and treatment outcome. METHODS: Of 190 adolescent-parent pairs in a sample of CAMHS outpatients, 120 completed a Consumer Satisfaction Questionnaire. Parents assessed adolescent emotional/behavior problems both at baseline and at follow-up by completing the Child Behavior Checklist (CBCL). Correlations were examined between adolescent and parental evaluations. The relationships between service satisfaction and symptom load at baseline and follow-up and treatment outcome at follow-up were explored. RESULTS: Overall, adolescents and parents were satisfied with the services received from the CAMHS. The correlations between adolescent and parent consumer satisfaction ratings were low to moderate. Consumer satisfaction was significantly and negatively correlated with symptom load on the CBCL Total Problems scores at baseline, but not at follow-up. There was no difference in satisfaction levels between those who improved after treatment and those who did not. CONCLUSIONS: Given the differences in informant ratings of consumer satisfaction, it is important to include both adolescent and parental perceptions in evaluations of CAMHS services and treatment outcomes. Consumer satisfaction should serve as a supplement to established standardized outcome measures.

The effect of copper-treated net pens on farmed salmon (Salmo salar) and other marine organisms and sediments.

Samples of Atlantic salmon (Salmo salar), saithe (Pollacius virens), blue mussel (Mytilus edulis), brown seaweed (Ascophyllum nodosum) and sediment were collected from six different fish farms. Five of the farms used net pens treated with copper-containing coatings, whereas one farm did not use copper-containing coating (this was used as a reference location). Samples of muscle, liver and gills of Atlantic salmon and saithe, blue mussel and brown seaweed were freeze dried, homogenised, wet digested and analysed for copper by flame atomic absorption spectrometry. The results showed no significant differences in copper concentrations among the samples from the different locations. The copper contents of some of the samples appeared to be in the upper part of the normal concentration range. From a nutritional point of view, the use of copper-coatings on net pens did not affect the quality of the seafood products either within, or around the net pen.