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Multi-Agency Working
CHILDREN & SOCIETY VOLUME 23, (2009) pp. 336–346 DOI:10.1111/j.1099-0860.2009.00241.x

Outcome Research and Interagency Work with Children: What Does it Tell us About What the CAMHS Contribution Should Look Like?
Anne Worrall-Davies* Leeds Institute of Health Sciences, School Of Medicine, University of Leeds, Leeds, UK David Cottrell School of Medicine, University of Leeds, Leeds, UK

Child and adolescent mental health (CAMH) services in the UK have a long history of multiagency working. In this article, we explore the difficulties in agreeing an evidence-base for interagency work, and describe some of the challenges this poses for practitioners and service planners. We use current literature to outline the barriers and facilitators to good multi-agency practice and explore the outcomes of integrated professional work with children and young people, the development of ‘comprehensive CAMHS’ positions, and CAMH work as an exemplar of a multiagency service. Ó 2009 The Author(s). Journal compilation Ó 2009 National Children’s Bureau.

Introduction
In this article, we aim to define and explore the meaning of evidence-based practice, examine the difficulties inherent in agreeing an evidence base for interagency work, and describe some of the challenges this evidence base poses for individual practitioners when deciding on interventions for individual young people and for service planners responsible for configuring multi-agency services. We will use the current literature to demonstrate what factors and aspects of multi-agency work act as barriers or facilitators to such good practice and explore the outcomes of integrated professional work with children and young people. Many countries have seen an increased emphasis on integrated work with children and young people, sometimes referred to as ‘joined-up’ working. Indeed, this is now embedded within the culture of working practices and legislation, although its practical exposition is perhaps more patchy. Alongside



References: Ó 2009 The Author(s) Journal compilation Ó 2009 National Children’s Bureau CHILDREN & SOCIETY Vol. 23, 336–346 (2009) 346

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