What Nursing Skills Are We Using with Children and Young People Who Experience Mental Health Difficulties?

  • Laurence BaldwinEmail author


In this chapter, Laurence Baldwin traces the history of nursing in the field of Child and Adolescent Mental Health, as it evolved from an inpatient basis in early child psychiatry units, to become part of the multidisciplinary team. The evolution of this role means it lacks definition, and the move within mental health workforce policy toward a more generic style of worker is seen as a threat to the place of nurses within community teams. The difficulty of articulating what the role is, and what skills nurses bring to helping children and young people with mental health difficulties is examined and some ideas are explored for what are the strengths of CAMH nursing. These strengths and the underlying ways in which nurses think, what they prioritise, and how they enact the therapeutic relationship are seen as being a natural match with what young people say they want from clinicians in CAMHS.


  1. Adams D (1982) Life the universe, and everything. Pan Books, LondonGoogle Scholar
  2. Allan HT (2002) Nursing the clinic, being there and hovering: ways of caring in a British fertility clinic. J Adv Nurs 38(1):86–93CrossRefGoogle Scholar
  3. Appleton C (1993) The art of nursing: the experience of nurses and patients. J Adv Nurs 18:892–899CrossRefGoogle Scholar
  4. Baldwin L (2002) The nursing role in out-patient child and adolescent mental health services. J Clin Nurs 11:520–525CrossRefGoogle Scholar
  5. Baldwin L (2005) Multi-disciplinary post-registered education in child and adolescent mental health services. Nurse Educ Today 25:17–22CrossRefGoogle Scholar
  6. Baldwin L (2008) The discourse of professional identity in child and adolescent mental health services. University of Nottingham, E-theses. Accessed 19 Apr 2019
  7. Barker P, Reynolds W, Ward T (1995) The proper focus of nursing: a critique of the “caring” ideology. Int J Nurs Stud 32(4):386–397CrossRefGoogle Scholar
  8. Barker P, Jackson S, Stevenson C (1999) The need for psychiatric nursing: towards a multidimensional theory of caring. Nurs Inq 6:103–111CrossRefGoogle Scholar
  9. Bhoyrub JB, Morton HG (1983) Psychiatric problems in childhood. A guide for nurses. Pitman, LondonGoogle Scholar
  10. BMJ (2016) A career in child and adolescent psychiatry. Accessed 19 Apr 2019
  11. Case M (2019) How to treat people: a nurse at work. Viking/Penguin Books, LondonGoogle Scholar
  12. Castledine G (1995) Will the nurse practitioner be a mini doctor or a maxi nurse? Br J Nurs 4(16):938–939CrossRefGoogle Scholar
  13. Crawford P, Nolan P, Brown B (1998) Ministering to madness: the narratives of people who have left religious orders to work in the caring professions. J Adv Nurs 28(1):212–220CrossRefGoogle Scholar
  14. Croom S (2001) Making a difference to child and adolescent mental health: the nursing contribution. Department of Health, London. (Unpublished)Google Scholar
  15. Davies J, Cresswell A, Hannigan B (2002) Child and adolescent mental health services: rhetoric and reality. Paediatr Nurs 14(3):26–28CrossRefGoogle Scholar
  16. Delaney K (1992) Nursing in child psychiatric milieus: part 1. What nurses do. J Child Adolesc Psychiatr Ment Health Nurs 5(1):10–14CrossRefGoogle Scholar
  17. DH (1994) Working in partnership: a collaborative approach to care. Department of Health, LondonGoogle Scholar
  18. DH (2004) National Service Framework for children, young people and maternity services: change for children-every child matters. Department of Health/Department for Education and Skills, LondonGoogle Scholar
  19. DH (2005) Chief Nursing Officer’s review of mental health nursing: consultation document. Department of Health, LondonGoogle Scholar
  20. DH (2006) From values to action: the Chief Nursing Officer’s review of mental health nursing. Department of Health, LondonGoogle Scholar
  21. Dhogra N, Parkin A, Frake C, Gale F (2001) A multidisciplinary handbook of child and adolescent mental health for front-line professionals. Jessica Kingsley Publishers Ltd., LondonGoogle Scholar
  22. Duffy D, Lee R (1998) Mental health nursing today: ideal and reality. Ment Health Pract 1(8):14–16CrossRefGoogle Scholar
  23. Faulconbridge J, Hunt K, Laffan A (2018) Improving the psychological wellbeing of children and young people: effective prevention and early intervention across health, education and social care. Jessica Kingsley Publishers, LondonGoogle Scholar
  24. FitzGibbon S, Holyoake D (2002) Discussing child and adolescent mental health nursing. APS Publishing, SalisburyGoogle Scholar
  25. Geanellos R (1999) The milieu and milieu therapy in adolescent mental health nursing. Int J Psychiatr Nurs Res 5(3):638–648Google Scholar
  26. Gilbert P (2005) Compassion: conceptualisations, research and use in psychotherapy. Routledge, LondonGoogle Scholar
  27. Gournay K (1995) What to do with nursing models. J Psychiatr Ment Health Nurs 2:325–327CrossRefGoogle Scholar
  28. Graham IW (2001) Seeking a clarification of meaning: a phenomenological interpretation of the craft of mental health nursing. J Psychiatr Ment Health Nurs 8:335–345CrossRefGoogle Scholar
  29. Haldane JD (1963) The functions, selection and training of the nurse in a residential psychiatric unit for children. J Nurs Stud 1:27–36CrossRefGoogle Scholar
  30. Haldane JD, Lindsay SF, Smith JD (1971) Nursing in child, adolescent and family psychiatry. Int J Nurs Stud 8:91–102CrossRefGoogle Scholar
  31. Hogarth C (1991) Adolescent psychiatric nursing. Mosby Year Book, St. LouisGoogle Scholar
  32. Horrocks P (1986) Bridges over troubled waters: a report from the NHS Advisory Service on Services for Disturbed Adolescents. The NHS Health Advisory Service, LondonGoogle Scholar
  33. Lacey I (1999) The role of the child primary mental health worker. J Adv Nurs 30(1):220–228CrossRefGoogle Scholar
  34. Leddy S, Pepper JM (1993) Conceptual bases of nursing, 3rd edn. J.B. Lippincott, PhiladelphiaGoogle Scholar
  35. Leighton S, Smith C, Minns K, Crawford P (2001) Specialist child and adolescent: a force to be reckoned with? Ment Health Pract 5(2):8–13CrossRefGoogle Scholar
  36. Limerick M, Baldwin L (2000) Nursing in outpatient child and adolescent mental health. Nurs Stand 15(13–15):43–45CrossRefGoogle Scholar
  37. McDougall T (2005) Child and adolescent mental health services in the UK: nurse consultants. J Child Adolesc Psychiatr Nurs 18(2):79–83CrossRefGoogle Scholar
  38. McDougall T (2006) Child and adolescent mental health nursing. Blackwell, OxfordGoogle Scholar
  39. McDougall T, Armstrong M, Trainor G (2010) Helping children and young people who self-harm: an introduction to self-harming and suicidal behaviours for health professionals. Routledge, LondonCrossRefGoogle Scholar
  40. McMorrow R (1990) The new clinicians. Sr Nurse 10(3):22–23Google Scholar
  41. Mental Health Foundation (1999) Bright futures: promoting children and young people’s mental health. Mental Health Foundation, LondonGoogle Scholar
  42. Nightingale F (1859) Notes on nursing: what it is, and what it is not. Harrison, LondonGoogle Scholar
  43. Nolan P (1993) A history of mental health nursing. Chapman and Hall, LondonGoogle Scholar
  44. Onyett S, Pillinger T, Muijen M (1995) Making community health teams work. The Sainsbury Centre for Mental Health, LondonGoogle Scholar
  45. Peplau HE (1982) Interpersonal techniques: the crux of psychiatric nursing. In: Smoyak S, Rouslin S (eds) A collection of classics in psychiatric nursing literature. Charles B. Slack Inc., New JerseyGoogle Scholar
  46. Pierson J (2011) Understanding social work: history and context. Open University Press, Milton KeynesGoogle Scholar
  47. Pilgrim D, Rogers A (1994) Service users’ views of psychiatric nurses. Br J Nurs 3(1):16–18CrossRefGoogle Scholar
  48. Price J, McAlinden O (2017) Essentials of nursing children and young people. Sage Publications, LondonGoogle Scholar
  49. Puskar K, Lamb J, Martsolf DS (1990) The role of the psychiatric/mental health nurse clinical specialist in an Adolescent Coping Skills Group. J Child Adolesc Psychiatr Nurs 3(2):47–51CrossRefGoogle Scholar
  50. RCOT (2019) What is occupational therapy? Royal College of Occupational Therapists. Accessed 19 Apr 2019
  51. Repper J (2000) Adjusting the focus of mental health nursing: incorporating service users’ experience of recovery. J Ment Health 9(6):575–587CrossRefGoogle Scholar
  52. Rutter M (1986) Child psychiatry: looking 30 years ahead. Child Psychol Psychiatry 27(6):803–841CrossRefGoogle Scholar
  53. Ryan N, McDougall T (2008) Nursing children and young people with ADHD. Routledge, LondonGoogle Scholar
  54. Sainsbury Centre (1997) Pulling together: the future roles and training of mental health staff. The Sainsbury Centre for Mental Health, LondonGoogle Scholar
  55. Sainsbury Centre (2001) The capable practitioner. The Sainsbury Centre for Mental Health, LondonGoogle Scholar
  56. Scharer K (1999) Nurse-parent relationship building in a child psychiatric unit. J Child Adolesc Psychiatr Nurs 12(4):153–167CrossRefGoogle Scholar
  57. Stickley T, Spandler H (2014) Compassion and mental health nursing. In: Stickley T, Wright N (eds) Theories for mental health nursing: a guide for practice. Sage Publications, LondonGoogle Scholar
  58. Tilley S (1999) Altschul’s legacy in mediating British and American psychiatric nursing discourses: common sense and the ‘absence’ of the accountable practitioner. J Psychiatr Ment Health Nurs 6:283–295CrossRefGoogle Scholar
  59. Townley M (2002) Mental health needs of children. Nurs Stand 16(30):38–46CrossRefGoogle Scholar
  60. Walker L, Jackson S, Barker P (1998) Perceptions of the psychiatric nurse’s role: a pilot study. Nurs Stand 12(16):35–38CrossRefGoogle Scholar
  61. Watson J (1985) Nursing: the philosophy and science of caring. University of Colorado Press, ColoradoGoogle Scholar
  62. Wilkinson T (1983) Child and adolescent psychiatric nursing. Blackwell, OxfordGoogle Scholar
  63. Wright K, McKeown M (2018) Essentials of mental health nursing. Sage Publications, LondonGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.School of Nursing, Midwifery and HealthCoventry UniversityCoventryUK

Personalised recommendations