Clinicians’ perceptions of the mental health needs of young people in alternative provision educational settings: An exploratory qualitative analysis

Figures & data

Table 1. Participant characteristics and demographics.

	N	Mean	Minimum Value	Maximum Value
Years in current occupation	15	6	1	21
Years worked with young people from Alternative Provision	15	4.5	2	10
	N	Percentage of Total Sample
Gender
Male	4	27%
Female	11	73%
Working Region
Greater London	15	100%

Table 2. Participant ID and role within child and adolescent mental health services.

Participant ID	Role in Child and Adolescent Mental Health Services	CAMHS Context
1	Specialist Social Worker	Community CAMHS
2	Occupational Therapist	Inpatient CAMHS
3	Occupational Therapist	Inpatient CAMHS
4	Trainee Clinical Psychologist	Inpatient CAMHS
5	Clinical Specialist Practitioner and Art Psychotherapist	Community CAMHS
6	Principle Clinical Psychologist	Community Forensic-CAMHS
7	Child and Adolescent Psychiatrist	Community CAMHS
8	Clinical Psychologist	Community CAMHS
9	Systemic and Family Psychotherapist	Inpatient CAMHS
10	Clinical Nurse Specialist	Community CAMHS
11	Clinical Psychologist	CAMHS based within PRU
12	CAMHS Specialist	Youth Offending Services (YOS)-CAMHS
13	Senior Clinical Psychologist	CAMHS based within PRU
14	CAMHS Practitioner	Hospital School Provision
15	Senior Clinical Psychologist	Community CAMHS

Figure 1. Recursive phases of reflexive thematic analysis (Braun and Clarke 2006, 2019).

Table 3. Themes and Sub-Themes.

Themes	Sub-themes
Complex Vulnerabilities
Detrimental Alternative Provision Environment	Inconsistency of Practice Across Alternative Provision Settings Lack of Specialised Training
Barriers to Young People Receiving Support	Rigidity of Statutory Services Lack of Support within Alternative Provision Systemic Family Challenges
Need for a Therapeutic Approach

Table

AP	Alternative Provision
PRU	Pupil Referral Unit
ADHD	Attention Deficit Hyperactivity Disorder
CD	Conduct Disorder
SEN	Special Educational Needs
CAMHS	Child and Adolescent Mental Health Services
NDD	Neurodevelopmental Disorder
YOS	Youth Offending Services
EHCP	Education, Health and Care Plan
DBT	Dialectical Behaviour Therapy

Table

Gender: (Male/Female/non-binary/prefer not to say)	Position in CAMHS and CAMHS context:
Years in Current Occupation:	Overall years worked with young people from AP settings:

Braun, V., and V. Clarke. 2006. “Using Thematic Analysis in Psychology.” Qualitative Research in Psychology 3 (2): 77–101. https://doi.org/10.1191/1478088706qp063oa.

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Braun, V., and V. Clarke. 2019. “Reflecting on Reflexive Thematic Analysis.” Qualitative Research in Sport, Exercise & Health 11 (4): 589–597. https://doi.org/10.1080/2159676X.2019.1628806.

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