CAMHS and Social Prescribing Applications

YP: Acceptability will be assessed using an item from the Friends and Family test, which asks individuals to rate how likely they would be to recommend the service (in this instance, the SP pathway). It is assessed on a five-point Likert Scale, ranging from '1' Extremely Unlikely to '5' Extremely Likely. Higher scores indicate better acceptability.

Acceptability of Intervention Measure (AIM) is assessed using 4 questions each on a five-point Likert scale (scoring between 4-20)

YP will be asked about the feasibility of the intervention via qualitative interviewing where questions can be appropriately framed for their age and experience.

Description: Link workers (LW) and CAMHS staff: Feasibility of Intervention Measure (FIM) is assessed using 4 questions each on a five-point Likert scale (scoring between 4-20). Higher scores indicate higher intervention feasibility.

Appropriateness will be assessed by the proportion of sessions offered versus the number the young person attends.

Appropriateness Intervention Appropriateness Measure (IAM) is assessed using 4 questions each on a five-point Likert scale (scoring between 4-20). Higher scores indicate higher intervention appropriateness

The Office for National Statistics ONS3 are three subjective measures designed to capture key aspects of personal well-being in the general population. These questions assess three core domains of well-being: evaluative, eudemonic, and affective. Respondents are asked to rate the three questions on a scale from 0 (not at all) to 10 (completely).

Higher scores reflect greater well-being

The SMFQ is a 13-item scale questionnaire. Each item reflects core symptoms of depression based on DSM criteria, such as sadness, tiredness, irritability, and feelings of worthlessness. Respondents rate how true each statement has been over the past two weeks on a 3-point Likert scale: "Not True", "Sometimes True", or "True".

Higher scores reflect greater levels of depressive traits.

The GAD-7 includes 7 items, each reflecting a DSM-IV symptom of generalized anxiety disorder such as excessive worry, nervousness, and difficulty relaxing. Respondents are asked how often they were bothered by each symptom over the past two weeks, using a 4-point Likert scale ranging from "Not at all" to "Nearly every day." Total scores range from 0 to 21, with cutoff points identifying mild (5), moderate (10), and severe (15) anxiety.

The PSS-4 includes four questions evaluating how unpredictable, uncontrollable, and overloaded individuals find their lives. Responses are given on a 5-point Likert scale ranging from 0 ("Never") to 4 ("Very often"). Higher scores indicate greater perceived stress.

The CSRI gathers detailed information on service contacts, informal care, medication use, employment, and accommodation over a specified recall period, in this instance, 3 months.

The first 9 questions on frequency of healthcare service use are scored on a 6-point Likert scale, ranging from 0 'not at all', to 6 'once per day'. Higher scores indicate more contact with services.

The next 2 questions explore contact with emergency healthcare services (accident and emergency and inpatient admission' and are scored 1 'no' or 2 'yes'. Higher scores indicate more contact with emergency services. For inpatient admission, patients are also asked to specify the number of days they were in hospital.

The next question explore the impact and support of mental health on an individual's school or workplace. One question asks how many days were missed at school or the individual's workplace because of mental health difficulties. Scores range from 0-93 with higher scores indicating more days missed

The Child Health Utility-9D (CHU-9D) was developed to address the lack of generic preference-based measures specifically designed for children. The CHU-9D encompasses both shared and unique dimensions compared to other instruments. Common areas include pain and usual activities, while child-specific dimensions include schoolwork/homework, tiredness, and sleep. CHU9D is assessed using 9 questions on a five-point Likert scale (scoring between 1-5). Higher scores indicate higher quality of life.

Mechanism: ERICA is a 17-item tool explicitly developed for youth and designed to assess emotional self-efficacy and regulation strategies in children aged 8 to 16. Its structure covers emotional self-awareness, emotional control, and situational responsiveness, offering a well-rounded view of emotion regulation capacity. Emotional regulation is assessed using 16 questions each on a five-point Likert scale ('1' Strongly disagree to '5' Strongly agree) including 10 questions being reverse scored.

Higher scores indicate greater emotional regulation.

Mechanism: using questions from the Student Resilience Survey which is assessed using 4 questions each on a five-point Likert scale (scoring between 4-20). Higher scores indicate higher community connection.

Mechanism: using questions from the Student Resilience Survey which is assessed using 4 questions each on a five-point Likert scale (scoring between 4-20). Higher scores indicate higher self-esteem.

Mechanism using the Student Resilience Survey which is assessed using 3 questions each on a five-point Likert scale (scoring between 3-15). Higher scores indicate higher problem solving with others.

Mechanism using the Student Resilience Survey which is assessed using 3 questions each on a five-point Likert scale (scoring between 3-15). Higher scores indicate higher levels of goals and aspirations.

Mechanism: using questions from the Student Resilience Survey which is assessed using 4 questions each on a five-point Likert scale (scoring between 4-20). Higher scores indicate higher family connection.

Mechanism: using questions from the Student Resilience Survey which is assessed using 4 questions each on a five-point Likert scale (scoring between 4-20). Higher scores indicate higher school connection.

Mechanism: using questions adapted from PISA 2022 and MCS4 which is assessed using five questions. One of which requires an open-ended numerical value and four questions which are rated on a five-point Likert scale (scoring between 0-16). Higher scores indicate a greater social structure and friendship quality.

Mechanism using the Session Feedback Questionnaire which is assessed using 4 questions each on a five-point Likert scale (scoring between 4-20). Higher scores indicate higher therapeutic alliance. This is for individuals in the social prescribing intervention only.