title: Clinician's perspectives of the relocation of a regional child and adolescent mental health service from co-located to stand alone premises.
abstract: BACKGROUND
  Australia's National Mental Health Strategy's statement of rights and responsibilities states that children and adolescents admitted to a mental health facility or community program have the right to be separated from adult patients and provided with programs suited to their developmental needs. However, in rural Australia, where a lack of healthcare services, financial constraints, greater service delivery areas and fewer mental healthcare specialists represent the norm, Child and Adolescent Mental Health Services (CAMHS) are sometimes co-located with adult mental health services. The aim of the present study was to evaluate the impact of a recent relocation of a regional CAMHS in Victoria from co-located to stand alone premises.
  
  
  METHODS
  Six CAMHS clinicians who had experienced service delivery at a co-located setting and the current stand-alone CAMHS setting were interviewed about their perceptions of the impact of the relocation on service delivery. An exploratory interviewing methodology was utilized due to the lack of previous research in this area. Interview data were transcribed and analysed according to interpretative phenomenological analysis techniques.
  
  
  RESULTS
  Findings indicated a perception that the relocation was positive for clients due to the family-friendly environment at the new setting and separation of CAMHS from adult psychiatric services. However, the impact of the relocation on clinicians was marked by a perceived loss of social capital from adult psychiatric service clinicians.
  
  
  CONCLUSIONS
  These results provide increased understanding of the effects of service relocation and the influence of co-located versus stand-alone settings on mental health service delivery - an area where little prior research exists.
authors.affiliation: Rural Adolescent Mental Health Group, Centre of Health Research and Practice, University of Ballarat, Ballarat, Victoria, Australia. kristyjane2@hotmail.com
authors.forename: K J
authors.initials: KJ
authors.lastname: Francis
authors.forename: C P
authors.initials: CP
authors.lastname: Boyd
authors.forename: J
authors.initials: J
authors.lastname: Sewell
authors.forename: S
authors.initials: S
authors.lastname: Nurse
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D003155:Community Mental Health Centers / Q000458:organization & administration*; D005260:Female; D006272:Health Facility Environment; D006274:Health Facility Moving; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D011365:Professional Practice Location; D019035:Rural Health Services / Q000458:organization & administration; D014739:Victoria