A critical analysis of Child and Adolescent Mental Health Services policy in England, 2000‐2015

Policy in Child and Adolescent Mental Health (CAMH) in England has undergone radical changes in the last 15 years, with far reaching implications for funding models, access to services and service delivery. Using corpus analysis and critical discourse analysis, we explore how childhood, mental health, and CAMHS are constituted in 15 policy documents, 9 pre‐2010, and 6 post 2010. We trace how these constructions have changed over time, and consider the practice implications of these changes. We identify how children’s distress is individualised, through medicalising discourses and shifting understandings of the relationship between socioeconomic context and mental health. This is evidenced in a shift from seeing children’s mental health challenges as produced by social and economic inequities, to a view that children’s mental health must be addressed early to prevent future socio‐economic burden. We consider the implications CAMHS policies for the relationship between children, families, mental health services and the state. The paper concludes by exploring how concepts of ‘parity of esteem’ and ‘stigma reduction’ may inadvertently exacerbate the individualisation of children’s mental health.

Are mental health services getting better at responding to abuse, assault and neglect?

Objective To determine whether staff responses to abuse disclosures had improved since the introduction of a trauma policy and training programme. Method The files of 250 clients attending four New Zealand mental health centres were audited. Results There was a significant improvement, compared to an audit prior to the introduction of the policy and training, in the proportion of abuse cases included in formulations, and, to a lesser extent, in treatment plans. There was no significant improvement in the proportion referred for relevant treatment, which remained at less than 25% across abuse categories. The proportion of neglect disclosures responded to was significantly lower than for abuse cases. Fifty percent of the files in which abuse/neglect was recorded noted whether the client had been asked about previous disclosure, and 22% noted whether the client thought there was any connection between the abuse/neglect and their current problems. Less than 1% of cases were reported to legal authorities. People diagnosed with a psychotic disorder were significantly less likely to be responded to appropriately. Conclusion Future training may need to focus on responding well to neglect and people diagnosed with psychosis, on making treatment referrals, and on initiating discussions about reporting to authorities.

Are mental health staff getting better at asking about abuse and neglect?

This study ascertained the extent to which abuse and neglect are identified and recorded by mental health services. A comprehensive audit of 250 randomly selected files from four community mental health centres in Auckland, New Zealand was conducted, using similar methodology to that of a 1997 audit in the same city so as to permit comparisons. Significant increases, compared to the 1997 audit, were found in the rates of child sexual and physical abuse, and adulthood sexual assault (but not adulthood physical assault) identified in the files. Identification of physical and emotional neglect, however, was poor. Male service users were asked less often than females; and male staff enquired less often than female staff. People with a diagnosis indicative of psychosis, such as ‘schizophrenia’, tended to be asked less often and had significantly lower rates of abuse/neglect identified. Despite the overall improvement, mental health services are still missing significant amounts of childhood and adulthood adversities, especially neglect. All services need clear policies that all service users be asked about both abuse and neglect, whatever their gender or diagnosis, and that staff receive training that address the barriers to asking and to responding therapeutically to disclosures.

The South Carolina handbook of the war

This handbook issued by the South Carolina State Council of Defense provides a listing of contacts for the Council and 36 essays about the history of the war, current events, the role of America in the war, and peace efforts. The handbook concludes with essays and quotes from South Carolinians and with reports on how citizens can help with the war effort.

The opportunity schools of South Carolina : an experimental study

This is a reprint of a book published in 1932. The State Department of Education of South Carolina, did an intensive study during the summer of 1931 of the problems, needs, and possibilities of the type of opportunity school conducted annually in South Carolina. The purpose and scope of the study, the steps taken, and the findings and interpretations are presented in the chapters in this book.

Old St. David's, Cheraw, South Carolina, 1770-1947

A history of Old St. David's Church in Cheraw, SC from 1770 to 1947.

South Carolina's Croft State Natural Area

This brochure from the South Carolina State Park Department about Croft State Natural Area gives helpful information such as history, description, admission fee, driving directions, GPS coordinates, photographs, and park facilities & activities.

The energy factbook : a resource for South Carolina

This fact book describes An introduction to energy, energy basics, South Carolina’s energy situation, nuclear energy, electricity, solar energy, energy conservation and alternative fuels.

South Carolina Energy Office pre-approved Energy Efficiency Products and Measures

South Carolina law (48-52-640) requires state agencies to submit a disclaimer statement to the State Energy Office with its annual report stating that it did not purchase an energy conservation product that had not been certified by the State Energy Office. This is a list of preapproved products, retrofits and upgrades.

South Carolina tobacco directory

This tobacco directory lists tobacco products sold in South Carolina by name, company name, original certification date, action type and agreement type.

South Carolina/Common Pleas Court Circuits Meeting Benchmark

This is a list of the courts in all the circuits of South Carolina and the percentage of cases disposed of in 365 day or less. None of the courts met the 80% benchmark.

South Carolina/Common Pleas Court Circuits Meeting Benchmark ... as of August 31, 2014

This is a list of the courts in all the circuits of South Carolina and the percentage of cases disposed of in 365 day or less as of August 31, 2014. None of the courts met the 80% benchmark.

South Carolina/common pleas court circuits meeting benchmark 80% of Pending Docket 365 Days or Less From Placement on the Trial Docket as of February 28, 2015

This is a list of the courts in all the circuits of South Carolina and the percentage of cases disposed of in 365 day or less. Only three courts met the 80% benchmark.

South Carolina/general sessions court circuits meeting benchmark : 80% of pending docket 365 days or less as of February 28, 2015

This document provides statistics on criminal and general sessions courts meeting the benchmark of 80% of pending dockets broken down by circuits and counties.

South Carolina/family court circuits meeting benchmark : 80% of pending docket 365 days or less as of February 28, 2015

This is a diagram broken down by circuits of the percentage of family courts meeting the benchmark of 80% of disposing of cases within a year.