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Using linked, rou/nely collected data for health and educa/onal research in school age children. Johnny Downs – Maudsley BRC, King’s College London and University of Exeter [email protected]

Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

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Page 1: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

Using  linked,  rou/nely  collected  data  for  health  and  educa/onal  research  in  school  age  children.  

Johnny  Downs  –  Maudsley  BRC,    King’s  College  London  and  University  of  Exeter  [email protected]  

Page 2: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

King’s College London (KCL)

SLAM Biomedical Research Centre (BRC) Case Register

South London and Maudsley (SLAM)

Croydon

Lewisham

Lambeth

Southwark .

CAMHS  Clinical  Records  Interac/ve  Search  (CRIS)  

Page 3: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

Big  Data  in  CAMHS  

Perera  et  al.  BMJ  open  2016  

Page 4: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

Rou/nely  collected  childhood  data  in  England    

Page 5: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

Rou/nely  collected  childhood  data  in  England    

Page 6: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

 

Vulnerable  Groups  

Neurodisability/  Epilepsy  

Teenage  Pregnancy  

Severe  asthma  

Self  harm/suicide    

All  children  admiRed  to  NHS  acute/general  hospital  trusts  in  SLAM  CAMHS  catchment  (~280,000  children)  

1997  

35,426  child  and  adolescent  mental  health  referrals      

2008   2013  

Key  Outcomes  

Mental  Health  Service  use  (referral/acceptance  rates/

engagement)      

MH  Diagnoses,  treatments  and  response  

     

CRIS: A data linkage environment for investigating the interface between mental and physical health disorders in children

Page 7: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

Rou/nely  collected  childhood  data  in  England    

Page 8: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

Defining    the  purpose  

Ethical  &  legal  frameworks  

Data  governance/technical    frameworks  

Building  trust    

Data  preparaZon  &  Matching  processes  

Cleaning  &  understanding  linkage  error  

Crea/ng  a  data  linkage  for  health  and  educa/onal  research  in  England    

Nov  2011  April  2015  

Aug  2015  

Page 9: Using&linked,&rou/nely&collected&data&for&health&and&educa ... · King’s College London (KCL) SLAM Biomedical Research Centre (BRC) Case Register South London and Maudsley (SLAM)

CRIS:  A  data  linkage  environment  for  inves/ga/ng  the  interface  between  mental  disorders  and  educa/onal  performance    

Vulnerable  Groups  

Special  EducaZonal  Need  

Excluded  children  

Maltreated    (CIN  /  CPP  /  LAC)  

Persistent  absence  

All  school  age  children  in  state  maintained  schools  or  alternaZve  educaZonal  se]ngs  in  SLAM  CAMHS  catchment  (276,403  children)  

1997  

35,426  children  and  adolescent  mental  health  referrals      

2008   2013  

Key  Outcomes  

Academic  aRainment  

MH  Diagnosis,  treatments  and  response  

School  Drop  out