Quality statement 1: Confirming and recording a diagnosis

Quality statement

Children and young people with suspected depression have a diagnosis confirmed and recorded in their medical records.

Rationale

Diagnosing depression in children and young people can be difficult. Confirming and accurately recording a diagnosis can facilitate appropriate treatment.

Quality measures

Structure

Evidence of local arrangements to ensure that children and young people with suspected depression have a diagnosis confirmed and recorded in their medical records.

Data source: Local data collection.

Process

Proportion of children and young people with suspected depression who have a diagnosis confirmed and recorded in their medical records.

Numerator – the number of people in the denominator who have a diagnosis confirmed and recorded in their medical records.

Denominator – the number of children and young people who presented with suspected depression.

Data source: Local data collection.

What the quality statement means for service providers, healthcare professionals, social care practitioners and commissioners

Service providers ensure that systems are in place for staff to confirm a diagnosis of depression in children and young people with suspected depression and to record the diagnosis in their medical records.

Healthcare and CAMHS (Child and Adolescent Mental Health Services) professionals ensure that they confirm a diagnosis of depression in children and young people with suspected depression and record the diagnosis in their medical records.

Commissioners ensure that they commission services that can confirm a diagnosis of depression in children and young people with suspected depression and record the diagnosis in their medical records.

What the quality statement means for patients, service users and carers

Children and young people with suspected depression have tests (for example, being asked questions) to confirm a diagnosis of depression, and the diagnosis is recorded in their health records.

Source guidance

Depression in children and young people (2005) NICE guideline CG28, recommendations 1.4.1.2 (key priority for implementation) and 1.4.1.3.

Definitions of terms used in this quality statement

Confirming a diagnosis

The use of tools may be helpful in confirming a diagnosis of depression. NICE guideline CG28 indicates that Kiddie‑Sads (K‑SADS) and Child and Adolescent Psychiatric Assessment (CAPA) could be used to diagnose depression in children and young people, but these would need to be modified for regular use in busy routine CAMHS settings.