{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:47:39Z","timestamp":1791805659108,"version":"4.3.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study examined relationships between clinical complexity, early response, and outcomes in a Child and Adolescent Mental Health Service (CAMHS) using the Paddington Complexity Scale (PCS) and Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). Associations with treatment dose were also explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from consumers aged 4\u201317\u00a0years discharged from a metropolitan CAMHS over 5\u00a0years were analysed. Baseline PCS scores measured clinical complexity. Early response was defined as a reduction in HoNOSCA total score at 3\u00a0months post-intake. A three-way mixed ANOVA tested effects of complexity, early response, and time (assessment vs discharge) on HoNOSCA outcomes and on treatment dose (total contact hours).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Neither complexity nor early response influenced treatment dose or contact hours. Early response was significantly related to better treatment outcome at discharge. Complexity was not related to treatment outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early response was more useful in predicting long-term outcomes in CAMHS than clinical complexity. Further research should consider the impact of systematically attending to early response, as well as potential moderating factors, alternative complexity measures, and the generalisability of these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261436356","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T03:15:40Z","timestamp":1776741340000},"page":"512-519","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Can clinical complexity or early response differentiate outcomes in child and adolescent mental health?"],"prefix":"10.1177","volume":"34","author":[{"given":"Peter","family":"Brann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lachlan","family":"Angus","sequence":"additional","affiliation":[{"name":"Eastern Health"},{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7783-8328","authenticated-orcid":false,"given":"Stanley","family":"Innes","sequence":"additional","affiliation":[{"name":"Eastern Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9971-799X","authenticated-orcid":false,"given":"Paul","family":"Robertson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Melbourne, Director Mindful Centre for Training and Research in Developmental Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1355819615580868"},{"key":"e_1_3_7_3_2","volume-title":"Working with complexity in youth mental health: a new model to encourage reflection","author":"Marama Y","year":"2021","unstructured":"Marama Y, Hamilton C, Lloyd S, et al. 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