Pragmatic implementation of low-intensity psychological treatment for children and young people: the reality.

Autor:	Roach A; UCL Great Ormond Street Institute of Child Health, Guilford Street, London, UK., Stokes I; UCL Great Ormond Street Institute of Child Health, Guilford Street, London, UK.; University College Hospitals, Euston Road, London, UK., McDonnell K; University College Hospitals, Euston Road, London, UK., Griffiths H; Great Ormond Street Hospital, London, UK., Curry V; Anna Freud Centre for Children and Families, Rodney Street, London, UK., Heyman I; UCL Great Ormond Street Institute of Child Health, Guilford Street, London, UK.; Great Ormond Street Hospital, London, UK.; Cambridge Children's Hospital Project Team and Paediatric Psychological Medicine Service, Addenbrooke's Hospital, Hills Road, Cambridge, UK., Balakrishnan S; UCL Great Ormond Street Institute of Child Health, Guilford Street, London, UK., Ndoci X; UCL Great Ormond Street Institute of Child Health, Guilford Street, London, UK., Bennett SD; UCL Great Ormond Street Institute of Child Health, Guilford Street, London, UK.; Great Ormond Street Hospital, London, UK.; King's College London, Department of Psychology, Institute of Psychiatry Psychology & Neuroscience, De Crespigny Park, London, UK., Shafran R; UCL Great Ormond Street Institute of Child Health, Guilford Street, London, UK.; Great Ormond Street Hospital, London, UK.
Jazyk:	angličtina
Zdroj:	Behavioural and cognitive psychotherapy [Behav Cogn Psychother] 2024 Nov 06, pp. 1-16. Date of Electronic Publication: 2024 Nov 06.
DOI:	10.1017/S1352465824000390
Abstrakt:	Background and Aims: Low-intensity psychological interventions are effective for children and young people (CYP) with mental health difficulties and can help bridge the demand-capacity gap. Despite increasing awareness, training and use of low-intensity psychological interventions, it is not yet understood what is being implemented in clinical practice in the UK and the associated evidence base. Method: This paper presents two studies; first, a national survey ( n =102) of practitioners to identify low-intensity psychological interventions currently delivered in practice and second, an exploration of the availability and the strength of empirical support (characterised as 'gold', 'silver' and 'bronze') of low-intensity CBT interventions for CYP. Results: The first study found a wide variety of interventions being used across different services; 101/102 respondents reported using routine outcome measures. The second study identified 44 different low-intensity interventions, 28 of which were rated as having gold empirical support. However, only 13 of the gold interventions were considered accessible for practitioners and only two were reported being used in routine practice. Conclusion: These findings highlight that these interventions have been developed and empirically tested, but many are not easily accessible, highlighting the 'research-practice' gap in the provision of low-intensity interventions. There is a need for an increase in standardisation of care and accessibility of gold interventions. This paper hopes to begin the process of creating a hub of low-intensity interventions that are accessible and empirically supported to improve equity of access and outcomes of low-intensity psychological interventions for CYP.
Databáze:	MEDLINE
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