Evaluation of a mental health drop-in centre offering brief transdiagnostic psychological assessment and treatment for children and adolescents with long-term physical conditions and their families: a single-arm, open, non-randomised trial
| Autor: | Isobel Heyman, Sophie Bennett, Anna E. Coughtrey, Roz Shafran, Kate Fifield, Laila Xu, C Taylor, Holan Liang, Matteo Catanzano, Tim Dalgleish, Ellie Kerry |
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| Přispěvatelé: | Catanzano, Matteo [0000-0002-7876-4348], Apollo - University of Cambridge Repository |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Adolescent Referral child & adolescent psychiatry Psychological intervention Context (language use) Child and Adolescent Mental Health law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) anxiety disorders Randomized controlled trial law 030225 pediatrics medicine Humans Psychological testing Child Psychiatry Cognitive Behavioral Therapy business.industry Strengths and Difficulties Questionnaire Mental health Psychiatry and Mental health Mental Health depression & mood disorders Quality of Life business 030217 neurology & neurosurgery |
| Zdroj: | Evidence-Based Mental Health |
| ISSN: | 1468-960X 1362-0347 |
| Popis: | BackgroundChildren and young people with long-term physical conditions have significantly elevated mental health needs. Transdiagnostic, brief psychological interventions have the potential to increase access to evidence-based psychological treatments for patients who attend health services primarily for physical health needs.ObjectiveA non-randomised study was conducted to assess the impact of brief, transdiagnostic psychological interventions in children and young people presenting at a drop-in mental health centre in the reception area of a paediatric hospital.Methods186 participants attending a transdiagnostic mental health drop-in centre were allocated to assessment and psychological intervention based on a clinical decision-making algorithm. Interventions included signposting, guided self-help based on a modular psychological treatment and referral to the hospital’s paediatric psychology service. The primary transdiagnostic mental health outcome measure was the parent-reported Strengths and Difficulties Questionnaire (SDQ), which was given at baseline and 6 months post-baseline.FindingsThere was a significant positive impact of attending the drop-in mental health centre on the SDQ (Cohen’s d=0.22) and on the secondary outcome measure of Paediatric Quality of life (Cohen’s d=0.55).ConclusionsA mental health drop-in centre offering brief, transdiagnostic assessment and treatment may reduce emotional and behavioural symptoms and improve quality of life in children and young people with mental health needs in the context of long-term physical conditions. A randomised controlled trial to investigate the specificity of any effects is warranted.Clinical implicationsDrop-in centres for mental health needs may increase access and have beneficial effects for children and young people with physical conditions. |
| Databáze: | OpenAIRE |
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