Hickey et al.'s scoping of infant mental health (IMH) services and the challenges faced in ensuring that vulnerable infants can access them highlights important issues and suggests some solutions (Hickey et al., Child and Adolescent Mental Health, 2023). Their synthesis of useful research in the field is limited only by its focus on more affluent English-speaking countries, which is acknowledged. Writing from an Australian perspective, they highlight the need for culturally sensitive service delivery. This commentary draws attention to the concept of candidacy as a helpful way of thinking about patents' journeys into services. It can support a deeper understanding of the barriers to referral for infants most in need. One key issue is the knowledge and understanding of both professionals and the public about the importance of the early years for later well-being. Infants cannot advocate for themselves and depend on those around them to exercise their right to services. Good relationships between professionals and between family members and clinicians are essential for IMH service development and delivery.
{"title":"‘Everyone needs to know that infant mental health is important’ – a commentary/reflection on ‘Improving access to mental health interventions for children from birth to five years: a scoping review’ (Hickey et al., 2023)","authors":"Anne McFadyen","doi":"10.1111/camh.12675","DOIUrl":"10.1111/camh.12675","url":null,"abstract":"<p>Hickey et al.'s scoping of infant mental health (IMH) services and the challenges faced in ensuring that vulnerable infants can access them highlights important issues and suggests some solutions (Hickey et al., <i>Child and Adolescent Mental Health</i>, 2023). Their synthesis of useful research in the field is limited only by its focus on more affluent English-speaking countries, which is acknowledged. Writing from an Australian perspective, they highlight the need for culturally sensitive service delivery. This commentary draws attention to the concept of candidacy as a helpful way of thinking about patents' journeys into services. It can support a deeper understanding of the barriers to referral for infants most in need. One key issue is the knowledge and understanding of both professionals and the public about the importance of the early years for later well-being. Infants cannot advocate for themselves and depend on those around them to exercise their right to services. Good relationships between professionals and between family members and clinicians are essential for IMH service development and delivery.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 1","pages":"96-98"},"PeriodicalIF":6.1,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10059656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samuel Adjorlolo, Victoria Awortwe, Adote Anum, Keng-Yen Huang, Daniel Mamah
Background
Psychotic-like experiences (PLEs) and adverse life events (ALEs) are highly prevalent in sub-Saharan Africa where gendered practices are also common. There is, however, a paucity of data on how the relationship between PLEs and life adversities is influenced by gender. The current study addressed this gap.
Method
Data were collected from 1886 school-based young people (1174 females) in Ghana, West Africa using a cross-sectional survey methodology and analyzed using Chi-square, independent t-test, Pearson correlation, and multivariate regression.
Results
The results showed that victimization experiences, school stress and having a family member with mental illness were significantly associated with PLEs in both males and females. In contrast, substance misuse and experiences of head trauma correlated significantly with PLEs in females only.
Conclusion
Life adversities constitute major risk factors for PLEs among school-based young people in Ghana, who could benefit from gender neutral and gender-sensitive intervention programming to remediate the effects of life adversities on PLEs.
{"title":"Psychotic-like experiences and adverse life events in young people. Does gender matter?","authors":"Samuel Adjorlolo, Victoria Awortwe, Adote Anum, Keng-Yen Huang, Daniel Mamah","doi":"10.1111/camh.12674","DOIUrl":"10.1111/camh.12674","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychotic-like experiences (PLEs) and adverse life events (ALEs) are highly prevalent in sub-Saharan Africa where gendered practices are also common. There is, however, a paucity of data on how the relationship between PLEs and life adversities is influenced by gender. The current study addressed this gap.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data were collected from 1886 school-based young people (1174 females) in Ghana, West Africa using a cross-sectional survey methodology and analyzed using Chi-square, independent <i>t</i>-test, Pearson correlation, and multivariate regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that victimization experiences, school stress and having a family member with mental illness were significantly associated with PLEs in both males and females. In contrast, substance misuse and experiences of head trauma correlated significantly with PLEs in females only.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Life adversities constitute major risk factors for PLEs among school-based young people in Ghana, who could benefit from gender neutral and gender-sensitive intervention programming to remediate the effects of life adversities on PLEs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 2","pages":"154-160"},"PeriodicalIF":6.1,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10426921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Effective evidence-based practices (EBP) for children and young people's (CYP) mental health exist, however, there is low uptake in clinical practice and interventions do not always reach those in need. This review aimed to comprehensively identify and synthesise the barriers and facilitators to implementing EBP in CYP mental health care, mapped according to an implementation framework in order to make pragmatic recommendations for practitioners, commissioners and researchers.
Methods
Following the PRISMA guidelines, an electronic search of PsycINFO, MEDLINE, CINAHL and Embase in 2021 yielded 1830 results. In total, 107 abstracts were screened, 57 of which were included for full-text review and 26 were included for data extraction and analysis.
Results
We identified a number of organisational and clinician-level barriers which impede the implementation of evidence in ‘real world’ practice. Barriers included lack of access to funding; poor access to resources; clinician attitudes and flexibility of EBP. Facilitators included targeted funding and access to resources; supportive staff and leadership committed to innovation and skills in the EBP.
Conclusions
Although the process of translating research into practice is challenging and the solutions are not straightforward, we have identified a set of practical recommendations for ways in which implementation practices can improve. Researchers, commissioners, funders and practitioners can work together to improve the implementation of EBP in CYP mental health settings by ensuring funding is available, prioritise implementation beyond the end of trials, upskill staff on integrating EBP into care, ensure EBPs are flexible and are co-produced with service users.
Registration
This review was registered on PROSPERO international prospective register of systematic reviews (CRD42021252995).
{"title":"Barriers and facilitators of implementation of evidence-based interventions in children and young people's mental health care – a systematic review","authors":"Araminta Peters-Corbett, Sheryl Parke, Holly Bear, Timothy Clarke","doi":"10.1111/camh.12672","DOIUrl":"10.1111/camh.12672","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Effective evidence-based practices (EBP) for children and young people's (CYP) mental health exist, however, there is low uptake in clinical practice and interventions do not always reach those in need. This review aimed to comprehensively identify and synthesise the barriers and facilitators to implementing EBP in CYP mental health care, mapped according to an implementation framework in order to make pragmatic recommendations for practitioners, commissioners and researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following the PRISMA guidelines, an electronic search of PsycINFO, MEDLINE, CINAHL and Embase in 2021 yielded 1830 results. In total, 107 abstracts were screened, 57 of which were included for full-text review and 26 were included for data extraction and analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified a number of organisational and clinician-level barriers which impede the implementation of evidence in ‘real world’ practice. Barriers included lack of access to funding; poor access to resources; clinician attitudes and flexibility of EBP. Facilitators included targeted funding and access to resources; supportive staff and leadership committed to innovation and skills in the EBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although the process of translating research into practice is challenging and the solutions are not straightforward, we have identified a set of practical recommendations for ways in which implementation practices can improve. Researchers, commissioners, funders and practitioners can work together to improve the implementation of EBP in CYP mental health settings by ensuring funding is available, prioritise implementation beyond the end of trials, upskill staff on integrating EBP into care, ensure EBPs are flexible and are co-produced with service users.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration</h3>\u0000 \u0000 <p>This review was registered on PROSPERO international prospective register of systematic reviews (CRD42021252995).</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"242-265"},"PeriodicalIF":6.8,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Setareh Ekhteraei, Juliana L. Vanderburg, Choden Dukpa, Priscilla Giri, Surekha Bhattarai, Arpana Thapa, Catherine Shrestha, Bradley N. Gaynes, Molly M. Lamb, Michael Matergia, Christina M. Cruz
Background
Task-shifted, teacher-led care may begin to bridge the child mental health care gap in low- and middle-income countries by improving mental health literacy. We explore the perceived impact of RESEED (Responding to Students' Emotions through Education), an abbreviated version of Tealeaf (Teachers Leading the Frontlines).
Methods
After classroom implementation of tools from a 3-day training on child mental health and cognitive behavioral techniques in Darjeeling, India, 29 teachers participated in focus group discussions (FGDs).
Results
Inductive content analyses of FGDs demonstrated RESEED's acceptability, positive overall impact, and barriers.
Conclusions
Stepped levels of teacher-led care may support child mental health in resource-limited settings through mental reframing.
{"title":"Short Research Article: RESEED – the perceived impact of an enhanced usual care model of a novel, teacher-led, task-shifting initiative for child mental health","authors":"Setareh Ekhteraei, Juliana L. Vanderburg, Choden Dukpa, Priscilla Giri, Surekha Bhattarai, Arpana Thapa, Catherine Shrestha, Bradley N. Gaynes, Molly M. Lamb, Michael Matergia, Christina M. Cruz","doi":"10.1111/camh.12673","DOIUrl":"10.1111/camh.12673","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Task-shifted, teacher-led care may begin to bridge the child mental health care gap in low- and middle-income countries by improving mental health literacy. We explore the perceived impact of RESEED (Responding to Students' Emotions through Education), an abbreviated version of Tealeaf (Teachers Leading the Frontlines).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After classroom implementation of tools from a 3-day training on child mental health and cognitive behavioral techniques in Darjeeling, India, 29 teachers participated in focus group discussions (FGDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Inductive content analyses of FGDs demonstrated RESEED's acceptability, positive overall impact, and barriers<i>.</i></p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Stepped levels of teacher-led care may support child mental health in resource-limited settings through mental reframing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 1","pages":"113-118"},"PeriodicalIF":6.1,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adverse Events (AEs) are defined as any unfavorable and unintended sign or symptom, that may occur during or after receipt of any intervention. The principle of non-maleficence requires careful consideration to ensure that existing or new psychological interventions are not harmful before they can be considered beneficial. In this context, the safety of psychological interventions, including the possible occurrence of AEs, is increasingly important for patients, families, and clinicians. The evaluation of AEs is crucial to obtain a complete understanding of the risk/benefit balance of psychological interventions. There is a need for researchers and clinicians to assess and report AEs comprehensively and in a coordinated manner. It is necessary to have more accurate data on the recording of AEs in protocols to enhance transparency and consistency, as well as to improve practice. Finally, and to facilitate this process, there is a need for standards for data collection.
{"title":"Editorial: Primum non nocere – are adverse events accurately reported in studies on psychological interventions for children?","authors":"Marianna Purgato, Samuele Cortese","doi":"10.1111/camh.12669","DOIUrl":"10.1111/camh.12669","url":null,"abstract":"<p>Adverse Events (AEs) are defined as any unfavorable and unintended sign or symptom, that may occur during or after receipt of any intervention. The principle of non-maleficence requires careful consideration to ensure that existing or new psychological interventions are not harmful before they can be considered beneficial. In this context, the safety of psychological interventions, including the possible occurrence of AEs, is increasingly important for patients, families, and clinicians. The evaluation of AEs is crucial to obtain a complete understanding of the risk/benefit balance of psychological interventions. There is a need for researchers and clinicians to assess and report AEs comprehensively and in a coordinated manner. It is necessary to have more accurate data on the recording of AEs in protocols to enhance transparency and consistency, as well as to improve practice. Finally, and to facilitate this process, there is a need for standards for data collection.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 3","pages":"351-353"},"PeriodicalIF":6.1,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10289481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marinos Kyriakopoulos, Anastasia Kouklidou, Sofia Leopoulou, Kyriaki Stavrou
<p>Anastasia Kouklidou</p><p>European University of Cyprus, Nicosia, Cyprus</p><p>Early-onset psychosis (EOP) is defined by its onset before the age of 18 years. Negative symptoms, including decreased motivation, interest, and expressive functions such as alogia and blunted affect, are commonly present in EOP. Earlier onset of such symptoms is associated with a greater number of them at follow-up, and their severity is associated with poor outcomes. They also occasionally predominate in children and adolescents who are at clinical high risk for psychosis (CHR-P). The identification of negative symptoms in children and adolescents with psychosis or at CHR-P can be challenging, their prevalence is unclear, and there is little evidence for their treatment.</p><p>Gonzalo Salazar de Pablo et al. (2022) conducted a systematic review and meta-analysis which aimed at providing meta-analytical evidence and a comprehensive review of the status and advances in the diagnosis, prognosis, and treatment of negative symptoms in children and adolescents with EOP and at CHR-P. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was used. Eligible studies were original studies, abstracts, conference proceedings, cross-sectional studies, longitudinal studies, randomized clinical trials, and other intervention studies providing information regarding negative symptoms in children and adolescents (mean age < 18 years) with EOP or at CHR-P. Publication bias and heterogeneity among studies were assessed. A total of 133 studies with 9055 children and adolescents (mean age 15.5 years; 54.1% males) were included in the systematic review. The prevalence of negative symptoms in EOP was 61% and in CHR-P was 80%. A total of 20 studies (<i>N</i> = 1799 individuals) were further included in the meta-analysis. Negative symptoms were associated with poorer prognostic, functional, neurobiological, cognitive, and intervention outcomes in EOP and CHR-P. Sample prevalence of schizophrenia was not associated with high prevalence of negative symptoms. Obesity in EOP was associated with less severe negative symptoms. An improvement of negative symptoms was found at 12-month follow-up but not at 24 or ≥36 months compared with baseline in CHR-P. Clozapine may be more efficacious in reducing negative symptoms in treatment-resistant EOP compared to other antipsychotics. There is no consistent evidence in relation to comparative efficacy of other second-generation antipsychotics and no data on the efficacy of antidepressants in relation to negative symptoms in EOP. There is limited evidence favoring psychosocial interventions for negative symptoms. Early intervention services contribute to a reduction of negative symptom severity after 6–24 months compared with treatment as usual.</p><p>This is the first systematic review and meta-analysis on the prevalence of negative symptoms in children and adolescents with EOP and at CHR-P. Negative symptoms are commo
{"title":"Clinical research updates","authors":"Marinos Kyriakopoulos, Anastasia Kouklidou, Sofia Leopoulou, Kyriaki Stavrou","doi":"10.1111/camh.12658","DOIUrl":"10.1111/camh.12658","url":null,"abstract":"<p>Anastasia Kouklidou</p><p>European University of Cyprus, Nicosia, Cyprus</p><p>Early-onset psychosis (EOP) is defined by its onset before the age of 18 years. Negative symptoms, including decreased motivation, interest, and expressive functions such as alogia and blunted affect, are commonly present in EOP. Earlier onset of such symptoms is associated with a greater number of them at follow-up, and their severity is associated with poor outcomes. They also occasionally predominate in children and adolescents who are at clinical high risk for psychosis (CHR-P). The identification of negative symptoms in children and adolescents with psychosis or at CHR-P can be challenging, their prevalence is unclear, and there is little evidence for their treatment.</p><p>Gonzalo Salazar de Pablo et al. (2022) conducted a systematic review and meta-analysis which aimed at providing meta-analytical evidence and a comprehensive review of the status and advances in the diagnosis, prognosis, and treatment of negative symptoms in children and adolescents with EOP and at CHR-P. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was used. Eligible studies were original studies, abstracts, conference proceedings, cross-sectional studies, longitudinal studies, randomized clinical trials, and other intervention studies providing information regarding negative symptoms in children and adolescents (mean age < 18 years) with EOP or at CHR-P. Publication bias and heterogeneity among studies were assessed. A total of 133 studies with 9055 children and adolescents (mean age 15.5 years; 54.1% males) were included in the systematic review. The prevalence of negative symptoms in EOP was 61% and in CHR-P was 80%. A total of 20 studies (<i>N</i> = 1799 individuals) were further included in the meta-analysis. Negative symptoms were associated with poorer prognostic, functional, neurobiological, cognitive, and intervention outcomes in EOP and CHR-P. Sample prevalence of schizophrenia was not associated with high prevalence of negative symptoms. Obesity in EOP was associated with less severe negative symptoms. An improvement of negative symptoms was found at 12-month follow-up but not at 24 or ≥36 months compared with baseline in CHR-P. Clozapine may be more efficacious in reducing negative symptoms in treatment-resistant EOP compared to other antipsychotics. There is no consistent evidence in relation to comparative efficacy of other second-generation antipsychotics and no data on the efficacy of antidepressants in relation to negative symptoms in EOP. There is limited evidence favoring psychosocial interventions for negative symptoms. Early intervention services contribute to a reduction of negative symptom severity after 6–24 months compared with treatment as usual.</p><p>This is the first systematic review and meta-analysis on the prevalence of negative symptoms in children and adolescents with EOP and at CHR-P. Negative symptoms are commo","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 3","pages":"466-467"},"PeriodicalIF":6.1,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12658","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Therapeutic alliance has been found to play an influential role in predicting outcomes for adults and adolescents in psychotherapy. However, thus far, the information concerning the impact of therapeutic alliance on outcomes for adolescents in treatment for substance misuse has not yet been critically synthesised.
Methods
In accordance with PRISMA guidelines, the current review aimed to systematically collate published research investigating the association between alliance and outcomes for adolescents undergoing substance misuse treatment. Database searching produced 1083 records, with 16 studies meeting eligibility criteria.
Results
Twelve out of the 16 studies (75%) reported significant alliance–outcome relationships, whereby higher alliance ratings predicted better treatment outcomes, as well as improved engagement and retention in treatment. In addition, the review explored the conditions whereby alliances better predict outcomes, with reference to the alliance rater, the timing of the alliance rating and comorbid diagnoses. These results, however, largely remain inconclusive.
Conclusions
The evidence as it stands demonstrates the importance of the therapeutic alliance in predicting outcomes for adolescents in substance misuse treatments. The implications of the review's findings and recommendations for future research are discussed.
{"title":"Therapeutic alliance in the treatment of adolescent substance misuse: a systematic review","authors":"Iniyah Sulaman, Samantha Hartley, Rachel Elvins","doi":"10.1111/camh.12671","DOIUrl":"10.1111/camh.12671","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Therapeutic alliance has been found to play an influential role in predicting outcomes for adults and adolescents in psychotherapy. However, thus far, the information concerning the impact of therapeutic alliance on outcomes for adolescents in treatment for substance misuse has not yet been critically synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In accordance with PRISMA guidelines, the current review aimed to systematically collate published research investigating the association between alliance and outcomes for adolescents undergoing substance misuse treatment. Database searching produced 1083 records, with 16 studies meeting eligibility criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twelve out of the 16 studies (75%) reported significant alliance–outcome relationships, whereby higher alliance ratings predicted better treatment outcomes, as well as improved engagement and retention in treatment. In addition, the review explored the conditions whereby alliances better predict outcomes, with reference to the alliance rater, the timing of the alliance rating and comorbid diagnoses. These results, however, largely remain inconclusive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The evidence as it stands demonstrates the importance of the therapeutic alliance in predicting outcomes for adolescents in substance misuse treatments. The implications of the review's findings and recommendations for future research are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"226-241"},"PeriodicalIF":6.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kalee Lodewyk, Alexa Bagnell, Darren B. Courtney, Amanda S. Newton
Background
Adverse event monitoring in studies of psychotherapy is crucial to clinical decision-making, particularly for weighing of benefits and harms of treatment approaches. In this systematic review, we identified how adverse events are defined, measured, and reported in studies of psychosocial interventions for children with mental disorders.
Method
Medline, PsycINFO, Embase, ProQuest Dissertations and Theses Global, and the Cochrane Library were searched from January 2011–January 2023, and Google Scholar from January 2011–February 2023. English language experimental and quasi-experimental studies that evaluated the efficacy or effectiveness of psychosocial interventions for childhood mental disorders were included. Information on the definition, assessment, and report of adverse events was extracted using a checklist based on Good Clinical Practice guidelines.
Results
In this review, 117 studies were included. Studies most commonly involved treating anxiety disorders or obsessive-compulsive disorder (32/117; 27%); 44% of the experimental interventions tested (52/117) were cognitive behavioral therapies. Adverse events were monitored in 36 studies (36/117; 31%) with a protocol used in 19 of these studies to guide monitoring (19/36; 53%). Twenty-seven different events were monitored across the studies with hospitalization the most frequently monitored (3/36; 8%). Event severity was fully assessed in 6 studies (17%) and partially assessed in 12 studies (33%). Only 4/36 studies (11%) included assessing events for cause.
Conclusions
To date, adverse events have been inconsistently defined, measured and reported in psychosocial intervention studies of childhood mental health disorders. Information on adverse events is an essential knowledge component for understanding the potential impacts and risks of therapeutic interventions.
心理治疗研究中的不良事件监测对临床决策至关重要，特别是对治疗方法的利弊权衡。在这篇系统综述中，我们确定了在精神障碍儿童的社会心理干预研究中，不良事件是如何定义、测量和报告的。方法检索Medline、PsycINFO、Embase、ProQuest dissertation and Theses Global和Cochrane Library 2011年1月- 2023年1月，谷歌Scholar 2011年1月- 2023年2月。评估儿童精神障碍心理社会干预效果的英语实验和准实验研究被纳入。不良事件的定义、评估和报告信息是根据良好临床实践指南的清单提取的。结果本综述纳入117项研究。最常见的研究涉及治疗焦虑症或强迫症(32/117;27%);44%的实验干预(52/117)是认知行为疗法。36项研究监测了不良事件(36/117;31%)，其中19项研究采用了指导监测的方案(19/36;53%)。在整个研究中监测了27种不同的事件，住院是最常监测的事件(3/36;8%)。6项研究(17%)对事件严重程度进行了全面评估，12项研究(33%)对事件严重程度进行了部分评估。只有4/36的研究(11%)包括评估事件的原因。迄今为止，在儿童心理健康障碍的社会心理干预研究中，不良事件的定义、测量和报告不一致。不良事件信息是了解治疗干预的潜在影响和风险的重要知识组成部分。
{"title":"Review: Adverse event monitoring and reporting in studies of pediatric psychosocial interventions: a systematic review","authors":"Kalee Lodewyk, Alexa Bagnell, Darren B. Courtney, Amanda S. Newton","doi":"10.1111/camh.12661","DOIUrl":"10.1111/camh.12661","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adverse event monitoring in studies of psychotherapy is crucial to clinical decision-making, particularly for weighing of benefits and harms of treatment approaches. In this systematic review, we identified how adverse events are defined, measured, and reported in studies of psychosocial interventions for children with mental disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Medline, PsycINFO, Embase, ProQuest Dissertations and Theses Global, and the Cochrane Library were searched from January 2011–January 2023, and Google Scholar from January 2011–February 2023. English language experimental and quasi-experimental studies that evaluated the efficacy or effectiveness of psychosocial interventions for childhood mental disorders were included. Information on the definition, assessment, and report of adverse events was extracted using a checklist based on Good Clinical Practice guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this review, 117 studies were included. Studies most commonly involved treating anxiety disorders or obsessive-compulsive disorder (32/117; 27%); 44% of the experimental interventions tested (52/117) were cognitive behavioral therapies. Adverse events were monitored in 36 studies (36/117; 31%) with a protocol used in 19 of these studies to guide monitoring (19/36; 53%). Twenty-seven different events were monitored across the studies with hospitalization the most frequently monitored (3/36; 8%). Event severity was fully assessed in 6 studies (17%) and partially assessed in 12 studies (33%). Only 4/36 studies (11%) included assessing events for cause.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To date, adverse events have been inconsistently defined, measured and reported in psychosocial intervention studies of childhood mental health disorders. Information on adverse events is an essential knowledge component for understanding the potential impacts and risks of therapeutic interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 3","pages":"425-437"},"PeriodicalIF":6.1,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12661","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9932139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew C. Grundy, Paul Hine, Aneela McAvoy, Karina Lovell
This article presents the co-production principles underpinning the co-creation of a multimedia theatre production on young people's mental health.
本文介绍了合作制作的原则，支持共同创作的多媒体戏剧生产的年轻人的心理健康。
{"title":"Narrative Matters: Hidden LIVE – Adam's story – a mental health theatre production as an example of participatory principles and practices","authors":"Andrew C. Grundy, Paul Hine, Aneela McAvoy, Karina Lovell","doi":"10.1111/camh.12664","DOIUrl":"10.1111/camh.12664","url":null,"abstract":"<p>This article presents the co-production principles underpinning the co-creation of a multimedia theatre production on young people's mental health.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 4","pages":"562-564"},"PeriodicalIF":6.1,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9827438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Livanou, Marcus Bull, Ifigeneia Manitsa, Jodie Hunt, Rebecca Lane, Anya Heneghan
Background
Young people moving from adolescent secure hospitals to adult care present with multiple and complex needs which often remain unmet during transition periods. This paper delineates the process of developing and co-producing the moving forward intervention (MFi), which aims to address the psychosocial needs of transitioning youth who have limited access to well-researched and tailored service provisions.
Method
An extensive search of the relevant literature was conducted to generate themes and guide the co-production phase. Fourteen Advisory Group Meetings were held virtually during COVID-19 to design the MFi module content with 17 keyworkers, 2 parents and 13 young people aged 17–18 years across six adolescent secure hospitals in England. Thematic analysis was used to reflect on the field notes discussed in the Advisory Groups.
Results
Co-produced themes from the literature and the Advisory Groups informed the development of the proposed intervention. Three overarching themes pertinent to expectations in adult services, improving communication gaps between services and facilitating the letting go period emerged from the co-production phase. It was suggested the MFi is co-delivered by a peer with lived experience to build trust and create hopefulness among young people. The importance of promoting graded transitions through standardised procedures was highlighted.
Conclusions
The current findings promote evidence-based initiatives and build robust practice frameworks that inform treatment and policy guidelines. The young people, parents and keyworkers found the MFi supportive and valued the co-production experience. As such, co-production has been a vital tool in promoting patient engagement and empowerment, and reducing service inequalities, especially in adolescent secure hospitals.
{"title":"Co-producing a complex psychosocial intervention during COVID-19 with young people transitioning from adolescent secure hospitals to adult services in England: Moving Forward intervention (MFi)","authors":"Maria Livanou, Marcus Bull, Ifigeneia Manitsa, Jodie Hunt, Rebecca Lane, Anya Heneghan","doi":"10.1111/camh.12667","DOIUrl":"10.1111/camh.12667","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Young people moving from adolescent secure hospitals to adult care present with multiple and complex needs which often remain unmet during transition periods. This paper delineates the process of developing and co-producing the moving forward intervention (MFi), which aims to address the psychosocial needs of transitioning youth who have limited access to well-researched and tailored service provisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>An extensive search of the relevant literature was conducted to generate themes and guide the co-production phase. Fourteen Advisory Group Meetings were held virtually during COVID-19 to design the MFi module content with 17 keyworkers, 2 parents and 13 young people aged 17–18 years across six adolescent secure hospitals in England. Thematic analysis was used to reflect on the field notes discussed in the Advisory Groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Co-produced themes from the literature and the Advisory Groups informed the development of the proposed intervention. Three overarching themes pertinent to expectations in adult services, improving communication gaps between services and facilitating the <i>letting go period</i> emerged from the co-production phase. It was suggested the MFi is co-delivered by a peer with lived experience to build trust and create hopefulness among young people. The importance of promoting graded transitions through standardised procedures was highlighted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The current findings promote evidence-based initiatives and build robust practice frameworks that inform treatment and policy guidelines. The young people, parents and keyworkers found the MFi supportive and valued the co-production experience. As such, co-production has been a vital tool in promoting patient engagement and empowerment, and reducing service inequalities, especially in adolescent secure hospitals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 1","pages":"43-55"},"PeriodicalIF":6.1,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9780910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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