儿童福利从业者(CWP)在儿童和青少年心理健康服务(CAMHS)中的作用的试点评估。

IF 1.8 4区 医学 Q3 PSYCHIATRY Clinical Child Psychology and Psychiatry Pub Date : 2023-07-01 DOI:10.1177/13591045231157621
Hayley Kirk, Michael Turnbull, Michealla Lincoln, Sarah Peacock, Lynne Howey
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引用次数: 0

摘要

背景:2017年,儿童和青少年改善心理治疗(CYP-IAPT)项目扩展到提供低强度认知行为治疗(CBT),由儿童福利从业者(CWPs)提供,但迄今为止评估很少。目的:评价实习护士在儿童和青少年心理健康服务(CAMHS)中对焦虑和抑郁的低强度干预。方法:采用定量、受试者内、横断面设计进行评价。对98名年龄在8-17岁的服务使用者进行了结果测量。服务的使用者是在英格兰东北部使用CAMHS的儿童和年轻人。结果测量包括修订儿童焦虑和抑郁量表(RCADS-47)和基于目标的结果(GBOs)。还探讨了与使用的干预措施类型和CWP参与后的结果有关的描述性数据。结果:干预前和干预后数据的分析突出了所有RCADS亚量表和综合总量表的症状显著减少,以及GBO衡量的显著目标进展。在RCADS的所有子量表中,效应量从中等到较大(d = 0.75 - 0.90)。在抑郁、总焦虑和总RCADS评分(d = 0.86, d = 1.12, d = 1.14)和GBOs (d = -1.33)中发现了较大的效应量。结论:研究结果支持CWPs提供的低强度CBT干预在减少该人群焦虑和抑郁方面的潜在价值。讨论了发展CWP角色和CWP服务的建议。
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A pilot evaluation of the role of a children's wellbeing practitioner (CWP) in a child and adolescent mental health service (CAMHS).

Background: In 2017, the Children and Young People's Improving Access to Psychological Therapies (CYP-IAPT) project was extended to deliver low-intensity Cognitive Behavioural Therapy (CBT), delivered by Children's Wellbeing Practitioners (CWPs), but to date evaluation is sparse.

Aims: To evaluate low-intensity interventions delivered by trainee CWPs for the treatment of anxiety and depression in a child and adolescent mental health service (CAMHS).

Method: The evaluation adopted a quantitative, within-subjects, cross-sectional design. The outcome measures of 98 service users aged 8-17 years were included in the evaluation. Service users were children and young people accessing CAMHS in the North East of England. Outcome measures included the Revised Children's Anxiety and Depression Scale (RCADS-47) and Goal Based Outcomes (GBOs). Descriptive data relating to the types of interventions used and outcomes following CWP involvement were also explored.

Results: Analysis of pre and post intervention data highlighted significant reduction in symptomatology across all RCADS subscales and composite total scales, and significant goal progress as measures by GBO's. Effect sizes ranged from moderate to large (d = 0.75 - 0.90) across all subscales of the RCADS. Large effect sizes were found for depression, total anxiety and total RCADS scores (d = 0.86, d = 1.12, d = 1.14), and GBOs (d = -1.33).

Conclusions: Findings support the potential value of low intensity CBT interventions delivered by CWPs in reducing anxiety and depression in this population. Recommendations for the development of the CWP role and CWP services are discussed.

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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
130
期刊介绍: Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.
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