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.
anxiety disorders
child & adolescent psychiatry
depression & mood disorders
Journal
Evidence-based mental health
ISSN: 1468-960X
Titre abrégé: Evid Based Ment Health
Pays: England
ID NLM: 100883413
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
02
09
2020
revised:
24
10
2020
accepted:
27
10
2020
pubmed:
28
11
2020
medline:
26
10
2021
entrez:
27
11
2020
Statut:
ppublish
Résumé
Children 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. A 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. 186 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. There 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). A 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. Drop-in centres for mental health needs may increase access and have beneficial effects for children and young people with physical conditions.
Sections du résumé
BACKGROUND
Children 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.
OBJECTIVE
A 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.
METHODS
186 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.
FINDINGS
There 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).
CONCLUSIONS
A 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 IMPLICATIONS
Drop-in centres for mental health needs may increase access and have beneficial effects for children and young people with physical conditions.
Identifiants
pubmed: 33243761
pii: ebmental-2020-300197
doi: 10.1136/ebmental-2020-300197
pmc: PMC7958088
doi:
Types de publication
Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
25-32Subventions
Organisme : Medical Research Council
ID : MC_UU_00005/4
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Child Psychol Psychiatry. 2000 Jul;41(5):645-55
pubmed: 10946756
Pediatrics. 2015 Apr;135(4):e927-38
pubmed: 25755242
Ann Epidemiol. 2019 Jan;29:81-84.e2
pubmed: 30545763
J Psychosom Res. 2020 Sep;136:110187
pubmed: 32688073
Eur J Paediatr Neurol. 2018 Jul;22(4):620-631
pubmed: 29631920
Pediatrics. 2016 Nov;138(5):
pubmed: 27940773
Eur J Paediatr Neurol. 2015 Sep;19(5):521-4
pubmed: 25976065
Psychol Sci Public Interest. 2017 Sep;18(2):72-145
pubmed: 29211974
Child Adolesc Ment Health. 2020 Sep;25(3):175-177
pubmed: 32674222
J Child Psychol Psychiatry. 2019 Aug;60(8):828-847
pubmed: 30775782
Acad Pediatr. 2019 Jan - Feb;19(1):44-50
pubmed: 30315948
Med Care. 2001 Aug;39(8):800-12
pubmed: 11468499
J Consult Clin Psychol. 2017 Jan;85(1):13-25
pubmed: 27548030
J Abnorm Psychol. 2017 May;126(4):454-477
pubmed: 28333488
Psychol Med. 2010 Dec;40(12):1943-57
pubmed: 20406528
Child Adolesc Ment Health. 2015 May;20(2):94-101
pubmed: 32680384
J Paediatr Child Health. 2011 Oct;47(10):742-7
pubmed: 21449905
BMC Psychol. 2020 Mar 14;8(1):25
pubmed: 32171328
Int J Environ Res Public Health. 2021 May 18;18(10):
pubmed: 34069973
Seizure. 2011 Oct;20(8):589-97
pubmed: 21741277
Health Technol Assess. 2019 May;23(22):1-164
pubmed: 31122334
J Consult Clin Psychol. 2020 Mar;88(3):179-195
pubmed: 32068421
J Child Psychol Psychiatry. 1997 Jul;38(5):581-6
pubmed: 9255702
J Am Acad Child Adolesc Psychiatry. 2017 Feb;56(2):107-115
pubmed: 28117056
BMJ. 2008 Oct 22;337:a1937
pubmed: 18945728
J Am Acad Child Adolesc Psychiatry. 2010 Oct;49(10):980-9
pubmed: 20855043
Cochrane Database Syst Rev. 2018 Dec 22;12:CD012488
pubmed: 30578633