Early Psychological Intervention for Auditory Hallucinations: An Exploratory Study of Young People??s Voices Groups

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.

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M.I.C.E—Mental Health Intervention for Children with Epilepsy: a randomised controlled, multi-centre clinical trial evaluating the clinical and cost-effectiveness of MATCH-ADTC in addition to usual care compared to usual care alone for children and young people with common mental health disorders and epilepsy—study protocol

Trials ◽

10.1186/s13063-020-05003-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Sophie D. Bennett ◽

◽

J. Helen Cross ◽

Anna E. Coughtrey ◽

Isobel Heyman ◽

...

Keyword(s):

Mental Health ◽

Young People ◽

Usual Care ◽

Psychological Intervention ◽

Mental Health Disorders ◽

Long Term Conditions ◽

Children And Young People ◽

Health Disorders ◽

Randomised Controlled

Abstract Background Mental health disorders in the context of long-term conditions in children and young people are currently overlooked and undertreated. Evidence-based psychological treatments for common childhood mental health disorders (anxiety, depression and disruptive behaviour disorders) have not been systematically evaluated in young people with epilepsy despite their high prevalence in this population. The aim of this multi-site randomised controlled trial is to determine the clinical and cost-effectiveness of adding a modular psychological intervention to usual care for the mental health disorders in comparison to assessment-enhanced usual care alone. Methods In total, 334 participants aged 3–18 years attending epilepsy services will be screened for mental health disorders with the Strengths and Difficulties Questionnaire (SDQ) and the diagnostic Development and Wellbeing Assessment (DAWBA). Those identified as having a mental health disorder and consenting to the trial will be randomised to either receive up to 22 sessions of the modular psychological intervention (MATCH-ADTC) delivered over the telephone over 6 months by non-mental health professionals in addition to usual care or to assessment-enhanced usual care alone. Outcomes will be measured at baseline, 6 months and 12 months post-randomisation. It is hypothesised that MATCH-ADTC plus usual care will be superior to assessment-enhanced usual care in improving emotional and behavioural symptoms. The primary outcome is the SDQ reported by parents at 6 months. Secondary outcomes include parent-reported mental health measures such as the Revised Children’s Anxiety and Depression Scale, quality of life measures such as the Paediatric Quality of Life Inventory and physical health measures such as the Hague Seizure Severity Scale. Outcome assessors will be blinded to group assignment. Qualitative process evaluations and a health economic evaluation will also be completed. Discussion This trial aims to determine whether a systematic and integrated approach to the identification and treatment of mental health disorders in children and young people with epilepsy is clinically and cost-effective. The findings will contribute to policies and practice with regard to addressing mental health needs in children and young people with other long-term conditions. Trial registration ISRCTN ISRCTN57823197. Registered on 25 February 2019.

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Muscular fitness is associated with spinal pain among young people: a cross-sectional exploratory study.

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2020.08.011 ◽

2020 ◽

Author(s):

Diogo Henrique Constantino Coledam ◽

Gustavo Aires de Arruda ◽

Francys Paula Cantieri ◽

Edinéia Aparecida Gomes Ribeiro

Keyword(s):

Young People ◽

Exploratory Study ◽

Spinal Pain ◽

Muscular Fitness ◽

Cross Sectional

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Gambling among Croatian young people: an exploratory study of the relationship between psychopathic traits, risk-taking tendencies and gambling-related problems

International Gambling Studies ◽

10.1080/14459795.2016.1158305 ◽

2016 ◽

Vol 16 (2) ◽

pp. 231-245 ◽

Cited By ~ 1

Author(s):

Silvija Ručević

Keyword(s):

Young People ◽

Risk Taking ◽

Exploratory Study ◽

Psychopathic Traits ◽

The Relationship

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Psychiatric Consequences of Brain Syndromes

Developmental Neuropsychiatry ◽

10.1093/med/9780198827801.003.0006 ◽

2021 ◽

pp. 163-212

Author(s):

Eric Taylor

Keyword(s):

Cerebral Palsy ◽

Young People ◽

Medical Diagnosis ◽

Psychological Intervention ◽

Traumatic Injury ◽

Endocrine Disorders ◽

Therapeutic Approaches ◽

Children And Young People ◽

Multiple Morbidity ◽

Functional Neurological Disorders

This chapter outlines the nature of common and notable brain disorders that have psychiatric consequences for children and young people. All are often managed by paediatric disciplines in European, Australian, and North American countries. Psychiatrists, however, are often the lead discipline in countries where the medical aspects are considered as less important than the mental. In most countries, physical and mental specialists need to work together with enough understanding of each other’s role that there is no gap in the provision of service. Recognizing multiple morbidity is key. This chapter therefore covers the basics of medical diagnosis and treatment as well as what is known about psychological intervention. Epilepsy, cerebral palsy, hydrocephalus, acquired traumatic injury to the head, localized structural lesions, and endocrine disorders are all described in the chapter. In addition, functional neurological disorders are considered, in order to inform joint diagnostic and therapeutic approaches.

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Exploring the Development of Reflective Capacity in Young People

Children Australia ◽

10.1017/cha.2016.6 ◽

2016 ◽

Vol 41 (2) ◽

pp. 154-161 ◽

Cited By ~ 1

Author(s):

Helen Hickson ◽

Jennifer Lehmann ◽

Fiona Gardner

Keyword(s):

Young People ◽

Reflective Practice ◽

Social Workers ◽

Human Service ◽

Exploratory Study ◽

Multiple Perspectives ◽

Service Workers ◽

Children And Young People ◽

Story Reading ◽

Reflective Capacity

People use reflection and reflective practice for many different reasons, including for self-care and to make sense of their experiences. In this study, social workers spoke about how they learned to be reflective, with many participants describing activities in their childhood that developed their reflective capacity. The aim of this article is to apply these ideas and examine the factors that enhance reflective capacity in children and young people. This research was part of a PhD study that involved interviews with 35 social workers in USA, Canada, UK and Australia. This exploratory study found that activities like story reading and asking children to reflect on their behaviour are early steps in the process of becoming reflective, but this needs to be followed up with conversations that deconstruct assumptions to make sense of experiences and explore multiple perspectives. This research is important for health and human service workers and others who want to develop reflective capacity in children and young people, particularly for children subject to disadvantage who need to overcome trauma and adversities.

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A Study Exploring the Implementation of an Equine Assisted Intervention for Young People with Mental Health and Behavioural Issues

J ◽

10.3390/j2020017 ◽

2019 ◽

Vol 2 (2) ◽

pp. 236-246

Author(s):

Ann Hemingway

Keyword(s):

Mental Health ◽

Young People ◽

Exploratory Study ◽

Randomised Control Trial ◽

Control Group ◽

Target Groups ◽

Randomised Controlled ◽

Study Designs ◽

Equine Assisted ◽

Existing Data

This paper presents the findings from a study of an equine assisted intervention (EAI), which is currently referred over 150 predominantly young people with mental health and behavioural problems each year. The young people are referred to this intervention when other services such as Child & Adolescent Mental Health Services (CAMHS) are not effective. Performing an exploratory study of implementation may be indicated when, there are few previously published studies or existing data using a specific intervention technique. This study showed some positive changes for participants across eight dimensions including; assertiveness, engagement with learning, calmness, planning, taking responsibility, empathy, communication and focus and perseverance. The equine intervention literature has shown mixed results across a variety of study designs and target groups, in terms of the gold standard of evidence, randomised controlled studies however the evidence currently is very limited. This study used a non-randomised sample, no control group and an unstandardised measurement filled out by those who refer young people to the intervention (social workers and teachers). The outcomes however from this exploratory study would suggest that a randomised control trial may be warranted and achievable.

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