Purpose
Half of adulthood mental health challenges begin by the age of 14-years-old, making the need for early-intervention clear. This study aims to evaluate a new service model that promotes early-intervention through a community based low-intensity Hub.
Design/methodology/approach
Clinical data from 2,384 young people were analysed through within-group, pre- and post-comparisons and qualitative survey, and interview data was analysed through content analysis.
Findings
Overall, participants reported that they were highly satisfied with the Hub and the low-intensity brief interventions met their needs. Participants reported that learning new skills, having a place to talk and positive therapeutic relationships were beneficial. The Hub appeared to be less successful for young people with complex mental health difficulties. As a service, the adoption of the Hub model reduced waiting list times by more than half.
Research limitations/implications
The quantitative data demonstrated that engaging with the Hub reduced symptoms of psychological distress. Qualitative analyses suggest that access to local, community, welcoming and “less clinical” support was beneficial, and the type of brief interventions offered was less important than therapeutic relationships.
Originality/value
This is the first study of a novel “Hub” model for low-intensity brief interventions in a socio-economically deprived area of England. Local knowledge, community integrated support, therapeutic relationships and a welcoming environment were viewed as more beneficial than the type of brief interventions offered. Consequently, community spaces can be created to be therapeutic and beneficial for mental health outside of a traditional conceptualisation of clinical support.
This I s by outlining the background: considering the perennial problem of attrition within the criminal justice system; explaining why special measures are considered important and outlining the rules surrounding their use. The next step is to explain the research and then the discussion turns to the results so far. This study surveyed 61 sexual offence complainants on how they had decided to give evidence in court and what influenced this decision. This is the first time a team has evaluated special measures including the remote live link, from the point of view of the complainants. The complainant descriptions of their choices were analysed to identify key themes, which are presented here. The results highlight that there are some problems with the practical implementation of these measures, particularly given the views of the complainants.
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