A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes

Bennett, Sophie; Kerry, Eleanor; Fifield, Kate; Ching, Brian Chi Fung; Catanzano, Matteo; Liang, Holan; Heyman, Isobel; Coughtrey, Anna; Sanderson, Charlotte; Rojas, Natalia; Shafran, Roz

doi:10.1002/jcv2.12046

Cited by 12 publications

(11 citation statements)

References 91 publications

(90 reference statements)

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“…Similarly, these studies should also consider the impact on the wider family unit and investigate the impact on parental and sibling outcomes. In the main study investigating the drop-in centre for children with long-term physical health conditions which offered low-intensity intervention presented in this study, we found that parental mental health also improved significantly after attending the centre for support for the child (Bennett et al ., 2021c). We must also consider the variation in presenting problems and genetic conditions in our sample when drawing conclusions from the study for wider commissioning of services.…”

Section: Discussionmentioning

confidence: 97%

Feasibility of low-intensity psychological interventions for emotional and behavioural difficulties in children and young people with genetic conditions: a case series

Ching

Bennett

Rojas

et al. 2022

tCBT

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Children with genetic conditions may experience significant mental health difficulties such as anxiety and challenging behaviour. However, understanding of the feasibility and effectiveness of psychological interventions for emotional and behavioural problems in the context of genetic conditions is limited. Low-intensity psychological interventions have demonstrated promise in paediatric populations and may be able to address their mental health difficulties. A case series design was used to assess the feasibility of low-intensity interventions for emotional and behavioural difficulties in children and young people with genetic conditions recruited from a mental health drop-in centre at a tertiary hospital. Participants received seven weekly sessions with a trained practitioner. The intervention was based on existing modular treatments and evidence-based self-help materials. Feasibility and treatment satisfaction were assessed, as well as measures of symptoms of anxiety and challenging behaviour, treatment goals and quality of life, at baseline, during treatment and 6-month follow-up. Five participants received treatment for challenging behaviour, one for anxiety, and one for obsessive compulsive disorder. All participants completed treatment. Clinically significant change in the SDQ Total score was found in three participants. All participants demonstrated progress in goals and symptoms of emotional and behavioural difficulties over the course of treatment. Low-intensity psychological interventions for emotional and behavioural difficulties in children and young people with genetic conditions is feasible, acceptable and potentially beneficial. Further research is warranted to examine the effectiveness of the intervention and its use in clinical paediatric settings. Key learning aims (1) To gain a basic understanding of low-intensity psychological intervention in children and young people with genetic conditions. (2) To enhance understanding of the practicalities and acceptability of delivering low-intensity psychological intervention to children and young people with genetic conditions and co-morbid emotional and behavioural difficulties. (3) To learn about the potential clinical benefits of delivering low-intensity psychological intervention to children and young people with genetic conditions in the context of stepped care.

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Section: Discussionmentioning

confidence: 97%

Feasibility of low-intensity psychological interventions for emotional and behavioural difficulties in children and young people with genetic conditions: a case series

Ching

Bennett

Rojas

et al. 2022

tCBT

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“…A drop‐in centre in a paediatric hospital delivering brief cognitive behavioural interventions may be one way for more children to access evidence‐based treatments. This was the goal of the ‘Lucy project’: to evaluate the acceptability, feasibility and impact of a ‘Mental Health and Psychological Wellbeing Drop‐in Centre’ in a tertiary paediatric hospital setting (Catanzano et al, 2021 ) and the quantitative outcomes are reported elsewhere (Bennett et al, 2021 ; Catanzano, Bennett, Kerry, et al, 2020 ; Clarke et al, 2022 ). The project was an uncontrolled trial of young people, their siblings and carers attending a national paediatric hospital.…”

Section: Introductionmentioning

confidence: 99%

Efficient Sufficiency: A qualitative evaluation of a 1 year pilot study of young people and parents accessing a mental health drop‐in centre in a paediatric hospital

Catanzano

Bennett

Fifield

et al. 2022

Child

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Background: Children and young people with long-term physical health conditions (LTC) are known to have higher levels of co-morbid mental health problems than medically healthy children. Evidence-based treatments for mental health problems are effective in children who also have an LTC. This study aimed to explore the factors associated with participants' perceived acceptability and impact of a transdiagnostic mental health centre offering brief psychological assessment and treatment for children and young people and/or their families with mental health needs in the context of long term physical conditions.Methods: One-hundred twenty-eight patients attending the drop-in centre were invited to participate. Overall, 35 participated (31 parents/carers; 4 children and young people) in semi-structured interviews (either in person or by phone) exploring their experience of the centre. Interviews were audio-recorded, transcribed and checked. Framework analysis was then conducted on all transcripts.Results: Overall, participants found the drop-in centre highly acceptable and reported a positive experience. Reasons for this varied but broadly focused around four themes: (1) efficient sufficiency; (2) autonomy; (3) fusion of process and content factors and (4) (dis)parities of esteems and 'seeing both sides of the coin'.Conclusions: Participants found the intervention acceptable. A mental health drop-in centre in a paediatric hospital appears to be a positive and valued adjunct to supplement existing mental health services.

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“…Future research will be able to tell. Should this putative d factor be confirmed, it would have substantial implications not only from a theoretical or even philosophical standpoint, but also from a practical perspective, providing a strong rationale for the integrated care for children and adolescents advocated in this issue by Fazel et al (2021) and Bennett et al (2021).…”

mentioning

confidence: 99%

“…The studies published in the special issue contribute to further our understanding on the links between Attention-Deficit/Hyperactivity Disorder (ADHD) and asthma (Sun et al, 2021); the relationship between anorexia nervosa and inflammatory bowel diseases (Larsen et al, 2021); the association of retinal vascular calibre with regional brain structure in adolescent bipolar disorder (Mio et al, 2021); the role of integrated care for child and adolescent health (Fazel et al, 2021); the acceptability, feasibility and impact of a drop-in centre to address emotional and behavioural problems in children with chronic physical conditions (Bennett et al, 2021); the efficacy of group-based Acceptance and Commitment Therapy for adolescents with multiple functional somatic syndromes (Kallesøe et al, 2021); and the evidence on physical exercise interventions in child and adolescent mental health (Carney & Firth, 2021). These studies add to and complement, with more fine-grained information, an increasing body of empirical evidence on the relationships between mental disorders and physical conditions in children and adolescents.…”

mentioning

confidence: 99%

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Beyond the p factor: Is there a d factor?

et al. 2021

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A drop‐in centre for treating mental health problems in children with chronic illness: Outcomes for parents and their relationship with child outcomes

Cited by 12 publications

References 91 publications

Feasibility of low-intensity psychological interventions for emotional and behavioural difficulties in children and young people with genetic conditions: a case series

Feasibility of low-intensity psychological interventions for emotional and behavioural difficulties in children and young people with genetic conditions: a case series

Efficient Sufficiency: A qualitative evaluation of a 1 year pilot study of young people and parents accessing a mental health drop‐in centre in a paediatric hospital

Beyond the p factor: Is there a d factor?

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