Delivering and implementing child and adolescent mental health training for mental health and allied professionals: a systematic review and qualitative meta-aggregation

Banwell, Emily; Humphrey, Neil; Qualter, Pamela

doi:10.1186/s12909-021-02530-0

Cited by 10 publications

(17 citation statements)

References 63 publications

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“…Doing so can provide useful insight into how to better support young people based on their level of need, which may be particularly helpful for non-mental health trained professionals. It is imperative that these allied professionals can support young people effectively (Banwell et al, 2021), especially as adolescents may be more comfortable seeking help from informal sources, such as teachers and parents (Rickwood et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Qualitative Research Focusing on Emotional Distress Among Adolescents: Perceived Cause and Help-Seeking

2023

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Causal attributions and help-seeking is not well explored among adolescents, despite evidence of perceived causes for difficulties influencing how adults engage with treatment and seek help. This study reviewed extant literature to understand what adolescents at increased risk of developing mental health difficulties and those with clinically significant symptoms perceive to be the cause of emotional distress; to determine the extent to which perceived cause influences help-seeking; and to identify potential differences/commonalities between these groups. A systematic review and qualitative thematic synthesis were conducted. 3,691 articles were identified, 18 were eligible to be included and were synthesized using thematic synthesis. Six main themes related to perceived cause are reported. Three of those themes were shared between the clinical and at-risk groups: (1) challenging social factors and perceived difference, (2) problematic family dynamics, and (3) cause is complex and multifaceted. Three themes were not: (4) unfairness and perceived lack of agency and (5) concern for self and others, were exclusive to the at-risk group, and (6) coping with a mental health difficulty was exclusive to the clinical group. Four main themes related to causal attributions and help-seeking were found, including: (1) cause and implications for self-preservation; (2) the degree of personal and wider knowledge and understanding of cause; (3) perceived extent of control in managing cause; and (4) cause having potential to affect others. The findings of this review demonstrate that perceived cause for emotional distress plays a role in help-seeking among adolescent groups and highlights likely differences in how adolescents at-risk of mental health difficulties and those with clinically significant symptoms attribute cause for their difficulties and subsequently seek help. This has important implications for how to support young people experiencing or at risk of mental health difficulties and presents a strong case for pursuing more research in this area.

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Section: Introductionmentioning

confidence: 99%

A Systematic Review of Qualitative Research Focusing on Emotional Distress Among Adolescents: Perceived Cause and Help-Seeking

2023

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“…The diverse systems against which it can be applied far exceeded initial plans. Interventions with surplus value are generally viewed positively [ 53 , 54 ]. “Benefits beyond helping patients” was mostly well-rated in the QM, which supports the interview data.…”

Section: Resultsmentioning

confidence: 99%

Child and adolescent mental health services in a devolved healthcare system: a qualitative exploration of sustainable practices

Banwell

Humphrey

Qualter

2023

Health Res Policy Sys

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Background The transference of research evidence into routine healthcare practice remains poorly understood. This includes understanding the prerequisites of longer-term viability. The present study investigated the sustainable practices of GM i-THRIVE, a programme which reconceptualizes mental health services for children and young people (CYP) in Greater Manchester, United Kingdom. We aimed to establish whether a sustainable future was likely, and to identify areas of focus to improve that likelihood. Methods The NHS Sustainability Model, typically completed as a questionnaire measure, was converted into interview questions. The responses of nine professionals, from a variety of roles across the CYP mental health workforce, were explored using inductive thematic framework analysis. Selected participants completed the original questionnaire. Results Five themes (communication; support; barriers to implementation; past, present, and future: the implementation journey; and the nuances of GM i-THRIVE) and 21 subthemes formed the final thematic framework. Relationships with senior leaders and with colleagues across the workforce were seen as important. Leaders’ roles in providing meaning and fit were emphasized. Whilst training delivered the programme’s aims well, monitoring its dissemination was challenging. Widespread issues with dedicating sufficient time to implementation were raised. The flexibility of the programme, which can be applied in multiple ways, was discussed positively. This flexibility links to the idea of GM i-THRIVE as a mindset change, and the uniqueness of this style of intervention was discussed. To varying degrees, themes were supported by responses to the quantitative measure, although several limitations to the use of the questionnaire were discovered. Consequently, they were used to infer conclusions to a lesser degree than originally intended. Conclusions Professionals involved with GM i-THRIVE reported many elements that indicate a positive future for the programme. However, they suggested that more attention should be given to embedding the core concepts of the model at the current stage of implementation. Limitations relating to its use within our study are discussed, but we conclude that the NHS Sustainability Model is a suitable way of guiding qualitative implementation research. It is especially valuable for localized interventions. The constraints of our small sample size on transferability are considered.

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“…The specific implementation themes that arose as most salient to support integration of MIO into the home visiting programs (engagement, training, sustainability), are frequently identified as important considerations for other community‐based mental health programs (Aarons et al., 2012; Banwell et al., 2021; Scantlebury et al., 2018; Velasco et al., 2020; Webb et al., 2021). Our findings describe nuances in these themes specific to working with families affected by SUDs as well as the implementation of a parenting intervention that is not curriculum based.…”

Section: Discussionmentioning

confidence: 99%

Parental substance use and home visiting programs: Implementation considerations for relationship‐based treatment

Lowell

Suchman

Byatt

et al. 2023

Infant Mental Health Journal

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Home visiting programs can provide critical support to mothers in recovery from substance use disorders (SUDs) and young children prenatally exposed to substances. However, families impacted by maternal SUDs may not benefit from traditional child‐focused developmental home visiting services as much as families not impacted by SUDs, suggesting the need to adjust service provision for this population. Given the need to implement tailored services within home visiting programs for families impacted by SUDs, we sought to investigate the implementation barriers and facilitators to inform future integration of a relationship‐based parenting intervention developed specifically for parents with SUDs (Mothering from the Inside Out) into home visiting programs. We conducted nine interviews and five focus groups with a racially diverse sample (N = 38) of parents and providers delivering services for families affected by SUDs in the USA. Qualitative content analysis yielded three most prominent themes related to separate implementation domains and their associated barriers and facilitators: (1) engagement, (2) training, and (3) sustainability. We concluded that the home visiting setting may mitigate the logistical barriers to access for families affected by SUDs, whereas relationship‐based services may mitigate the emotional barriers that parents with SUDs experience when referred to home visiting programs.

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Delivering and implementing child and adolescent mental health training for mental health and allied professionals: a systematic review and qualitative meta-aggregation

Cited by 10 publications

References 63 publications

A Systematic Review of Qualitative Research Focusing on Emotional Distress Among Adolescents: Perceived Cause and Help-Seeking

A Systematic Review of Qualitative Research Focusing on Emotional Distress Among Adolescents: Perceived Cause and Help-Seeking

Child and adolescent mental health services in a devolved healthcare system: a qualitative exploration of sustainable practices

Parental substance use and home visiting programs: Implementation considerations for relationship‐based treatment

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