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Clinical effectiveness of drop-in mental health services in paediatric healthcare settings: a non-randomised multi-site study for children, young people and their families

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Titel: Clinical effectiveness of drop-in mental health services in paediatric healthcare settings: a non-randomised multi-site study for children, young people and their families
Autoren: Roach, Anna, Bennett, Sophie, Heyman, Isobel, Coughtrey, Anna, Batura, Neha, Gonzalez, Lina, Astle, Nicki, Coates, Rebekah, Drinkwater, Jessie, Evans, Rebecca, Frederick, Una, Groszmann, Michael, Jones, Steve, McDonnell, Katie, Marley, Sarah, Mobley, Amanda, Murray, Abbie, O'Sullivan, Helena, Ormrod, Sarah, Patel, Nyah, Prendegast, Theo, Rajalingam, Usha, Reddy, Venkat, Solebo, Ameenat Lola, Stokes, Isabella, Webster, Emily, Webster, Rebecca, Vinton, Gareth, Shafran, Roz
Quelle: BMC Health Serv Res
BMC Health Services Research, Vol 25, Iss 1, Pp 1-11 (2025)
Roach, A, Bennett, S, Heyman, I, Coughtrey, A, Batura, N, Gonzalez, L, Astle, N, Coates, R, Drinkwater, J, Evans, R, Frederick, U, Groszmann, M, Jones, S, McDonnell, K, Marley, S, Mobley, A, Murray, A, O'Sullivan, H, Ormrod, S, Patel, N, Prendegast, T, Rajalingam, U, Reddy, V, Solebo, A L, Stokes, I, Webster, E, Webster, R, Vinton, G & Shafran, R 2025, ' Clinical effectiveness of drop-in mental health services in paediatric healthcare settings : a non-randomised multi-site study for children, young people and their families ', BMC Health Services Research, vol. 25, no. 1, 546 . https://doi.org/10.1186/s12913-025-12681-1
Verlagsinformationen: Springer Science and Business Media LLC, 2025.
Publikationsjahr: 2025
Schlagwörter: Adult, Male, Mental Health Services, Adolescent, Young Adult, Mental Health Services/organization & administration, Surveys and Questionnaires, Humans, Prospective Studies, Child, Children, Cognitive Behavioral Therapy, Research, Mental Disorders, England, Patient Satisfaction, Implementation, Child, Preschool, Quality of Life, Young people, Mental health, Female, Public aspects of medicine, RA1-1270, Mental Disorders/therapy, Long term conditions
Beschreibung: Background Despite the high prevalence of mental health disorders in children and young people with long-term health conditions, access to timely and effective treatment is often difficult. This study aimed to evaluate the clinical effectiveness of drop-in mental health services for young people with long-term health conditions and their families at six paediatric healthcare settings in England. Methods This was a prospective non-randomised single-arm multi-centre interventional study. Young people up to 25 years old with a long-term health condition, and their families were eligible. The primary outcome was the change in the total difficulties score on the Strengths and Difficulties Questionnaire between baseline and 6 months. Interventions provided were standard evidence-based low intensity cognitive-behaviour therapy, onward referral or signposting. Secondary outcomes included quality of life, depression, anxiety, satisfaction with services and cost. Results Accessing the drop-in services led to significant reductions in emotional and behavioural symptoms (p < 0.01; Cohen’s d = 0.39) and improved quality of life (p < 0.01; Cohen’s d = 0.44). Parental depression and anxiety significantly improved (p < 0.01; Cohen’s d = 0.30 and d = 0.34). The average waiting time for an initial assessment was 13.42 days. High levels of satisfaction were reported. The cost per patient was approximately half the estimated cost of a typical course of psychological therapy. Conclusions Drop-in mental health services are effective and acceptable and can be delivered at low cost per patient for young people with long term conditions. This model of care is a feasible approach for increasing access to evidence-based mental health treatment in paediatric healthcare settings. Trial registration ISRCTN15063954, Registered on 9 December 2022.
Publikationsart: Article
Other literature type
Dateibeschreibung: application/pdf
Sprache: English
ISSN: 1472-6963
DOI: 10.1186/s12913-025-12681-1
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/40229828
https://doaj.org/article/a7f7f6bdc33d42b2afb33943360bea3b
https://kclpure.kcl.ac.uk/ws/files/342264949/s12913-025-12681-1.pdf
Rights: CC BY
Dokumentencode: edsair.doi.dedup.....eb6370c92c8f987cc25dc643554fa4c6
Datenbank: OpenAIRE
Beschreibung
Abstract:Background Despite the high prevalence of mental health disorders in children and young people with long-term health conditions, access to timely and effective treatment is often difficult. This study aimed to evaluate the clinical effectiveness of drop-in mental health services for young people with long-term health conditions and their families at six paediatric healthcare settings in England. Methods This was a prospective non-randomised single-arm multi-centre interventional study. Young people up to 25 years old with a long-term health condition, and their families were eligible. The primary outcome was the change in the total difficulties score on the Strengths and Difficulties Questionnaire between baseline and 6 months. Interventions provided were standard evidence-based low intensity cognitive-behaviour therapy, onward referral or signposting. Secondary outcomes included quality of life, depression, anxiety, satisfaction with services and cost. Results Accessing the drop-in services led to significant reductions in emotional and behavioural symptoms (p < 0.01; Cohen’s d = 0.39) and improved quality of life (p < 0.01; Cohen’s d = 0.44). Parental depression and anxiety significantly improved (p < 0.01; Cohen’s d = 0.30 and d = 0.34). The average waiting time for an initial assessment was 13.42 days. High levels of satisfaction were reported. The cost per patient was approximately half the estimated cost of a typical course of psychological therapy. Conclusions Drop-in mental health services are effective and acceptable and can be delivered at low cost per patient for young people with long term conditions. This model of care is a feasible approach for increasing access to evidence-based mental health treatment in paediatric healthcare settings. Trial registration ISRCTN15063954, Registered on 9 December 2022.
ISSN:14726963
DOI:10.1186/s12913-025-12681-1