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McGuire, Rosie, Meiser-Stedman, Richard 
ORCID: https://orcid.org/0000-0002-0262-623X, Smith, Patrick, Schmidt, Davin, Bjornstad, Gretchen, Bosworth, Robyn, Clarke, Timothy, Coombes, Joe, Geijer Simpson, Emma, Hudson, Kristian, Oliveira, Paula, Macleod, John, McGovern, Ruth, Stallard, Paul, Wood, Katie and Hiller, Rachel M.
(2024)
Access to best-evidenced mental health support for care-experienced young people: Learnings from the implementation of cognitive therapy for PTSD.
British Journal of Clinical Psychology.
ISSN 0144-6657
Abstract
Objectives: Rates of PTSD are up to 12 times higher in care-experienced young people (CEYP) compared to their peers. Trauma-focused CBTs (tf-CBT) are the best-evidenced treatment for youth with PTSD, yet, in practice, CEYP often struggle to access this treatment. We worked alongside services to understand barriers and facilitators of the implementation of cognitive therapy for PTSD (a type of tf-CBT) to CEYP. Design: This was an active, open implementation trial. Methods: We recruited 28 mental health teams across England, including general CAMHS, targeted CAMHS for CEYP and social care-based teams. From these teams, participants were 243 mental health professionals, from a wide variety of professional backgrounds. Following recruitment/intervention training, teams participated in rolling three monthly focus groups and individual interviews, to understand what helped and hindered implementation. Data were analysed using a framework analysis conducted using CFIR 2.0. Results: Almost half of the teams were able to implement, but only approximately one quarter with CEYP, specifically. Universal barriers that were discussed by almost all teams particularly highlighted service structures and poor resourcing as major barriers to delivery to CEYP, as well as the complexities of the young person and their network. Unique factors that differentiated teams who did and did not implement included commissioning practices, the culture of the team, leadership engagement and style, and the development of supervision structures. Conclusions: Findings offer key considerations for mental health teams, service leads, commissioners and policy-makers to enhance delivery of best-evidenced mental health treatments like CT-PTSD, for CEYP.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding information: This research was funded by the National Institute for Health and Care Research (NIHR) Applied Research Collaborations South West Peninsula (PenARC) and North East North Cumbria (ARC NENC) and was co-hosted by ARC West and ARC North Thames. The views expressed are not necessarily those of NIHR or the Department of Health and Social Care. |
| Uncontrolled Keywords: | care-experienced young people,child welfare,foster care,ptsd,cbt,cognitive therapy for ptsd,trauma focused cbt,implementation |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health Faculty of Medicine and Health Sciences > Research Groups > Mental Health |
| Depositing User: | LivePure Connector |
| Date Deposited: | 17 Jul 2024 11:31 |
| Last Modified: | 25 Sep 2024 17:46 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/95939 |
| DOI: | 10.1111/bjc.12471 |
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