The effectiveness of low-intensity mental health interventions for children and young people in England: a presentation and analysis of synthesised outcomes.
Susanna Payne, Deepa Mavji, Caroline Stokes, Jessica Richardson, Jonathan Parker, Catherine Gallop, Hollie Gay, Katy Snitter, Elizabeth Deacon, Lili Ly, Vicki Curry, Markku Wood, Tyler Lewis, Cara Miller, Nicola Abraham, Elizabeth Turnbull, Melika Janbakhsh, Nicholas Smith, Helen Barker, Sadie Williams, Laura Bowyer, Kellie Jacques, Mike Turnbull, Jessica Collins, Alisa Kurina, Natalie Fabian, Anne Matthews, Barbara Evetts, Jeevan Kang, Alison Wheeler, Peter Fonagy
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引用次数: 0
Abstract
Background: Despite rapid national implementation of the new low-intensity (LI) children and young people's (CYP) mental health (MH) workforce, outcomes have not been synthesised at scale.
Methods: This paper presents retrospective, uncontrolled routine outcome data collected between July 2017 and May 2025 from LI services across several regions of England, supported by five Higher Education Institutions (HEIs). Data were drawn from CYP aged 5-18 receiving LI interventions delivered by training and newly qualified practitioners. Paired outcome measures included goal-based outcomes (GBOs; n = 26,012), the Revised Children's Anxiety and Depression Scale (RCADS; n = 14,661), the Child Outcome Rating Scale (CORS; n = 3485), the Outcome Rating Scale (ORS; n = 8320) and the Brief Parental Self-Efficacy Scale (BPSES; n = 944).
Results: Significant improvement was observed across outcomes, with medium effect sizes on the RCADS, CORS and ORS, and large effect sizes on the GBOs and BPSES. Reliable improvement rates were 47% on the RCADS and 56% on the GBOs, with reliable deterioration rates of 6% and 1%, respectively. Outcomes were broadly comparable in magnitude to published datasets and meta-analytic benchmarks, despite the lower treatment dosage (2-8 sessions).
Conclusion: LI MH interventions delivered by this new workforce were associated with meaningful improvements in symptoms and goal attainment across diverse settings. These findings suggest that this workforce may represent a scalable approach to addressing the treatment gap in CYP MH services. Future work should incorporate demographic data and controlled designs.
背景：尽管国家迅速实施了新的低强度（LI）儿童和青少年（CYP）心理健康（MH）工作队伍，但结果尚未大规模综合。方法：本文收集了2017年7月至2025年5月期间从英格兰几个地区的LI服务中收集的回顾性、非受控常规结果数据，这些数据由五所高等教育机构（HEIs）提供支持。数据来自5-18岁接受LI干预的CYP，由培训和新合格的从业人员提供。配对结果测量包括基于目标的结果（GBOs, n = 26,012）、修订儿童焦虑和抑郁量表（RCADS, n = 14,661）、儿童结果评定量表（CORS, n = 3485）、结果评定量表（ORS, n = 8320）和父母自我效能简易量表（bpse, n = 944）。结果：各结局均观察到显著改善，对RCADS、CORS和ORS的效应大小中等，对gbo和bpse的效应大小较大。RCADS和gbo的可靠改善率分别为47%和56%，可靠恶化率分别为6%和1%。尽管治疗剂量较低（2-8次），但结果在量级上与已发表的数据集和荟萃分析基准大致相当。结论：在不同的环境下，这种新的工作人员提供的LI MH干预措施与症状和目标实现的有意义的改善有关。这些发现表明，这支劳动力队伍可能代表了一种可扩展的方法来解决CYP MH服务中的治疗差距。未来的工作应纳入人口统计数据和控制设计。
期刊介绍：
Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.
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