Clinical child psychology and psychiatry最新文献

A personal reflection: What I learned about diversity, inclusivity and equity because of a young homeless man and his dog.

Clinical child psychology and psychiatry Pub Date : 2025-03-04 DOI: 10.1177/13591045251326704

Pierre-Paul Tellier

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Diversity, equity and inclusion: Challenges for academic journals and their editors.

Clinical child psychology and psychiatry Pub Date : 2025-03-04 DOI: 10.1177/13591045251327049

Deborah Christie

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How do transgender young people experience talking about trauma with services?

Clinical child psychology and psychiatry Pub Date : 2025-02-26 DOI: 10.1177/13591045251320673

Georgia Crockford, Oliver Hawthorne, Tamara Leeuwerik

{"title":"How do transgender young people experience talking about trauma with services?","authors":"Georgia Crockford, Oliver Hawthorne, Tamara Leeuwerik","doi":"10.1177/13591045251320673","DOIUrl":"https://doi.org/10.1177/13591045251320673","url":null,"abstract":"Background: Transgender young people are more likely than their cisgender peers to experience trauma. Through talking about trauma, services may be able to support transgender young people to manage the impact of these events. However, research has highlighted that many trans people are concerned that disclosing trauma would be used to discredit their sense of their gender identity.Aim: To explore how transgender young people experience having conversations about trauma with services and how they understand these conversations.Method: Six semi-structured interviews were carried out with young transgender people. Interpretative phenomenological analysis was used.Results: The study found that all participants were aware of discourses linking experiences of trauma with transgender identities. All participants recognised these conversations as significant. Some experienced conversations to be supportive and transformative. Others found them deeply distressing, reminiscent of trauma experiences. Relationships with professionals seemed to influence these experiences, as did transphobia and relationships with other services.Discussion: A trauma-informed approach should be used and professionals are encouraged to consider the potential for harm that can arise from these conversations, as well as the therapeutic element. Clinical implications and future research directions are discussed, in particular considering the recently published Cass Review (2024).","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251320673"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Evaluating staff views and understanding of the crisis and home treatment service (CAHTS): A mixed-methods study within the child and adolescent mental health service (CAMHS).

Clinical child psychology and psychiatry Pub Date : 2025-02-25 DOI: 10.1177/13591045251322818

Paulina Kusnierczak, Naomi Payne, Megan Reynolds, Natasha Williams

{"title":"Evaluating staff views and understanding of the crisis and home treatment service (CAHTS): A mixed-methods study within the child and adolescent mental health service (CAMHS).","authors":"Paulina Kusnierczak, Naomi Payne, Megan Reynolds, Natasha Williams","doi":"10.1177/13591045251322818","DOIUrl":"https://doi.org/10.1177/13591045251322818","url":null,"abstract":"Background: The number of children and young people (CYP) experiencing mental health crises in the UK is increasing. The NHS Long Term Plan (2019) prioritises crisis care for CYP. There is a lack of research and understanding into staff views and understandings of these services. The Crisis and Home Treatment Service (CAHTS) is a service within Child and Adolescent Mental Health Services (CAMHS) across Bath and Northeast Somerset, Swindon, and Wiltshire (BSW) and is a key component of the crisis mental health care for CYP. The aims of this study were to gain an insight into staff's views and understandings of the CAHTS, and to explore and identify areas for improvement for future practice and policy for the CAHTS.Methods: The study employed a mixed-methods design, obtaining quantitative and qualitative data, by distributing online surveys (n = 37) and semi-structured interviews (n = 9) to gather staff views and understandings. Participants were recruited by opportunistic sampling. Interviews were recorded and transcribed, and a thematic analysis was undertaken.Results: Participants 'agreed' that CAHTS were acting in accordance with their core principles and were 'highly likely' to use the service in the future. The thematic analysis revealed seven themes, the four most dominant themes identified were: good qualities of the CAHT service, working collaboratively, good clinician skills and understaffed for demand.Conclusions: The data provides insight into staff's views and understandings of the CAHTS. From the themes derived, the study identified various implications for the CAHTS including further training for staff.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251322818"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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A qualitative evaluation of the reflective fostering programme - examining foster and kinship carers' experiences, practical application, and perceived impact.

Clinical child psychology and psychiatry Pub Date : 2025-02-19 DOI: 10.1177/13591045251321032

Thando Katangwe-Chigamba, Jamie Murdoch, Karen Irvine, Sheila Redfern, Nick Midgley

{"title":"A qualitative evaluation of the reflective fostering programme - examining foster and kinship carers' experiences, practical application, and perceived impact.","authors":"Thando Katangwe-Chigamba, Jamie Murdoch, Karen Irvine, Sheila Redfern, Nick Midgley","doi":"10.1177/13591045251321032","DOIUrl":"https://doi.org/10.1177/13591045251321032","url":null,"abstract":"Background: Mentalization is the ability to think about and interpret behaviours of both self and others in terms of thoughts and feelings. Caregiver's capacity to mentalize can enhance the quality of parent-child relationships. The UK Reflective Fostering Programme (RFP) has been developed to enhance foster and kinship carers' self-regulation and self-mentalizing.Aim: To understand carers' experiences, practical application, and perceived impact of the RFP.Methods: A qualitative evaluation of the RFP using in depth interviews with twenty-four carers. Interviews were audio-recorded, transcribed verbatim and analysed thematically.Results: Three key themes were identified: (1) 'Me time' - carer's reflections on the programme and what makes it work, highlights sharing of challenging experiences as important for practising mentalizing. (2) 'Stopping and thinking in the moment' - carer's understanding of programme concepts explores carer's conceptualizations of mentalization, revealing some male carers described challenges regarding sharing personal experiences in a group and the practical application of mentalization. (3) Practical application and perceived impact of the programme suggests successful enactment of learning from the programme, resulting in enhanced capacity to cope with stress, prevention of outbursts and better communication with children in their care.Conclusions: Our findings suggest the programme can successfully facilitate carer's use of self-mentalizing, leading to greater self-regulation and capacity to support children in their care. Future research should explore experiences of male and kinship carers to inform tailoring.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251321032"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Filling the NHS sky with rainbows: Reflections and developments from 5 years of the UCLH 'rainbow project'.

Clinical child psychology and psychiatry Pub Date : 2025-02-06 DOI: 10.1177/13591045251317113

James McParland, Lizzie Driscoll, Fynn Mason, Bella Matthews, Charlotte Taylor, Jaymie Huckridge

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Therapeutic alliance within trauma-focused cognitive behavioral therapy: A systematic review.

Clinical child psychology and psychiatry Pub Date : 2025-01-31 DOI: 10.1177/13591045251318058

Hannah E Skiest, Anna L Milliken, Christine A Limbers

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Medication adherence and attitudes in adolescent psychiatry: Key influences.

Clinical child psychology and psychiatry Pub Date : 2025-01-30 DOI: 10.1177/13591045251316607

İzgi Bayraktar, Nadir Yalçın, Kevser Nalbant, Ebru Çengel Kültür, Kutay Demirkan

{"title":"Medication adherence and attitudes in adolescent psychiatry: Key influences.","authors":"İzgi Bayraktar, Nadir Yalçın, Kevser Nalbant, Ebru Çengel Kültür, Kutay Demirkan","doi":"10.1177/13591045251316607","DOIUrl":"https://doi.org/10.1177/13591045251316607","url":null,"abstract":"Adolescents with mental illnesses often struggle with adhering to prescribed medication regimens. This study investigates how patient perceptions influence medication adherence among adolescents with psychiatric disorders. It also examines the role of patient characteristics and medication-related factors on adherence and attitudes. The Pediatric Medication Adherence Scale (PMAS)- 9 questions and the Pediatric Attitude toward Medication Scale (PAMS)- 18 questions, two reliable self-report scales designed for the adolescent population, were used to assess negative adherence behaviors and patients' perceptions of medication. Statistical analysis examined correlations between adherence, attitudes, and patient characteristics. The scales were administered to 288 adolescents with psychiatric disorders, and a significant correlation was found between concern scores and attitudes toward medication (r = 0.886, p < .05). Patients receiving monotherapy demonstrated lower concern scores and more positive attitudes (p < .05). Experiencing side effects was significantly linked to reduced medication adherence and more negative attitudes toward treatment. Patients with eating disorders demonstrated more negative attitudes, while those using antidepressant-antipsychotic combinations demonstrated more negative attitudes than those using stimulants. This study emphasizes the necessity of addressing critical factors that influence medication adherence and attitudes toward psychiatric medication among adolescents with psychiatric disorders. In particular, it highlights the importance of considering concern perception, managing side effects, and evaluating polypharmacy to optimize pharmacotherapy in this population.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251316607"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Short-term mentalization-based therapy for common childhood mental disorders - a pilot quasi-randomised controlled trial.

Clinical child psychology and psychiatry Pub Date : 2025-01-27 DOI: 10.1177/13591045251316619

Agneta Thorén, Karin Lindqvist, Julia Pertoft Nemirovski, Jakob Mechler

{"title":"Short-term mentalization-based therapy for common childhood mental disorders - a pilot quasi-randomised controlled trial.","authors":"Agneta Thorén, Karin Lindqvist, Julia Pertoft Nemirovski, Jakob Mechler","doi":"10.1177/13591045251316619","DOIUrl":"https://doi.org/10.1177/13591045251316619","url":null,"abstract":"Internalizing and externalizing psychiatric disorders among children are common and debilitating, affecting family interactions, learning and peer relations. The aim of the present quasi-randomised pilot-study was to investigate preliminary effects of a mentalization-based time-limited treatment (MBT-C) for children with mixed psychiatric disorders. The trial comprised 17 children, aged 4-11 with mixed disorders, and their parents, admitted to an outpatient psychotherapy clinic. Quasi-randomization allocated patients to 12 sessions MBT-C with parallel parent support, or wait-list control. Compared to wait-list controls, significant improvements were observed in child pathology (d = 1.23, p = .006), therapist-rated global functioning (d = 1.73, p = .002), parent-perceived overall distress and impairment (d = 1.42, p = .017), and child-perceived emotional distress (d = 1.32, p = .024). No significant effects were observed for parent-perceived symptoms (d = 0.41, p = .28). Within-group changes and long-term effects were calculated for all participants including the wait-list after being crossed-over to treatment. Results were either maintained or further improved at 6- and 12-months follow-ups. This trial provides preliminary support for MBT-C in children with mixed disorders.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251316619"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Effect of yogic breathing practice on all-round well-being of teenagers. 瑜伽呼吸练习对青少年全方位健康的影响。

Clinical child psychology and psychiatry Pub Date : 2025-01-20 DOI: 10.1177/13591045251315210

Saumya Subramanian, Bharathi Saisudha, Divya Kanchibhotla

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