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":"10.1177/13591045251321032","url":null,"abstract":"<p><p>BackgroundMentalization 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.AimTo understand carers' experiences, practical application, and perceived impact of the RFP.MethodsA qualitative evaluation of the RFP using in depth interviews with twenty-four carers. Interviews were audio-recorded, transcribed verbatim and analysed thematically.ResultsThree key themes were identified: (1) '<i>Me time' - carer's reflections on the programme and what makes it work</i>, highlights sharing of challenging experiences as important for practising mentalizing. (2) '<i>Stopping and thinking in the moment' - carer's understanding of programme concepts</i> 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) <i>Practical application and perceived impact of the programme</i> 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.ConclusionsOur 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.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"588-610"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shadab Shahid, Trinity De Simone, Rebecca Appleton, Sarah Bisp
{"title":"Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services.","authors":"Shadab Shahid, Trinity De Simone, Rebecca Appleton, Sarah Bisp","doi":"10.1177/13591045251340490","DOIUrl":"10.1177/13591045251340490","url":null,"abstract":"<p><p>BackgroundThe pressures on community Children and Young People's Mental Health Service (CYPMHS) clinicians to manage and maintain caseloads can be immense, therefore discharging young people from CYPMHS in a safe and timely way is often discussed as a priority. However, there is limited research into how discharge can be done well, especially for discharge occurring prior to children and young people (CYP) reaching the upper age limit of CYPMHS. Thus, this study aimed to gain a better understanding of the barriers and facilitators discharging CYP from community CYPMHS, by exploring clinicians experiences of discharging CYP from their service.MethodSemi-structured interviews of 30-40 minutes were conducted with 12 clinicians working at different CYPMHS in England and analysed using codebook thematic analysis.ResultsSix themes were identified. These included, \"perfectionistic approach towards treatment outcomes\", \"reducing dependence on CYPMHS through empowerment\", \"a lack of flexibility in the wider system\", \"lack of collaborative care\", \"an increasing pressure on the service\" and \"keeping the focus on discharge\".ConclusionClinicians face multiple barriers when discharging CYP which should be addressed, alongside enhancing the use of reported facilitators to ensure timely, safe and well-managed discharges.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"653-669"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ilke Ozcan, Pablo Vidal-Ribas, Ellie Roberts, Amita Jassi, Nicole Clancy, Chiara Causier, Victoria Hallett, Georgina Krebs
{"title":"An evaluation of the psychometric properties of the social communication questionnaire in young people with obsessive-compulsive disorder.","authors":"Ilke Ozcan, Pablo Vidal-Ribas, Ellie Roberts, Amita Jassi, Nicole Clancy, Chiara Causier, Victoria Hallett, Georgina Krebs","doi":"10.1177/13591045251344408","DOIUrl":"10.1177/13591045251344408","url":null,"abstract":"<p><p>BackgroundObsessive-compulsive disorder (OCD) and autism spectrum disorder (ASD) often co-occur and have overlapping symptom profiles. Detection and diagnosis of ASD in youth with OCD can therefore be challenging but is crucial to inform care planning.AimThe current study aimed to provide a psychometric evaluation of the Social Communication Questionnaire (SCQ), a widely used parent-report measure for assessing ASD traits, in youth with OCD.MethodIn total, 484 young people with an ICD-10 diagnosis of OCD completed a battery of measures as part of a specialist clinical assessment.ResultsExploratory factor analyses (EFA) suggested a multidimensional factor solution for the SCQ, although an adequate factor solution was not identified due to cross-loading and/or weak loading items. The SCQ had good internal consistency (KR20 = 0.85), and good convergent validity with the Strengths and Difficulties Questionnaire (SDQ) Prosocial Behaviour subscale (<i>r</i> = -0.52) and Peer Problems subscale (<i>r</i> = 0.48). The SCQ differentiated those with versus without a clinical diagnosis of ASD with reasonable accuracy (area under the curve = .76).DiscussionThe current findings support the use of the SCQ as a measure of ASD traits in youth with OCD, suggesting that this quick and easy-to-administer measure could aid detection of ASD in this population.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"783-799"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges to high-quality care in autism with functional somatic symptoms: A case-inspired narrative review and exploratory biopsychosocial model.","authors":"Lilian Zotti, Dario Esposito, Giorgia Di Iorio, Marilina Covuccia, Silvia Orecchio, Mauro Ferrara, Giulia Conte","doi":"10.1177/13591045251343692","DOIUrl":"10.1177/13591045251343692","url":null,"abstract":"<p><p>BackgroundChildren and adolescents with autism spectrum disorder (ASD) frequently experience functional somatic symptoms (FSS), although the underlying causes often remain unclear. Various biological and psychological factors, both individual and within families, such as alexithymia or health anxiety, can intensify these symptoms, sometimes resulting in excessive and unnecessary medical interventions.MethodsA narrative review of the literature was conducted, alongside the presentation of a case report involving a 13-year-old boy with ASD. The case illustrates how personal and familial factors can influence the presentation of FSS and the risks of inappropriate treatment.DiscussionThe findings suggest that psychological and familial factors play a significant role in the manifestation of FSS in ASD. These factors can increase the risk of unnecessary medicalization, as they often lead to misinterpretation of symptoms by caregivers and healthcare providers. The case report further underscores how the interaction of personal and familial dynamics can complicate the management of FSS. A comprehensive biopsychosocial approach that addresses both the individual and the family is crucial for managing FSS in ASD. Future research should focus on developing targeted interventions that address these psychological and familial influences to enhance the quality of care and reduce unnecessary and potentially harmful healthcare utilization in ASD.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"562-587"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087055","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}
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":"10.1177/13591045251322818","url":null,"abstract":"<p><p>BackgroundThe 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.MethodsThe study employed a mixed-methods design, obtaining quantitative and qualitative data, by distributing online surveys (<i>n</i> = 37) and semi-structured interviews (<i>n</i> = 9) to gather staff views and understandings. Participants were recruited by opportunistic sampling. Interviews were recorded and transcribed, and a thematic analysis was undertaken.ResultsParticipants '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.ConclusionsThe 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.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"632-652"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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}
Elaine Tian, Margaret Kay Ho, Oscar Hou In Chou, Samantha Chong, Chi Ting Kwan, Athene Hoi-Ying Lam, Kai-Tai Chan
{"title":"Effectiveness of telepsychiatry interventions for youth with depressive and/or anxiety disorders: A systematic review with meta-analysis.","authors":"Elaine Tian, Margaret Kay Ho, Oscar Hou In Chou, Samantha Chong, Chi Ting Kwan, Athene Hoi-Ying Lam, Kai-Tai Chan","doi":"10.1177/13591045251338475","DOIUrl":"10.1177/13591045251338475","url":null,"abstract":"<p><p>ObjectiveSince the onset of the COVID-19 pandemic, rates of anxiety and depression in youth have risen. Telepsychiatry is a potential mode of intervention for such digital natives. This systematic review aims to examine the effectiveness of telepsychiatry for youth with depression and/or anxiety.MethodsFour electronic databases, PubMed, MEDLINE, Embase, PsycINFO, were searched from their inception to May 12, 2024. Included studies were assessed for study quality and risk of bias.ResultsA search returning 29,944 records yielded 26 included studies, comprising 1,558 youths. Of 13 studies comparing depressive symptoms pre- and post-telepsychiatry intervention, symptom severity was significantly lower post-intervention compared to baseline (Hedges' g: 0.83; 95% CI: 0.59, 1.08). Similarly, of six studies comparing pre- and post-telepsychiatry intervention anxiety symptoms, anxiety scores were significantly lower post-intervention (Hedges' g: 1.15; 95% CI: 0.79, 1.50). Patients undergoing telepsychiatry also had superior outcomes when compared to waitlist control groups for depression (Hedges' g: 0.54; 95% CI: 0.23, 0.85) but not anxiety (Hedges' g: 0.50; 95% CI: -0.09, 1.10). Certainty of these estimates ranged from moderate to very low. Qualitative feedback noted subjective improvement in symptoms and high levels of satisfaction.ConclusionTelepsychiatry has potential as a therapeutic intervention for youth anxiety and depression. Further research with more controlled methodology is needed for development of recommendations that can guide growing use of this technology.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"537-561"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000529","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}
{"title":"Adolescent weight status, perceived closeness to others, and past year suicide consideration and attempts.","authors":"Megan A Milligan, Katherine M Kidwell","doi":"10.1177/13591045251354895","DOIUrl":"https://doi.org/10.1177/13591045251354895","url":null,"abstract":"<p><p>PurposeThe present research leveraged a nationally representative dataset to examine between-group differences in adolescent suicide consideration and attempts by weight status and perceived closeness to others.FindingsAdolescents with overweight and obesity were more likely to report past year suicide consideration (1.54x and 1.43x as likely) and attempts (1.74x and 1.59x as likely) compared to adolescents with healthy weight. A significantly smaller proportion of adolescents with obesity endorsed closeness to others at school compared to adolescents with healthy weight. Adolescents who felt close to others were less likely to report either suicidal ideation or attempts, regardless of weight status. Compared to the healthy weight group, significantly higher proportions of adolescents with overweight or obesity endorsed attempting suicide, both among adolescents who felt close to others, <i>X</i><sup><i>2</i></sup>(2) = 14.76, <i>p</i> = .001, <i>n</i> = 4773, and those who did not, <i>X</i><sup><i>2</i></sup>(2) = 18.58, <i>p</i> < .001, <i>n</i> = 2859.ConclusionsAdolescents with overweight and obesity were more likely to consider and attempt suicide relative to those with healthy weight, regardless of perceived closeness to others. Perceived closeness was associated with lower likelihood of suicide consideration and attempts among all weight groups. Further investigation may clarify the prospective utility of social closeness for adolescent suicide risk reduction, especially among those with overweight/obesity.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251354895"},"PeriodicalIF":0.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340693","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}
{"title":"Perils of undiagnosed ADHD in adolescents.","authors":"Sana Usmani","doi":"10.1177/13591045251346992","DOIUrl":"https://doi.org/10.1177/13591045251346992","url":null,"abstract":"","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251346992"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153136","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}
Kimberly S Hsiung, Kelly Geelan, Katherine Trapani, Rachel Walden, Jon S Ebert, Alexandra Bettis
{"title":"Parent-focused interventions delivered in the inpatient child and adolescent psychiatry setting: A scoping review.","authors":"Kimberly S Hsiung, Kelly Geelan, Katherine Trapani, Rachel Walden, Jon S Ebert, Alexandra Bettis","doi":"10.1177/13591045251343922","DOIUrl":"https://doi.org/10.1177/13591045251343922","url":null,"abstract":"<p><p>Psychiatric hospitalization of a child or adolescent is a highly stressful time for parents, who play a central role in their child's mental illness and recovery. Little is known of evidence-based interventions to support parents during their child's admission. This scoping review aims to examine the evidence for existing parent-focused interventions in the acute inpatient child and adolescent psychiatry setting. A literature search was conducted across six databases. Three authors were involved in screening and data extraction procedures. Results were categorized by (1) intervention format, (2) intervention content and treatment targets, (3) feasibility outcomes, and (4) parent outcomes. Nine studies encompassing 9 interventions were included in the final review. Interventions included parent groups (<i>n</i> = 3), 1:1 peer support (<i>n</i> = 2), individualized family-based assessments and interventions (<i>n</i> = 2), an adolescent milieu curriculum (<i>n</i> = 1), and a website intervention (<i>n</i> = 1). Outcomes were heterogeneous which limited comparison between interventions. All interventions were well-received by parents. We conclude that results of this review do not support any one intervention, though all led to parent satisfaction. Some feasibility challenges were encountered, which should be considered in future implementation. More rigorous studies are needed to provide stronger evidence for any one type of parent-focused intervention in the acute inpatient child and adolescent setting.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251343922"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103317","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}
Ingrid Byng Strøm, Annika Lexén, Marianne Bonnert, Ulf Jonsson
{"title":"Psychiatric services for adolescents with complex mental health needs: A qualitative study of service user preferences.","authors":"Ingrid Byng Strøm, Annika Lexén, Marianne Bonnert, Ulf Jonsson","doi":"10.1177/13591045251329151","DOIUrl":"10.1177/13591045251329151","url":null,"abstract":"<p><p>BackgroundChild and Adolescent Mental Health Services (CAMHS) currently seeks to implement service models that are better suited for young service users with complex mental health needs. This study explored what adolescents view as the key components of a well-functioning contact with CAMHS.MethodsThis study was conducted as part of the ongoing implementation of Flexible Assertive Community Treatment (FACT) in the CAMHS in Stockholm, Sweden. Interviews were conducted with 14 adolescents (64% females) aged 14 to 18 (<i>M</i> = 15.78, <i>SD</i> = 1.32) with intensive or longstanding contact with CAMHS. The interviews were analyzed using reflexive thematic analysis.ResultsFive key themes were generated: (1) \"being involved in my care\" - receiving relevant information and being part of important care decisions; (2) \"accessing care when I need it\" - ensuring services are easily accessible and present in the community; (3) \"building a good relationship\" - developing strong connections with mental health professionals; (4) \"sharing the burden\" - improving support and organization to reduce stress related to the healthcare system; and (5) \"personalizing my care\" - tailoring care to individual preferences and circumstances.ConclusionsThe findings emphasize the importance of engaging young service users in developing a mental health service that meets complex needs.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251329151"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000135","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}