Efficient Sufficiency: A qualitative evaluation of a 1 year pilot study of young people and parents accessing a mental health drop-in centre in a paediatric hospital

TY - JOUR

T1 - Efficient Sufficiency

T2 - A qualitative evaluation of a 1 year pilot study of young people and parents accessing a mental health drop-in centre in a paediatric hospital

AU - Catanzano, Matteo

AU - Bennett, Sophie D.

AU - Fifield, Kate

AU - Xu, Laila

AU - Sanderson, Charlotte

AU - Coughtrey, Anna E.

AU - Kerry, Ellie

AU - Liang, Holan

AU - Heyman, Isobel

AU - Shafran, Roz

N1 - Funding Information: This project was funded by The Beryl Alexander Charity and Great Ormond Street Hospital Children's Charity (16HN11). Funding Information: All research at Great Ormond Street Hospital NHS Foundation Trust and UCL Great Ormond Street Institute of Child Health is made possible by the NIHR Great Ormond Street Hospital Biomedical Research Centre. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. Publisher Copyright: © 2022 The Authors. Child: Care, Health and Development published by John Wiley & Sons Ltd.

PY - 2023/3

Y1 - 2023/3

N2 - Background: Children and young people with long-term physical health conditions (LTC) are known to have higher levels of co-morbid mental health problems than medically healthy children. Evidence-based treatments for mental health problems are effective in children who also have an LTC. This study aimed to explore the factors associated with participants' perceived acceptability and impact of a transdiagnostic mental health centre offering brief psychological assessment and treatment for children and young people and/or their families with mental health needs in the context of long term physical conditions. Methods: One-hundred twenty-eight patients attending the drop-in centre were invited to participate. Overall, 35 participated (31 parents/carers; 4 children and young people) in semi-structured interviews (either in person or by phone) exploring their experience of the centre. Interviews were audio-recorded, transcribed and checked. Framework analysis was then conducted on all transcripts. Results: Overall, participants found the drop-in centre highly acceptable and reported a positive experience. Reasons for this varied but broadly focused around four themes: (1) efficient sufficiency; (2) autonomy; (3) fusion of process and content factors and (4) (dis)parities of esteems and ‘seeing both sides of the coin’. Conclusions: Participants found the intervention acceptable. A mental health drop-in centre in a paediatric hospital appears to be a positive and valued adjunct to supplement existing mental health services.

AB - Background: Children and young people with long-term physical health conditions (LTC) are known to have higher levels of co-morbid mental health problems than medically healthy children. Evidence-based treatments for mental health problems are effective in children who also have an LTC. This study aimed to explore the factors associated with participants' perceived acceptability and impact of a transdiagnostic mental health centre offering brief psychological assessment and treatment for children and young people and/or their families with mental health needs in the context of long term physical conditions. Methods: One-hundred twenty-eight patients attending the drop-in centre were invited to participate. Overall, 35 participated (31 parents/carers; 4 children and young people) in semi-structured interviews (either in person or by phone) exploring their experience of the centre. Interviews were audio-recorded, transcribed and checked. Framework analysis was then conducted on all transcripts. Results: Overall, participants found the drop-in centre highly acceptable and reported a positive experience. Reasons for this varied but broadly focused around four themes: (1) efficient sufficiency; (2) autonomy; (3) fusion of process and content factors and (4) (dis)parities of esteems and ‘seeing both sides of the coin’. Conclusions: Participants found the intervention acceptable. A mental health drop-in centre in a paediatric hospital appears to be a positive and valued adjunct to supplement existing mental health services.

KW - acceptability

KW - cognitive-behavioural therapy

KW - evidence-based practice

KW - long-term condition

UR - http://www.scopus.com/inward/record.url?scp=85137610080&partnerID=8YFLogxK

U2 - 10.1111/cch.13051

DO - 10.1111/cch.13051

M3 - Article

C2 - 36006804

AN - SCOPUS:85137610080

SN - 0305-1862

VL - 49

SP - 332

EP - 345

JO - Child: Care, Health and Development

JF - Child: Care, Health and Development

IS - 2

ER -