Mental health problems of young refugees: Duration of settlement, risk factors and community-based interventions
This study of 102 young refugees referred to a community-based mental health service describes past adversities and current circumstances, referral problems, service utilization and treatment outcomes using the Strengths and Difficulties Questionnaire (SDQ). The more recently-arrived refugees had significantly higher levels of close exposure to war and violence, were more likely to have suffered separation from immediate family and to have insecure legal status. Those refugees settled longer were significantly more likely to be referred because of conduct problems while there was a trend in recent arrivals to present with ...
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Authors: Dura-Vila, G., Klasen, H., Makatini, Z., Rahimi, Z., Hodes, M. Tags: Articles Source Type: research

The trauma still goes on...: The multigenerational legacy of Northern Ireland's conflict
Numerous studies have been conducted internationally on the subject of multigenerational trauma; however, little is currently known about its existence in the context of the Northern Ireland conflict. The present study explored the outcomes of and mechanisms through which the trauma of one generation impacts on subsequent generations in this context. Using an Interpretative Phenomenological Approach (IPA), this study examined the subjective experiences, beliefs and perceptions of four mothers from Northern Ireland, all of whom had endured trauma during their childhoods. Three main master themes emerged: 1. "Attempting to c...
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Authors: Downes, C., Harrison, E., Curran, D., Kavanagh, M. Tags: Articles Source Type: research

Managing referrals of 'people you know': Views of child and adolescent mental health professionals
Referrals of ‘people you know’ to Child and Adolescent Mental Health Services (CAMHS) raise issues around anxiety, equity and confidentiality. Research in this area is limited. The framework approach was used to analyse interviews with CAMHS teams across Yorkshire. Issues identified included choice (and whose choice this is), power and perceived imbalances of power and relative lack of ‘professional distance’. The notion that health staff should receive preferential treatment by right was not widespread, but nevertheless existed. Standard procedure has to be flexibly applied to offer the best qualit...
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Authors: Wurr, K., McKenzie, M. Tags: Articles Source Type: research

Why do young people with CFS/ME feel anxious? A qualitative study
In this study, we used qualitative methods to help us understand more about these two types of anxiety in young people with CFS/ME. Eleven young people (age 12–18) were interviewed. Interviews were self-directed by the participants and were wide ranging. The transcripts were analysed using interpretative phenomenological analysis. Five superordinate themes were identified: social loss and adjustment; introduction of uncertainty and unpredictability; the vulnerable self; individual differences; and contributions towards recovery. Many themes were identical to those described in young people coping with other chronic i...
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Authors: Fisher, H., Crawley, E. Tags: Articles Source Type: research

A controlled clinical evaluation of the Parents Plus Children's Programme for parents of children aged 6-12 with mild intellectual disability in a school setting
The aim of this study was to evaluate the effectiveness of the parent training, Parents Plus Children’s Programme (PPCP) as an intervention for parents of children with mild intellectual disabilities. Participants were parents of children, aged six to 12, attending a special school for children with mild general learning disability (n = 29). Minor programme adaptations were made. Pre and post-assessment included the Strengths and Difficulties Questionnaire, the Parenting Stress Index, the Kansas Parent Satisfaction Scale and parent identified personal and child-related goals. A significant reduction in clinical range...
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Authors: Hand, A., Raghallaigh, C. N., Cuppage, J., Coyle, S., Sharry, J. Tags: Articles Source Type: research

Measuring outcome in child and adolescent mental health services: Consumers' views of measures
Conclusion: Service users support outcome measures but their implementation requires care and consultation. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Authors: Stasiak, K., Parkin, A., Seymour, F., Lambie, I., Crengle, S., Pasene-Mizziebo, E., Merry, S. Tags: Articles Source Type: research

Structured parallel therapy with parents in time-limited psychotherapy with children experiencing difficult family situations
In this study, we focus on parallel parental therapy for three separate families whose children are experiencing difficult family situations. Six main themes emerge from our interviews with the parents and an analysis of session notes: The parents expressed positive experiences with the therapy; their perspectives about the family situation changed; they reported positive changes on behalf of the children, and they reported an increasing number of factors to explain these changes. In addition, a number of positive changes in the family situation itself were reported, and the parents were increasingly concerned with underst...
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Authors: Haugvik, M. Tags: Articles Source Type: research

It is time for a more integrated bio-psycho-social approach to ADHD
This article details the considerable research showing links between ADHD symptoms and parental mental illness, child maltreatment, post-traumatic stress disorder (PTSD), attachment disorders and other environmental factors. Recent neuro-biological findings showing the impact on brain development of early abuse and attachment concerns are cited. The implications of these findings both for clinicians, and at policy level, are discussed, and the reasons underlying the need for a more integrated Bio-Psycho-Social approach to ADHD are outlined. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Authors: Richards, L. M.-E. Tags: Articles Source Type: research

Editorial
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - September 18, 2013 Category: Psychiatry Tags: Editorial Source Type: research

Book review: Pavuluri, M. What Works for Bipolar Kids: Help and Hope for Parents
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Cahill, C. Tags: Book review Source Type: research

Self-perception in a clinical sample of gender variant children
Conclusions: Clinically referred gender variant children seemed vulnerable to developing a negative self-concept. Poor peer relations and extreme GV might be mediating variables. Interventions might focus on enhancing acceptance of the environment and improving social skills of gender variant children. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Rijn, A. B.-v., Steensma, T. D., Kreukels, B. P., Cohen-Kettenis, P. T. Tags: Articles Source Type: research

Interventions in foster and kinship care: A systematic review
Foster care is a complex setting in which to provide therapeutic interventions due to the high rates of difficulty, poor outcomes and high numbers of professionals and carers involved. This systematic review aims to examine interventions that have been empirically assessed in foster care. Thirty papers describing 20 interventions were included. It was found that there was good support for wraparound services and relational interventions, but little support for widely used carer training programmes. A need was identified to further research and implement wraparound services within the UK, and to empirically test interventio...
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Kinsey, D., Schlosser, A. Tags: Articles Source Type: research

Facilitating children's views of therapy: An analysis of the use of play-based techniques to evaluate clinical practice
This article reports on a follow-up study exploring the use of play-based evaluation methods to facilitate children’s views of therapy. The development and piloting of these techniques, with 12 children in the author’s own practice, was previously reported in this journal. It was argued that play-based evaluation methods reduce the power imbalance inherent in adult researcher/interviewer–child relationships and provide children with meaningful ways to share their views. In this article, follow-up research into play-based evaluations with 20 children and 7 different play therapists is drawn upon to explore...
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Jager, J. Tags: Articles Source Type: research

The relation between experiential avoidance, alexithymia and emotion regulation in inpatient adolescents
Recently, efforts have been made to better understand constructs that are associated with difficulties in emotion regulation in hopes of identifying underlying mechanisms that may be valuable targets for intervention. Against this background, the present study had two aims. Firstly, we wanted to explore the relation between emotion regulation, experiential avoidance and alexithymia by determining whether adolescents with elevated scores on a measure of alexithymia would report deficits in emotion regulation and experiential avoidance. Secondly, we sought to evaluate the role of experiential avoidance as a mediator in the r...
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Venta, A., Hart, J., Sharp, C. Tags: Articles Source Type: research

Health and identity: Self-positioning in adolescent chronic fatigue syndrome and juvenile idiopathic arthritis
The aim of this study is to gain more insight into basic aspects of identity, in relation to adolescent chronic fatigue syndrome (CFS) and juvenile idiopathic arthritis (JIA). In dialogical self theory, identity is regarded as incorporating multiple self-positions, such as ‘I as tired’, ‘I as pessimistic’, or ‘I as decisive’. Physical and psychosocial impairment might alter the organization of these self-positions. The Personal Position Repertoire procedure, a quantitative method to analyse the prominence of self-positions, the Child Health Questionnaire, assessing health-related functio...
Source: Clinical Child Psychology and Psychiatry - June 25, 2013 Category: Psychiatry Authors: Fuchs, C. E., van Geelen, S. M., van Geel, R., Sinnema, G., van de Putte, E. M., Hermans, H. J., Kuis, W. Tags: Articles Source Type: research