Clinical Child Psychology and Psychiatry This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

An investigation into adolescents' experience of cognitive behavioural therapy within a child and adolescent mental health service
Cognitive Behavioural Therapy (CBT) is frequently referenced within NICE (National Institute for Clinical Excellence) guidance and is a recommended psychological therapy for a number of different mental health disorders for both adults and children. This is due to the current body of quantitative research around CBT demonstrating its efficacy for a range of mental health difficulties. However, CBT has not been as well addressed within the qualitative field and this gap in research is even more obvious when looking at CBT conducted with children and adolescents. This interpretative phenomenological study explored adolescent...
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Donnellan, D., Murray, C., Harrison, J. Tags: Articles Source Type: research

Contact refusal by children following acrimonious separation: Therapeutic approaches with children and parents
This paper aims to build on the existing literature, by presenting some thoughts based on clinical experience with nine families of children referred for intractable contact refusal with one parent following marital separation. This particular group of high-conflict divorce cases engenders an inordinate amount of frustration both within the courts and therapeutic agencies. We outline here our assessment process and therapeutic strategies, as well as consideration of the role of the wider professional system and the courts. We conclude that whether or not direct contact with the rejected parent is achieved, useful therapeut...
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: DeJong, M., Davies, H. Tags: Articles Source Type: research

Outcome Orientated Child and Adolescent Mental Health Services (OO-CAMHS): A whole service model
The international evidence base on factors that most influence outcomes in mental health care finds that matching therapeutic intervention to diagnosis has a clinically insignificant impact on outcomes. Decades of outcome research into treatment of psychiatric disorders shows that, despite the development of many new techniques, the outcomes being achieved in studies 30 years ago are similar to those being achieved now. In the last few years, new service models that incorporate systems of feedback on progress and alliance have emerged and show promise with regards improving overall outcomes for mental health service users....
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Timimi, S., Tetley, D., Burgoine, W., Walker, G. Tags: Articles Source Type: research

A farewell and a welcome
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - March 31, 2013 Category: Psychiatry Authors: Dallos, R., Vetere, A., Brazier, A., Tarren-Sweeney, M. Tags: Editorial Source Type: research

Using video feedback to improve early father-infant interaction: A pilot study
Preventive interventions with parents of infants have tended to focus on mothers. Recent research focused on fathers suggests that their involvement in interventions might enhance effectiveness. One effective approach with mothers is the brief, home-based Video-feedback Intervention to promote Positive Parenting (VIPP). This paper is a report of a pilot study of VIPP with fathers to assess its feasibility. Five fathers were recruited from an existing longitudinal study of parents. The primary outcome was acceptability, assessed using a semi-structured questionnaire aft...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Lawrence, P. J., Davies, B., Ramchandani, P. G. Tags: Articles Source Type: research

Behaviorally based adherence program for pediatric patients treated with positive airway pressure
Conclusions: The program shows some promise and provides a framework for future program development and research. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Harford, K.-L., Jambhekar, S., Com, G., Pruss, K., Kabour, M., Jones, K., Ward, W. L. Tags: Articles Source Type: research

A case of pervasive refusal syndrome: A diagnostic conundrum
A case is presented of an 11-year-old girl with pervasive refusal syndrome (PRS) who ultimately recovered acutely and completely after an 18-month paediatric hospitalisation. There was an apparent absence of previously proposed important aetiological factors in PRS, such as family pathology and markedly traumatic or abusive experiences, and her recovery was sudden and complete. The authors consider the differential diagnoses of PRS paying particular attention to the possibility of a conversion disorder or catatonia, given the absence of PRS in the North American literature. Consideration of catatonia is important as it has...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: McNicholas, F., Prior, C., Bates, G. Tags: Articles Source Type: research

Addressing trauma in collaborative mental health care for refugee children
Primary care institutions, including clinics, schools and community organizations, because of their closeness to the family living environment, are often in a privileged position to detect problems in traumatized refugee children and to provide help. In a collaborative care model, the child psychiatrist consultant can assist the primary care consultee and family in holding the trauma narrative and organizing a safe network around the child and family. The consultant can support the establishment of a therapeutic alliance, provide a cultural understanding of presenting problems and negotiate with the consultee and the famil...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Rousseau, C., Measham, T., Nadeau, L. Tags: Articles Source Type: research

Intercepting the intergenerational cycle of maternal trauma and loss through mother-infant psychotherapy: A case study using attachment-derived methods
Some mothers who have recently lost a significant attachment figure may become mentally incoherent and sporadically even enter a trancelike, dissociative state. Such states of mind have been shown to predict infant attachment disorganization. Infants born close to the time of a parental loss are at a greater risk for intergenerational trauma. A background of maternal substance abuse is also known to increase such risk. We illustrate by way of a case study how a mother–infant group psychotherapy programme aimed at substance-abusing mothers may help to prevent the transmission of mother’s unresolved trauma to the...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Belt, R. H., Kouvo, A., Flykt, M., Punamaki, R.-L., Haltigan, J. D., Biringen, Z., Tamminen, T. Tags: Articles Source Type: research

"That must be so hard"- Examining the impact of children's palliative care services on the psychological well-being of parents
In 2003 the New Opportunities Fund (NOF, now known as The Big Lottery) awarded £48 million to 70 home-based care teams to enable them to provide a range of services to allow children with non-malignant life-limiting conditions to be cared for at home. Four grants were made available in Bristol, North Somerset, South Gloucestershire and Bath and North East Somerset to enhance existing children’s palliative care services. As there is limited evidence about the impact of palliative care services on psychological well-being, this study measured parental stress and the psychological wellbeing of parents of newly ref...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Gupta, V., Prescott, H. Tags: Articles Source Type: research

A qualitative exploration into young children's perspectives and understandings of emotional difficulties in other children
Research into children’s perspectives and understandings of emotional difficulties is limited and methodologically varied. In this paper we explore young children’s perspectives and understandings of emotional difficulties in their peers. We conducted five focus groups involving a total of 25 children. The children, aged eight and nine, were presented with vignettes representing peers experiencing emotional difficulties, and invited to discuss their perspectives on possible causes. We also explored their emotional and behavioural reactions to the vignette characters. Using interpretative phenomenological analys...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Dixon, C., Murray, C., Daiches, A. Tags: Articles Source Type: research

Using video feedback to improve early father-infant interaction: A pilot study
Preventive interventions with parents of infants have tended to focus on mothers. Recent research focused on fathers suggests that their involvement in interventions might enhance effectiveness. One effective approach with mothers is the brief, home-based Video-feedback Intervention to promote Positive Parenting (VIPP). This paper is a report of a pilot study of VIPP with fathers to assess its feasibility. Five fathers were recruited from an existing longitudinal study of parents. The primary outcome was acceptability, assessed using a semi-structured questionnaire after completion of the intervention. All fathers complete...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Lawrence, P. J., Davies, B., Ramchandani, P. G. Tags: Articles Source Type: research

I wish I could tell you but I can't: Adolescents with perinatally acquired HIV and their dilemmas around self-disclosure
This study aims to describe and explore the attitudes and opinions of adolescents with perinatally acquired HIV towards disclosure. Semi-structured interviews were conducted with nine young people aged 13–19 and analysed using Interpretative Phenomenological Analysis. Four themes emerged to illuminate the young people’s attitudes towards disclosure. These were 1) myths and assumptions, 2) the disclosure dilemma, 3) fear and 4) keeping HIV in its place. This study confirms that many young people with HIV are choosing not to disclose. However, it appears that it is a complex decision-making process that changes o...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Hogwood, J., Campbell, T., Butler, S. Tags: Articles Source Type: research

A systems relations model for Tier 2 early intervention child mental health services with schools: An exploratory study
Over the last 15 years, policy initiatives have aimed at the provision of more comprehensive Child and Adolescent Mental Health care. These presented a series of new challenges in organising and delivering Tier 2 child mental health services, particularly in schools. This exploratory study aimed to examine and clarify the service model underpinning a Tier 2 child mental health service offering school-based mental health work. Using semi-structured interviews, clinician descriptions of operational experiences were gathered. These were analysed using grounded theory methods. Analysis was validated by respondents at two stage...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: van Roosmalen, M., Gardner-Elahi, C., Day, C. Tags: Articles Source Type: research

Against the odds: Foster carers' perceptions of family, commitment and belonging in successful placements
This study examines carer attributes associated with placement stability for teenagers growing up in long term foster care, focusing on unexpected placement success. We explored experiences and perceptions relating to family, belonging and commitment in a group of foster carers providing a stable placement for a young person who had not been expected to settle. These placements showed positive outcome, despite factors in the child’s history that might have predicted otherwise. Seven foster carers were interviewed following a semi-structured guide, which covered their ideas about their relationship with the child in q...
Source: Clinical Child Psychology and Psychiatry - January 15, 2013 Category: Psychiatry Authors: Oke, N., Rostill-Brookes, H., Larkin, M. Tags: Articles Source Type: research