Associations between evidence-based practice and mental health outcomes in child and adolescent mental health services
The effectiveness of evidence-based practice in the treatment of children with conduct disorder (n = 186) or emotional disorders (n = 490) in routine care was examined using naturalistic, previously collected data from 30 child and adolescent mental health services. Repeated measures analysis of covariance was used to compare the outcomes of children who received parent training for conduct disorder and cognitive behavioural therapy for emotional disorders (evidence-based practice) with children who did not receive these treatments (non-evidence-based practice). There was a relatively low occurrence of evidence-based pract...
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Deighton, J., Argent, R., De Francesco, D., Edbrooke-Childs, J., Jacob, J., Fleming, I., Ford, T., Wolpert, M. Tags: Articles Source Type: research

Caregivers voices: The experiences of caregivers of children who sustained serious accidental and non-accidental head injury in early childhood
Head injury is a leading cause of mortality and acquired neurological impairment in children. Head-injured children may have neurobehavioural deficits that persist for years following injury. Head injury can result in significant and persistent caregiver burden, including mental health issues, family stress and disorganisation, and unmet social and healthcare service needs. Few studies have examined the healthcare and social service needs of children and their families following head injury sustained at an early age. This qualitative study aims to describe the experiences of caregivers of children who sustained a serious h...
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Wharewera-Mika, J., Cooper, E., Kool, B., Pereira, S., Kelly, P. Tags: Articles Source Type: research

Supporting young people living with cancer to tell their stories in ways that make them stronger: The Beads of Life approach
This article describes the ‘Beads of Life’ approach – a five-part methodology informed by narrative therapy to enable children and young people to make sense of their cancer journey in ways that make them stronger. Young people are invited to use beads as prompts to tell preferred stories of their identity to create a safe place to stand from which to story their cancer journey. The approach positions young people as experts in their lives. It aims to change their relationship with cancer to reduce its negative impact on life by lessening isolation. By enabling medical staff to get to know the young perso...
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Portnoy, S., Girling, I., Fredman, G. Tags: Articles Source Type: research

An evaluation of the Parents Plus - Parenting When Separated programme
This study evaluated the Parents Plus – Parenting when Separated Programme, an intervention specifically designed to address the needs of separated parents in an Irish context. In a randomized control trial, 82 separated parents with young children were assigned to the Parents Plus – Parenting when Separated Programme treatment group and 79 to a waiting-list control group. They were assessed on measures of client goals, parenting satisfaction, child and parental adjustment and interparental conflict at baseline (Time 1) and 6 weeks later (Time 2), after the treatment group completed the Parents Plus – Par...
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Keating, A., Sharry, J., Murphy, M., Rooney, B., Carr, A. Tags: Articles Source Type: research

Examining experiences of transition, instability and coping for young offenders in the community: A qualitative analysis
This article explores experiences of transition, instability and coping using a qualitative approach with young offenders within a specialist forensic child and adolescent mental health service (CAMHS). Participants were four young people (aged 14–17 years) on community orders under the supervision of local youth offending teams (YOTs). Semi-structured interviews were conducted and data analysed using an inductive thematic analysis approach. Three main themes were identified: (i) people and places; (ii) growth; and (iii) managing difficult experiences. Findings suggest that young offenders are exposed to a wide range...
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Heath, R. A., Priest, H. M. Tags: Articles Source Type: research

Horses for courses? A qualitative exploration of goals formulated in mental health settings by young people, parents, and clinicians
Conclusion: The results suggest that goals may capture areas not captured by other normed outcome measures. In particular, goals may capture higher order, underlying factors, such as confidence, resilience, coping, and parenting factors that may not be explored by other measures. The differences across perspectives also link to existing literature suggesting a different focus on treatment based on perspectives and highlights the potential importance when jointly agreeing goals of ensuring the voice of the child/young person is heard and included in goal setting. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Jacob, J., Edbrooke-Childs, J., Holley, S., Law, D., Wolpert, M. Tags: Articles Source Type: research

A critical review of adolescent mindfulness-based programmes
Conclusion: Preliminary evidence for the use of mindfulness-based with adolescents continues to be nascent, with many of the studies using inappropriate or no mindfulness process measures at all. In addition, a majority of the studies did not provide specific details of the mindfulness programmes for adolescents, nor discuss what modifications were undertaken – all of which makes comparison difficult. However, with the availability of recent and age-appropriate mindfulness measures for adolescents, more rigorous and robust research looks promising. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: Tan, L. B. Tags: Articles Source Type: research

Understanding the concept of resilience in relation to looked after children: A Delphi survey of perceptions from education, social care and foster care
This study aimed to explore how social workers, teachers and foster carers, working with looked after children, understand resilience and whether there is consensus as to what constitutes resilience. The study also sought to explore whether there are differences in how resilience is constructed across these groups. In total, 106 participants took part in a Delphi survey (34 teachers, 36 foster carers, 36 social workers). There was moderate consensus that resilience related to survival, coping and a sense of self-worth. Resilience was not considered a panacea but a concept that also had limitations. Participants understood ...
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Authors: South, R., Jones, F. W., Creith, E., Simonds, L. M. Tags: Articles Source Type: research

Editorial: Remembering Bryan Lask
(Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - April 6, 2016 Category: Psychiatry Tags: Editorial Source Type: research

The effectiveness of psychosocial interventions for children with a psychiatric disorder and mild intellectual disability to borderline intellectual functioning: A systematic literature review and meta-analysis
Children with intellectual disability frequently have difficulties in adapting to their environment. The extent of the experienced problems does not only depend on cognitive functioning but is influenced by other factors, such as the presence of a psychiatric disorder or other brain disorders, or adverse environmental factors. Several epidemiological studies show that children with intellectual disabilities are at an increased risk to develop psychiatric disorders. This is also true for youth with a mild intellectual disability and even those with borderline intellectual functioning (mild to borderline intellectual disabil...
Source: Clinical Child Psychology and Psychiatry - December 27, 2015 Category: Psychiatry Authors: Kok, L., van der Waa, A., Klip, H., Staal, W. Tags: Review Source Type: research

The experiential impact of hospitalisation: Parents accounts of caring for young people with early psychosis
This research examines the experiential impact of hospitalisation on the parents of young people with early psychosis. In-depth interviews were conducted with a small sample of parents, and the resulting transcripts were analysed using Interpretative Phenomenological Analysis. Five themes emerged from the data: Accepting and blaming, Feeling out of control, Hospitalisation as temporary containment, Feeling let down by services and Stigma. Aspects of the hospitalisation process were characterised by parents as generally negative, but a number of positive affirmations were also offered regarding the containing, supportive an...
Source: Clinical Child Psychology and Psychiatry - December 27, 2015 Category: Psychiatry Authors: Hickman, G., Newton, E., Fenton, K., Thompson, J., Boden, Z. V., Larkin, M. Tags: Articles Source Type: research

A psychoanalytic child psychotherapy contribution to generic assessments
Psychoanalytically trained child and adolescent psychotherapists have applied psychodynamic thinking to family work, consultations and brief work for some time. Findings from a research project in which the author investigated the processes involved in generic assessments undertaken by herself and what actually takes place are presented. A description of some skills and techniques used by the author are also described. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - December 27, 2015 Category: Psychiatry Authors: Mees, P. Tags: Articles Source Type: research

Young childrens experiences of participating in group treatment for children exposed to intimate partner violence: A qualitative study
The risk of exposure to intimate partner violence (IPV) between caregivers is increased during early childhood. The adverse effects on the health and development of the youngest children may be severe. Effective and promising interventions for children who have experienced IPV have been developed and evaluated. However, there is a lack in knowledge about how the children themselves experience the interventions. The aim of this study was to contribute to the evaluation of group treatment designed to improve the psychological health of young children in the aftermath of family violence by elucidating the children’s exp...
Source: Clinical Child Psychology and Psychiatry - December 27, 2015 Category: Psychiatry Authors: Pernebo, K., Almqvist, K. Tags: Articles Source Type: research

Young people with features of gender dysphoria: Demographics and associated difficulties
In conclusion, young people with gender dysphoria often present with a wide range of associated difficulties which clinicians need to take into account, and our article highlights the often complex presentations of these young people. (Source: Clinical Child Psychology and Psychiatry)
Source: Clinical Child Psychology and Psychiatry - December 27, 2015 Category: Psychiatry Authors: Holt, V., Skagerberg, E., Dunsford, M. Tags: Articles Source Type: research

Enriching practice of dialectic behaviour therapy with the dynamic maturational model of attachment and adaptation
The major challenge for a clinician is integration of the wisdom available in the wide range of therapeutic paradigms available. I have found the principles guiding dialectic behaviour therapy (DBT; see Miller, Rathus, & Linehan, 2007, for applying DBT to adolescents) extremely useful in my practice running a general adolescent unit; similarly, the understanding of the different information processing and learning principles associated with each of the Type A and C attachment strategies, as understood in dynamic maturational model (DMM), has guided me through the dark corners of treatment. Specifically, how does DMM in...
Source: Clinical Child Psychology and Psychiatry - December 27, 2015 Category: Psychiatry Authors: Wilkinson, S. R. Tags: Articles Source Type: research