Early-stage randomised controlled trial of therapist-supported online cognitive therapy for post-traumatic stress disorder in young people
No Thumbnail Available
Authors
Smith, P
Ehlers, A
Carr, E
Clark, D.M
Dalgleish, T
Forbes, G
Goldsmith, K
Griffiths, H
Gupta, M
King, D
Check for full-text access
Issue Date
01/08/2024
Type
Journal Article
Language
Keywords
Mental Health
Alternative Title
Abstract
Background Over 3,000 young people under the age of 18 are admitted to Tier 4 Child and Adolescent Mental Health Services (CAMHS) inpatient units across the UK each year. The average length of hospital stay for young people across all psychiatric units in the UK is 120 days. Research is needed to identify the most effective and efficient ways to care for young people (YP) with psychiatric emergencies. This study aims to evaluate the clinical effectiveness and cost-effectiveness of intensive community care service (ICCS) compared to treatment as usual (TAU) for young people with psychiatric emergencies. Methods This is a multicentre two-arm randomized controlled trial (RCT) with an internal pilot phase. Young people aged 12 to < 18 considered for admission at participating NHS organisations across the UK will be randomized 1:1 to either TAU or ICCS. The primary outcome is the time to return to or start education, employment, or training (EET) at six-months post randomisation. Secondary outcomes will include evaluations of mental health and overall well-being and patient satisfaction. Service use, and costs and cost-effectiveness will also be explored. Intention-to-treat analysis will be adopted. The trial is expected to be completed within 42 months, with an internal pilot phase in the first 12 months to assess the recruitment feasibility. A process evaluation using visual semi-structured interviews will be conducted with 42 young people and 42 healthcare workers. Discussion This trial is the first well-powered randomised controlled trial evaluating the clinical and cost-effectiveness of ICCS compared to TAU for young people with psychiatric emergencies in Great Britain. Trial registration : ISRCTN: ISRCTN42999542
Description
Citation
Journal of Child Psychology and Psychiatry, 66(8), 1117-1128. https://doi.org/10.1111/jcpp.14124
Publisher
License
Journal
The Journal of Child Psychology and Psychiatry
Volume
66
Issue
8