Psychological distress Mental and Behavioural Disorders Psychological distress
Conditions
Interventions
Eligible participants are randomly allocated to the school-based humanistic counselling (SBHC) group, or the pastoral care as usual (PCAU) group.
SBHC group: Participants take part in up to 10 weekly
Sponsors
University of Roehampton (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria as of 12/07/2016: In order to be eligible to take part in the ETHOS study, the young person must meet all of the following criteria at the point of assessment: 1. Aged between 13 and 16 years of age at the time of assessment 2. Be experiencing moderate to severe levels of psychological distress as assessed by a score of 5 or more on the Strengths and Difficulties Questionnaire (SDQ) Emotional Symptoms Scale 3. Able to speak and read English (with a minimum reading age of 13 years) 4. Want to participate in counselling, or want to undertake counselling, or want to see a counsellor 5. Not currently in receipt of counselling or any other therapeutic intervention that may be impeded through participation in the trial 6. Have a school attendance record of at least 85% as assessed by the school Original inclusion criteria: 1. Aged between 13 and 16 years of age at the time of assessment 2. Be experiencing moderate to severe levels of psychological distress as assessed by a score of >5 on the Strengths and Difficulties Questionnaire (SDQ) Emotional Symptoms Scale 3. Able to speak and read English 4. Not currently in receipt of counselling, or any other psychological intervention 5. Have a school attendance record of at least 85% as assessed by the school
Exclusion criteria
Exclusion criteria: Exclusion criteria as of 12/07/2016: 1. Considered by the researcher, as unable to provide informed consent (not ‘Gillick competent’) 2. The parent/carer of the young person has not provided their consent for the young person to take part in the study 3. Assessed by the researcher, or a teacher, to be at risk of serious harm to self or others at the time of assessment 4. Planning to leave the school within the academic year 5. Unwilling to complete all assessments 6. Unwilling to allow sessions to be audio recorded for the purposes of auditing Original exclusion criteria: 1. Considered by the researcher, as unable to provide informed consent 2. The parent/carer of the young person has not provided their consent for the young person to take part in the study 3. Assessed by the researcher, or a teacher, to be at serious risk to self or others at the time of assessment 4. Planning to leave the school within the academic year 5. Unwilling to allow sessions to be audio recorded for the purposes of auditing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measures as of 12/07/2016: 1. Psychological distress is measured using the YP-CORE at baseline, 6 weeks, 12 weeks and 24 weeks 2. Change in use of services and supports and costs from baseline to 24 weeks is measured using the Client Service Receipt Inventory (CSRI) Original primary outcome measure: Psychological Distress is measured using the YP-CORE at baseline, weekly throughout the intervention period (including at 6 weeks from baseline), 12 weeks and 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures as of 12/07/2016: 1. Psychological difficulties is measured using the Strengths and Difficulties Questionnaire (SDQ) at baseline, 6 weeks, 12 weeks and 24 weeks 2. Symptoms of anxiety and depression are measured using the Revised Children's Anxiety and Depression Scale (RCADS) at baseline, 6 weeks, 12 weeks and 24 weeks 3. Self-esteem is measured using the Rosenberg Self-esteem Scale (RSES) at baseline, 6 weeks, 12 weeks and 24 weeks 4. Behavioural engagement at school is measured using the Student Engagement Scale - Behavioral Engagement subscale (SES-BE) at baseline, 6 weeks, 12 weeks and 24 weeks 5. Well-being is measured using the Warwick- Edinburgh Mental Well-being Scale (WEMWBS) at baseline, 6 weeks, 12 weeks and 24 weeks 6. Achievement of personal goals are measured using the Goal Based Outcomes Record Sheet (GBORS) at baseline, 6 weeks, 12 weeks and 24 weeks 7 Service user satisfaction is measured using the Experience of Service Questionnaire (CHI-ESQ) at 12 weeks 8. Service user satisfaction is also measured using the Outcome Rating Scale (ORS) weekly throughout the intervention period Original secondary outcome measures: 1. Strengths and Difficulties Questionnaire (SDQ) at baseline, 6 weeks, 12 weeks and 6 months 2. Goal-based Outcome Measure (GBOM) at baseline, 6 weeks, 12 weeks and 6 months 3. Revised Children's Anxiety and Depression Scale (RCADS) at baseline, 6 weeks, 12 weeks and 6 months 4. Culture Free Self-Esteem Inventory (CFSEI - 3) at baseline, 6 weeks, 12 weeks and 6 months 5. Resilience Scale (READ) at baseline, 6 weeks, 12 weeks and 6 months 6. Change in use of services and supports and costs from baseline to 6 months is measured using the Client Service Receipt Inventory (CSRI) 7. Educational engagement is measured by rates of attendance, exclusion, detentions and disciplinary proceedings at 6 months 8. Impact of the counselling on young people and school is assessed through in-depth interviews with a sampl | — |
Countries
England, United Kingdom
Contacts
Public ContactMick Cooper
Outcome results
None listed