Specialty: Children, Primary sub-specialty: Neurosciences
Conditions
Interventions
Participants will be randomised on a 1:1 basis to receive either Manualised Child Psychotherapy or Treatment as Usual.
Child Psychotherapy: Both the primary carer and child will each
Sponsors
Leeds and York Partnership NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Children aged 5-11 years old at baseline 2. Presenting to CAMHS, or re-referred within CAMHS, with a clinical conduct disorder (=4 on Strengths and Difficulties (SDQ) conduct sub-scale) 3. Child’s current primary carer* has been offered a first line group or individual parenting programme or other structured parenting intervention in primary care or within CAMHS, and has attended at least one session, but the child’s conduct disorder persists and the child has been referred to CAMHS or re-referred within CAMHS for further treatment. *The term ‘primary carer’ denotes the adult most involved in parenting the child.
Exclusion criteria
Exclusion criteria: 1. Children with a clinical diagnosis of Autistic Spectrum Disorder (ASD), including Asperger’s 2. Children with a clinical diagnosis of severe Learning Difficulties (LD) 3. Children medicated for Attention Deficit Hyperactivity Disorder (ADHD), unless they have been on a stable medication dose for 3 months or more (children with un-medicated ADHD are eligible if other inclusion criteria met) 4. Looked After Children (LAC) (including adopted children): 4.1. who are not in kinship foster care or special guardianship, or 4.2. who are not in kinship foster care or special guardianship which is stable (> 6 months) 5. Children under/at risk of Safeguarding or Court procedures 6. Children whose primary carer has severe mental health difficulties, determined by usual CAMHS procedures using clinical judgement (baseline GHQ-12 will be monitored for primary carers with severe mental health difficulties not identified by CAMHS) 7. Sibling has been randomised to the TIGA-CUB trial (as CP involving two CAPTs, which would be required for two children, may not be available in some of the services involved in the trial) 8. Primary carer is actively receiving a parenting programme within CAMHS for the child’s sibling 9. Primary carer lacks capacity to comply with trial requirements, e.g. as a result of a LD, due to research burden or due to insufficient proficiency in English 10. Primary carer has severe adverse parental functioning e.g. alcohol dependence (=20 on Alcohol-Use Disorders Identification Test) or drug dependence (=3 on Drug Abuse Screening Test), determined by the study Researcher on initial screening visit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Recruitment rate is measured by recording the proportion of dyads who consented to participate at the study end 2. Attrition rate is measured by recording the proportion of dyads completing the study out of those randomised to follow-up at the study end 3. Adherence is measured by recording the proportion of dyads randomised to the intervention arm successfully completing the required number of therapy sessions specified in the manual (or fewer, as determined by the CAPT) at the study end | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
England, United Kingdom
Contacts
Public ContactSadie Reed
Outcome results
None listed