Specialty: Mental Health, Primary sub-specialty: Learning disorders
Conditions
Interventions
Children will be randomly assigned to one of the two treatment arms (Mentalization-based Treatment versus Usual Clinical Care ). Randomisation will be managed by the Clinical Trials Support Network (C
consultations with the professional network (foster carers, social worker, school staff) based on a set of practice guidelines designed to improve reflective practice, develop a shared understanding o
and a model of family-based therapy, tailored to the needs of each foster family, aimed at helping foster families understand their foster child’s needs and feelings, encouraging sensitive parenting a
Sponsors
Anna Freud Centre
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Children inclusion criteria: 1. Primary and secondary school age children (aged 5-16) 2. In foster-care (or kinship care) for a minimum of 4 weeks 3. Referred to the targeted CAMHS team in Herts 4. Decision for the child to receive therapy from the CAMHS team, following an initial consult meeting with the professional network 5. With emotional or behavioural problems (based on a score on the SDQ =15) Carer inclusion criteria: Foster carers of participating children.
Exclusion criteria
Exclusion criteria: 1. An emergency/crisis referral, where an immediate response to a significant risk is required 2. The referral is specifically for a psychiatric assessment in specialist CAMHS
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Capacity to train mental health practitioners to an acceptable level of treatment integrity is assessed during therapy (sessions 1-12) via the therapists feedback form 2. Feasibility of recruitment processes and uptake to the study is determined using data collected before baseline assessment via the study screening log and monitored at regular bi-monthly meetings 3. Acceptability and credibility of MBT-Fostering as a treatment intervention for CLA is assessed using the therapist feedback form after study recruitment and follow-up is complete 4. Feasibility and acceptability to families of conducting a randomised clinical trial is measured in a 24 week post-intervention qualtiative interview with foster carers and children where appropriate 5. Feasibility of collecting resource-use data, for the purpose of calculating relative cost-effectiveness, is measured using a questionnaire at baseline, 12 and 24 weeks 6. Preliminary estimate of likely treatment efficacy effect size treatment outcome measures at 24 weeks For the feasibility RCT assessment of the treatment outcome measures will be undertaken to support effect size estimation, and to inform power estimation for the definitive trial: 1. Emotional and Behavioural difficulties are measured using the Strengths and Difficulties Questionnaire (SDQ) at baseline, 12 and 24 weeks 2. Brief Assessment Checklist at baseline, 12 and 24 weeks 3. Carer wellbeing and carer-child relationships are measured using the Parent Stress Index – Short Form at baseline, 12 and 24 weeks 4. Beliefs and confidence about parenting skills are measured using the Parenting Efficacy Scale at baseline, 12 and 24 weeks 5. Caregiver's capacity for reflective functioning (mentalizing) is measured usng The Five Minute Speech Sample at baseline, 12 and 24 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Mental health difficulties are measured using the brief assessment checklist at baseline, 12 and 24 weeks 2.Goals of therapy are assessed using the Goals Based Outcome Measure Questionnaire, collected during therapy, and again at 12 and 24 weeks 3. Parental stress is measured using the Parent Stress Index at baseline, 12 and 24 weeks 4. Parenting style is measured using the Parenting Scale, at baseline 12 and 24 weeks 5. Confidence in parenting is measured using the Brief Parental Efficacy Scale at baseline, 12 and 24 weeks 6. Health Related Quality of Life is measured using the Child Health Utility at baseline, 12 and 24 weeks 7. Anxiety and depression are measured using the Revised Anxiety and Depression Scale at baseline, 12 and 24 weeks 8. Service use is measured using the Child and Adolescent Service Use Questionnaire at baseline, 12 and 24 weeks 9.Experience of Therapy is measured using the Experience of Service Questionnaire at 12 and 24 weeks 10. Attendance to therapy sessions is measured using a Treatment Attendance Form at each therapy session (1-12) 11.Reflective functioning is measured using a Five Minute Speech Sample at baseline, 12 and 24 weeks 12. Therapist feedback form (pre-, during and post-training and intervention delivery) | — |
Countries
United Kingdom
Contacts
Public ContactSarah Jane Besser
Outcome results
None listed