Parent and adolescent mental health and wellbeing. Mental health, wellbeing
Conditions
Interventions
A 7 session family focused psychosocial support program, named the Sawa A2wa Family Program.
The 7 session family focused psychosocial support program includes 90 minute weekly family session and 30 minute weekly parenting sessions, with the exception of the 7th booster session delivered one
Family systemic, psychosocial
Sponsors
American University of Beirut
Eligibility
Sex/Gender
All
Age
12 Years to 17 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria for participation in the research study are 1) a single- or dual-headed household with an adolescent aged 12-18 (male and female), 2) identified as at-risk by the partner organization, 3) scoring above the cutoff on the Pediatric Symptom Scale for general mental health, and 4) gives assent and parental/legal guardian consent. One target child will be identified per family for the assessments (if multiple children meet the criteria in one family, the child who has the highest PSC score will be selected as the index child). At-risk status will be established as part of usual screening processes for focused PSS and clinical assessment by facilitators in partner organizations, who will identify and referral potential participants. Medium-to-high risk is defined for this study as being ‘vulnerable to a protection risk but not high with imminent risk (i.e. without a current protection risk that would require immediate referral to case management). Once potential participants give verbal permission to be contacted by the research team, and have consented/assented to take part, they will be screened fully by the research team (including administering the short-form of the Pediatric Symptom Checklist) to ensure they meet the inclusion criteria and that the program is relevant to their needs.
Exclusion criteria
Exclusion criteria: Participants will be excluded if they have severe psychiatric disturbance or risks requiring specialist mental health services (assessed by partner organizations as part of usual routine assessment and referral systems), if they are in immediate high risk requiring case management, or if they do not consent/assent. Cases requiring specialized services will not be invited to participate because of the level of vulnerability, potential issues of capacity, and because the family intervention is unlikely to be pitched at the right level for their needs, though they will be offered alternative relevant services. The decisions are made using the usual protocol for focused PSS programs within each partner organization by experienced mental health and child protection teams. Due to the high level of need within all communities in Lebanon, and the need to prevent resource-based tension between groups, we will include families from all nationalities, religions, and refugee status.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Name: Adolescent mental health;Timepoints: Pre, post, 3 month follow-up;Measure: Pediatric Symptom Checklist | — |
Secondary
| Measure | Time frame |
|---|---|
| Name: Wellbeing ;Timepoints: Pre, post, 3 month follow-up;Measure: WHO-5 Well-Being Index;Name: Family functioning;Timepoints: Pre, post, 3 month follow-up;Measure: SCORE Index of Family Functioning and Change;Name: Emotion regulation ;Timepoints: Pre, post, 3 month follow-up;Measure: Difficulties in Emotion Regulation Scale;Name: Child protection risk, stress and adversity ;Timepoints: Pre, post, 3 month follow-up;Measure: Standardized measure developed for the study;Name: Parenting;Timepoints: Pre, post, 3 month follow-up;Measure: Parenting Questionnaire;Name: Caregiver mental health;Timepoints: Pre, post, 3 month follow-up;Measure: Kessler 6 | — |
Countries
Lebanon
Contacts
Public ContactTania Bosqui
American University of Beirut
Outcome results
None listed