Browse by author
Lookup NU author(s): Dr Emma Geijer Simpson, Professor Ruth McGovernORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2024 The Author(s). British Journal of Clinical Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.Objectives: Rates of PTSD are up to 12 times higher in care-experienced young people (CEYP) compared to their peers. Trauma-focused CBTs (tf-CBT) are the best-evidenced treatment for youth with PTSD, yet, in practice, CEYP often struggle to access this treatment. We worked alongside services to understand barriers and facilitators of the implementation of cognitive therapy for PTSD (a type of tf-CBT) to CEYP. Design: This was an active, open implementation trial. Methods: We recruited 28 mental health teams across England, including general CAMHS, targeted CAMHS for CEYP and social care-based teams. From these teams, participants were 243 mental health professionals, from a wide variety of professional backgrounds. Following recruitment/intervention training, teams participated in rolling three monthly focus groups and individual interviews, to understand what helped and hindered implementation. Data were analysed using a framework analysis conducted using CFIR 2.0. Results: Almost half of the teams were able to implement, but only approximately one quarter with CEYP, specifically. Universal barriers that were discussed by almost all teams particularly highlighted service structures and poor resourcing as major barriers to delivery to CEYP, as well as the complexities of the young person and their network. Unique factors that differentiated teams who did and did not implement included commissioning practices, the culture of the team, leadership engagement and style, and the development of supervision structures. Conclusions: Findings offer key considerations for mental health teams, service leads, commissioners and policy-makers to enhance delivery of best-evidenced mental health treatments like CT-PTSD, for CEYP.
Author(s): McGuire R, Meiser-Stedman R, Smith P, Schmidt D, Bjornstad G, Bosworth R, Clarke T, Coombes J, GeijerSimpson E, Hudson K, Oliveira P, Macleod J, McGovern R, Stallard P, Wood K, Hiller RM
Publication type: Article
Publication status: Published
Journal: British Journal of Clinical Psychology
Year: 2024
Pages: epub ahead of print
Online publication date: 16/07/2024
Acceptance date: 15/04/2024
Date deposited: 29/07/2024
ISSN (print): 0144-6657
ISSN (electronic): 2044-8260
Publisher: John Wiley and Sons Ltd
URL: https://doi.org/10.1111/bjc.12471
DOI: 10.1111/bjc.12471
Data Access Statement: The data that support the findings of this study are available from the corresponding author upon reasonable request
Altmetrics provided by Altmetric
