Clinical effectiveness of drop-in mental health services at paediatric hospitals: A non-randomised multi-site study for children and young people and their families - study protocol

PLoS One. 2024 May 9;19(5):e0302878. doi: 10.1371/journal.pone.0302878. eCollection 2024.

Abstract

Background: Despite the high prevalence of mental health difficulties in children and young people with long-term health conditions (LTCs), these difficulties and experiences are often overlooked and untreated. Previous research demonstrated the effectiveness of psychological support provided via a drop-in mental health centre located in a paediatric hospital. The aim of this prospective non-randomised single-arm multi-centre interventional study is to determine the clinical effectiveness of drop-in mental health services when implemented at paediatric hospitals in England.

Methods: It is hypothesised that families who receive psychological interventions through the drop-in services will show improved emotional and behavioural symptoms. Outcomes will be measured at baseline and at 6-month follow-up. The primary outcome is the difference in the total difficulties score on the Strengths and Difficulties Questionnaire (SDQ) reported by parent or child at 6 months. Secondary outcomes include self and parent reported Paediatric Quality of Life Inventory (PedsQL), self-reported depression (PHQ-9) and anxiety measures (GAD-7) and family satisfaction (CSQ-8).

Discussion: This trial aims to determine the clinical effectiveness of providing psychological support in the context of LTCs through drop-in mental health services at paediatric hospitals in England. These findings will contribute to policies and practice addressing mental health needs in children and young people with other long-term health conditions.

Trial registration: ISRCTN15063954, Registered on 9 December 2022.

Publication types

  • Research Support, Non-U.S. Gov't
  • Multicenter Study

MeSH terms

  • Adolescent
  • Anxiety / psychology
  • Anxiety / therapy
  • Child
  • Child, Preschool
  • Depression / epidemiology
  • Depression / therapy
  • England
  • Family / psychology
  • Female
  • Hospitals, Pediatric*
  • Humans
  • Male
  • Mental Health
  • Mental Health Services* / organization & administration
  • Prospective Studies
  • Quality of Life
  • Surveys and Questionnaires

Grants and funding

This project is funded by Beryl Alexander Charity (UK) and Great Ormond Street Hospital Children’s Charity (16HN11). The funders did not and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.