Population Health Sciences Institute, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, Newcastle upon Tyne, NE2 4AX, UK.
Children and Young People's Primary Care Mental Health Service, Tyne and Wear NHS Foundation Trus, Cumbria, Northumberland, UK.
BMC Public Health. 2024 Aug 21;24(1):2276. doi: 10.1186/s12889-024-19770-6.
Children and young people (CYP) in contact with child welfare services are at high risk of developing mental health problems. There is a paucity of evidenced-based preventative interventions provided to this population.
This project worked in partnership with CYP, their parents/caregivers and the professionals who support them to co-produce a preventative mental health intervention for CYP in contact with child welfare services.
We recruited a purposive sample of CYP in contact with child welfare services (n = 23), parents/caregivers (n = 18) and practitioners working within child welfare services and mental health services (n = 25) from the North East of England and convened co-production workshops (n = 4).
This project followed the established principles for intervention development, applying the six steps to quality intervention development (6SQUID) approach. The mixed method research consisted of four work packages with continuous engagement of stakeholders throughout the project. These were: a systematic review of reviews; focus groups with practitioners; interviews with parents/caregivers and CYP; co-production workshops.
We identified that the primary risk factor affecting CYP in contact with child welfare services is the experience of childhood adversity. The quality of relationships that the CYP experiences with both their parent/caregivers and the professionals involved in their care are considered to be the main factors amenable to change.
We found that a trauma-informed, activity-based intervention with an embedded family-focused component provided to CYP who have experienced adversity is most likely to prevent mental health problems in those in contact with child welfare services.
接触儿童福利服务的儿童和青少年（CYP）面临心理健康问题的高风险。针对这一人群，提供的基于证据的预防干预措施很少。
该项目与 CYP、他们的父母/照顾者以及支持他们的专业人员合作，共同为接触儿童福利服务的 CYP 制定预防心理健康干预措施。
我们从英格兰东北部招募了接触儿童福利服务的 CYP（n=23）、父母/照顾者（n=18）和儿童福利服务和心理健康服务工作者（n=25）的有目的样本，并召集了合作生产研讨会（n=4）。
该项目遵循干预措施开发的既定原则，应用 6SQUID 方法的六个步骤进行干预开发。这项混合方法研究包括四个工作包，在整个项目过程中不断与利益相关者进行接触。这些工作包是：系统评价综述；与从业者的焦点小组；与父母/照顾者和 CYP 的访谈；合作生产研讨会。
我们发现，影响接触儿童福利服务的 CYP 的主要风险因素是童年逆境的经历。CYP 与父母/照顾者以及参与他们护理的专业人员之间的关系质量被认为是最容易改变的主要因素。
我们发现，针对经历过逆境的 CYP 提供基于创伤的、以活动为基础的干预措施，并嵌入以家庭为重点的组成部分，最有可能预防接触儿童福利服务的人群的心理健康问题。
