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Background: Little is known about the effectiveness of, and implementation complexities associated with, service delivery models for children and young people (CYP) experiencing 'common' mental health problems such as anxiety, depression, behavioural difficulties and self-harm. This paper outlines how a model for high-quality service design for this population group was developed by identifying available services, their effectiveness, cost-effectiveness and acceptability, and the barriers and enablers to access. Methods: Sequential, mixed-methods design, combining evidence syntheses (scoping and integrative reviews of the international literature) with primary research (a collective case study in England and Wales). Data from these two elements were collaboratively synthesised in a subsequent model-building phase. Results: The scoping review yielded a service model typology. The integrative review found effectiveness evidence only for four models: collaborative care (the only service model to also have cost-effectiveness evidence), outreach approaches, brief intervention services and an organisational framework called 'Availability, Responsiveness and Continuity'. No service model seemed more acceptable than others. Three case study themes were identified: pathways to support; service engagement; and learning and understanding. The model-building phase identified rapid access, learning self-care skills, individualised support, clear information, compassionate and competent staff and aftercare planning as core characteristics of high-quality services. These characteristics were underpinned by four organisational qualities: values that respect confidentiality; engagement and involvement; collaborative relationships; and a learning culture. Conclusions: A consistent organisational evidence-base for service design and delivery in CYP's mental health spanning many years appears to have had little impact on service provision in England and Wales. Rather than impose – often inflexible and untested – specific local or national models or frameworks, those commissioning, designing and delivering mental health services for CYP should (re)focus on already known, fundamental components necessary for high-quality services. These fundamental components have been integrated into a collaboratively produced general model of service design for CYP with common mental health problems. While this general model is primarily focused on British service provision, it is broad enough to have utility for international audiences. [ABSTRACT FROM AUTHOR]

Objectives: The therapeutic alliance (TA) has been shown to be a predictor of psychotherapy treatment success. In the case of psychotherapy with children, there is a dearth of information on TA's role. The aims of the paper are: (1) To estimate the therapist effects on children TA; (2) to investigate if therapists' TA predicts children's TA; (3) to analyze if children's age and sex predict children's TA; (4) to evaluate if the therapist's characteristics predict children's TA. Methods: The sample consisted of 77 children undergoing psychotherapy in Argentina, and the therapists (N = 29) providing services to those children. The assessment tools utilized for the study included the Therapy Alliance Scale for Children and the Personal Style of the Therapist Questionnaire (PST‐Q). Results: Findings indicated that 2% of the children's TA was explained by the therapists (ICC = 0.02), while 17% of the therapists' TA was explained by the therapists (ICC = 0.17). Therapists' TA predicted children's TA. Children's age and sex did not have an effect on their own TA. Moreover, therapists with more experience achieved higher scores of children's TA. Finally, the Operative dimension of the PST had a negative effect on children's TA (i.e., therapists who prefer more spontaneous interventions over structured ones may experience higher levels of therapeutic alliance with child patients). Conclusion: We found a positive effect of the therapist's TA on children's TA, especially in the preference for using more spontaneous intervention techniques. We discuss the implications of the findings on the training of psychotherapists who provide services to children. [ABSTRACT FROM AUTHOR]

Background: Children and young people's (CYP) mental health is a major public health concern internationally and the recent Covid-19 pandemic has amplified these concerns. However, only a minority of CYP receive support from mental health services due to the attitudinal and structural barriers they and their families encounter. For over 20 years, report after report has consistently highlighted the shortcomings of mental health services for CYP in the United Kingdom and attempts to improve services have been largely unsuccessful. The findings reported in this paper are from a multi-stage study that aimed to develop a model of effective, high-quality service design for CYP experiencing common mental health problems. The aim of the stage reported here was to identify CYP's, parents' and service providers' perceptions of the effectiveness, acceptability and accessibility of services. Methods: Case studies were conducted of nine different services for CYP with common mental health problems in England and Wales. Data were collected using semi-structured interviews with 41 young people, 26 parents and 41 practitioners and were analysed using the Framework approach. Patient and Public Involvement was integrated throughout the study with a group of young co-researchers participating in data collection and analysis. Results: Four key themes defined participants' perceptions of service effectiveness, acceptability and accessibility. Firstly, open access to support with participants highlighting the importance of self-referral, support at the point of need and service availability to CYP/parents. Secondly, the development of therapeutic relationships to promote service engagement which was based on assessment of practitioner's personal qualities, interpersonal skills and mental health expertise and underpinned by relational continuity. Thirdly, personalisation was viewed as promoting service appropriateness and effectiveness by ensuring support was tailored to the individual. Fourthly, the development of self-care skills and mental health literacy helped CYP/parents manage and improve their/their child's mental health problems. Conclusions: This study contributes to knowledge by identifying four components that are perceived to be central to providing effective, acceptable and accessible mental health services for CYP with common mental health problems irrespective of service model or provider. These components could be used as the foundations for designing and improving services. [ABSTRACT FROM AUTHOR]

Foster care is a preferred alternative to residential care due to the importance of the family environment for the physical, emotional and intellectual development of the child. This enables the development of a sense of security and belonging. The paper presents an analysis of the development process of the maternal assistance network at the level of Constanta County, with emphasis on reducing the number of institutionalized children and ensuring the human resource necessary for the placement of children separated from their birth family, having consequence in optimizing and increasing the quality of services addressed to children. [ABSTRACT FROM AUTHOR]

This paper argues for reconceptualising how children use technology ‘outdoors’ as a technology-nonhuman-child assemblage, or roaming pathway. Founded in contemporary fears about children’s reduced opportunities to access nature and roam in rural environments, in part due to the ubiquitous presence of technology in their lives, we instead illustrate how the agencies of technologies and plants are folded into children’s outdoor roaming. Combining visual methods, video analysis and qualitative geovisualisation, and in collaboration with the Brecon Beacons National Park Authority, this paper exposes how assemblages are contingently brought into being through the actions of what technologies, plants and children do together. We demonstrate how the agentic capacities of non-humans and technologies are assembled through children’s imaginative interaction with them, and how these imaginative interactions make such agencies visible. [ABSTRACT FROM AUTHOR]

This paper reports on a UK study which examined the identification of, and support for young people with learning disabilities who experience, or are at risk of, child sexual exploitation (CSE). CSE has received considerable attention in the UK, with evidence suggesting an increased risk for young people with learning disabilities. However, no study has specifically focused on this group, and their voices remain largely unheard. In‐depth interviews with 27 young people with learning disabilities were undertaken to explore how to meet their needs. This paper presents the young people's voices and identifies areas for improvements in policy and practice. [ABSTRACT FROM AUTHOR]

According to research reviewed by the World Health Organisation and the Council of Europe, child abuse and maltreatment are both violations of human rights and a major public health problem. In the last couple of decades there has also been a movement to integrate human rights principles into public health programmes and health system analyses. Rights-based approaches put responsibility and accountability components into health promotion for countries whose governments have accepted human rights principles. The purpose of this paper is to describe a human-rights-based emotional and safety skills programme developed in Finland; the goal of this programme is to train health and social work professionals, child care workers and child educators to help children learn and apply emotional and safety skills. The programme integrates the protection, provision and participation characteristics of human rights with active learning techniques. The programme was positively evaluated by its participants. The paper concludes with recommendations for human rights education so others may integrate rights-based approaches for health promotion and public health programmes. [ABSTRACT FROM AUTHOR]

Social work educators across the world are engaged in developing a curriculum that prepares students to be effective practitioners in a range of settings that involve working with children. This paper reflects on collaborative strategies and research that have influenced the child wellbeing content of social work courses in Australia. It presents a critical analysis of the tensions and challenges that can occur in (this) collaborative work. It then discusses an outcome of this advocacy to influence the child wellbeing content of social work education, an undergraduate module aimed at increasing students' knowledge and skills in communicating with children. This paper argues that Indigenous children (such as Aboriginal and Torres Strait Islander children) are over-represented in child protection systems and out-of-home care services, and that this needs to be acknowledged and given increased attention in the education of social work students internationally. [ABSTRACT FROM PUBLISHER]

The importance of safeguarding children from violence is internationally recognised. However, detecting, intervening and protecting children from abuse both within the family and in institutions is complex. This paper specifically focuses on safeguarding in England and how workforce reform in the early years offers the opportunity to forge new partnerships with families and professionals. These relationships have the potential to support more positive outcomes for babies, young children and families who are ‘in need’ or where the children are at risk of significant harm or abuse has occurred. The paper draws on the findings from research exploring the impact of workforce reform in the early years and how the changes impact upon the wider safeguarding agenda. It will argue that the introduction of an inter-disciplinary graduate professional in the early years has afforded an opportunity to forge new partnerships that have the potential to significantly impact on child maltreatment. [ABSTRACT FROM PUBLISHER]

A growing awareness of child sexual exploitation (CSE) in the United Kingdom and throughout the world has prompted human service and legal/policy professionals to seek ways of engaging young people experiencing sexual exploitation, although much remains unknown regarding effective practice, and whether or not current knowledge regarding best practices with young people can be expanded to address CSE. This paper considers how principles of harm reduction, a public health approach widely used to engage adults and young people in help‐seeking behaviours, can be considered as part of a children's rights‐centred approach to policy and practice with young people experiencing CSE. [ABSTRACT FROM AUTHOR]

• First national study to assess the impact of the Integrated Child Development Services (ICDS) on children's cognitive scores. • We find that receiving ICDS intervention in early childhood benefits children's cognitive development at later ages. • ICDS is positively associated with reading and arithmetic test scores for girls. • ICDS is also positively associated with reading and arithmetic test scores of children from low-income families. • We argue that ICDS plays a critical role in bridging the gaps in cognitive achievement in India. The Integrated Child Development Services (ICDS) scheme aims to provide food supplementation, immunization, health check-ups, and early childhood education to children under the age of six years. There is mounting evidence that links poverty, undernutrition, and lack of stimulation at early ages with cognitive and economic disadvantages later in life. Furthermore, early childhood nutritional, educational, and health interventions are associated with human capital gains in developing countries. In this paper, we investigate the medium-term impact of ICDS services received in early childhood on subsequent reading and arithmetic achievement among children in the ages of eight to 11 in India. There are no nationwide studies that investigate the impact of ICDS on cognitive outcomes. Utilizing data from the two waves of the India Human Development Survey (IHDS) and applying propensity score matching, we find that ICDS has a positive impact on cognitive achievement, primarily for girls and children in low-income families. Since the influence of ICDS intervention is observed for these groups, we believe that the ICDS plays a critical role in reducing gender and income-related gaps in cognitive achievement in India. [ABSTRACT FROM AUTHOR]