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A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project
- Source :
- BMC Psychiatry
- Publication Year :
- 2016
- Publisher :
- BioMed Central, 2016.
-
Abstract
- Out-of-home care (OoHC) refers to young people removed from their families by the state because of abuse, neglect or other adversities. Many of the young people experience poor mental health and social function before, during and after leaving care. Rigorously evaluated interventions are urgently required. This publication describes the protocol for the Ripple project and notes early findings from a controlled trial demonstrating the feasibility of the work. The Ripple project is implementing and evaluating a complex mental health intervention that aims to strengthen the therapeutic capacities of carers and case managers of young people (12-17 years) in OoHC. The study is conducted in partnership with mental health, substance abuse and social services in Melbourne, with young people as participants. It has three parts: 1. Needs assessment and implementation of a complex mental health intervention; 2. A 3-year controlled trial of the mental health, social and economic outcomes; and 3. Nested process evaluation of the intervention. Early findings characterising the young people, their carers and case managers and implementing the intervention are available. The trial Wave 1 includes interviews with 176 young people, 52% of those eligible in the study population, 104 carers and 79 case managers. Implementing and researching an affordable service system intervention appears feasible and likely to be applicable in other places and countries. Success of the intervention will potentially contribute to reducing mental ill-health among these young people, including suicide attempts, self-harm and substance abuse, as well as reducing homelessness, social isolation and contact with the criminal justice system. Australian New Zealand Clinical Trials Registry ACTRN12615000501549 . Retrospectively registered 19 May 2015.
- Subjects :
- Program evaluation
Male
Suicide, Attempted
Foster Home Care
0302 clinical medicine
Clinical Protocols
Medicine
030212 general & internal medicine
Social isolation
Child
media_common
Mental Disorders
05 social sciences
1. No poverty
3. Good health
Substance abuse
Psychiatry and Mental health
Mental Health
Caregivers
Needs assessment
Looked after children
Female
medicine.symptom
Out-of-home care
Needs Assessment
050104 developmental & child psychology
Research Article
Mental Health Services
medicine.medical_specialty
Adolescent
Victoria
media_common.quotation_subject
Vulnerable Populations
Neglect
03 medical and health sciences
Nursing
Complex intervention
Intervention (counseling)
Humans
0501 psychology and cognitive sciences
Psychiatry
business.industry
Prevention
medicine.disease
Mental health
Youth mental health
Implementation
Feasibility Studies
business
Self-Injurious Behavior
Program Evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 1471244X
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- BMC Psychiatry
- Accession number :
- edsair.doi.dedup.....43ebd67977e2a972cf588d4429d9b7e3