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Strengths and Difficulties Questionnaire Added Value Scores: evaluating effectiveness in child mental health interventions
- Authors:
- FORD Tamsin, et al
- Journal article citation:
- British Journal of Psychiatry, 194(6), June 2009, pp.552-558.
- Publisher:
- Cambridge University Press
Routine outcome monitoring may improve clinical services but remains controversial, partly because the absence of a control group makes interpretation difficult. This study aimed to test a computer algorithm designed to allow practitioners to compare their outcomes with epidemiological data from a population sample against data from a randomised controlled trial, to see if it accurately predicted the trial's outcome. An `added value' score was also developed using epidemiological data on the Strengths and Difficulties Questionnaire (SDQ). The study tested whether it correctly predicted the effect size for the control and intervention groups in a randomised controlled trial. As compared with the a priori expectation of zero, the Added Value Score applied to the control group predicted an effect size of –0.03. As compared with the trial estimate of 0.37, the Added Value Score applied to the intervention group predicted an effect size of 0.36. The findings provide preliminary support for the validity of this approach as one tool in the evaluation of interventions with groups of children who have, or are at high risk of developing, significant psychopathology.
Parental concerns about their child's emotions and behaviour and referral to specialist services: general population survey
- Authors:
- FORD Tamsin, et al
- Journal article citation:
- British Medical Journal, 17.12.05, 2005, pp.1435-1436.
- Publisher:
- British Medical Association
Children with psychiatric disorders rarely present themselves for treatment and are therefore dependent on the adults around them to identify their distress. This study used empirical data from the 1999 British child and adolescent mental health survey to examine how predictive parental perceptions of psychological difficulties were of psychiatric disorder and to provide simple strategies to aid clinicians in identifying children requiring referral.
Feeling the way: childhood mental illness and consent to admission and treatment
- Authors:
- FORD Tamsin, KESSEL Anthony .
- Journal article citation:
- British Journal of Psychiatry, 179, November 2001, pp.384-386.
- Publisher:
- Cambridge University Press
Editorial which summarises the history and legal framework of consent, and discusses the developmental issues affecting capacity, and the ethical and clinical implications in relation to children with psychiatric disorder.
Teachers' attitudes towards child mental health services
- Authors:
- FORD Tamsin, NIKAPOTA Anula
- Journal article citation:
- Psychiatric Bulletin, 24(12), December 2000, pp.457-461.
- Publisher:
- Royal College of Psychiatrists
This study aimed to improve liaison between local schools and child adolescent mental health services (CAMHS) by exploring teachers' experiences and perceptions of CAMHS. Semi-structured interviews were carried out with 25 volunteer primary school teachers. Teachers reported exhausting education-based resources before seeking external advice. Most had positive experiences of child mental health services and were keen to be more involved. They favoured a service that provided rapid advice and ongoing support. Many complained about problems in communication. Child psychiatrists should collaborate more effectively with teachers to promote mental health and manage children with behavioural and psychological problems.
Evaluation of a pilot project for mental health screening for children looked after in an inner London borough
- Authors:
- NEWLOVE-DELGADO Tamsin, MURPHY Elizabeth, FORD Tamsin
- Journal article citation:
- Journal of Children's Services, 7(3), 2012, pp.213-225.
- Publisher:
- Emerald
This study evaluated the feasibility of a screening test for looked after children in order to identify undetected psychiatric disorders. Children aged 4 to 16 in care in the London Borough of Southwark for four consecutive months were eligible for screening. Where the Strengths and Difficulties Questionnaire suggested that a psychiatric disorder was possible, participants were then invited to complete the Developmental and Well-Being Assessment, which was rated by a senior psychiatrist to generate diagnoses if appropriate. Findings revealed that that over one year, 23 children were eligible for screening, a total of 18 underwent the initial stage of screening, and 7 were subsequently diagnosed with a formal psychiatric disorder. The authors concluded that the study highlighted the unmet need for mental health interventions among children looked after by the local authority, and confirmed the feasibility of a simple screening protocol.
Mental health and educational difficulties in children in contact with Children's Social Services
- Authors:
- GUGLANI Sacha, RUSHTON Alan, FORD Tamsin
- Journal article citation:
- Child and Family Social Work, 13(2), May 2008, pp.188-196.
- Publisher:
- Wiley
The British Child Mental Health Survey 1999 collected data from 10,438 children aged 5-15 years, selected at random from the child benefit register. At 2 and 3 years, all those with a psychiatric disorder and a random third without were followed up with further detailed interviews about the services contacted if parents reported service contact or if parents expressed concern about their child's mental health at baseline and follow-up, but reported no service use. The study compared children in contact with Children's Social Services with children in contact with Child and Adolescent Mental Health Services (CAMHS) or no services. The children in contact with Children's Social Services had a high level of psychopathology and considerable educational difficulties. Despite this, they often had no contact with CAMHS or access to provision for special educational needs. It also became clear that parents were often using Children's Social Services as a first-line service, i.e. a way of trying to access help.
Child psychiatric disorder and relative age within school year: sectional survey of large population sample
- Authors:
- GOODMAN Robert, GLEDHILL Julia, FORD Tamsin
- Journal article citation:
- British Medical Journal, 30.8.03, 2003, pp.472-474.
- Publisher:
- British Medical Association
Using a community sample from England, Scotland and Wales, involving 10,438 young people aged 5-15 years old. Total symptom scores on psychopathology questionnaires completed by parents, teachers, and 11-15 year olds.; psychiatric diagnoses based on a clinical review of detailed interview data. Results found younger children in a school year are at greater psychiatric risk than older children. Concludes that increased awareness by teachers of the relative age of their pupils and a more flexible approach to children's progression through school might reduce the number of children with impairing psychiatric disorders in the general population.