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The European Early Promotion Project: description of the service and evaluation study
- Authors:
- PUURA Kaija, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.17-31.
- Publisher:
- Taylor and Francis
Describes an innovative cross-cultural method of working with families to promote the psychosocial wellbeing of children and prevent the development of psychological and social problems. Also presents a study designed to evaluate the effects of the service. Primary health care workers in 5 countries of northern, central and southern Europe were trained to conduct promotional interviews with all prospective mothers in their area one month before and one month after birth. They were also taught to work with mothers identified as in need of support as a parent, using a specific counselling model to try to prevent the onset of child mental health difficulties. Effects of the intervention on children's psychological development and family adaptation were evaluated at 2 years of age in comparison with matched groups not receiving the intervention, using a set of questionnaires, interviews and observation methods. The total sample at initial assessment was 824 families, of which 705 (85.65) were retained for outcome assessment. Part of a special issue on the European Early Promotion Project (EEPP).
Promoting children's mental health: the European Early Promotion Project
- Authors:
- DAVIS Hilton, TSIANTIS John
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.4-16.
- Publisher:
- Taylor and Francis
Introduces the special issue on the European Early Promotion Project (EEPP), a major project set up to address problems arising from the prevalence of psychosocial disorders in children by developing and evaluating a promotional and preventive service in a European context.
A comment on Stroud and Pritchard: child homicide, psychiatric disorder and dangerousness: a review and an empirical approach
- Author:
- BARNES Helen
- Journal article citation:
- British Journal of Social Work, 31(3), June 2001, pp.481-492.
- Publisher:
- Oxford University Press
On the basis of a review of research on child and adult homicide and mental disorder, along with an original study of these connections, Stroud and Pritchard suggest that diagnoses of mental disorder and other 'psychopathologies' can be useful in identifying adults at risk of community child homicide, and thus advocate that social work practice should focus attention on these issues in seeking to prevent child homicide. Issues contained in the paper, however, appear to present a number of concerns with considerable implications for social work practice. These concerns relate to the following: the conclusions drawn in the paper about the prevalence of mental disorder amongst people committing child homicide, the implications of the paper's findings and conclusions for the knowledge base and strategies social workers should be employing in identifying and managing risk of child homicide, and the implications of the paper for social work values.
State of a generation: preventing mental health problems in children and young people
- Author:
- MENTAL HEALTH FOUNDATION
- Publisher:
- Mental Health Foundation
- Publication year:
- 2019
- Pagination:
- 58
- Place of publication:
- London
This report provides a review of recent evidence and an overview of a preventative approach to mental health problems in children and young people. The report highlights some key risk and protective factors for young people’s mental health. These include risks from adversity experienced in early life; disadvantaged environments; the process of exploring identity, and transitions such as leaving school for the workplace. Protective factors included benefit of social support from family, friends and communities; emotional literacy; and early intervention. Based on the research and the suggestions of a Youth Advisory Panel, the report identifies five actions for change to support good mental health and prevent the development of mental health problems. The actions cover change at the individual, family, community, and societal level. (Edited publisher abstract)
Investing in a resilient generation: keys to a mentally prosperous nation
- Authors:
- MENTAL HEALTH POLICY COMMISSION, BURSTOW Paul, et al
- Publisher:
- University of Birmingham
- Publication year:
- 2018
- Pagination:
- 52
- Place of publication:
- Birmingham
The report of the Mental Health Policy Commission, calls for investment in the nation’s mental resilience, starting early and supporting families, schools, workplaces, and communities. The root causes of mental health problems in adulthood can often be traced to adversity in childhood or adolescence, yet access to appropriate mental health support and treatment remains a lottery for young people – the ‘treatment gap’. The Commission proposes that, for maximum long-term impact of the nation’s mental health, the focus needs to be on the ‘prevention gap’ which is the gap between those who would derive benefit from preventative activity and the current extent of that activity. It argues that there needs to be an increased emphasis on prevention to tackle the causes of poor mental health at their root instead of years later in treatment. The report identifies four building blocks for a mentally prosperous nation: positive family, peer and community relationships; minimise adverse experiences and exclusions; mentally friendly education and employment; and responding early and responding well to first signs of distress. Drawing on evidence received from the Commission, the report sets out a number of promising approaches which address each of the key building blocks. The report includes quotations from young people who took part in roundtable events. Calls to action include a whole-system prioritisation of prevention and early action in childhood and adolescence, making early action the new business as usual, and research and evaluation to learn from what works. (Edited publisher abstract)
Risk factors for child neglect: A meta-analytic review
- Authors:
- MULDER Tim M., et al
- Journal article citation:
- Child Abuse and Neglect, 77, 2018, pp.198-210.
- Publisher:
- Elsevier
Knowledge of risk factors and their effects is vital for successfully preventing and reducing child neglect. This study provides a meta-analytic update of research on risk factors for child neglect. A total of 315 effect sizes were extracted from 36 primary studies and classified into 24 risk domains. Effects of 15 risk domains were significant and ranged from small (r = .110) to large (r = .372) in magnitude. Most risks were found at the parental level, such as having a history of antisocial behaviour/criminal offending (r = .372); having a history of mental/psychiatric problems (r = . 259); having mental/physical problems (r = .207); and experiences of abuse in own childhood (r = .182). The effect of mother-related risk factors was not significantly different from the effect of father-related risk factors. It is concluded that child neglect is determined by multiple risk domains and that especially parent-related risk factors are important in preventing and reducing child neglect. Implications of the results for clinical practice are discussed. (Edited publisher abstract)
The mental health of children and young people in England
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2016
- Pagination:
- 33
- Place of publication:
- London
This report describes the importance of mental health and wellbeing among children and young people and the case for investment in mental health. It provides statistics on prevalence of poor mental health and wellbeing and those most at risk. It also summarises statistics and evidence of what works to improve mental health in children and young people, including information on costs and potential savings. Information is included for: anxiety disorders, attention deficit hyperactivity disorder (ADHD), conduct disorder, depression, eating disorders, schizophrenia, self-harm and suicide. (Edited publisher abstract)
Cost-effectiveness analysis in child and adolescent mental health problems: an updated review of literature
- Authors:
- KILIAN Reinhold, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 12(4), November 2010, pp.45-57.
- Publisher:
- Taylor and Francis
The cost of mental health problems is large to both individuals and society. Investing resources into mental health promotion not only affects individual well-being, but also may have a significant economic impact. This paper presents a literature review on the cost-effectiveness of the prevention or treatment of mental disorders in children and adolescents. Two studies on the cost-effectiveness of prevention programmes and nineteen studies on the cost-effectiveness of psychiatric interventions were identified. Cost-effectiveness analyses (CEA) based on primary data focused mainly on non-medical interventions, while CEAs based on simulation models focused mainly on drug treatment. CEA studies were conducted mainly in the USA and the UK. The time period of most CEAs was limited to 12 months. The review concluded that, due to methodological differences, the results of CEAs are difficult to compare. Findings suggest that there is still a huge knowledge gap about which programmes for mental disorder prevention, mental health promotion, and treatment for mental disorders in children and adolescents provide the greatest social benefit for the money spent.
Child and family outcomes of the European Early Promotion Project
- Authors:
- DAVIS Hilton, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.63-81.
- Publisher:
- Taylor and Francis
This paper, part of a special issue on the European Early Promotion Project (EEPP), concerns outcomes for families involved in the Project and presents data collected when the children were between 6-8 and 24 months old. A total of 824 families were recruited from the 5 countries involved. At baseline, differences were found between country samples in extent and type of need (Finnish families having the lowest risk factor rates and Serbia the highest, for example), but recruitment was generally successful in including families from the whole range of need, excluding those with the severest physical and psychiatric problems. Although not randomised, intervention families (receiving the EEPP service) were reasonably matched with comparison families (receiving usual services) on most variables initially, except in Greece, where intervention families were somewhat more at risk. At 24 months, in spite of low intensity of service provision and methodological difficulties likely to reduce effects, there was evidence, particularly in Greece, of differences in outcome favouring the intervention group, who also showed significantly higher levels of satisfaction with the intervention received. It was concluded that the service merits further exploration to assist in understanding promotional and preventative processes.
Primary prevention of child mental health problems using primary health care professionals: cost comparisons
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.95-102.
- Publisher:
- Taylor and Francis
The importance of economic dimension in planning, delivery and evaluation of care and support for children and families is widely recognised. This paper reports a cost analysis of a primary prevention programme in 4 European centres using primary health care professionals trained to promote the psychosocial adaptation of children from birth. The cost of the intervention in training and supervision for each country was estimated, and the impact on service use and cost 2 months after the birth of the index child was measured. Total costs incurred by families at comparison sites where no such training was provided were also calculated and compared with total costs at intervention sites. Cost differences between countries were also explored. Differences in total costs between the groups were small and did not reach statistical significance. However, total costs varied substantially between countries. Training primary health care professionals in primary prevention of child mental health problems is found to be inexpensive and does not appear to affect total costs in the years immediately following. Given the outcome findings, the cost evaluation provides encouragement for wide establishment and examination of this preventative intervention. Part of a special issue on the European Early Promotion Project (EEPP).