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Dr Anna Roach, PhD

@annaroach.bsky.social

Research psychologist interested in child mental health, implementation and paediatric psychology. QI coach @ royal college psych and lecturer @ Anna Freud

712 Followers  |  111 Following  |  4 Posts  |  Joined: 05.09.2024  |  1.5321

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These findings suggest that drop-in mental health services are effective, acceptable, and can be delivered at low cost for young people with long term conditions. This model can help increase access to evidence-based mental health treatment in paediatric healthcare settings πŸ‘

14.04.2025 18:23 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

As well as helping young people, parental depression and anxiety significantly improved and high levels of satisfaction were reported. The average wait time for an initial assessment was 13.42 days and the cost per patient was approximately half of a typical course of psychological therapy.

14.04.2025 18:22 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Clinical effectiveness of drop-in mental health services in paediatric healthcare settings: a non-randomised multi-site study for children, young people and their families - BMC Health Services Resear... Background Despite the high prevalence of mental health disorders in children and young people with long-term health conditions, access to timely and effective treatment is often difficult. This study...

❗New publication! Drop-in mental health services were set up for young people with physical health conditions at 6 paediatric hospitals in England. Accessing these services led to significant reductions in emotional & behavioural symptoms & improved quality of life link.springer.com/article/10.1...

14.04.2025 18:21 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Stadia RCT publication

Stadia RCT publication

πŸ“£ New Research! It took 6 years but we got there!

The STADIA trial reports…

What we did: Large multi-centre #RCT with 1225 children and young people with emotional difficulties referred to #CAMHS across England, followed-up for 18 months.

6 Headline findings… see below… (1/7)

08.01.2025 09:49 β€” πŸ‘ 35    πŸ” 19    πŸ’¬ 4    πŸ“Œ 4
Networks of care for the modern adolescent | Psychological Medicine | Cambridge Core Networks of care for the modern adolescent

www.cambridge.org/core/journal...

20.12.2024 10:28 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1
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<em>Child and Adolescent Mental Health</em> | ACAMH Journal | Wiley Online Library There is an urgent need to improve mental health outcomes among young people. One approach taken to address this problem has been the design and delivery of universal school-based prevention, based o...

β€œuniversal school-based [mental health] prevention is less effective than targeted approaches, often leads to null or unsustained positive effects, has the potential to elicit negative effects and is not well liked by young people.”

acamh.onlinelibrary.wiley.com/doi/10.1111/...

10.12.2024 08:58 β€” πŸ‘ 22    πŸ” 8    πŸ’¬ 2    πŸ“Œ 1
Abstract
There is an urgent need to improve mental health outcomes among young people. One approach taken to address this problem has been the design and delivery of universal school-based prevention, based on therapeutic models such as CBT and mindfulness. Such interventions are delivered to groups of young people, irrespective of risk or need. However, in this commentary, we argue that the initial appeal of universal interventions has not been supported by the evidence: universal school-based prevention is less effective than targeted approaches, often leads to null or unsustained positive effects, has the potential to elicit negative effects and is not well liked by young people themselves. In addition, many young people in each classroom already meet the criteria for a mental disorder, meaning that prevention approaches may not be appropriate or effective for this group. In this commentary, we respond to Birrell et al.'s (2025) paper by arguing that the field should move away from universal prevention and instead invest our limited resources in the refinement and dissemination of interventions with a stronger evidence base, such as one-to-one, targeted and indirect approaches.

Abstract There is an urgent need to improve mental health outcomes among young people. One approach taken to address this problem has been the design and delivery of universal school-based prevention, based on therapeutic models such as CBT and mindfulness. Such interventions are delivered to groups of young people, irrespective of risk or need. However, in this commentary, we argue that the initial appeal of universal interventions has not been supported by the evidence: universal school-based prevention is less effective than targeted approaches, often leads to null or unsustained positive effects, has the potential to elicit negative effects and is not well liked by young people themselves. In addition, many young people in each classroom already meet the criteria for a mental disorder, meaning that prevention approaches may not be appropriate or effective for this group. In this commentary, we respond to Birrell et al.'s (2025) paper by arguing that the field should move away from universal prevention and instead invest our limited resources in the refinement and dissemination of interventions with a stronger evidence base, such as one-to-one, targeted and indirect approaches.

NEW ARTICLE: In this short piece, Jack Andrews and I argue that, based on the evidence we now have, the field should move away from universal school-based mental health interventions and focus on more effective alternatives

acamh.onlinelibrary.wiley.com/doi/10.1111/...

summary thread below:

10.12.2024 14:42 β€” πŸ‘ 69    πŸ” 24    πŸ’¬ 3    πŸ“Œ 8
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What an evening being shortlisted for the HSJ mental health innovation of the year for our Lucy project, providing access to mental health support for children with long term conditions ⭐️

21.11.2024 23:46 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

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