Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionals
Objectives Research has shown that children with epilepsy often experience mental health disorders but face barriers to effective care. One solution is to train healthcare professionals within paediatric epilepsy services to deliver psychological interventions. The aim of this paper was to examine a...
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BMJ Publishing Group
2024-11-01
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| Series: | BMJ Paediatrics Open |
| Online Access: | https://bmjpaedsopen.bmj.com/content/8/1/e002973.full |
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| author | Roz Shafran Tamsin Ford Sophie Bennett Isobel Heyman Rona Moss-Morris Anna E Coughtrey Peter Fonagy J Helen Cross Emma Dalrymple Poonam Jetha Cameo Stanick Bruce Chorpita Pamela Myles-Hooton |
| author_facet | Roz Shafran Tamsin Ford Sophie Bennett Isobel Heyman Rona Moss-Morris Anna E Coughtrey Peter Fonagy J Helen Cross Emma Dalrymple Poonam Jetha Cameo Stanick Bruce Chorpita Pamela Myles-Hooton |
| author_sort | Roz Shafran |
| collection | DOAJ |
| description | Objectives Research has shown that children with epilepsy often experience mental health disorders but face barriers to effective care. One solution is to train healthcare professionals within paediatric epilepsy services to deliver psychological interventions. The aim of this paper was to examine aspects of treatment integrity of the ‘Mental Health Interventions for Children with Epilepsy’ (MICE) treatment, a modular cognitive behavioural therapy intervention for anxiety, depression and behavioural difficulties in childhood epilepsy.Methods The MICE treatment was delivered in paediatric epilepsy clinics by 21 healthcare professionals with limited mental health experience, supported by a comprehensive training and supervision package. Data from 2269 treatment sessions with 166 young people were analysed to examine adherence to the MICE protocol. Audio recordings from a randomly selected sample of 251 sessions were rated for therapist competence, of which 30 were independently rated by a second expert.Results Therapists administered the MICE intervention with integrity and closely adhered to the established protocol. Any adaptations made were related to the sequence of delivery rather than changes to the content.Conclusions The overall findings indicate that professionals in paediatric epilepsy clinics can be effectively trained and supported to administer evidence-based mental health interventions. Additional research is required to explore the link between integrity and clinical outcomes, as well as to determine the most effective methods for training and supervision. This is crucial for ensuring the successful implementation of mental health interventions for children with epilepsy and concurrent mental health needs. |
| format | Article |
| id | doaj-art-2bcea260f6a141c6a8d87796ef9b00c1 |
| institution | Kabale University |
| issn | 2399-9772 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Paediatrics Open |
| spelling | doaj-art-2bcea260f6a141c6a8d87796ef9b00c12024-11-22T07:20:07ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722024-11-018110.1136/bmjpo-2024-002973Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionalsRoz Shafran0Tamsin Ford1Sophie Bennett2Isobel Heyman3Rona Moss-Morris4Anna E Coughtrey5Peter Fonagy6J Helen Cross7Emma Dalrymple8Poonam Jetha9Cameo Stanick10Bruce Chorpita11Pamela Myles-Hooton123Great Ormond Street Hospital for ChildrenCambridge University Hospitals NHS Foundation Trust, Cambridge, UKKing`s College London Institute of Psychiatry Psychology & Neuroscience, London, UKUCL Great Ormond Street Institute of Child Health, London, UK3 Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK1 UCL Great Ormond Street Institute of Child Health, London, UK6 Anna Freud National Centre for Children and Families, London, UKUCL NIHR BRC Great Ormond Street Institute of Child Health, Great Ormond Street Hospital for Children, London, UK2UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH4 Population, Policy and Practice Unit, UCL, Surrey, London, UKSycamores-Hathaway Centre for Excellence, Los Angeles, California, USAUCLA, Los Angeles, California, USAUCL Great Ormond Street Institute of Child Health, London, UKObjectives Research has shown that children with epilepsy often experience mental health disorders but face barriers to effective care. One solution is to train healthcare professionals within paediatric epilepsy services to deliver psychological interventions. The aim of this paper was to examine aspects of treatment integrity of the ‘Mental Health Interventions for Children with Epilepsy’ (MICE) treatment, a modular cognitive behavioural therapy intervention for anxiety, depression and behavioural difficulties in childhood epilepsy.Methods The MICE treatment was delivered in paediatric epilepsy clinics by 21 healthcare professionals with limited mental health experience, supported by a comprehensive training and supervision package. Data from 2269 treatment sessions with 166 young people were analysed to examine adherence to the MICE protocol. Audio recordings from a randomly selected sample of 251 sessions were rated for therapist competence, of which 30 were independently rated by a second expert.Results Therapists administered the MICE intervention with integrity and closely adhered to the established protocol. Any adaptations made were related to the sequence of delivery rather than changes to the content.Conclusions The overall findings indicate that professionals in paediatric epilepsy clinics can be effectively trained and supported to administer evidence-based mental health interventions. Additional research is required to explore the link between integrity and clinical outcomes, as well as to determine the most effective methods for training and supervision. This is crucial for ensuring the successful implementation of mental health interventions for children with epilepsy and concurrent mental health needs.https://bmjpaedsopen.bmj.com/content/8/1/e002973.full |
| spellingShingle | Roz Shafran Tamsin Ford Sophie Bennett Isobel Heyman Rona Moss-Morris Anna E Coughtrey Peter Fonagy J Helen Cross Emma Dalrymple Poonam Jetha Cameo Stanick Bruce Chorpita Pamela Myles-Hooton Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionals BMJ Paediatrics Open |
| title | Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionals |
| title_full | Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionals |
| title_fullStr | Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionals |
| title_full_unstemmed | Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionals |
| title_short | Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionals |
| title_sort | mental healthcare in paediatric epilepsy clinics implementation by non mental health professionals |
| url | https://bmjpaedsopen.bmj.com/content/8/1/e002973.full |
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