A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model.
The National i-THRIVE Programme seeks to evaluate the impact of the NHS England-funded whole system transformation on child and adolescent mental health services (CAMHS). This article reports on the design for a model of implementation that has been applied in CAMHS across over 70 areas in England u...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0265782&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846150968830328832 |
|---|---|
| author | Moore A Lindley Baron-Cohen K Simes E Chen S Fonagy P |
| author_facet | Moore A Lindley Baron-Cohen K Simes E Chen S Fonagy P |
| author_sort | Moore A |
| collection | DOAJ |
| description | The National i-THRIVE Programme seeks to evaluate the impact of the NHS England-funded whole system transformation on child and adolescent mental health services (CAMHS). This article reports on the design for a model of implementation that has been applied in CAMHS across over 70 areas in England using the 'THRIVE' needs-based principles of care. The implementation protocol in which this model, 'i-THRIVE' (implementing-THRIVE), will be used to evaluate the effectiveness of the THRIVE intervention is reported, together with the evaluation protocol for the process of implementation. To evaluate the effectiveness of i-THRIVE to improve care for children and young people's mental health, a cohort study design will be conducted. N = 10 CAMHS sites that adopt the i-THRIVE model from the start of the NHS England-funded CAMHS transformation will be compared to N = 10 'comparator sites' that choose to use different transformation approaches within the same timeframe. Sites will be matched on population size, urbanicity, funding, level of deprivation and expected prevalence of mental health care needs. To evaluate the process of implementation, a mixed-methods approach will be conducted to explore the moderating effects of context, fidelity, dose, pathway structure and reach on clinical and service level outcomes. This study addresses a unique opportunity to inform the ongoing national transformation of CAMHS with evidence about a popular new model for delivering children and young people's mental health care, as well as a new implementation approach to support whole system transformation. If the outcomes reflect benefit from i-THRIVE, this study has the potential to guide significant improvements in CAMHS by providing a more integrated, needs-led service model that increases access and involvement of patients with services and in the care they receive. |
| format | Article |
| id | doaj-art-84e2b5d9bd4f400986572db2ff543fb6 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-84e2b5d9bd4f400986572db2ff543fb62024-11-28T05:31:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01185e026578210.1371/journal.pone.0265782A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model.Moore ALindley Baron-Cohen KSimes EChen SFonagy PThe National i-THRIVE Programme seeks to evaluate the impact of the NHS England-funded whole system transformation on child and adolescent mental health services (CAMHS). This article reports on the design for a model of implementation that has been applied in CAMHS across over 70 areas in England using the 'THRIVE' needs-based principles of care. The implementation protocol in which this model, 'i-THRIVE' (implementing-THRIVE), will be used to evaluate the effectiveness of the THRIVE intervention is reported, together with the evaluation protocol for the process of implementation. To evaluate the effectiveness of i-THRIVE to improve care for children and young people's mental health, a cohort study design will be conducted. N = 10 CAMHS sites that adopt the i-THRIVE model from the start of the NHS England-funded CAMHS transformation will be compared to N = 10 'comparator sites' that choose to use different transformation approaches within the same timeframe. Sites will be matched on population size, urbanicity, funding, level of deprivation and expected prevalence of mental health care needs. To evaluate the process of implementation, a mixed-methods approach will be conducted to explore the moderating effects of context, fidelity, dose, pathway structure and reach on clinical and service level outcomes. This study addresses a unique opportunity to inform the ongoing national transformation of CAMHS with evidence about a popular new model for delivering children and young people's mental health care, as well as a new implementation approach to support whole system transformation. If the outcomes reflect benefit from i-THRIVE, this study has the potential to guide significant improvements in CAMHS by providing a more integrated, needs-led service model that increases access and involvement of patients with services and in the care they receive.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0265782&type=printable |
| spellingShingle | Moore A Lindley Baron-Cohen K Simes E Chen S Fonagy P A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model. PLoS ONE |
| title | A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model. |
| title_full | A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model. |
| title_fullStr | A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model. |
| title_full_unstemmed | A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model. |
| title_short | A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model. |
| title_sort | protocol for a multi site cohort study to evaluate child and adolescent mental health service transformation in england using the i thrive model |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0265782&type=printable |
| work_keys_str_mv | AT moorea aprotocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT lindleybaroncohenk aprotocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT simese aprotocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT chens aprotocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT fonagyp aprotocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT moorea protocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT lindleybaroncohenk protocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT simese protocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT chens protocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel AT fonagyp protocolforamultisitecohortstudytoevaluatechildandadolescentmentalhealthservicetransformationinenglandusingtheithrivemodel |