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Breaking barriers to PTSD treatment for young people who have been in care

17 July 2024

Young people who have been in care face barriers in accessing evidence-based treatments for post-traumatic stress disorder (PTSD), despite being 12 times more likely to have PTSD than their peers new study led by 香港六合彩 researcher finds.

Anonymous female therapist and client sitting in armchairs during session in modern office

The research, published in the British Journal of Clinical Psychology explored the barriers and enablers to offering trauma-focused cognitive behavioural therapy to care-experienced young people as part of the NIHR-funded ADaPT (Assessment and Delivery of PTSD Treatments) study.

The study, a collaboration between researchers from University College London, the Universities of East Anglia, Exeter, Bristol and Bath and King鈥檚 College London, recruited 28 mental health teams across England. This included 243 mental health professionals, from a wide variety of professional backgrounds.

The mental health teams were given training in trauma-focused cognitive behavioural therapy, a recommended treatment for PTSD, and participated in focus groups and interviews, to understand what helped and hindered implementation.

Almost half of the teams were able to implement the treatment, but only around a quarter specifically with care-experienced young people. Almost all teams highlighted the same barriers, including service structures and confusing pathways between social care and child and adolescent mental health services, as well as the complexity of the young people鈥檚 lives and networks.

Lead researcher, Professor Rachel Hiller, (香港六合彩 Division of Psychology & Language Sciences) said: "We know that children and young people who鈥檝e been in care are far more likely to have PTSD than other young people. But we also know that PTSD is under-diagnosed in this group, for a number of reasons. We have very good evidence-based treatments for PTSD. If we can identify young people who might be struggling with PTSD, we know how to help.聽

鈥淲e also know social care and mental health services are facing many challenges. With the ADaPT study, we wanted to work alongside services to understand what might help or hinder their ability to screen for PTSD and offer best-evidenced care. The findings have helped us develop a national picture of the challenges services face, but also the opportunities to provide best-evidenced care, for PTSD and other mental health difficulties that we know are common in young people in care.聽

鈥淭aken together, our findings provide insight into what mental health teams, service leads, commissioners, and policy-makers need to consider if services are to deliver best-evidenced practice to care-experienced young people. Certainly, young people in care and care-experienced young people more broadly, have a right to have access to our best-evidenced mental health care.鈥

This project was led by the NIHR Applied Research Collaboration (ARC) West and ARC North Thames. It was funded through the NIHR ARCs Consortia for Health and Care Inequalities hosted by the ARC North East and North Cumbria and Child Health and Maternity hosted by PenARC.

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