Evidence map›Paper›PMID 27927174›Full record

ArticleBMC psychiatry2016

A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project.

Helen Herrman, Cathy Humphreys, Stephen Halperin, Katherine Monson, Carol Harvey, Cathrine Mihalopoulos, Susan Cotton, Penelope Mitchell, Tony Glynn, Anne Magnus and 9 more

Open access · goldAbstract readControlled Clinical TrialMulticenter Study
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Interventions for female drug-using offenders.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 6 institutions in 2 countries.

Helen HerrmanCentre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Cathy HumphreysDepartment of Social Work, University of Melbourne, Parkville, VIC, 3010, Australia.
Stephen HalperinOrygen Youth Health, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Katherine MonsonOrygen Youth Health, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Carol HarveyPsychosocial Research Centre Department of Psychiatry, University of Melbourne, 130 Bell Street, Coburg, VIC, 3058, Australia.
Cathrine MihalopoulosCentre for Population Health Research, Faculty of Health, Deakin University, 221 Burwood Hwy, Burwood, VIC, 3125, Australia.
Susan CottonCentre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Penelope MitchellYouth Support and Advocacy Service (YSAS), 131 Johnston Street, Abbotsford, VIC, 3065, Australia.
Tony GlynnIntegrated Mental Health Program, Royal Children's Hospital, 117-129 Warringa Cres, Hoppers Crossing, VIC, 3029, Australia.
Anne MagnusCentre for Population Health Research, Faculty of Health, Deakin University, 221 Burwood Hwy, Burwood, VIC, 3125, Australia.
Lenice MurrayOrygen Youth Health, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Josef SzwarcFoundation House - Victorian Foundation for the Survivors of Torture Inc, 4 Gardiner Street, Brunswick, VIC, 3056, Australia.
Elise DavisThe Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, The Melbourne School of Population and Global Health, The University of Melbourne, Level 5, 207 Bouverie St, Melbourne, VIC, 3010, Australia.
Sophie HavighurstDepartment of Psychiatry, Mindful, Centre for Training and Research in Developmental Health, University of Melbourne, Building C, 50 Flemington Street, Flemington, 3031, Australia.
Patrick McGorryCentre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Sam TyanoSackler School of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv, Israel.
Ida KaplanFoundation House - Victorian Foundation for the Survivors of Torture Inc, 4 Gardiner Street, Brunswick, VIC, 3056, Australia.
Simon RiceCentre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.
Kristen Moeller-SaxoneCentre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia. Kristen.moeller@orygen.org.au.
Orygen Youth Health · AUUniversity of Melbourne · AUDeakin University · AUMyer Foundation · AURoyal Children's Hospital · AUTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOut-of-home care (OoHC) refers to young people removed from their families by the state because of abuse, neglect or other adversities. Many of the young people experience poor mental health and social function before, during and after leaving care. Rigorously evaluated interventions are urgently required. This publication describes the protocol for the Ripple project and notes early findings from a controlled trial demonstrating the feasibility of the work. The Ripple project is implementing and evaluating a complex mental health intervention that aims to strengthen the therapeutic capacities of carers and case managers of young people (12-17 years) in OoHC.

methodsThe study is conducted in partnership with mental health, substance abuse and social services in Melbourne, with young people as participants. It has three parts: 1. Needs assessment and implementation of a complex mental health intervention; 2. A 3-year controlled trial of the mental health, social and economic outcomes; and 3. Nested process evaluation of the intervention.

resultsEarly findings characterising the young people, their carers and case managers and implementing the intervention are available. The trial Wave 1 includes interviews with 176 young people, 52% of those eligible in the study population, 104 carers and 79 case managers.

conclusionsImplementing and researching an affordable service system intervention appears feasible and likely to be applicable in other places and countries. Success of the intervention will potentially contribute to reducing mental ill-health among these young people, including suicide attempts, self-harm and substance abuse, as well as reducing homelessness, social isolation and contact with the criminal justice system.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12615000501549 . Retrospectively registered 19 May 2015.

Indexed as

AdolescentCaregiversChildClinical ProtocolsFeasibility StudiesFemaleFoster Home CareHumansMaleMental DisordersMental HealthMental Health ServicesNeeds AssessmentProgram EvaluationSelf-Injurious BehaviorSuicide, AttemptedComplex interventionImplementationLooked after childrenOut-of-home carePreventionYouth mental health

Identifiers

PMID27927174
PMCPMC5142401
OpenAlexW2559853165

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.