ArticleThe British journal of clinical psychology2025
Access to best-evidenced mental health support for care-experienced young people: Learnings from the implementation of cognitive therapy for PTSD.
Article in The British journal of clinical psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed.
- A longitudinal mixed-methods study of barriers and facilitators to the implementation of routine PTSD screening for care-experienced young people.European journal of psychotraumatology · 2026Article
- The CARE implementation study: scaling group-based psychoeducational trauma therapy across healthcare organizations in Canada.European journal of psychotraumatology · 2026Article
- Article
- Barriers and facilitators to implementing social prescribing in child and adolescent mental health services: a qualitative analysis using the consolidated framework for implementation research.Frontiers in health services · 2026Article
- Debate: Are we overpathologising young people's mental health? Research shows otherwise - mental health conditions are not being recognised or diagnosed in healthcare settings.Child and adolescent mental health · 2025Article
- The mental health and wellbeing of care-experienced young people during early and later adolescence.Clinical child psychology and psychiatry · 2025Article
- Challenges and facilitators in treating unaccompanied young refugees with posttraumatic stress disorder in a dissemination trial: a qualitative study with psychotherapists.Child and adolescent psychiatry and mental health · 2025Article
- Access to best-evidenced mental health support for care-experienced young people: Learnings from the implementation of cognitive therapy for PTSD.The British journal of clinical psychology · 2025Article
- Barriers and Facilitators of Implementing Cognitive Behavioral Therapy: A Systematic Review Based on the Consolidated Framework for Implementation.Scientifica · 2025Review
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
objectivesRates of PTSD are up to 12 times higher in care-experienced young people (CEYP) compared to their peers. Trauma-focused CBTs (tf-CBT) are the best-evidenced treatment for youth with PTSD, yet, in practice, CEYP often struggle to access this treatment. We worked alongside services to understand barriers and facilitators of the implementation of cognitive therapy for PTSD (a type of tf-CBT) to CEYP.
designThis was an active, open implementation trial.
methodsWe recruited 28 mental health teams across England, including general CAMHS, targeted CAMHS for CEYP and social care-based teams. From these teams, participants were 243 mental health professionals, from a wide variety of professional backgrounds. Following recruitment/intervention training, teams participated in rolling three monthly focus groups and individual interviews, to understand what helped and hindered implementation. Data were analysed using a framework analysis conducted using CFIR 2.0.
resultsAlmost half of the teams were able to implement, but only approximately one quarter with CEYP, specifically. Universal barriers that were discussed by almost all teams particularly highlighted service structures and poor resourcing as major barriers to delivery to CEYP, as well as the complexities of the young person and their network. Unique factors that differentiated teams who did and did not implement included commissioning practices, the culture of the team, leadership engagement and style, and the development of supervision structures.
conclusionsFindings offer key considerations for mental health teams, service leads, commissioners and policy-makers to enhance delivery of best-evidenced mental health treatments like CT-PTSD, for CEYP.
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