Evidence map›Paper›PMID 39557540›Full record

ArticleBMJ paediatrics open2024

Mental healthcare in paediatric epilepsy clinics: implementation by non-mental health professionals.

Anna E Coughtrey, Sophie Bennett, Cameo Stanick, Bruce Chorpita, Emma Dalrymple, Peter Fonagy, J Helen Cross, Tamsin Ford, Isobel Heyman, Rona Moss-Morris and 3 more

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Article in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Anna E CoughtreyUCL Great Ormond Street Institute of Child Health, London, UK anna.coughtrey.10@ucl.ac.uk.ORCID 0000-0002-1768-5099
Sophie BennettUCL Great Ormond Street Institute of Child Health, London, UK.
Cameo StanickSycamores-Hathaway Centre for Excellence, Los Angeles, California, USA.
Bruce ChorpitaUCLA, Los Angeles, California, USA.
Emma DalrympleUCL Great Ormond Street Institute of Child Health, London, UK.
Peter FonagyDivision of Psychology and Language Sciences, UCL, London, UK.ORCID 0000-0003-0229-0091
J Helen CrossUCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0001-7345-4829
Tamsin FordDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Isobel HeymanUCL Great Ormond Street Institute of Child Health, London, UK.
Rona Moss-MorrisKing's College London Institute of Psychiatry Psychology & Neuroscience, London, UK.
Poonam JethaUCL Great Ormond Street Institute of Child Health, London, UK.
Pamela Myles-HootonUCL Great Ormond Street Institute of Child Health, London, UK.
Roz ShafranUCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0003-2729-4961

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesResearch 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.

methodsThe 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.

resultsTherapists 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.

conclusionsThe 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.

Indexed as

EpilepsyAdolescentChildCognitive Behavioral TherapyFemaleHealth PersonnelHumansMaleMental Health ServicesChild PsychiatryNeurologyPsychology

Identifiers

PMID39557540
PMCPMC11574424

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