Evidence map›Paper›PMID 42627563›Full record

ArticleAdministration and policy in mental health2026

A Qualitative Investigation of Managers' Experiences and Views of Early Support Hubs for Children and Young People.

Kylee Trevillion, Rebecca Appleton, Gilda Spaducci, Emma Maynard, Felicity Allman, Jessica L Griffiths, Connor Clarke, Hannah K Lewis, Sadiya Begum, Anam Bhutta and 10 more

Abstract read
PubMed Publisher
In one paragraph

Article in Administration and policy in mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

20 authors.

Kylee TrevillionKing's College London, London, UK. kylee.trevillion@kcl.ac.uk.ORCID http://orcid.org/0000-0001-5865-4726
Rebecca AppletonUniversity College London, London, UK.ORCID http://orcid.org/0000-0003-4097-3512
Gilda SpaducciKing's College London, London, UK.ORCID http://orcid.org/0000-0003-1343-2622
Emma MaynardKing's College London, London, UK.ORCID http://orcid.org/0000-0003-3994-0158
Felicity AllmanUniversity College London, London, UK.ORCID http://orcid.org/0000-0003-4013-3636
Jessica L GriffithsKing's College London, London, UK.ORCID http://orcid.org/0009-0006-0950-8814
Connor ClarkeUniversity College London, London, UK.ORCID http://orcid.org/0009-0005-7055-2307
Hannah K LewisUniversity College London, London, UK.ORCID http://orcid.org/0000-0001-5484-1882
Sadiya BegumUniversity College London, London, UK.
Anam BhuttaUniversity College London, London, UK.
Nima Cas HuntUniversity College London, London, UK.
Eva DriskellUniversity College London, London, UK.
Lizzie MitchellUniversity College London, London, UK.
Phoebe BarnettUniversity College London, London, UK.ORCID http://orcid.org/0000-0001-6521-3101
Rob SaundersUniversity College London, London, UK.ORCID http://orcid.org/0000-0002-7077-8729
Julian Edbrooke-ChildsAnna Freud Centre, London, UK.ORCID http://orcid.org/0000-0003-0401-4058
Isabel HansonUniversity of Oxford, Oxford, UK.ORCID http://orcid.org/0009-0006-8356-2907
Polly WaiteUniversity of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-1967-8028
Brynmor Lloyd-EvansUniversity College London, London, UK.ORCID http://orcid.org/0000-0001-9866-788X
Sonia JohnsonUniversity College London, London, UK.ORCID http://orcid.org/0000-0002-2219-1384

Funding

NIHR Policy Research Unit in Mental Health PR-PRU-0916-22003NIHR Policy Research Unit in Mental Health, PR-PRU-0916-22003
6 · The paper itself

Abstract

Early Support Hubs are an emerging model of youth mental health provision, designed to offer holistic, open-access support for young people whose needs often fall below the threshold for specialist services. Despite increased expansion in many countries, little is known about how these Hubs are implemented in practice or the challenges faced by those responsible for delivering them. This paper presents a qualitative interview study with 19 managers of Early Support Hubs in England. A codebook thematic analysis was used to explore managers' perceptions of the purpose of Early Support Hubs and factors that support or hinder effective implementation. Three overarching themes were identified. First, Hubs adopted a youth-centred, holistic ethos, characterised by open access and flexible support. Second, Hubs are balancing offers of early, brief interventions against the need for tailored/specialist support for some young people. Third, systemic factors key to effective delivery, include the need for strong inter-agency partnerships, a diverse and adaptable workforce, and sustainable funding. Early Support Hubs hold promise as an accessible, youth-led model that can plug gaps in traditional mental health systems and offer continuity across the transition into adulthood. However, these models are constrained by short-term funding cycles, workforce limitations, and rising demand from young people with more complex mental health needs. Establishing consistent service models, strengthening referral pathways, and securing long-term investment will be essential to realising the full potential of Early Support Hubs.

Indexed as

Adolescent healthChild healthCommunity health servicesPsychosocial interventionQualitative research

Identifiers

PMID42627563

What OpenQuestion holds

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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.