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Implementing brief and low-intensity psychological interventions for children and young people with internalizing disorders: a rapid realist review

Roach, Anna; Cullinan, Sophie; Shafran, Roz; Heyman, Isobel; Bennett, Sophie; (2023) Implementing brief and low-intensity psychological interventions for children and young people with internalizing disorders: a rapid realist review. British Medical Bulletin , Article ldad001. 10.1093/bmb/ldad001. (In press). Green open access

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Abstract

INTRODUCTION: Many children fail to receive the mental health treatments they need, despite strong evidence demonstrating efficacy of brief and low-intensity psychological interventions. This review identifies the barriers and facilitators to their implementation. SOURCES OF DATA: PsycInfo, EMBASE and Medline were searched and a systematic approach to data extraction using Normalization Process Theory highlighted key mechanisms and contextual factors. AREAS OF AGREEMENT: Ten interventions from 9 papers, including 371 young people, were included. Studies identified organizational demands, lack of implementation strategy and stigma as barriers to implementation, and clear training and plans for implementation as facilitators. AREAS OF CONTROVERSY: No standardized implementation outcomes were used across papers so meta-analysis was not possible. GROWING POINTS: Barriers and facilitators have been clearly identified across different settings. AREAS TIMELY FOR DEVELOPING RESEARCH: Longitudinal studies can identify methods and processes for enhancing long-term implementation and considers ways to monitor and evaluate uptake into routine practice.

Type: Article
Title: Implementing brief and low-intensity psychological interventions for children and young people with internalizing disorders: a rapid realist review
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/bmb/ldad001
Publisher version: https://doi.org/10.1093/bmb/ldad001
Language: English
Additional information: © The Author(s) 2023. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Brief and low-intensity interventions, children and young people, implementation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10164168
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