The mental health and wellbeing of youth in care and care-leavers: Development of a national collaborative research agenda

受照顾的青少年和离开照顾者的心理健康和福祉：制定国家合作研究议程

• 批准号: MR/T046848/1
• 负责人: John Devaney
• 金额: $ 11.73万
• 依托单位: University of Edinburgh
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FT046848%2F1
• 关键词: mental; health; wellbeing; youth; care

At present it is estimated that over 75,000 children and young people are currently in state care in the UK (McGhee et al. 2017), with a larger proportion of the child population experiencing some form of state care at some point in their lives. Children come into the care of the state for a variety of reasons and through a number of different legal routes, but there is a common thread of children having experienced a range of adversities, including maltreatment, loss, and poverty, which shape both their pre- and in-care experiences and impact on their mental health and well-being (Baldwin et al, 2019). In the UK, most young people enter care from school age or older, meaning in many cases these adverse experiences have been particularly prolonged. Adolescence is the fastest growing age-group currently entering the care system in the UK.While there are increasing concerns about the mental health and well-being of children and young people in general (Frith 2016), there are particular concerns about looked after children in particular (Bazalgette et al. 2015). Young people who are looked after have consistently been found to have much higher rates of mental health difficulties than the general youth population, with almost half of looked after children (and three quarters of those living in residential group care) meeting the criteria for a psychiatric disorder (Ford et al 2007; Meltzer et al 2003). Young people in care in the UK are five times more likely to meet the criteria for a psychiatric disorder compared to their peers. There are many reasons for this, including the adversities experienced by children before coming into state care, such as abuse, neglect and exploitation, along with the experiences which some children in care experience during their time in care, which can both add to and exacerbate the difficulties they experience.This project seeks to address the deficit in our knowledge about how we understand the mental health needs and trajectories of young people who are looked after, and how we can respond in ways which are likely to be helpful. We are seeking to bring together through this project researchers, individuals who work with this group of young people in schools and care settings, policy makers and individuals with lived experience of being looked after by the state.The project will involve a number of workpackages aiming to: work with care experienced young people to explore how mental health is defined, and the key issues we should be exploring; explore how we conceptualise the mental health needs of young people who are looked after, and how we could and should respond in ways which are likely to be effective and acceptable to young people; discuss the range of research approaches which are likely to be useful and realistic in undertaking high quality research; agreeing amongst experts from research, practice and with lived experience, the ways that research studies can measure and assess the mental health of young people and the impact of new ways of working; and to develop an approach to training and supporting non-mental health practitioners to better identify and support young people and their mental health.

目前，据估计，目前在英国有75,000多名儿童和年轻人正在州护理（McGhee等，2017），其中一部分儿童人口在生活的某个时刻经历了某种形式的国家护理。儿童出于多种原因和多种不同的法律路线而进入国家的照顾，但是有一个共同的孩子经历了一系列逆境，包括虐待，损失和贫困，这些逆境会影响他们的预科和内部经历，并对他们的心理健康和福祉产生影响（Baldwin等，2019）。在英国，大多数年轻人从学龄或以上的年龄开始进入护理，这意味着在许多情况下，这些不良经历已经特别延长。青春期是目前在英国进入护理系统的增长最快的年龄段。虽然人们对儿童和年轻人的心理健康和福祉的担忧越来越担心（Frith 2016），但人们特别担心尤其是照顾儿童（Bazalgette等人，2015年）。被认为始终被视为的年轻人比一般青年人口的心理健康困难率要高得多，符合精神疾病标准的儿童几乎有一半的孩子（和住在住宅集团护理中的四分之三）（福特等人，2007年； Meltzer等人，2003年）。与同龄人相比，英国的年轻人符合精神障碍标准的可能性要高五倍。造成这种情况的原因有很多，包括孩子在进入国家护理之前所经历的逆境，例如虐待，忽视和剥削，以及一些孩子在护理期间的照料经验的经历，这既可以增加并加剧他们所经历的困难。该项目试图解决我们如何理解我们对年轻人的精神健康需求和发行方式的赤字，以及我们如何帮助我们的生活，以及我们如何应对的方式，以及我们如何应对的是，我们对此有何帮助，以及我们如何应对的是，我们的疲软以及我们的生活偏差。我们正在寻求通过这项项目研究人员，与这组年轻人一起工作的个人，在学校和护理环境中工作的个人，政策制定者和具有国家照顾的经验的个人。该项目将涉及许多旨在与有经验的年轻人一起工作的工作包，以探索如何定义的精神健康以及我们应该探索的关键问题；探索我们如何概念化所照顾的年轻人的心理健康需求，以及我们如何和应该以可能对年轻人有效和可接受的方式做出反应；讨论在进行高质量研究时可能有用和现实的研究方法范围；在研究，实践和生活经验中达成共识，研究研究如何衡量和评估年轻人的心理健康的方式以及新的工作方式的影响；并开发一种培训和支持非心理健康从业者的方法，以更好地识别和支持年轻人及其心理健康。

项目成果

Supporting the mental health of care experienced young people - a scoping study to identify appropriate outcome measures for use in mental health research

支持有护理经验的年轻人的心理健康——一项范围界定研究，以确定用于心理健康研究的适当结果衡量标准

• 发表时间: 2021
• 作者: Devaney, J

An agenda for future research regarding the mental health of young people with care experience

关于有护理经验的年轻人心理健康的未来研究议程

• DOI: 10.1111/cfs.13015
• 发表时间: 2023
• 期刊: Child & Family Social Work
• 影响因子: 1.7
• 作者: Devaney J

Identifying core measures to be used in mental health research with care experienced young people: A Delphi study

• DOI: 10.1016/j.childyouth.2023.107380
• 发表时间: 2023-12-18
• 期刊: CHILDREN AND YOUTH SERVICES REVIEW
• 影响因子: 3.3
• 作者: Power，Luke;Davidson，Gavin;Devaney，John
• 通讯作者: Devaney，John

A Scoping Review of Mental Health and Wellbeing Outcome Measures for Children and Young People: Implications for Children in Out-of-home Care

• DOI: 10.1007/s40653-023-00566-6
• 发表时间: 2023-09-04
• 期刊: JOURNAL OF CHILD & ADOLESCENT TRAUMA
• 影响因子: 1.5
• 作者: Jacobs，Paula;Power，Luke;Jenkins，Ruth
• 通讯作者: Jenkins，Ruth