CAMHS and Social Prescribing Applications
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 120
- 主要终点
- Acceptability (young people)
研究概览
简要总结
Background: Social prescribing (SP) is a mechanism for linking patients with non-medical forms of community support and has demonstrated mental health benefits for adults and young people (YP). However, SP is predominantly based in primary care, which limits accessibility for YP who typically engage less with this setting. Within CAMHS (Child and Adolescent Mental Health Services), SP has only recently begun to be trialed, mainly as a pre-treatment option while waiting for care. The CASPA study will pilot a novel SP pathway embedded after the start of psychological treatment in CAMHS, aiming to test its feasibility, acceptability, and potential impact on mental health and wellbeing through a randomized controlled trial.
Methods: CASPA is a two-group (intervention vs. active control) parallel randomized pilot study with YP as the unit of randomization. A total of 120 YP aged 11-18, who have started psychological treatment for emotional difficulties in one of three CAMHS sites in England, will be recruited. Participants in the intervention group will receive a co-produced, person-centered SP pathway involving up to six sessions with a trained Link Worker (LW). These sessions will help identify 'what matters to them' and connect YP with locally mapped community activities and support (e.g. arts, sports, volunteering). Participants in the control group will receive signposting to the same community resources via a leaflet from CAMHS staff or researchers. Quantitative data will be collected at baseline, 3-month and 6-month follow-up, including measures of resilience, mental health, wellbeing, service use, and quality of life. Primary outcomes include feasibility, acceptability, and appropriateness of the intervention, assessed through validated measures and participation metrics, alongside any evidence of impact. Qualitative interviews with YP, CAMHS staff, and LWs will explore implementation experiences, barriers, facilitators, and mechanisms of impact.
Discussion: The CASPA study will generate preliminary evidence regarding the feasibility, acceptability, and appropriateness of offering SP after psychological treatment within CAMHS has started. It will also provide early insights into whether this approach can improve outcomes for YP with emotional difficulties. Findings will inform decisions on the design and justification for a future full-scale clinical and cost-effectiveness trial.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Statistician
入排标准
- 年龄范围
- 11 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Eligibility criteria
- •Inclusion criteria:
- •Wish to participate in CASPA
- •Located in England
- •(ii) YP Participants
- •Aged between 11 to 18 years
- •Capacity to give assent (if under 16), or
- •Capacity to give informed consent (if aged 16 or over or has Gillick competence if aged under 16)
- •Have started psychological treatment in CAMHS for an emotional difficulty (e.g. depression, anxiety)
- •(iii) Parent/Guardian Participants
- •Aged 18 or over
- •Capacity to give informed consent for YP involvement in CASPA (when the YP is aged between 11-15 and lacks Gillick competence)
- •(iv) CAMHS staff and LWs:
- •Aged 18 or over
- •Capacity to give informed consent to participate in CASPA
排除标准
- •(i) YP participants
- •YP with emotional difficulties put on an enhanced specialist pathway due to another severe and complex difficulty which requires intensive input (e.g. anorexia, psychosis or severe and complex difficulties (as judged by the assessing clinician))
结局指标
主要结局
Acceptability (young people)
时间窗: 3 and 6 months
YP: Acceptability will be assessed using an item from the Friends and Family test, which asks individuals to rate how likely they would be to recommend the service (in this instance, the SP pathway). It is assessed on a five-point Likert Scale, ranging from '1' Extremely Unlikely to '5' Extremely Likely. Higher scores indicate better acceptability.
次要结局
- Acceptability (CAMHS Staff and LWs)(6 months)
- Feasibility (young people)(Post intervention (t least 3 months))
- Feasibility (CAMHS Staff and LWs)(6 months)
- Appropriateness (young people)(3 and 6 months)
- Appropriateness (CAMHS Staff and LWs)(6 months)
- Wellbeing: ONS Personal Wellbeing Questions(Baseline, 3 and 6 months)
- Depression: Short Mood and Feelings Questionnaire.(Baseline, 3 and 6 months)
- Stress: Perceived Stress Scale-4.(Baseline, 3 and 6 months)
- Anxiety: Generalised Anxiety Disorder-7 Questionnaire.(Baseline, 3 and 6 months)
- Service Use: Short-Client Service Receipt of Inventory.(Baseline, 3 and 6 months)
- Quality of Life: Child Health Utility-9D.(Baseline, 3 and 6 months)