LTP Priority: Better care for major conditions: Improving Mental Health – Children and Young People’s Mental Health
Population Intervention Triangle:Segments (link to Section 1 PHE PBA): Service
Type of Interventions: Early Intervention Programmes for supporting children and young people’s mental health and wellbeing listed as part of the EIF Guidebook
Major driver of health inequalities in your area of work
There are a complex range of risk and protective factors that impact on children and young people’s mental health outcomes and drive health inequalities. Many of these are structural in nature (differential exposure to childhood conditions, education, income, housing, neighbourhoods etc) Childhood adversity accounts for almost a third of all mental disorder children and young people’s mental health outcomes (source reference: Guidance for commissioning public mental health services 2015) Joint commissioning panel for public mental health)
There is no singular intervention therefore, rather a range of interventions including universal and targeted interventions that are relevant at different stages of the life course.
- Looked after children (including adoption and care leavers)
- Children with parents in prison
- Young offenders
- Children with physical illness
- Children whose parents have a mental disorder
- Children who are experiencing violence or abuse
- Children who are teenage parents or carers
- Children absent from school
- Protected characteristics: Children with Special Educational Needs; Children with learning disability
Early Intervention Programmes for supporting children and young people’s mental health and wellbeing listed as part of the EIF Guidebook.
40 interventions for supporting children and young people’s mental health are listed in the EIF Guidebook with evidence categorised as 2 ,3 or 4
8 interventions are described as ‘targeted selective’
19 interventions are described as ‘targeted indicated’
9 interventions that are either targeted selective or targeted indicated are listed by setting as either in-patient or out -patient health
An additional 13 interventions are described as universal.
NHS commissioners with responsibility for children and young people’s mental health are advised to be aware of the EIF Guidebook. A number of the interventions are particularly relevant in the context of the NHS Long term Plan commitment that “By 2023/24, at least an additional 345,000 children and young people aged 0-25 will be able to access support via NHS-funded mental health services and school or college-based Mental Health Support Teams”
See EIF Guidebook
- Level 4 recognises programmes with evidence of a long-term positive impact through multiple rigorous evaluations. At least one of these studies must have evidence of improving a child outcome lasting a year or longer.
- Level 3 recognises programmes with evidence of a short-term positive impact from at least one rigorous evaluation – that is, where a judgment about causality can be made.
- Level 2 recognises programmes with preliminary evidence of improving a child outcome, but where an assumption of causal impact cannot be drawn.
The term ‘evidence-based’ is frequently applied to programmes with level 3 evidence or higher, because this is the point at which there is sufficient confidence that a causal relationship can be assumed. The term ‘preliminary’ is applied to programmes at level 2 to indicate that causal assumptions are not yet possible.
Given the volume of available interventions and the rapid development of entirely new interventions, the EIF Guidebook is not an exhaustive list of all promising and evidence-based interventions available in the UK. If an intervention is not on the Guidebook, it may be because it has not yet been assessed by EIF. For information about programmes that are currently going through the assessment process.