Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

doi:10.3389/fpsyt.2024.1324220

. 2024 Mar 6:15:1324220.

doi: 10.3389/fpsyt.2024.1324220. eCollection 2024.

Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

Brigitte Gerstl^{1

2}, Bright Opoku Ahinkorah^{1

2

3}, Thomas P Nguyen^{1

2

4}, James Rufus John^{1

2}, Patrick Hawker^{1

2}, Teresa Winata^{1

2

5}, Febe Brice¹, Michael Bowden^{6

7

8}, Valsamma Eapen^{1

2

3}

Affiliations

¹ Academic Unit of Infant, Child, and Adolescent Psychiatry Services (AUCS), South Western Sydney Local Health District and Ingham Institute, Sydney, NSW, Australia.
² Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales (UNSW), Sydney, NSW, Australia.
³ School of Public Health, University of Technology Sydney, Sydney, NSW, Australia.
⁴ Mental Health, School of Medicine, Western Sydney University, Sydney, NSW, Australia.
⁵ Infant, Child and Adolescent Mental Health Service (ICAMHS), South Western Sydney Local Health District, Sydney, NSW, Australia.
⁶ Child and Youth Mental Health, NSW Ministry of Health, Sydney, NSW, Australia.
⁷ Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
⁸ Psychological Medicine, Sydney Children's Hospitals Network, Sydney, NSW, Australia.

PMID: 38510802
PMCID: PMC10950959
DOI: 10.3389/fpsyt.2024.1324220

Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

Brigitte Gerstl et al. Front Psychiatry. 2024.

. 2024 Mar 6:15:1324220.

doi: 10.3389/fpsyt.2024.1324220. eCollection 2024.

Authors

Affiliations

¹ Academic Unit of Infant, Child, and Adolescent Psychiatry Services (AUCS), South Western Sydney Local Health District and Ingham Institute, Sydney, NSW, Australia.
² Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales (UNSW), Sydney, NSW, Australia.
³ School of Public Health, University of Technology Sydney, Sydney, NSW, Australia.
⁴ Mental Health, School of Medicine, Western Sydney University, Sydney, NSW, Australia.
⁵ Infant, Child and Adolescent Mental Health Service (ICAMHS), South Western Sydney Local Health District, Sydney, NSW, Australia.
⁶ Child and Youth Mental Health, NSW Ministry of Health, Sydney, NSW, Australia.
⁷ Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
⁸ Psychological Medicine, Sydney Children's Hospitals Network, Sydney, NSW, Australia.

PMID: 38510802
PMCID: PMC10950959
DOI: 10.3389/fpsyt.2024.1324220

Abstract

Background: Long term intervention services have proven to be effective in improving mental health (MH) outcomes and the quality of life for children and young people (CYP).

Aim: To synthesize evidence on the effectiveness of long-term interventions in improving MH outcomes for CYP, 0-17 years, presenting with MH conditions.

Methods: A systematic search was carried out and the methodological quality of included long term MH intervention studies were assessed. Six databases were searched for peer-reviewed articles between January 2000 and September 2022.

Results: We found 30 studies that reported on the effectiveness of a range of long-term MH interventions in the form of (i) group therapy, (ii) multisystemic behavior therapy, (iii) general services, (iv) integrated services, (v) psychotherapy, (vi) intensive intervention services, (vii) comprehensive collaborative care, (viii) parent training, and (ix) home outreach service. Among the included studies, seven were rated as high level of evidence based on the National Health and Medical Research Council (NHMRC) levels of evidence hierarchy scale and seven were of moderate quality evidence. Others were rated as lower-quality evidence. Among the studies providing high quality evidence, most were reported for group therapy, general services, and psychotherapy studies demonstrating beneficial effects.

Conclusion: This systematic review provides evidence to demonstrate the benefits of a range of long-term interventions, in a range of settings, can be effective in improving MH outcomes for CYP and their families.

Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42022323324.

Keywords: child and adolescent mental health services; evidence base; mental health intervention; mental health services; psychological distress.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.

Figures

See this image and copyright information in PMC

References

1. Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. (2007) 369:1302–13. doi: 10.1016/S0140-6736(07)60368-7 - DOI - PubMed
1. LeMoult J, Humphreys KL, Tracy A, Hoffmeister J-A, Ip E, Gotlib IH. Meta-analysis: exposure to early life stress and risk for depression in childhood and adolescence. J Am Acad Child Adolesc Psychiatry. (2020) 59:842–55. doi: 10.1016/j.jaac.2019.10.011 - DOI - PMC - PubMed
1. Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. (2007) 20:359. doi: 10.1097/YCO.0b013e32816ebc8c - DOI - PMC - PubMed
1. Piao J, Huang Y, Han C, Li Y, Xu Y, Liu Y, et al. . Alarming changes in the global burden of mental disorders in children and adolescents from 1990 to 2019: a systematic analysis for the Global Burden of Disease study. Eur Child Adolesc Psychiatry. (2022) 31:1827–45. doi: 10.1007/s00787-022-02040-4 - DOI - PubMed
1. Shah K, Ramos-Garcia M, Bhavsar J, Lehrer P. Mind-body treatments of irritable bowel syndrome symptoms: An updated meta-analysis. Behav Res Ther. (2020) 128:103462. doi: 10.1016/j.brat.2019.103462 - DOI - PubMed

Publication types

Actions

LinkOut - more resources

Full Text Sources

[1] Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. (2007) 369:1302–13. doi: 10.1016/S0140-6736(07)60368-7 - DOI - PubMed

[2] Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. (2007) 369:1302–13. doi: 10.1016/S0140-6736(07)60368-7 - DOI - PubMed

[3] LeMoult J, Humphreys KL, Tracy A, Hoffmeister J-A, Ip E, Gotlib IH. Meta-analysis: exposure to early life stress and risk for depression in childhood and adolescence. J Am Acad Child Adolesc Psychiatry. (2020) 59:842–55. doi: 10.1016/j.jaac.2019.10.011 - DOI - PMC - PubMed

[4] LeMoult J, Humphreys KL, Tracy A, Hoffmeister J-A, Ip E, Gotlib IH. Meta-analysis: exposure to early life stress and risk for depression in childhood and adolescence. J Am Acad Child Adolesc Psychiatry. (2020) 59:842–55. doi: 10.1016/j.jaac.2019.10.011 - DOI - PMC - PubMed

[5] Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. (2007) 20:359. doi: 10.1097/YCO.0b013e32816ebc8c - DOI - PMC - PubMed

[6] Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. (2007) 20:359. doi: 10.1097/YCO.0b013e32816ebc8c - DOI - PMC - PubMed

[7] Piao J, Huang Y, Han C, Li Y, Xu Y, Liu Y, et al. . Alarming changes in the global burden of mental disorders in children and adolescents from 1990 to 2019: a systematic analysis for the Global Burden of Disease study. Eur Child Adolesc Psychiatry. (2022) 31:1827–45. doi: 10.1007/s00787-022-02040-4 - DOI - PubMed

[8] Piao J, Huang Y, Han C, Li Y, Xu Y, Liu Y, et al. . Alarming changes in the global burden of mental disorders in children and adolescents from 1990 to 2019: a systematic analysis for the Global Burden of Disease study. Eur Child Adolesc Psychiatry. (2022) 31:1827–45. doi: 10.1007/s00787-022-02040-4 - DOI - PubMed

[9] Shah K, Ramos-Garcia M, Bhavsar J, Lehrer P. Mind-body treatments of irritable bowel syndrome symptoms: An updated meta-analysis. Behav Res Ther. (2020) 128:103462. doi: 10.1016/j.brat.2019.103462 - DOI - PubMed

[10] Shah K, Ramos-Garcia M, Bhavsar J, Lehrer P. Mind-body treatments of irritable bowel syndrome symptoms: An updated meta-analysis. Behav Res Ther. (2020) 128:103462. doi: 10.1016/j.brat.2019.103462 - DOI - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

Affiliations

Evidence-based long term interventions targeting acute mental health presentations for children and adolescents: systematic review

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

Similar articles

References

Publication types

LinkOut - more resources

Full Text Sources

Abstract

Conflict of interest statement

Figures

Similar articles

References

Publication types

Related information

LinkOut - more resources

Full Text Sources