A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model
The National i-THRIVE Programme seeks to evaluate the impact of the NHS England-funded whole system transformation on child and adolescent mental health services (CAMHS). This article reports on the design for a model of implementation that has been applied in CAMHS across over 70 areas in England u...
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| Veröffentlicht in: | PloS one 2023-05, Vol.18 (5), p.e0265782 |
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| description | The National i-THRIVE Programme seeks to evaluate the impact of the NHS England-funded whole system transformation on child and adolescent mental health services (CAMHS). This article reports on the design for a model of implementation that has been applied in CAMHS across over 70 areas in England using the 'THRIVE' needs-based principles of care. The implementation protocol in which this model, 'i-THRIVE' (implementing-THRIVE), will be used to evaluate the effectiveness of the THRIVE intervention is reported, together with the evaluation protocol for the process of implementation. To evaluate the effectiveness of i-THRIVE to improve care for children and young people's mental health, a cohort study design will be conducted. N = 10 CAMHS sites that adopt the i-THRIVE model from the start of the NHS England-funded CAMHS transformation will be compared to N = 10 'comparator sites' that choose to use different transformation approaches within the same timeframe. Sites will be matched on population size, urbanicity, funding, level of deprivation and expected prevalence of mental health care needs. To evaluate the process of implementation, a mixed-methods approach will be conducted to explore the moderating effects of context, fidelity, dose, pathway structure and reach on clinical and service level outcomes. This study addresses a unique opportunity to inform the ongoing national transformation of CAMHS with evidence about a popular new model for delivering children and young people's mental health care, as well as a new implementation approach to support whole system transformation. If the outcomes reflect benefit from i-THRIVE, this study has the potential to guide significant improvements in CAMHS by providing a more integrated, needs-led service model that increases access and involvement of patients with services and in the care they receive. |
| doi_str_mv | 10.1371/journal.pone.0265782 |
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This article reports on the design for a model of implementation that has been applied in CAMHS across over 70 areas in England using the 'THRIVE' needs-based principles of care. The implementation protocol in which this model, 'i-THRIVE' (implementing-THRIVE), will be used to evaluate the effectiveness of the THRIVE intervention is reported, together with the evaluation protocol for the process of implementation. To evaluate the effectiveness of i-THRIVE to improve care for children and young people's mental health, a cohort study design will be conducted. N = 10 CAMHS sites that adopt the i-THRIVE model from the start of the NHS England-funded CAMHS transformation will be compared to N = 10 'comparator sites' that choose to use different transformation approaches within the same timeframe. Sites will be matched on population size, urbanicity, funding, level of deprivation and expected prevalence of mental health care needs. To evaluate the process of implementation, a mixed-methods approach will be conducted to explore the moderating effects of context, fidelity, dose, pathway structure and reach on clinical and service level outcomes. This study addresses a unique opportunity to inform the ongoing national transformation of CAMHS with evidence about a popular new model for delivering children and young people's mental health care, as well as a new implementation approach to support whole system transformation. 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This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 A. et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 A. et al 2023 A. et al</rights><rights>2023 A. et al. 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Fonagy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-05-08</date><risdate>2023</risdate><volume>18</volume><issue>5</issue><spage>e0265782</spage><pages>e0265782-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The National i-THRIVE Programme seeks to evaluate the impact of the NHS England-funded whole system transformation on child and adolescent mental health services (CAMHS). This article reports on the design for a model of implementation that has been applied in CAMHS across over 70 areas in England using the 'THRIVE' needs-based principles of care. The implementation protocol in which this model, 'i-THRIVE' (implementing-THRIVE), will be used to evaluate the effectiveness of the THRIVE intervention is reported, together with the evaluation protocol for the process of implementation. To evaluate the effectiveness of i-THRIVE to improve care for children and young people's mental health, a cohort study design will be conducted. N = 10 CAMHS sites that adopt the i-THRIVE model from the start of the NHS England-funded CAMHS transformation will be compared to N = 10 'comparator sites' that choose to use different transformation approaches within the same timeframe. Sites will be matched on population size, urbanicity, funding, level of deprivation and expected prevalence of mental health care needs. To evaluate the process of implementation, a mixed-methods approach will be conducted to explore the moderating effects of context, fidelity, dose, pathway structure and reach on clinical and service level outcomes. This study addresses a unique opportunity to inform the ongoing national transformation of CAMHS with evidence about a popular new model for delivering children and young people's mental health care, as well as a new implementation approach to support whole system transformation. If the outcomes reflect benefit from i-THRIVE, this study has the potential to guide significant improvements in CAMHS by providing a more integrated, needs-led service model that increases access and involvement of patients with services and in the care they receive.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37155627</pmid><doi>10.1371/journal.pone.0265782</doi><tpages>e0265782</tpages><orcidid>https://orcid.org/0000-0001-9614-3812</orcidid><orcidid>https://orcid.org/0000-0003-0229-0091</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescents Biology and Life Sciences Care and treatment Child Child & adolescent mental health Children Clinical outcomes Cohort analysis Cohort Studies Collaboration Computer and Information Sciences Design Effectiveness Engineering and Technology England Health aspects Health care Health services Humans Intervention Medicine and Health Sciences Mental Health Mental health care Mental Health Services Modelling Multicenter Studies as Topic Patient satisfaction People and places Population number Psychological aspects Social Sciences Study Protocol Surveys and Questionnaires Teenagers Transformation Transformations Young adults Youth |
| title | A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T08%3A26%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20protocol%20for%20a%20multi-site%20cohort%20study%20to%20evaluate%20child%20and%20adolescent%20mental%20health%20service%20transformation%20in%20England%20using%20the%20i-THRIVE%20model&rft.jtitle=PloS%20one&rft.au=A,%20Moore&rft.date=2023-05-08&rft.volume=18&rft.issue=5&rft.spage=e0265782&rft.pages=e0265782-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0265782&rft_dat=%3Cgale_plos_%3EA748501450%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2811188484&rft_id=info:pmid/37155627&rft_galeid=A748501450&rft_doaj_id=oai_doaj_org_article_84e2b5d9bd4f400986572db2ff543fb6&rfr_iscdi=true |