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Treatment for Childrens Disruptive Behaviour Understanding parent-child relationships as mechanisms of change

Safe People

Organisation name

University of Bristol

Organisation sector

Academic Institute

Applicant name(s)

Jon Heron

Emily Midouhas

Dr Bonamy Oliver

Safe Projects

Project ID

B3882

Lay summary

One in six school-aged children now have a probable mental health disorder -- up from one in nine three years ago (NHS digital, 2020). Services for children and young people’s mental health are stretched more than ever before, such that maximising resources is a key priority (Lennon, 2021). The effectiveness of mental-health interventions can be optimised by enhancing our understanding of the mechanisms of change – that is, how an intervention translates into events that lead to improved outcomes (Kazdin, 2007). Parent and child behaviours are primary intervention targets for children’s mental health (WHO, 2009), yet little is known about their assumed mechanistic role, that is, how parent-child dynamics change as a function of, or during intervention. We aim to address this gap, with specific focus on children’s disruptive behaviour as one of the most common reasons for children to receive mental-health services (Achenbach & Edelbrock, 1987; Hinshaw & Lee, 2003).

Public benefit statement

As described above, the ALSPAC work-package forms part of a wider plan of work with a view to inform intervention use for high-risk individuals and understand mechanism of change. We anticipate further intensive data collection (EMA) within a clinical setting which is in-part influenced by ALSPAC findings but not involving ALSPAC participants.

Latest approval date

28/09/2021