Abstract
Objectives A very small proportion of children with anxiety problems receive evidence-based treatment. Barriers to access include difficulties with problem identification, concerns about stigma and a lack of clarity about how to access specialist services and their limited availability. A school-based programme that integrates screening to identify those children who are most likely to be experiencing anxiety problems with the offer of intervention has the potential to overcome many of these barriers. This article is a process-based account of how we used codesign to develop a primary school-based screening and intervention programme for child anxiety problems. Design Codesign. Setting UK primary schools. Participants Data were collected from year 4 children (aged 8-9 years), parents, school staff and mental health practitioners. Results We report how the developed programme was experienced and perceived by a range of users, including parents, children, school staff and mental health practitioners, as well as how the programme was adapted following user feedback. Conclusions We reflect on the mitigation techniques we employed, the lessons learnt from the codesign process and give recommendations that may inform the development and implementation of future school-based screening and intervention programmes.
Original language | English |
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Article number | e058089 |
Journal | BMJ Open |
Volume | 12 |
Issue number | 6 |
Early online date | 21 Jun 2022 |
DOIs | |
Publication status | Published - 21 Jun 2022 |
Funding
This paper represents independent research funded by the National Institute for Health Research (NIHR) (CC) and hosted by Oxford Health NHS Foundation Trust. CC and MV acknowledge support from the Oxford and Thames Valley NIHR Applied Research Collaboration (ARC). MV was partly supported by the NIHR Oxford Biomedical Research Centre. OU was supported by the NIHR ARC for Leadership in Applied Health Research and Care for the South West Peninsula at the Royal Devon and Exeter NHS Foundation Trust. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
Keywords
- education & training (see Medical Education & Training)
- mental health
- paediatrics
ASJC Scopus subject areas
- General Medicine