Interventions targeting the mental health and wellbeing of care-experienced children and young people in higher-income countries: Evidence map and systematic review

Systematic Reviews

Research

Rob Trubey¹  Michael Robling¹  Sarah MacDonald²  Rhiannon Evans²  Maria Boffey²  G. J. Melendez-Torres³  Soo Vinnicombe⁴  Jane Noyes⁴  Simone Willis⁵  Charlotte Wooders⁶ 

[1] Centre for Trials Research, Cardiff University, Cardiff, UK;DECIPHer, School of Social Sciences, Cardiff University, SPARK, Maindy Road, CF24 4HQ, Cardiff, UK;Peninsula Technology Assessment Group (PenTAG), University of Exeter, Exeter, UK;School of Medical and Health Sciences, Bangor University, Bangor, UK;Specialist Unit for Review Evidence, Cardiff University, Cardiff, UK;The Fostering Network in Wales, Cardiff, UK;

关键词: Systematic review;    Scoping review;    Mental health;    Wellbeing;    Foster care;    Residential care;    Children;    Adolescents;   

DOI  :  10.1186/s13643-023-02260-y

 received in 2022-10-27, accepted in 2023-05-26,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe mental health and wellbeing of care-experienced children and young people (i.e. foster care, kinship care, residential care) is poorer than non-care-experienced populations. The Care-experienced cHildren and young people’s Interventions to improve Mental health and wEll-being outcomes Systematic review (CHIMES) aimed to synthesise the international evidence base for interventions targeting subjective wellbeing, mental health and suicide amongst care-experienced young people aged ≤ 25 years.MethodsFor the first phase of the review, we constructed an evidence map identifying key clusters and gaps in interventions and evaluations. Studies were identified through 16 electronic databases and 22 health and social care websites, in addition to expert recommendations, citation tracking and screening of relevant systematic reviews. We charted interventions and evaluations with a summary narrative, tables and infographics.ResultsIn total, 64 interventions with 124 associated study reports were eligible. The majority of study reports were from the USA (n = 77). Interventions primarily targeted children and young people’s skills and competencies (n = 9 interventions), the parental functioning and practices of carers (n = 26), or a combination of the two (n = 15). While theoretically under-specified, interventions were largely informed by theories of Attachment, Positive Youth Development, and Social Learning Theory. Current evaluations prioritised outcomes (n = 86) and processes (n = 50), with a paucity of study reports including theoretical descriptions (n = 24) or economic evaluations (n = 1). Interventions most frequently targeted outcomes related to mental, behavioural or neurodevelopmental disorders, notably total social, emotional and behavioural problems (n = 48 interventions) and externalising problem behaviours (n = 26). There were a limited number of interventions targeting subjective wellbeing or suicide-related outcomes.ConclusionsFuture intervention development might focus on structural-level intervention theories and components, and target outcomes related to subjective wellbeing and suicide. In accordance with current methodological guidance for intervention development and evaluation, research needs to integrate theoretical, outcome, process and economic evaluation in order to strengthen the evidence base.Systematic review registrationPROSPERO CRD42020177478.

【 授权许可】

CC BY   
© The Author(s) 2023

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