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A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

Herrman, Helen, Humphreys, Cathy, Halperin, Stephen, Monson, Katherine, Harvey, Carol, Mihalopoulos, Catherine, Cotton, Susan, Mitchell, Penelope, Glynn, Tony, Magnus, Anne, Murray, Lenice, Szwarc, Josef, Davis, Elise, Havighurst, Sophie, McGorry, Patick, Tyano, Sam, Kaplan, Ida, Rice, Simon and Moeller-Saxone, Kristen 2016, A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project, BMC psychiatry, vol. 16, Article Number : 436, pp. 1-15, doi: 10.1186/s12888-016-1145-6.

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Title A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project
Author(s) Herrman, Helen
Humphreys, Cathy
Halperin, Stephen
Monson, Katherine
Harvey, Carol
Mihalopoulos, CatherineORCID iD for Mihalopoulos, Catherine orcid.org/0000-0002-7127-9462
Cotton, Susan
Mitchell, Penelope
Glynn, Tony
Magnus, Anne
Murray, Lenice
Szwarc, Josef
Davis, Elise
Havighurst, Sophie
McGorry, Patick
Tyano, Sam
Kaplan, Ida
Rice, Simon
Moeller-Saxone, Kristen
Journal name BMC psychiatry
Volume number 16
Season Article Number : 436
Start page 1
End page 15
Total pages 15
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2016-12-07
ISSN 1471-244X
Keyword(s) Complex intervention
Implementation
Looked after children
Out-of-home care
Prevention
Youth mental health
Science & Technology
Life Sciences & Biomedicine
Psychiatry
TREATMENT FOSTER-CARE
CHILDREN
NEEDS
VALIDITY
SERVICES
YOUTH
RECOMMENDATIONS
ADOLESCENTS
RELIABILITY
PREVALENCE
Summary BACKGROUND: Out-of-home care (OoHC) refers to young people removed from their families by the state because of abuse, neglect or other adversities. Many of the young people experience poor mental health and social function before, during and after leaving care. Rigorously evaluated interventions are urgently required. This publication describes the protocol for the Ripple project and notes early findings from a controlled trial demonstrating the feasibility of the work. The Ripple project is implementing and evaluating a complex mental health intervention that aims to strengthen the therapeutic capacities of carers and case managers of young people (12-17 years) in OoHC.

METHODS: The study is conducted in partnership with mental health, substance abuse and social services in Melbourne, with young people as participants. It has three parts: 1. Needs assessment and implementation of a complex mental health intervention; 2. A 3-year controlled trial of the mental health, social and economic outcomes; and 3. Nested process evaluation of the intervention.

RESULTS: Early findings characterising the young people, their carers and case managers and implementing the intervention are available. The trial Wave 1 includes interviews with 176 young people, 52% of those eligible in the study population, 104 carers and 79 case managers.

CONCLUSIONS: Implementing and researching an affordable service system intervention appears feasible and likely to be applicable in other places and countries. Success of the intervention will potentially contribute to reducing mental ill-health among these young people, including suicide attempts, self-harm and substance abuse, as well as reducing homelessness, social isolation and contact with the criminal justice system.

TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12615000501549 . Retrospectively registered 19 May 2015.
Language eng
DOI 10.1186/s12888-016-1145-6
Field of Research 111714 Mental Health
140208 Health Economics
1103 Clinical Sciences
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090847

Document type: Journal Article
Collections: Population Health
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.