Co-production and Feasibility RCT of Intervention to Improve the Mental Health of Children With a Social Worker

Co-production and Feasibility RCT of Intervention to Improve the Mental Health of Children With a Social Worker

Partnership for Change - Co-production and Feasibility Randomised Controlled Trial of an Intervention to Improve the Mental Health of Children With a Social Worker

NSPCC, Glasgow City Council, London Borough of Bromley, University of Nottingham, Queen Mary University of London

Feasibility RCT to ask: Can the investigators coproduce, with parent collaborators, a new service, Infant Parent Support (IPS), to improve the mental health of children with a social worker? Can the investigators test the feasibility of an RCT of IPS compared with services as usual?

Questions addressed: Can the investigators coproduce, with parent collaborators, a new service, Infant Parent Support (IPS), to improve the mental health of children with a social worker? Can the investigators test the feasibility of an RCT of IPS compared with services as usual? Considered for entry: Parents of children aged 0-5 who have mental health concerns, social workers, and a multi-agency support plan. Inclusion criteria: Any family in the Glasgow or Bromley trial sites with a child aged 0-5 years with mental health concerns, a social worker, and a multi-agency support plan. Exclusion criteria: At the outset of the Trial there were no exclusion criteria. Over the course of Phase 1, the following exclusion criteria have emerged: If the child has a Child Protection Plan or is on the Child Protection Register If the family are in the process of 'stepping down' from a CPP or CPR If the child is currently engaged in therapeutic work. Intervention: Infant Parent Support (a multidisciplinary infant mental health team aiming to improve the mental health of children aged 0-5 with a social worker). Primary Outcomes Phase 1: Coproduction, with parents of children who have a social worker, of the IPS intervention. Phase 2: Recruitment and retention (at 3 and 6 months) to a feasibility RCT. Secondary Outcomes Phase 1: preliminary mapping of service context. Phase 2: Improvement in the organisation, access, and quality of services, for children with a social worker and mental health issues. Examination of putative primary and secondary outcomes for a future definitive RCT of IPS (see below) Development of a parent-supported outcome measure and a parent-supported experience measure for use in a future definitive RCT Exploration of whether it is possible to expand into new sites to conduct a successful Phase III trial.

The recruitment of 30 families to the Trial and the 15 families randomised to the new therapeutic intervention will be measured by recruitment rates.

The proportion of the 15 families randomised to the new intervention who continue through the Trial will be measured by retention rates.

Inclusion Criteria: Any family in the Glasgow or Bromley trial sites with a child aged 0-5 years with mental health concerns, a social worker, and a multi-agency support plan. Exclusion Criteria: At the outset of the Trial there were no exclusion criteria. Over the course of Phase 1, the following exclusion criteria have emerged: If the child has a Child Protection Plan or is on the Child Protection Register If the family are in the process of 'stepping down' from a CPP or CPR If the child is currently engaged in therapeutic work.