Priorities for Mental Health Research in Children and Young People

There has been recent focus on the state of mental health for Children and Young People (CYP), and a variety of initiatives developed to improve this, such as the CYP Improving Access to Psychological Therapies (IAPT) programme, and the developing Government Green Paper for CYP mental health. However, there has been little focus on the role mental health research can play.

The McPin Foundation, a charity focussing on mental health research, recently published a report outlining their identified top ten research priorities for CYP, with the aim of influencing policy and practice.

How was the research carried out?

The McPin Foundation set up an Advisory Group with seven young people between the ages of 14 – 23 years, and a Steering Group that included a range of individuals – from research funding organisations to parents and teachers. The Groups created a Young People’s mental health survey, and asked members of the public to put forward research questions around the topic (n = 2566). The Groups then developed the largest theme identified from their data – Intervention and Services, and with the help of a second survey (n = 753), narrowed down the questions posed to 25.  The final 10 priorities were selected in a workshop which included the advisory and steering groups, in addition to new members to the project (e.g., young people, professionals, parents).

What kind of research priorities for CYP were identified?

The top 10 research questions included early identification and screening of mental health difficulties, calls for further evidence on the effectiveness of therapies/strategies/resources/training, and exploration of how family/parental relationships contribute to treatment outcomes for CYP. Further research priorities (Top 25) were also identified and were more varied, including exploring effective methods for supporting young men in recognising symptoms of mental ill-health (Priority 15), and the impact of waiting list times on treatment and mental health outcomes (Priority 21). The full list of research priorities can be viewed here.

What next?

The McPin Foundation are keen for young people, researchers, and potential partners (e.g., individuals, organisations etc.) to get in touch:

 

 

Young people

  • Young people can sign up to the Network and receive emails about taking part in research. To do so, sign up via mcpin.org/young-people/

Researchers

  • Researchers can ask the Young People’s Network for feedback on and help shaping their research that address the priorities identified in the report. In addition, the McPin Foundation are keen for researchers to keep them up to date with their research on the identified priorities. Get in touch via contact@mcpin.org.

Partners

  • Individuals may be interested in working with the McPin Foundation on the identified priorities – get in touch via contact@mcpin.org.

Blog post written by Dr Rachel Moss (Twitter: @DrRMoss), Research Associate on the PGR Wellbeing project at the University of Portsmouth (School of Education and Sociology). 

Children of the Millennium

The Centre for Mental Health, in partnership with the Institute of Education at UCL, recently published a report outlining the current understanding of conduct problems and their course through childhood. The study team (Gutman, Joshi, Khan, & Schoon, 2018) examined longitudinal data obtained from a sample of over 19,000 children born in the United Kingdom between 2000-2002 for the Millennium Cohort Study.

What is conduct disorder?

Clinical guidance from the National Institute for Health and Care Excellence (NICE) and the Social Care Institute for Excellence (SCIE) defines conduct disorders as “repetitive and persistent patterns of antisocial, aggression or defiant behaviour that amounts to significant and persistent violations of age-appropriate social expectations”. Examples of violations of age-appropriate social expectations include angry outbursts or physical aggression towards other children between the ages of 3-7 years; violence, robbery or substance misuse between the ages  of 12 – 17 years amongst others. The scale of the conduct problems is significant as the child or young person’s daily functioning is disrupted, and distress is experienced by those around them. The prevalence of conduct problems is around 5% (for children and young people between 5 – 16 years; Green, McGinnity, Meltzer, Ford, & Goodman, 2004), and is considered the most commonly diagnosed mental health condition for children between 5- 10 years.

Key results

Pathways of childhood conduct problems by gender

  • The prevalence of conduct problems is higher in boys, compared to girls, between the ages of 3 – 11 years (e.g., at 3 years old: boys = 22% and girls = 19%; at 11 years old: boys = 14% and girls = 9%).
  • Between 3 – 11 years old, the majority of girls (78%) and around half of boys (54%) had a low risk of developing severe conduct problems.

Pathways of childhood conduct problems and the impact of multiple risks over time

  • Between the ages of 3 – 14 years, the majority of children in the sample (56%) had a low risk of severe conduct problems, whereas 8% of children had a high risk.
  • Whilst 13% of children were identified to have a low risk of severe conduct disorder from 3 – 7 years, this increased by age 14.
  • A subset of children (23%) were identified as having a moderate to high risk of developing severe conduct problems by age 3 years, but this then declined with age.

Pathways of childhood conduct problems and co-occurring mental health difficulties

  • Different groups of children were identified who also presented who co-occurring mental health conditions (conduct problems, hyperactivity/inattention, emotional problems, and problems with peer interactions) between 3 – 11 years:
    • Low problems (52%)
    • Moderate externalising, low internalising (27%)
    • Moderate internalising, low externalising (12%)
    • Persistent high problems (8%)

Recommendations (for England only)

Gutman et al. (2018) proposed 10 recommendations for key stakeholders (e.g., the Government, NHS England, NICE), based on the findings of their report. Recommendations include calls for improved cross-agency working, quality of support available, and guidance. The full report can be viewed here.

Blog post written by Dr Rachel Moss (Twitter: @DrRMoss), Research Associate on the PGR Wellbeing project at the University of Portsmouth (School of Education and Sociology). 

 

 

Improving postgraduate research student wellbeing – the role of mental health literacy and social support

There has been recent media attention on the extent of mental health problems in undergraduate students at Universities across the UK, particularly in light of recent student suicides. Concerns about the mental health and wellbeing of postgraduate research students have also been highlighted.

What does the research say?

Recent evidence from Levecque, Anseel, De Beuckelaer, Van der Heyden, and Gisle (2017) highlighted that one in two PhD students experienced psychological distress, and that one in three was at risk of a common mental health problem (e.g., depression). In addition, PhD students were more likely to experience mental health problems generally, compared to other highly educated groups of individuals. In another study, higher levels of depression, anxiety, and stress has been reported in PhD students, compared to individuals of a similar age (Barry, Woods, Warnecke, Stirling, & Martin, 2018).

How are mental health problems being addressed?

There is a clear need for Universities, and other relevant organisations to explore and provide practical solutions for how mental health problems can be prevented, recognised, and managed, in postgraduate research students, as well as more widely within the academic community.

Given reports of increased psychological distress in postgraduate research students, how is this being addressed?

In terms of policy, Universities UK recently developed a Step Change Framework, which recommends that Universities consider mental health across all University activities, and in doing so, promote healthy and supportive working environments. Good mental health should be everyone’s business, not just student services.

Vitae, a leading organisation for researcher development, recently made a series of recommendations for Universities, as well as other key institutions, to improve the mental health and wellbeing of postgraduate research students (Vitae, 2018). These recommendations emphasised that Universities should focus on the prevention, recognition, and management of mental health problems in postgraduate research students (e.g., signposting to mental health resources).

Research funding is also being made available. Earlier this year, the Office for Students and Research England awarded a portion of £1.5 million to 17 projects at a number of Universities within the UK, for supporting projects that aimed to improve the mental health and wellbeing of postgraduate research students .

How can the mental health and wellbeing of postgraduate students be improved?

Research suggests that increasing mental health literacy (knowledge of, attitudes towards, and ability to seek care for mental health problems; Jorm, Korten, Rodgers, Jacomb, & Christensen, 2002), may increase the willingness of undergraduate students experiencing psychological distress to seek help (Gorczynski, Sims-Schouten, Hill & Wilson, 2017).  Importantly, increasing mental health literacy may provide staff members with the knowledge to respond appropriately to a disclosure of mental health problems from a student (Gulliver, Farrer, Bennett, & Griffiths, 2017). 

In addition, social support (emotional and practical support a person believes is available to them when they need it; Cohen & Syme, 1985), may reduce the risk of mental health problems and improve recovery if they develop (Leach, 2014). Social support can be improved through provision of group mentoring circles, which increases social interactions and sense of belonging (Darwin & Palmer, 2009).

Few research studies have examined methods of supporting the mental health and wellbeing in postgraduate research students specifically.

What is the postgraduate research student wellbeing project about?

The project aims to improve student wellbeing by increasing mental health literacy and social support by:

  1. Undertaking a survey of PGR students, to establish baseline data on mental health literacy, wellbeing, and perceptions of social support;
  2. Developing mental health literacy resources to underpin enhanced students and staff inductions;
  3. Establishing mentoring circles of PGR students and an experienced mentor from outside of their supervisory team;
  4. Assessing the effectiveness of the project-related interventions against baseline data.

How will we conduct our research?

 We will distribute an online postgraduate research student mental health and wellbeing survey to postgraduate research students, as well as interventions which will focus on the development of online mental health resources, supervisor training, and the development of mentoring circles.

What are the next steps for the project?

The project will officially launch with an online survey in October 2018. The survey will be available for all postgraduate research students within the University of Portsmouth and Leeds Beckett University to complete, and will be advertised at both Universities soon. The interventions will be trailled within one faculty at the University of Portsmouth from November 2018, and from October 2019, will be trailled in all other faculties within the University of Portsmouth and Leeds Beckett University. From January 2020, the results of the project will be disseminated sector wide, with support from Vitae.

How can I keep updated on the progress of the project?

Project-related updates will be posted on the MICE hub website, project-related website, and Twitter. Details are as follows:

Email: pgrwellbeing@port.ac.uk

Twitter: @PgrWellbeing

Project-related website

About the project

The postgraduate research student wellbeing project is funded by the Office for Students until January 2020. The University of Portsmouth are leading the project, and will be working closely with Leeds Beckett (partner institution), Office for Students, and Vitae (project dissemination). In addition to other co-investigators, the MICE HUB researchers involved in the project are: Dr Wendy Sims-Schouten (@DrWendySch), Dr Paul Gorczynski (@PaulGorczynski) and Dr Rachel Moss (@DrRMoss).

About the author

Blog post written by Dr Rachel Moss, Research Assistant for the Office for Students postgraduate research student wellbeing project. Dr Moss is based within the School of Education and Sociology at the University of Portsmouth.

References

Barry, K. M., Woods, M., Warnecke, E., Stirling, C., & Martin, A. (2018). Psychological health of doctoral candidates, study-related challenges and perceived performance. Higher Education Research & Development, 37(3), 468-483. doi: 10.1080/07294360.2018.1425979

Cohen, S. E., & Syme, S. (1985). Social support and health. Sam Diego, CA, US: Academic Press.

Darwin, A., & Palmer, E. (2009). Mentoring circles in higher education. Higher Education Research & Development, 28(2), 125-136. doi: 10.1080/07294360902725017

Gorczynski, P., Sims-Schouten, W., Hill, D., & Wilson, J. C. (2017). Examining mental health literacy, help seeking behaviours, and mental health outcomes in UK university students. The Journal of Mental Health Training, Education and Practice, 12(2), 111-120. doi: doi:10.1108/JMHTEP-05-2016-0027

Gulliver, A., Farrer, L., Bennett, K., & Griffiths, K. M. (2017). University staff mental health literacy, stigma and their experience of students with mental health problems. Journal of Further and Higher Education, 1-9.

Jorm, A. F., Korten, A. E., Rodgers, B., Jacomb, P. A., & Christensen, H. (2002). Sexual orientation and mental health: results from a community survey of young and middle–aged adults. The British Journal of Psychiatry, 180(5), 423-427.

Leach, J. (2014). Improving mental health through social support: building positive and empowering relationships. London: Jessica Kingsley Publishers.

Levecque, K., Anseel, F., De Beuckelaer, A., Van der Heyden, J., & Gisle, L. (2017). Work organization and mental health problems in PhD students. Research Policy, 46(4), 868-879. doi: 10.1016/j.respol.2017.02.008