Enhancing children's emotional regulation and social communication through group intervention – evidence of impact in an Irish outpatient Child and Adolescent Mental Health Service
In the last decade, Child and Adolescent Mental Health Services (CAMHS) have observed an unprecedented rise in young children presenting with suicidal ideation, needing urgent assessment and treatment. Once stabilised, CAMHS professionals often refer these children to speech and language therapists...
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Published in | Child language teaching and therapy Vol. 40; no. 1; pp. 56 - 76 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
London, England
SAGE Publications
01.02.2024
Sage Publications Ltd |
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Abstract | In the last decade, Child and Adolescent Mental Health Services (CAMHS) have observed an unprecedented rise in young children presenting with suicidal ideation, needing urgent assessment and treatment. Once stabilised, CAMHS professionals often refer these children to speech and language therapists (SLTs) for assessment of and support for their social-emotional skills. The Secret Agent Society (SAS) is an evidence-based intervention for children with significant emotional regulation and social communication challenges. No published peer-reviewed evidence exists for the use of SAS for children with moderate-severe mental health disorders. This study aimed to evaluate the efficacy of SAS in an Irish outpatient CAMHS. Fifty-one children (30 boys, 21 girls) aged 8–12 years (mean age 10:11) with diagnoses of attention deficit hyperactivity disorder, anxiety disorder and/or autism attended the 14-week programme. Questionnaires were completed by children, their parents (51 mothers, 45 fathers) and teachers pre-intervention, post-intervention and at 3- and 6-month follow-up. Statistically significant improvements were made in children's social communication (F (1.985, 99.273) = 24.900, p < 0.001) and emotional regulation (F (1.787, 89.358) = 27.302, p < 0.001) across home and school settings. Children's knowledge of emotional regulation strategies also significantly improved. Treatment gains were maintained up to 6-months post-intervention. Results provide preliminary evidence for the efficacy of SAS in an Irish outpatient CAMHS. A cost–benefit analysis would determine the feasibility of offering SAS in other outpatient community services. SLTs have a vital role to play in delivering intensive social-emotional skills support for children with complex diagnostic profiles within CAMHS and other specialised multi-disciplinary teams. |
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AbstractList | In the last decade, Child and Adolescent Mental Health Services (CAMHS) have observed an unprecedented rise in young children presenting with suicidal ideation, needing urgent assessment and treatment. Once stabilised, CAMHS professionals often refer these children to speech and language therapists (SLTs) for assessment of and support for their social-emotional skills. The Secret Agent Society (SAS) is an evidence-based intervention for children with significant emotional regulation and social communication challenges. No published peer-reviewed evidence exists for the use of SAS for children with moderate-severe mental health disorders. This study aimed to evaluate the efficacy of SAS in an Irish outpatient CAMHS. Fifty-one children (30 boys, 21 girls) aged 8–12 years (mean age 10:11) with diagnoses of attention deficit hyperactivity disorder, anxiety disorder and/or autism attended the 14-week programme. Questionnaires were completed by children, their parents (51 mothers, 45 fathers) and teachers pre-intervention, post-intervention and at 3- and 6-month follow-up. Statistically significant improvements were made in children's social communication (F (1.985, 99.273) = 24.900, p < 0.001) and emotional regulation (F (1.787, 89.358) = 27.302, p < 0.001) across home and school settings. Children's knowledge of emotional regulation strategies also significantly improved. Treatment gains were maintained up to 6-months post-intervention. Results provide preliminary evidence for the efficacy of SAS in an Irish outpatient CAMHS. A cost–benefit analysis would determine the feasibility of offering SAS in other outpatient community services. SLTs have a vital role to play in delivering intensive social-emotional skills support for children with complex diagnostic profiles within CAMHS and other specialised multi-disciplinary teams. |
Author | Gaffney, Louise Maguire, Katie MacEvilly, Deirdre Brosnan, Geraldine |
Author_xml | – sequence: 1 givenname: Deirdre orcidid: 0000-0002-9195-8331 surname: MacEvilly fullname: MacEvilly, Deirdre email: deirdre.macevilly@sjog.ie organization: Saint John of God Community Services Ltd, Dublin, Ireland – sequence: 2 givenname: Katie surname: Maguire fullname: Maguire, Katie organization: Saint John of God Community Services Ltd, Dublin, Ireland – sequence: 3 givenname: Geraldine surname: Brosnan fullname: Brosnan, Geraldine organization: Saint John of God Community Services Ltd, Dublin, Ireland – sequence: 4 givenname: Louise surname: Gaffney fullname: Gaffney, Louise organization: Saint John of God Community Services Ltd, Dublin, Ireland |
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SubjectTerms | Anxiety Anxiety Disorders Attention deficit hyperactivity disorder Autism Child & adolescent mental health Communication Communication (Thought Transfer) Community Services Emotional regulation Emotions Evidence Mental disorders Mental Health Programs Parent-child relations Resistance (Psychology) Speech-language pathologists Suicides & suicide attempts |
Title | Enhancing children's emotional regulation and social communication through group intervention – evidence of impact in an Irish outpatient Child and Adolescent Mental Health Service |
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