Effectiveness and cost-effectiveness Trial of Humanistic cOunselling in Schools: Individual RCT (ETHOS)

学校人文咨询的有效性和成本效益试验：个体随机对照试验（ETHOS）

• 批准号: ES/M011933/1
• 负责人: Mick Cooper
• 金额: $ 111.57万
• 依托单位: University of Roehampton
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2016
• 资助国家: 英国
• 起止时间: 2016 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FM011933%2F1
• 关键词: Effectiveness; cost; effectiveness; Trial; Humanistic

There is a current crisis in mental health care for young people, and the UK government is trying to find ways of addressing it. Currently, approximately one in ten young people in the UK experience significant problems with their emotions or their behaviour. Schools may be a particularly good place to tackle this problem because they are somewhere that nearly all young people go to. Indeed, evidence suggests that young people are as much as ten times more likely to attend a school-based service than a non-school-based one. Certain psychological treatments, such as cognitive behavioural therapy (CBT), can help young people address specific mental health disorders like generalised anxiety. However, the kind of psychological problems that many young people experience do not fit into such diagnostic categories. Rather, they are responses to particular life problems, such as family difficulties, bereavements and bullying. Although these difficulties may not be at a severe level, addressing them early on may be very important in helping to ensure that they do not develop into more chronic problems in later life. In the UK, one of the most common ways to try and help young people through these problems is school-based 'counselling.' This can take a variety of forms but, in contrast to CBT, focuses mainly on providing young people with a space to talk through their problems, get things off their chest, and work things out for themselves in a supportive, confidential and understanding relationship. Initial evidence suggests that counselling is very popular with young people and their teachers, and there is some scientific evidence -- including PhD work funded through the ESRC -- that a standardised form of school-based counselling (school-based humanistic counselling) reduces psychological distress and improvements in self-esteem. However, to properly inform government decision-making, better evidence is needed to test whether it really is of help. To provide this evidence, we will conduct a study in 18 English secondary schools. We will provide some young people (aged 13-16) who are experiencing psychological difficulties with up to 10 weeks of school-based humanistic counselling while others will receive their school's usual pastoral care. Decisions about who gets what will be made on a random basis, as this gives us the best chance of working out if the therapy really works. After six weeks, three and six months, we will look at whether those young people who received the counselling are experiencing less psychological distress than those who did not. We will also look at whether the benefits of providing the counselling service justify the costs. This is important as there might be better ways of spending the money to improve well being in schools. In addition, we will look at whether the counselling helps young people improve their resilience, self-esteem and engagement with education; and what they -- and their teachers and parents/carers -- think is helpful and unhelpful about counselling. This research is important because school counselling may be able to make a major contribution to improving the psychological wellbeing of young people in the UK. The project team have extensive experience of conducting studies like this, and the current design has been tested and shown to work. The costs of the trial cover the work of the project team along with involvement from a specialist trials unit at Manchester University. Members of the project team have also been closely involved in recent policy initiatives regarding children's mental health.The safety of young people is a major concern. We will not include any young person who is at risk of harm to self or other, but refer them to specialist support. We will assess young people in the study and arrange for appropriate support for them if we become concerned about them. We will also ensure the highest levels of anonymity and confidentiality for participants.

目前年轻人的心理健康护理存在危机，英国政府正在努力寻找解决这一问题的方法。目前，英国约有十分之一的年轻人在情绪或行为方面存在严重问题。学校可能是解决这个问题的一个特别好的地方，因为它们是几乎所有年轻人都去的地方。事实上，有证据表明，年轻人参加校本服务的可能性是非校本服务的十倍。某些心理治疗，如认知行为疗法(CBT)，可以帮助年轻人解决特定的心理健康障碍，如广泛性焦虑。然而，许多年轻人经历的那种心理问题并不属于这种诊断范畴。相反，它们是对特定生活问题的反应，例如家庭困难、丧亲和欺凌。尽管这些困难可能并不严重，但及早解决它们可能非常重要，以帮助确保它们不会在以后的生活中发展为更长期的问题。在英国，试图帮助年轻人解决这些问题的最常见方式之一是以学校为基础的“咨询”。这可以采取多种形式，但与CBT不同的是，CBT主要致力于为年轻人提供一个空间，让他们谈论自己的问题，倾诉心声，并在支持、保密和理解的关系中为自己解决问题。初步证据表明，咨询在年轻人和他们的老师中非常受欢迎，一些科学证据--包括由ESRC资助的博士工作--表明标准化形式的校本咨询(校本人道主义咨询)可以减少心理困扰，提高自尊。然而，要为政府决策提供适当的信息，还需要更好的证据来测试它是否真的有帮助。为了提供这一证据，我们将在18所英语中学进行一项研究。我们将为一些有心理困难的青少年(13-16岁)提供长达10周的校本人文辅导，而其他青少年将接受学校通常的牧民关怀。关于谁得到什么的决定将在随机的基础上做出，因为这给了我们最好的机会来确定治疗是否真的有效。在6个星期、3个月和6个月后，我们将研究接受咨询的青少年是否比没有接受咨询的青少年经历的心理痛苦更少。我们还将研究提供咨询服务的好处是否与成本相称。这一点很重要，因为可能有更好的方式花这笔钱来改善学校的福祉。此外，我们亦会研究辅导是否有助年青人提高适应力、自尊心和对教育的参与程度，以及他们以及他们的老师和家长/照顾者认为辅导对他们有帮助或没有帮助。这项研究很重要，因为学校咨询可能会对改善英国年轻人的心理健康做出重大贡献。项目团队在进行这样的研究方面有丰富的经验，目前的设计已经过测试并证明是可行的。这项试验的费用包括项目团队的工作以及曼彻斯特大学一个专家试验单位的参与。项目小组成员还密切参与了最近有关儿童心理健康的政策措施。青少年的安全是一个主要问题。我们不会包括任何有可能对自己或他人造成伤害的年轻人，但会将他们转介给专家支持。我们会评估研究中的青少年，如果我们关心他们，我们会为他们安排适当的支持。我们还将确保参与者的最高级别的匿名性和保密性。

项目成果

Additional file 1: of Effectiveness and cost-effectiveness of humanistic counselling in schools for young people with emotional distress (ETHOS): study protocol for a randomised controlled trial

附加文件 1：学校为患有情绪困扰的年轻人提供人文咨询的有效性和成本效益 (ETHOS)：随机对照试验的研究方案

• DOI: 10.6084/m9.figshare.5969764
• 发表时间: 2018
• 作者: Stafford M

Brief humanistic counselling with an adolescent client experiencing obsessive-compulsive difficulties: A theory-building case study

对经历强迫症困难的青少年客户进行简短的人文咨询：理论构建案例研究

• DOI: 10.1002/capr.12499
• 发表时间: 2022
• 期刊: Counselling and Psychotherapy Research
• 影响因子: 2.4
• 作者: Ralph S

'They need somebody to talk to': Parents' and carers' perceptions of school-based humanistic counselling

“他们需要有人倾诉”：家长和照顾者对学校人文咨询的看法

• DOI: 10.1002/capr.12496
• 发表时间: 2021
• 期刊: Counselling and Psychotherapy Research
• 影响因子: 2.4
• 作者: Longhurst P

Effectiveness and cost-effectiveness of humanistic counselling in schools for young people with emotional distress (ETHOS): study protocol for a randomised controlled trial.

• DOI: 10.1186/s13063-018-2538-2
• 发表时间: 2018-03-09
• 期刊: Trials
• 影响因子: 2.5
• 作者: Stafford MR;Cooper M;Barkham M;Beecham J;Bower P;Cromarty K;Fugard AJB;Jackson C;Pearce P;Ryder R;Street C
• 通讯作者: Street C

An exploration of the psychometric properties of the Barrett-Lennard Relationship Inventory (BLRI Obs-40) with young people

与年轻人一起探索 Barrett-Lennard 关系量表 (BLRI Obs-40) 的心理测量特性

• DOI: 10.1080/14779757.2023.2185279
• 发表时间: 2023
• 期刊: Person-Centered & Experiential Psychotherapies
• 影响因子: 0.9
• 作者: Bhatti K