Childhood unusual experiences in community Child and Adolescent Mental Health Services in South East London: Prevalence and impact

Gin, Kimberley; Banerjea, Partha; Abbott, Chris; Browning, Sophie; Bracegirdle, Karen; Corrigall, Richard; Jolley, Suzanne

doi:10.1016/j.schres.2017.08.046

Cited by 11 publications

(14 citation statements)

References 32 publications

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“…As outlined by Gin et al . (), young people may not disclose these experiences unless they are directly asked about them. Although the development of youth mental health services is still in its relative infancy, the results of this study have equal relevance for both traditional Child and Adolescent and Adult Mental Health service settings.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to these studies, Gin et al . () recently screened for PLEs in young people accessing traditional Child and Adolescent Mental Health Services (CAMHS) for under 18s and showed that around two‐thirds of young people may benefit from targeted interventions for PLEs. The prevalence of PLEs in older adolescents and young adults accessing mental health services is, however, largely unknown, as is the practicality of routine screening within this client group.…”

Section: Introductionmentioning

confidence: 99%

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Clinician‐rated and self‐reported psychotic‐like experiences in individuals accessing a specialist Youth Mental Health Service

Hodgekins

Lower

Wilson

et al. 2018

British J Clinic Psychol

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Clinical Implications Psychotic-like experiences are common in young people with severe non-psychotic mental health problems and should be routinely screened in mental health services. Psychotic-like experiences were found to be more prevalent when using a self-report screening tool compared to a clinician-rated measure. The presence of psychotic-like experiences may reflect more severe and complex mental health problems and may also cause delays in young people accessing the right kind of support. ;Limitations This study only assessed the presence or absence of psychotic-like experiences. Further studies should use more detailed assessments to understand more about the nature of such experiences and how they are appraised and responded to. This study is cross-sectional, and therefore, the direction of the relationships between psychotic-like experiences and depression, anxiety, functioning, and trauma cannot be specified. Longitudinal studies are needed to examine the impact of psychotic-like experiences on long-term outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinician‐rated and self‐reported psychotic‐like experiences in individuals accessing a specialist Youth Mental Health Service

Hodgekins

Lower

Wilson

et al. 2018

British J Clinic Psychol

View full text Add to dashboard Cite

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“…In a recent study, direct evaluation through self report of psychotic-like symptoms experienced by children and adolescents attending community mental health clinics was found to reach 68%, with 60% of these being associated with distress or impairment. 25 Finally, the multiple routes into psychosis, affected both by genetic liability 26 and psychosocial adversity and abuse 27 may not always provide a good pointer towards EOP as they are not unique to psychosis, also being associated with a wide range of brain changes and mental and behavioural disorders with commonly adolescent onset. [28][29][30] The interaction between brain maturational processes, environmental insults and proneness to mental illness are more likely to give mixed or hard-todeconstruct clinical presentations in this age when EOP incidence gradually reaches its peak.…”

Section: Dilemma Number 1: What Are We Treating?mentioning

confidence: 99%

Dilemmas in the treatment of early-onset first-episode psychosis

Hayes

Kyriakopoulos

2018

Therapeutic Advances in Psychopharmacology

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Early-onset first-episode psychosis (EOP) is a severe mental disorder that can pose a number of challenges to clinicians, young people and their families. Its assessment and differentiation from other neurodevelopmental and mental health conditions may at times be difficult, its treatment may not always lead to optimal outcomes and can be associated with significant side effects, and its long-term course and prognosis seem to be less favourable compared with the adult-onset disorder. In this paper, we discuss some dilemmas associated with the evaluation and management of EOP and propose approaches that can be used in the clinical decision-making process. A detailed and well-informed assessment of psychotic symptoms and comorbidities, a systematic approach to treatment with minimum possible medication doses and close monitoring of its effectiveness and adverse effects, and multidimensional interventions taking into consideration risks and expectations associated with EOP, are paramount in the achievement of the most favourable outcomes for affected children and young people.

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“…For example, Gin et al (2018) found a much higher prevalence of PLEs via their self-report measure than typically found via interview assessment (Horwood et al, 2008;Kelleher et al, 2014;Pontillo et al, 2016). Another limitation of birth cohort studies is that the findings may underestimate the true incidence rates of those who developed SSD.…”

Section: Terminology and Measurement Of Epmentioning

confidence: 96%

A systematic literature review of childhood externalizing psychopathology and later psychotic symptoms

Gin

Stewart

Jolley

2020

Clin Psychology and Psychoth

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Childhood onset mental health difficulties are known to be associated with later mental health disorders and worse prognoses in adulthood. Individuals who develop schizophrenia present, from childhood onwards, with cognitive deficits, psychotic‐like experiences (PLEs) and internalizing and externalizing problems (EPs). People with a diagnosis of a schizophrenia spectrum disorder (SSD) are also more likely than people without this diagnosis to engage in aggressive behaviour towards others. This systematic review examines the evidence base investigating associations between childhood EPs and later psychotic symptoms. Searches were conducted on Ovid (Medline and Psychinfo), Pubmed and Scopus. PRISMA best‐practice guidelines for conducting systematic literature reviews were followed. Data were extracted from predefined items and assessed using a quality rating scale. Fifteen studies were identified. Eleven of the 15 studies reported significant associations between childhood externalizing psychopathology and later psychotic symptoms, one study reported an association that did not reach significance, and three studies found no associations. Despite the substantial variations in conceptualization of EP, PLEs and SSD, this review found preliminary evidence for an association between childhood antisocial and aggressive behaviour and the later development of psychotic symptoms. Assessing children with EP for PLEs may be important to inform psychological therapies. More longitudinal studies are needed to better understand outcomes for children with presentations across the EP spectrum.

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Childhood unusual experiences in community Child and Adolescent Mental Health Services in South East London: Prevalence and impact

Abstract: Assessing UEDs routinely in CAMHS is feasible, and suggests that around two thirds of assessed referrals could potentially benefit from interventions targeting UEDs. Additional training may be required for the CAMHS workforce to address this need.

Cited by 11 publications

References 32 publications

Clinician‐rated and self‐reported psychotic‐like experiences in individuals accessing a specialist Youth Mental Health Service

Clinician‐rated and self‐reported psychotic‐like experiences in individuals accessing a specialist Youth Mental Health Service

Dilemmas in the treatment of early-onset first-episode psychosis

A systematic literature review of childhood externalizing psychopathology and later psychotic symptoms

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