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School-based screening for childhood anxiety problems and intervention delivery: a codesign approach
Victoria Williamson1,2,3, Michael Larkin4, Tessa Reardon2,3
1Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
BMJ Open
|June 21, 2022
Summary
A school-based program was codesigned to identify and treat child anxiety problems, overcoming barriers like stigma and limited access to specialist services. This approach aims to improve evidence-based care for children experiencing anxiety.
Area of Science:
- Child and Adolescent Mental Health
- Educational Psychology
- Public Health Interventions
Background:
- Limited access to evidence-based treatment for childhood anxiety is a significant public health concern.
- Barriers include identification challenges, stigma, and service availability.
- School-based programs offer a promising avenue to overcome these access issues.
Purpose of the Study:
- To describe the codesign process for developing a primary school-based screening and intervention program for child anxiety.
- To detail the co-development of a program integrating screening and intervention for child anxiety.
Main Methods:
- Utilized a codesign methodology involving children, parents, school staff, and mental health practitioners.
- Collected data from Year 4 children (aged 8-9), parents, school staff, and mental health practitioners in UK primary schools.
- Employed a process-based approach to program development and evaluation.
Main Results:
- The developed program's user experience and perceptions were assessed across diverse stakeholder groups.
- Program adaptations were made based on valuable user feedback.
- The study reports on the implementation and reception of the codesigned intervention.
Conclusions:
- Codesign is an effective method for developing school-based mental health programs.
- Lessons learned and mitigation strategies can inform future implementation of similar initiatives.
- Recommendations are provided for optimizing school-based screening and intervention programs for child anxiety.
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