An evaluation of the Cygnet parenting support programme for parents of children with autism spectrum conditions / Lucy STUTTARD in Research in Autism Spectrum Disorders, 23 (March 2016)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 23 (March 2016) . - p.166-178 Titre : An evaluation of the Cygnet parenting support programme for parents of children with autism spectrum conditions Type de document : Texte imprimé et/ou numérique Auteurs : Lucy STUTTARD, Auteur ; Bryony BERESFORD, Auteur ; Susan CLARKE, Auteur ; Jennifer BEECHAM, Auteur ; Andy MORRIS, Auteur Article en page(s) : p.166-178 Langues : Anglais (eng) Mots-clés : Autistic spectrum  Parent training  Child behaviour  Non-randomised controlled trial Index. décimale : PER Périodiques Résumé : Abstract Parents of children on the autistic spectrum often struggle to understand the condition and, related to this, manage their child’s behaviour. Cygnet is a parenting intervention which aims to help parents address these difficulties, consequently improving parenting confidence. It is widely used in the United Kingdom (UK). Despite this, there have been few evaluations. This paper reports a small-scale pragmatic evaluation of Cygnet as it was routinely delivered in two English cities. A non-randomised controlled study of outcomes for parents (and their children) was conducted. Data regarding intervention fidelity and delivery costs were also collected. Parents either attending, or waiting to attend, Cygnet were recruited (intervention group: IG, n = 35; comparator group: CG, n = 32). Parents completed standardised measures of child behaviour and parenting sense of competence pre- and post-intervention, and at three-month follow-up (matched time points for CG). Longer-term outcomes were measured for the IG. IG parents also set specific child behaviour goals. Typically, the programme was delivered as specified by the manual. Attending Cygnet was associated with significant improvements in parenting satisfaction and the specific child behaviour goals. Findings regarding other outcomes were equivocal and further evaluation is required. We conclude that Cygnet is a promising intervention for parents of children with autism in terms of, at least, some outcomes. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.12.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=283 [article] An evaluation of the Cygnet parenting support programme for parents of children with autism spectrum conditions [Texte imprimé et/ou numérique] / Lucy STUTTARD, Auteur ; Bryony BERESFORD, Auteur ; Susan CLARKE, Auteur ; Jennifer BEECHAM, Auteur ; Andy MORRIS, Auteur . - p.166-178. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 23 (March 2016) . - p.166-178 Mots-clés : Autistic spectrum  Parent training  Child behaviour  Non-randomised controlled trial Index. décimale : PER Périodiques Résumé : Abstract Parents of children on the autistic spectrum often struggle to understand the condition and, related to this, manage their child’s behaviour. Cygnet is a parenting intervention which aims to help parents address these difficulties, consequently improving parenting confidence. It is widely used in the United Kingdom (UK). Despite this, there have been few evaluations. This paper reports a small-scale pragmatic evaluation of Cygnet as it was routinely delivered in two English cities. A non-randomised controlled study of outcomes for parents (and their children) was conducted. Data regarding intervention fidelity and delivery costs were also collected. Parents either attending, or waiting to attend, Cygnet were recruited (intervention group: IG, n = 35; comparator group: CG, n = 32). Parents completed standardised measures of child behaviour and parenting sense of competence pre- and post-intervention, and at three-month follow-up (matched time points for CG). Longer-term outcomes were measured for the IG. IG parents also set specific child behaviour goals. Typically, the programme was delivered as specified by the manual. Attending Cygnet was associated with significant improvements in parenting satisfaction and the specific child behaviour goals. Findings regarding other outcomes were equivocal and further evaluation is required. We conclude that Cygnet is a promising intervention for parents of children with autism in terms of, at least, some outcomes. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.12.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=283

Annual Research Review: Child and adolescent mental health interventions: a review of progress in economic studies across different disorders / Jennifer BEECHAM in Journal of Child Psychology and Psychiatry, 55-6 (June 2014)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 55-6 (June 2014) . - p.714-732 Titre : Annual Research Review: Child and adolescent mental health interventions: a review of progress in economic studies across different disorders Type de document : Texte imprimé et/ou numérique Auteurs : Jennifer BEECHAM, Auteur Année de publication : 2014 Article en page(s) : p.714-732 Langues : Anglais (eng) Mots-clés : Economic evaluations  childhood psychiatric disorders  treatment costs  support  costs  outcomes  resources Index. décimale : PER Périodiques Résumé : Background Resources for supporting children and adolescents with psychiatric disorders continue to be scarce. Economics research can identify current patterns of expenditure, and help inform allocation of treatment and support resources between competing needs or uses. Scope and methods The aim was to identify the costs of supporting children and adolescents, the economic impacts of childhood psychiatric disorders in adulthood and any new evidence on the cost-effectiveness of interventions. An electronic search of databases (including PubMed, Medline and Psychinfo) identified peer-reviewed journal articles published between 2005 and 2012. Findings Sixty-seven papers provided data on support and treatment costs now or in the future, or cost-effectiveness analyses of services. Half the articles came from the United States. Most articles focussed on autism spectrum disorder (ASD; 23 articles), attention deficit hyperactivity disorder (ADHD; n = 15), conduct disorder (CD; n = 7), and anxiety or depression (n = 8). Conclusion Only 14 studies used a cost perspective wider than health care; most included education costs (n = 11), but only five included costs to the justice system. The number of studies estimating costs to the family has increased, particularly for children with autism spectrum disorder (ASD). In the United Kingdom, support costs for children and adolescents with conduct disorder (CD) appear to be lower than for those with attention deficit hyperactivity disorder (ADHD), although for the United States, the opposite may be true. Support costs for children and adolescents with ASD may be higher than both CD and ADHD. However, there were many differences between the samples and the methods employed making comparisons between studies difficult. Outcomes in adulthood include negative impacts on (mental) health, quality of life, public sector services, employment status and income. The evidence base is improving for child and adolescent psychiatric disorders, although only one full cost-effectiveness analysis was identified since the previous review published in 2012. However, we still do not know enough about the economic implications of support and treatment for specific disorders. En ligne : http://dx.doi.org/10.1111/jcpp.12216 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=234 [article] Annual Research Review: Child and adolescent mental health interventions: a review of progress in economic studies across different disorders [Texte imprimé et/ou numérique] / Jennifer BEECHAM, Auteur . - 2014 . - p.714-732. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 55-6 (June 2014) . - p.714-732 Mots-clés : Economic evaluations  childhood psychiatric disorders  treatment costs  support  costs  outcomes  resources Index. décimale : PER Périodiques Résumé : Background Resources for supporting children and adolescents with psychiatric disorders continue to be scarce. Economics research can identify current patterns of expenditure, and help inform allocation of treatment and support resources between competing needs or uses. Scope and methods The aim was to identify the costs of supporting children and adolescents, the economic impacts of childhood psychiatric disorders in adulthood and any new evidence on the cost-effectiveness of interventions. An electronic search of databases (including PubMed, Medline and Psychinfo) identified peer-reviewed journal articles published between 2005 and 2012. Findings Sixty-seven papers provided data on support and treatment costs now or in the future, or cost-effectiveness analyses of services. Half the articles came from the United States. Most articles focussed on autism spectrum disorder (ASD; 23 articles), attention deficit hyperactivity disorder (ADHD; n = 15), conduct disorder (CD; n = 7), and anxiety or depression (n = 8). Conclusion Only 14 studies used a cost perspective wider than health care; most included education costs (n = 11), but only five included costs to the justice system. The number of studies estimating costs to the family has increased, particularly for children with autism spectrum disorder (ASD). In the United Kingdom, support costs for children and adolescents with conduct disorder (CD) appear to be lower than for those with attention deficit hyperactivity disorder (ADHD), although for the United States, the opposite may be true. Support costs for children and adolescents with ASD may be higher than both CD and ADHD. However, there were many differences between the samples and the methods employed making comparisons between studies difficult. Outcomes in adulthood include negative impacts on (mental) health, quality of life, public sector services, employment status and income. The evidence base is improving for child and adolescent psychiatric disorders, although only one full cost-effectiveness analysis was identified since the previous review published in 2012. However, we still do not know enough about the economic implications of support and treatment for specific disorders. En ligne : http://dx.doi.org/10.1111/jcpp.12216 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=234

Economic cost of autism in the UK / Martin KNAPP in Autism, 13-3 (May 2009)  

Public ISBD [article]  inAutism > 13-3 (May 2009) . - p.317-336 Titre : Economic cost of autism in the UK Type de document : Texte imprimé et/ou numérique Auteurs : Martin KNAPP, Auteur ; Jennifer BEECHAM, Auteur ; Renée ROMEO, Auteur Année de publication : 2009 Article en page(s) : p.317-336 Langues : Anglais (eng) Mots-clés : ASD autism costs economics families services Index. décimale : PER Périodiques Résumé : Autism has lifetime consequences, with potentially a range of impacts on the health, wellbeing, social integration and quality of life of individuals and families. Many of those impacts are economic. This study estimated the costs of autism spectrum disorders (ASDs) in the UK. Data on prevalence, level of intellectual disability and place of residence were combined with average annual costs of services and support, together with the opportunity costs of lost productivity. The costs of supporting children with ASDs were estimated to be £2.7 billion each year. For adults, these costs amount to £25 billion each year. The lifetime cost, after discounting, for someone with ASD and intellectual disability is estimated at approximately £1.23 million, and for someone with ASD without intellectual disability is approximately £0.80 million. En ligne : http://dx.doi.org/10.1177/1362361309104246 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=728 [article] Economic cost of autism in the UK [Texte imprimé et/ou numérique] / Martin KNAPP, Auteur ; Jennifer BEECHAM, Auteur ; Renée ROMEO, Auteur . - 2009 . - p.317-336. Langues : Anglais (eng) in Autism > 13-3 (May 2009) . - p.317-336 Mots-clés : ASD autism costs economics families services Index. décimale : PER Périodiques Résumé : Autism has lifetime consequences, with potentially a range of impacts on the health, wellbeing, social integration and quality of life of individuals and families. Many of those impacts are economic. This study estimated the costs of autism spectrum disorders (ASDs) in the UK. Data on prevalence, level of intellectual disability and place of residence were combined with average annual costs of services and support, together with the opportunity costs of lost productivity. The costs of supporting children with ASDs were estimated to be £2.7 billion each year. For adults, these costs amount to £25 billion each year. The lifetime cost, after discounting, for someone with ASD and intellectual disability is estimated at approximately £1.23 million, and for someone with ASD without intellectual disability is approximately £0.80 million. En ligne : http://dx.doi.org/10.1177/1362361309104246 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=728

A good investment: longer-term cost savings of sensitive parenting in childhood / C. J. BACHMANN in Journal of Child Psychology and Psychiatry, 63-1 (January 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-1 (January 2022) . - p.78-87 Titre : A good investment: longer-term cost savings of sensitive parenting in childhood Type de document : Texte imprimé et/ou numérique Auteurs : C. J. BACHMANN, Auteur ; Jennifer BEECHAM, Auteur ; T. G. O'CONNOR, Auteur ; Jackie BRISKMAN, Auteur ; S. SCOTT, Auteur Article en page(s) : p.78-87 Langues : Anglais (eng) Mots-clés : Adolescent  Adult  Child  Child, Preschool  Cost Savings  Humans  Longitudinal Studies  Parent-Child Relations  Parenting  Parents  Antisocial behaviour  costs  physical abuse  sensitive responding Index. décimale : PER Périodiques Résumé : BACKGROUND: Good quality parenting in early childhood is reliably associated with positive mental and physical health over the lifespan. The hypothesis that early parenting quality has significant long-term financial benefits has not been previously tested. METHODS: Design: Longitudinal study with follow-up from 2012 to 2016. SETTING: UK multicentre study cohort (London, South-East England). PARTICIPANTS: 174 young people drawn from 2 samples, one at moderate risk of poor outcomes and one at high risk, assessed aged 4-6?years then followed up in early adolescence (mean age 12.1?years). MEASURES: The primary outcome was total costs: health, social care, extra school support, out-of-home placements and family-born expenditure, determined through semistructured economic interviews. Early parenting quality was independently assessed through direct observation of parent-child interaction. RESULTS: Costs were lower for youths exposed to more sensitive parenting (most sensitive quartile mean £1,619, least sensitive quartile mean £21,763; p? En ligne : http://dx.doi.org/10.1111/jcpp.13461 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 [article] A good investment: longer-term cost savings of sensitive parenting in childhood [Texte imprimé et/ou numérique] / C. J. BACHMANN, Auteur ; Jennifer BEECHAM, Auteur ; T. G. O'CONNOR, Auteur ; Jackie BRISKMAN, Auteur ; S. SCOTT, Auteur . - p.78-87. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-1 (January 2022) . - p.78-87 Mots-clés : Adolescent  Adult  Child  Child, Preschool  Cost Savings  Humans  Longitudinal Studies  Parent-Child Relations  Parenting  Parents  Antisocial behaviour  costs  physical abuse  sensitive responding Index. décimale : PER Périodiques Résumé : BACKGROUND: Good quality parenting in early childhood is reliably associated with positive mental and physical health over the lifespan. The hypothesis that early parenting quality has significant long-term financial benefits has not been previously tested. METHODS: Design: Longitudinal study with follow-up from 2012 to 2016. SETTING: UK multicentre study cohort (London, South-East England). PARTICIPANTS: 174 young people drawn from 2 samples, one at moderate risk of poor outcomes and one at high risk, assessed aged 4-6?years then followed up in early adolescence (mean age 12.1?years). MEASURES: The primary outcome was total costs: health, social care, extra school support, out-of-home placements and family-born expenditure, determined through semistructured economic interviews. Early parenting quality was independently assessed through direct observation of parent-child interaction. RESULTS: Costs were lower for youths exposed to more sensitive parenting (most sensitive quartile mean £1,619, least sensitive quartile mean £21,763; p? En ligne : http://dx.doi.org/10.1111/jcpp.13461 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456

Inpatient treatment in child and adolescent psychiatry – a prospective study of health gain and costs / Jonathan GREEN in Journal of Child Psychology and Psychiatry, 48-12 (December 2007)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 48-12 (December 2007) . - p.1259–1267 Titre : Inpatient treatment in child and adolescent psychiatry – a prospective study of health gain and costs Type de document : Texte imprimé et/ou numérique Auteurs : Jonathan GREEN, Auteur ; Jennifer BEECHAM, Auteur ; Brian JACOBS, Auteur ; Graham DUNN, Auteur ; Leo KROLL, Auteur ; Catherine TOBIAS, Auteur ; Jackie BRISKMAN, Auteur Année de publication : 2007 Article en page(s) : p.1259–1267 Langues : Anglais (eng) Mots-clés : Child adolescent psychiatry inpatient outcomes costs Index. décimale : PER Périodiques Résumé : Background: Inpatient treatment is a complex intervention for the most serious mental health disorders in child and adolescent psychiatry. This is the first large-scale study into its effectiveness and costs. Previous studies have been criticised for methodological weaknesses. Methods: A prospective cohort study, including economic evaluation, conducted in 8 UK units (total n = 150) with one year follow-up after discharge. Patients acted as their own controls. Outcome measurement was the clinician-rated Childhood Global Assessment Scale (CGAS); researcher-rated health needs assessment; parent- and teacher-rated symptomatology. Results: We found a significant (p < .001) and clinically meaningful 12-point improvement in CGAS following mean 16.6 week admission (effect size .92); this improvement was sustained at 1 year follow-up. Comparatively, during the mean 16.4 week pre-admission period there was a 3.7-point improvement (effect size .27). Health needs assessment showed similar gain (p < .001, effect size 1.25), as did teacher- and parent-rated symptoms. Improvement was found across all diagnoses. Longer stays, positive therapeutic alliance and better premorbid family functioning independently predicted better outcome. Mean cost of admission was £24,100; pre-admission and post-discharge support costs were similar. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01802.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=310 [article] Inpatient treatment in child and adolescent psychiatry – a prospective study of health gain and costs [Texte imprimé et/ou numérique] / Jonathan GREEN, Auteur ; Jennifer BEECHAM, Auteur ; Brian JACOBS, Auteur ; Graham DUNN, Auteur ; Leo KROLL, Auteur ; Catherine TOBIAS, Auteur ; Jackie BRISKMAN, Auteur . - 2007 . - p.1259–1267. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 48-12 (December 2007) . - p.1259–1267 Mots-clés : Child adolescent psychiatry inpatient outcomes costs Index. décimale : PER Périodiques Résumé : Background: Inpatient treatment is a complex intervention for the most serious mental health disorders in child and adolescent psychiatry. This is the first large-scale study into its effectiveness and costs. Previous studies have been criticised for methodological weaknesses. Methods: A prospective cohort study, including economic evaluation, conducted in 8 UK units (total n = 150) with one year follow-up after discharge. Patients acted as their own controls. Outcome measurement was the clinician-rated Childhood Global Assessment Scale (CGAS); researcher-rated health needs assessment; parent- and teacher-rated symptomatology. Results: We found a significant (p < .001) and clinically meaningful 12-point improvement in CGAS following mean 16.6 week admission (effect size .92); this improvement was sustained at 1 year follow-up. Comparatively, during the mean 16.4 week pre-admission period there was a 3.7-point improvement (effect size .27). Health needs assessment showed similar gain (p < .001, effect size 1.25), as did teacher- and parent-rated symptoms. Improvement was found across all diagnoses. Longer stays, positive therapeutic alliance and better premorbid family functioning independently predicted better outcome. Mean cost of admission was £24,100; pre-admission and post-discharge support costs were similar. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01802.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=310

Research Review: Harnessing the power of individual participant data in a meta?analysis of the benefits and harms of the Incredible Years parenting program / Patty LEIJTEN in Journal of Child Psychology and Psychiatry, 59-2 (February 2018)  

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Social services support and expenditure for children with autism / Andrew BEBBINGTON in Autism, 11-1 (January 2007)  

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The cost of love: financial consequences of insecure attachment in antisocial youth / C. J. BACHMANN in Journal of Child Psychology and Psychiatry, 60-12 (December 2019)  

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