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|a 9879185413386
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|a Summary and conclusions of the SBU report Methods to prevent mental ill-health in children
|h Elektronische Ressource
|b a systematic review
|c Swedish Council on Health Technology Assessment
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|a Summary and conclusions, methods to prevent mental ill-health in children
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|a Stockholm, Sweden
|b Swedish Council on Health Technology Assessment
|c 2010, June 2010
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|a 1 PDF file (24, pages)
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|a Includes bibliographical references
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|a Program Evaluation
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|a Child
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|a Systematic Reviews as Topic
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|a Mental Health Services
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|a Mental Disorders / prevention & control
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|a Child Health Services
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|a Statens beredning för medicinsk utvärdering (Sweden)
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|a Program för att förebygga psykisk ohälsa hos barn
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|a eng
|2 ISO 639-2
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|b NCBI
|a National Center for Biotechnology Information
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|u https://www.ncbi.nlm.nih.gov/books/NBK448022
|3 Volltext
|n NLM Bookshelf Books
|3 Volltext
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|a 610
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|a Other programmes used in Sweden have not been scientifically assessed as prevention programmes. Programmes based on having adolescents with externalising behaviour problems meet in groups can increase the risk of norm-breaking behaviour. Other negative effects of programmes that target externalising and internalising behaviour problems are conceivable, but not fully investigated. Randomised trials are needed to study whether the programmes currently in use have preventive effects in Swedish populations and do not involve risks. Also needed are economic studies that investigate whether or not the programs are cost-effective
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|a Since the effects probably vary depending on social and cultural contexts, the extent to which the programmes and their effects can be transferable to Sweden is uncertain. Hence, the programmes may need to be adapted to Swedish values and views on the rights of children. Around 100 different programmes, primarily directed at externalising behaviour, are used in Sweden to prevent mental ill-health in children. None of these has been assessed in Sweden by randomised trials with at least six months of follow up. According to international studies, the preventive effects of the Incredible Years, Triple P, and Family Check-Up programmes are supported by limited scientific evidence. Each of the programmes known as KOMET, COPE, SET, StegVis, Beardslee's Family Intervention, Connect, and DISA have been studied in at least one controlled trial, but the scientific evidence for preventive effects is insufficient.
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|a Finding methods to prevent mental ill-health in children is of urgent importance. Data suggest that mental ill-health in children may have increased in recent decades, and structured interventions to address this problem have become increasingly common in municipal services and health services. Interventions often consist of standardised programmes, which are described in manuals and other documents. This summary describes the scientific evidence for two types of programmes: those intended to prevent externalising behaviour problems (e.g., acting out) in children and adolescents, and those primarily intended to prevent internalising behaviour problems (e.g., anxiety, depression, and self-harm). The programmes are intended to have effects not only directly afterwards, but also in the long term. Programmes aimed at general health promoting effects, e.g., preventing drug abuse and violent acts, are not included.
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|a The report was developed at the request of the Royal Swedish Academy of Sciences and the UPP Centre (Development Centre on Mental Health in Children) at the National Board of Health and Welfare. Both organisations called for a systematic literature review to determine the benefits of using programmes to prevent mental ill-health in children. SBU's Conclusions. Of the 33 standardised and structured programmes assessed, all of which aim to prevent mental ill-health in children, the international literature describes seven that are supported by limited scientific evidence. They include: parenting support programmes (Incredible Years and Triple P), a family support programme (Family Check-Up), and school programmes (Good Behaviour Game, Coping Power, Coping with Stress, and FRIENDS). With few exceptions, the effects are minor. The studies have been conducted in countries outside Sweden.
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