Projects per year
BACKGROUND: One in ten children in Britain have been identified as experiencing a diagnosable mental health disorder. School-based humanistic counselling (SBHC) may help young people identify, address, and overcome psychological distress. Data from four pilot trials suggest that SBHC may be clinically effective. However, a fully powered randomised controlled trial (RCT) is needed to provide a robust test of its effectiveness, to assess its cost-effectiveness, and to determine the process of change.
METHODS/DESIGN: The Effectiveness and Cost-effectiveness Trial of Humanistic Counselling in Schools (ETHOS) is a two-arm, parallel-group RCT comparing the clinical and cost-effectiveness of SBHC with Pastoral Care as Usual (PCAU) in school settings. Eligibility criteria for young people include being between 13 and 16 years of age and experiencing moderate to severe levels of emotional distress. Participants are randomised to receive either SBHC or PCAU. SBHC is delivered in up to 10 weekly, individual sessions in their school with a qualified, experienced counsellor who has also received training using a clinical practice manual. Adherence to the SBHC model is assessed by a sub-team of auditors and in clinical supervision. PCAU consists of the schools' pre-existing systems for supporting the emotional health and well-being of students. The primary outcomes are psychological distress measured using the Young Person's Clinical Outcomes in Routine Evaluation (YP-CORE) and costs evaluated using the Client Service Receipt Inventory (CSRI). Secondary outcomes include psychological difficulties, levels of depression, anxiety and self-esteem, well-being, school engagement, educational outcomes and achievement of personal goals. Qualitative interviews with participants, parents and school staff will look to identify the mechanisms of change in SBHC. Researchers administering the measures are blind to allocation. The trial requires n = 306 participants (n = 153 in each group), with 90% power to detect a standardised mean difference (SMD) of 0.5. An intention-to-treat analysis will be undertaken.
DISCUSSION: This RCT is powered to detect clinically meaningful differences, and will make a major contribution to the evidence base for mental health provision for adolescents. It will have implications for all stakeholders, including policy-makers, statutory advisory bodies for child welfare, head teachers, children and young people practitioners, child welfare and parenting organisations, and young people.
TRIAL REGISTRATION: Controlled Trials International Standard Randomised Controlled Trial Number (ISRCTN) Registry, ID: ISRCTN10460622 . Registered on 11 May 2016.
|Number of pages||16|
|Publication status||Published - 9 Mar 2018|
- school-based humanistic counselling
- randomised controlled trial
- young people
- psychological distress
- 2 Active
Counselling for Young People and Children
1/12/04 → …
Person-Centred Therapy: Research and Development
1/05/99 → …
Effectiveness and cost-effectiveness trial of humanistic counselling in schools for young people with emotional distress
Cooper, M. (Creator), UK Data Service: ReShare, 2021
DOI: 10.5255/UKDA-SN-853764, https://reshare.ukdataservice.ac.uk/853764/
- 2 Article
Brief humanistic counselling with an adolescent client experiencing obsessive‐compulsive difficulties: A theory‐building case studyRalph, S. & Cooper, M., 3 Jan 2022, In: Counselling and Psychotherapy Research. 22, 3
Research output: Contribution to journal › Article › peer-review
‘They need somebody to talk to': Parents' and carers' perceptions of school-based humanistic counsellingLonghurst, P., Sumner, A. L., Smith, S., Eilenberg, J., Duncan, C. & Cooper, M., 9 Dec 2021, In: Counselling and Psychotherapy Research. 22, 3, 11 p.
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile27 Downloads (Pure)