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Working Things Out Team

‘ Working Things Out ’ - an evidence-based programme to engage young people. Carol Fitzpatrick & WTO team. Working Things Out Team. Eileen Brosnan, Diane Beattie, John Sharry, Deirdre Cleary, Lorna Power, Mike Power, Andrea Conlon, Martha Noone & Suzanne Guerin.

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Working Things Out Team

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  1. ‘Working Things Out’ - an evidence-based programmeto engage young people.Carol Fitzpatrick& WTO team

  2. Working Things Out Team Eileen Brosnan, Diane Beattie, John Sharry, Deirdre Cleary, Lorna Power, Mike Power, Andrea Conlon, Martha Noone & Suzanne Guerin. SPHE Support Service Dept. of Education

  3. Working Things Out DVD • 15 stories made by young people who have coped with mental health difficulties • Own voices • Own words • Strengths based

  4. Working with individual young people • Low key • Engage as ( reluctant ) consumer • ‘Interested in your views on this’ • Third person questions • Facilitator position

  5. Working Things Out Adolescent Group Programme An 8 week CBT based programme Aims: • to reduce depressive symptoms • improve coping skills • improve general functioning • decrease emotional and behavioural symptoms • to make progress in overcoming challenges and reaching goals.

  6. Evaluation Participants: Adolescents newly referred to Mater CAMHS Method: Random allocation to WTO group or TAU

  7. Measures • Kiddie-SADS-PL (Kaufman et al., 1996) • Strengths & Difficulties Questionnaire (Goodman, 1997) – both parent report and adolescent report • Adolescent Coping Scale (Frydenberg & Lewis, 1993) • Reynolds Adolescent Depression Scale, Version 2 (Reynolds, 2002) • Challenges and Goals Forms (Sharry et al., 2005) – rated by both parent and adolescent • General Health Questionnaire (Goldberg, 1978) – completed by parent • Clinical Global Impressions Scale (Guy, 1976) • Children’s Global Assessment Scale (Shaffer et al., 1983)

  8. Results WTO group: N = 33, Mean age: 14.2 M:F 17:16 No. of sessions 6.4 TAU group: N = 34, Mean age: 13.9 M:F 19:15 No. of sessions 5

  9. Results Adolescent Coping Scale: Sig. improvement in + coping in WTO group, not in TAU group Adolescent SDQ Total Problem Score: No significant change in either group. Adolescent SDQ Pro-social scale: Sig. improvement in WTO group, not in TAU group; improvement significantly related to male gender

  10. Results Parent SDQ Total Problem Score: Improvement in both groups, not sig. Reynolds Depression Scale: No change in either group. CGAS: Significant improvement in both groups, no difference.

  11. Working Things Out through SPHE

  12. Evaluation Aims: • To determine if students participating in ‘enhanced SPHE’ had better outcomes in terms of help-seeking, emotional and behavioural difficulties, and view of school ethos.

  13. Measures • Strengths & Difficulties Questionnaire (Goodman, 1997) adolescent report • Children’s Coping Strategies Checklist (Ayers & Sandler, 1996 ) measures coping strategies in 4 domains: support seeking, avoidance, active coping, distraction. • ‘Getting Help for Personal Problems’ • ‘What is your school like’ ( School Ethos )

  14. Evaluation Participants Second year students in17 post-primary schools Method Random allocation by class group to routine SPHE or enhanced SPHE

  15. Results 1080 students participated at T1 Data available at T1, T2, and T3 for 785 ( 73%) Non-completers were younger, with significantly higher scores on SDQ conduct problems, total problems, and lower pro-social behaviour, and lower active coping strategies.

  16. Results 178 students ( 23%) scored 16 or > on SDQ Total Problems Score indicating being ‘at risk’. Equally divided between RP and EP

  17. Conclusions • Working Things Out Stories are useful for engaging adolescents • Working Things Out Adolescent Group Programme benefits adolescent coping, and may improve pro-social behaviour in males • Working Things Out through SPHE may specifically benefit ‘at risk’ adolescent males

  18. Acknowledgements The young people and their parents who participated Funders: Health Research Board Mater Foundation ESB ElectricAid Northern Area Health Board The National Suicide Review Group Parents Plus

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