Research at Edinburgh Napier University regarding psychosocial
interventions for trauma has pioneered management of mental health
problems. We have developed and tested a number of individual, group and
self-help interventions aimed at promoting recovery following
psychological childhood and adulthood trauma. We have trained a large
number of healthcare professionals on our interventions in the voluntary
and statutory sectors. Our research has also informed policy regarding the
management of psychological trauma. Self-help materials developed through
our research are currently being used by health and social care workers in
Scotland and abroad, making an impact on the wellbeing of survivors of
Research by Anke Ehlers' group at Oxford University has had major impacts
on the treatment and outcome of post-traumatic stress disorder (PTSD). The
group developed and validated a psychological model of the key factors
that lead to PTSD. A novel form of cognitive therapy (CT) that
specifically targets these psychological processes was then developed.
Randomised controlled trials showed that CT is highly acceptable and
highly effective in recent-onset and chronic PTSD, in adults and children.
It is one of the recommended first-line interventions in the NICE PTSD
guideline. It has been made widely available in the NHS through Improving
Access to Psychological Therapies (IAPT), and is being disseminated
in other countries. Separate research by Ehlers showed that a previously
leading treatment, debriefing, was ineffective, leading to it not
being recommended by NICE.
Research at UCL developed a `screen and treat' model for dealing with
mental health problems in
the aftermath of disasters. This was successfully implemented after the
London bombings in 2005.
The strategy was shown to be very effective in detecting individuals in
severe psychological need,
and those screened and referred within the programme benefited
substantially from evidence-based
treatment. Since then, the model has been adopted in planning for major
incidents in the UK
and abroad. The screening instrument developed at UCL is in widespread use
around the world.
This case study describes the policy and practice impacts of a series of
studies by Claire Fox and colleagues on children's and young people's
social and emotional wellbeing, in particular counselling provision in
schools and domestic abuse prevention education. The research on the
effectiveness of school counselling has been used by the Welsh Assembly to
argue for a national roll-out of counselling in Welsh secondary schools.
It is also being used by those responsible for commissioning counselling
services in England and Northern Ireland. The research on young people and
domestic abuse (DA) centres on the evaluation of a particular DA
prevention programme delivered in North Staffordshire by local charity Arch.
This organisation has benefited substantially from the research findings
in terms of sustaining their work in schools. The research has also had a
broader impact in terms of influencing UK, and European, policy on DA
prevention education in schools.