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Prior to King's College London (KCL) research, social workers did not regularly assess mental health needs of Looked After Children (i.e. those in the care of their Local Authority). KCL investigations showed that 45% of British Looked After Children have mental health disorders, considerably pushing this issue up the policy agenda. KCL developed assessments that are now the statutory annual measures used by all Local Authority children's services in England. The assessments enable Local Authorities to identify the treatment needs of Looked After Children and plan accordingly. The Department for Education requires Local Authorities to complete the measures. The measures are used worldwide and are now key elements of treatment trials of social and psychological interventions to reduce the level of difficulties in Looked After Children.
The Greenwood Institute of Child Health is a unique collaboration between the University and public service providers such as the NHS, which aims to improve psychological outcomes for children in high-risk settings. From 1993 to 2013, Greenwood's research has highlighted the increased risk of mental health, drug dependence and criminal activity among children who suffer trauma — through abuse, living in care, homelessness or war. Greenwood's programme of research has identified the complex and persistent needs of vulnerable children and contributed to changes in policy guidelines and service provision across social care in the UK (foster care / adoption, juvenile detention and homelessness) and abroad (war). Collaboration between researchers at the Greenwood Institute, service providers and practitioners has been instrumental in the establishment of clinically relevant and cost-effective care pathways, while community engagement has led to improved service provision and outcomes for vulnerable children and their families / carers in the UK and further afield.
A research programme of randomised controlled trials undertaken at the University of Southampton demonstrating the efficacy of the New Forest Parenting Programme (NFPP) played a crucial role in: (i) influencing the developers of clinical guidelines to recommend parent training in general as a core part of the treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) and (ii) establishing the NFPP, in particular, as a widely employed evidence-based treatment for ADHD, a condition estimated to affect up to 400,000 children in the UK alone. As a direct result of the trials, the programme, a novel therapeutic intervention that teaches parents of preschool children with ADHD how to modify their children's behaviour and improve their self-regulation, has been included in the National Institute for Health and Clinical Excellence (NICE) and other clinical guidelines and recommended internationally as an effective alternative to medication, which often brings only short-term benefits and is associated with a range of potentially debilitating side-effects.
Research on adoption and the inter-agency fee influenced a major governmental review of adoption policy and practice. Selwyn's work led to positions as: academic advisor on the Government's expert working group on adoption; advisor to the Treasury; member of No 10's policy group; and she gave written and oral evidence to the House of Lords and House of Commons Select Committees as part of the adoption reform. Her research on adoption and the subsequent government action led to a significant strengthening of the capacity of the voluntary adoption agencies and changes in social work practice resulting in adoption numbers rising from 3,090 (2011-12) to 3,980 (2012-13). Local authorities were advised to remove the structural disincentive caused by the fee no later than September 2013. Findings also provided key evidence for the Charity Commission in its case against the Catholic Church's appeal to be exempt from equality legislation.
Professor Dieter Wolke has led several research programmes that delineate the long-term health effects of prenatal exposure to stress and moderate/late preterm, very preterm, and extremely preterm birth. His research has had a direct impact on international medical guidelines and educational recommendations for babies born preterm. The research has also informed European political debate (via a White Paper for the European parliament) on healthcare policy related to after care for preterm or sick children; has influenced UK policy regarding the education of children born preterm; and has contributed to public and practitioner understanding through media items issued, for example, by the NHS and the Royal College of Obstetricians and Gynaecologists.
The Millennium Cohort Study (MCS) has influenced health policy and practice at local, national and international levels. Breastfeeding research based on MCS data has made a particularly important contribution to health education, and important insights have been provided on immunisation and obesity. The study has also helped to shape policy thinking and public discussion on issues such as social mobility, family poverty and child development. The MCS has not only created an invaluable resource for researchers in the UK and other countries, it has also served as a model for other cohort studies. Leading researchers around the world say it sets the benchmark against which other child cohort studies will be measured.
Anxiety disorders are the most common emotional disorders in children, affecting up to 19% of all children and adolescents, and are associated with significant impairment and poor long term outcomes. Research at the University of Reading has highlighted particular parental factors associated with the development and persistence of childhood anxiety disorders. This research led to the development of a brief treatment which has proven effective for a significant sub-group (>70%) of patients. The treatment has been widely implemented in the U.K. and internationally. As a result, the research has increased access to evidence based treatment, which has benefitted affected children, their parents/caregivers and children's mental health services.
Improving outcomes for children, young people and families focuses on supporting the development of health and social care initiatives to promote social inclusion and improve quality of life, family cohesion, and health outcomes for `troubled', at risk, and disadvantaged families, demonstrating the following impact:
The impact of this case study is that every preschool child in Northern Ireland has followed an educational programme, developed at Queen's University Belfast (QUB) from 2003 onwards, on respect for ethnic diversity. It has been adopted and embedded within practice by more than 1,200 preschool settings with more than 40,000 children in Northern Ireland and The Republic of Ireland. In Northern Ireland children as young as three years old have been shown to hold sectarian and racist attitudes. As a result of the work there were major changes on the attitudes of preschool children in terms of respect for ethnic diversity in Northern Ireland. A partnership with US-based Sesame Workshop and the BBC produced a children's television series. Every preschool child in Northern Ireland has seen the series. This has also resulted in less racist and sectarian behaviours amongst the pre-school population. There are early childhood programmes, based upon this work, to promote respect for ethnic diversity being developed in Indonesia, Kenya and Colombia.
King's College London (KCL) researchers developed cognitive behaviour therapy for psychosis (CBTp), which is now a National Institute for Health and Care Excellence-recommended psychological intervention. CBTp is now part of routine NHS treatment and an estimated 25,000 patients in England and Wales receive it annually. Implementation of CBTp has been steered by KCL researchers' involvement with the Government's Increasing Access to Psychological Therapies — Severe Mental Illness initiative. The KCL model for CBTp has been used to develop clinics in Australia and the US and information on this therapy is disseminated via a KCL-led website.