DISCOVER Workshop Programme for Care Experienced Young People

Study Overview
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Brief Summary
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The NHS DISCOVER team has secured 2-year funding from the Maudsley Charity to tailor the workshop programme the investigators deliver in school Sixth Forms to meet the specific needs of Care Experienced young people. The investigators are planning to complete a pilot of this adapted workshop programme within Medway Children's Social Services to explore its feasibility, accessibility, acceptability and early-stage efficacy within this population of adolescents. Investigators from the DISCOVER team will recruit young people aged 16-19yrs who are currently known to the Medway Care Leavers 16+ teams. The study will be conducted at Medway Local Authority sites, with the option of some stages being completed remotely via Microsoft Teams if needed in the context of the ongoing COVID-19 pandemic.

Official Title
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DISCOVER Getting the Life You Want Workshop Programme for Care Experienced Young People Aged 16-19: A Feasibility and Acceptability Pilot Study

Conditions
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Mental Health Issue, Emotional Stress, Emotional Regulation

Intervention / Treatment
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* Other: DISCOVER workshop programme


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants who are eligible to take part in this DISCOVER research project will be: Young people aged 16-19 years who have experience of being in Care and are currently under one of the Medway Children's Social Care, Care Leavers 16+ teams. This means that they are either currently a Looked After young person or a Care Leaver (i.e. they are no longer Looked After but they remain under the care of a Medway Care Leavers team). Able to work within a group setting over the course of a day workshop. Able to communicate and read in English. Exclusion Criteria: The investigators will not be able to recruit young people to the project if they are: Acutely psychotic or actively suicidal. Currently taking part in other research project(s). Under the influence of alcohol or any other substances during DISCOVER programme meetings - this is essential as a safety consideration for all participants and staff. Struggles with alcohol/substance use in themselves are not necessarily grounds for exclusion; the investigators will discuss with the allocated member of the young person's Care Leavers 16+ team on a case-by-case basis where relevant. Unable to communicate and read in English - as the investigators are at an early stage in developing this DISCOVER workshop programme for Care Experienced young people, these young people must be excluded at this time. However, the investigators are eager to review this criterion in future to enhance the accessibility of the intervention, once the initial feasibility and acceptability of the workshop programme has been established.

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: Case series
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: DISCOVER workshop programme<br>As this is a case series study, all participants will receive the intervention (i.e. no other arms to the study design). The DISCOVER workshop programme includes: 1:1 mental health and emotional well-being assessment session with a Clinical Psychologist, a group workshop day, follow-up supportive phone calls and a closing follow-up 1:1 mental health and emotional well-being session with a Clinical Psychologist. | Other: DISCOVER workshop programme<br>* See arm description. The manualised group workshop day is informed by Cognitive Behaviour Therapy and Acceptance & Commitment Therapy principles.<br>* Other names: DISCOVER Getting the Life You Want;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant uptake (Feasibility & acceptability) | Number of young people who come forward for and ultimately take part in the new DISCOVER workshop programme | From outset of recruitment, through to final study completion: 10 months | 
| Participant retention (Feasibility & acceptability) | Number of young people who remain in the study throughout all stages of the programme | From outset of recruitment, through to final study completion: 10 months | 
| Participant feedback about experience of the programme (Acceptability) | DISCOVER semi-structured interview to gather participants' qualitative feedback about the programme | During closing follow-up one-to-one meeting with DISCOVER team: 2 months after workshop day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mood and Feelings Questionnaire (Angold et al., 1995) | Depression/low mood symptoms (self-report) - Scores range from 0-66 - higher score indicates higher level of depression symptoms | CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day) | 
| The Screen for Child Anxiety Related Disorders (Birmaher et al, 1999) | Anxiety symptoms (self-report) - Scores range from 0-82 - higher score indicates higher level of anxiety | CHANGE MEASURE: Pre- and post-workshop 1:1 meetings (Baseline - 2 months after workshop day) | 
| Child & Adolescent Mindfulness Measure (Greco et al., 2011) | Capacity for mindfulness (self-report) - Scores range from 0-40 - higher score indicates higher level of mindfulness (after reverse scoring) | CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day) | 
| Warwick & Edinburgh Mental Well-Being Scale (Tennant et al., 2007) | Emotional well-being and resilience (self-report) - Scores range from 14-70 - higher score indicates greater positive mental wellbeing | CHANGE MEASURE: Pre-workshop and follow-up one-to-one meetings (Baseline - 2 months after workshop day) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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CARE LEAVERS, LOOKED AFTER CHILDREN, PSYCHOLOGICAL INTERVENTION, WORKSHOP PROGRAMME, ADAPTATION, COGNITIVE BEHAVIOUR THERAPY, ACCEPTANCE AND COMMITMENT THERAPY