There are currently more than 2 million internationally displaced Syrian refugee children in countries surrounding Syria, with more than 500,000 living in Lebanon4. Children are particularly vulnerable in humanitarian settings, and psychological treatments are not easily accessible for them, or may be provided in settings that do not allow to address individual needs2.
This project focuses on the development of a new innovative approach for the delivery of an effective mental health treatment (Common Elements Treatment Approach – CETA) to children in low-resource and humanitarian settings over the phone. t-CETA is Cognitive Behavioural Therapy (CBT) based approach that will be delivered over the telephone. Components are available for common problems, including anxiety, depression, PTSD, conduct problems, substance abuse, and safety issues (including self-harm or suicidal ideation), and a tailored treatment package is produced for each child based on the presenting problem(s) and response to treatment. t-CETA sessions of up to 30 minutes will be delivered 1-2 times per week for approximately 8-12 weeks. The active Comparator will be treatment as usual (TaU) provided by Médecins du Monde. The number and content of sessions will vary depending on the needs of the child. Primary and Secondary outcomes being measure will include:
Primary outcome measures:
- Emotional and behavioural problem composite score
- Adaptive functioning score
Secondary outcome measures:
- PTSD symptom score
- Depression symptom score
- Anxiety symptom score
- Externalising behaviour problems
- Response to intervention
- Well-Being score
The delivery of psychological services over the phone has the potential to significantly reduce the burden associated with requiring specialist services within the fragmented health systems in humanitarian settings with poor access to mental health care services. Moreover, it seeks to make psychological interventions much more accessible at a significantly reduced cost compared to current standard methodologies.
- To produce a detailed manual and training materials for t-CETA
- Obtain first empirical evidence for the efficacy of t-CETA.
- Engage in uptake activities such as workshops to introduce t-CETA and provide information on its implementation to interested academics, clinicians, organisations and agencies