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Supporting Troubled Young People provides a vital and much-needed resource for anyone involved with children and young people who are suffering from or at risk of developing, mental health problems. Problems such as self-harm, eating disorders, and anxiety and depression are increasing, while young men, in particular, are at increasing risk of suicide. This is against a backdrop of NHS CAMH services unable to cope with demand and resources in the voluntary sector being stretched beyond their capacity. This means parents, teachers, social workers and nurses are often the first and only help available. This book gives them a jargon-free, accessible guide to help them assess situations, provide skills and guidance to support children and young people, and know how and where to get more help for them. Full of practical tips, advice, exercises and case studies. Articulates gender, multi-cultural, spirituality and sexuality issues. Tackles contemporary issues such as cyber bullying, eating disorders and self-harm. Uses research and established theory in an engaging way enabling the reader to translate ideas into modern multi-cultural practice. Supporting Troubled Young People provides any worker involved in supporting, helping and caring for young people with a practical resource to use in their work as teachers, social workers, nurses, youth workers, doctors, foster carers, residential staff, psychologists and psychiatrists. Parents and young people will also find much of value here. This book makes a rich contribution to the understanding and treatment of children's mental health at a time when this is desperately needed. It is well-informed, full of case illustrations to guide the reader, and is written by a compassionate therapist and researcher with a solid grasp of the complex social environment in which children live today. Dr Chris Nicholson - Head of the Department of Psychosocial and Psychoanalytic Studies, University of Essex

Care providers working with adolescents with anorexia nervosa (AN) encounter difficulties inherent in the illness (denial, ambivalence) and those related to the fact that it is most often the parents who bring adolescents to care units. Our aim was to study attitudes towards care among adolescents with AN treated in a specialised day hospital using an analysis of letters written before and after treatment. Adolescents (12-20 years old) treated for AN in a specialised day hospital, providing multidisciplinary care while enabling a return to schooling inside the facility were included. We analysed 50 admission letters and 23 goodbye letters using general inductive analysis. A mirror analysis was conducted. In the admission letters, symptoms, calls for help, and reports on the adolescents' care trajectories were central themes. Among the categories noted in both the admission and the goodbye letters, some were similar, some mirrored others and a few differed. This study highlights how ambivalence and motivations towards care, recovery and illness all interact. It also shows the evolution of the adolescents' positions via their narratives on their experience of care, the constraints involved and its benefits for them. The results are discussed in a care perspective.

Like many other nations, the rates of mental illness among children and youth have risen. Youth and emerging adults (YEA) between the ages of 16 and 25, in particular, have the highest rate of mental health disorders of any age group leading clinicians and researchers to ponder new and innovative ways to treat mental ill health (1-2). Youth centred practices (YCP) have emerged as possible new approaches in youth mental health care to better treat YEA living with mental illness, but also to empower this population to take control of their wellbeing. Despite the growing use of the term 'youth-centred,' there is little consensus on what this looks like in mental health care for youth. Using research coming out of MINDS of London-Middlesex, we explore how mental health professionals, including clinicians, researchers, administrative staff, and trainees, understand the term YCP and how they implement youth-centredness in practice. Using a Youth Participatory Action Research framework as a guide, MINDS' researchers worked alongside YEA research assistants in all phases of research. Participants were selected from a pool of known practitioners and mental health programs utilizing YCP, as identified by YEA research assistants. Qualitative focus group and interviews, developed using an appreciative inquiry approach, were conducted with 13 mental health care professionals, staff, and trainees to ascertain how they understand and practice YCP. Researchers conducted a codebook thematic analysis of the data: five themes and fourteen subthemes were identified. Our analysis identified five main themes: (1) Acknowledging YCP's Role in Supporting YEA Mental Health; (2) Developing Authentic and Meaningful Relationships Between YEA and Care Providers; (3) Collaboration in Care: Engaging YEA as Active Agents in their Treatment; (4) Creation and Maintenance of Accessible Service to Facilitate YEA Engagement; and (5) Moving Beyond Tacit Knowledge to YCP as a Trainable Construct. Underlying each of these key components of YCP was a thread of recognition that systems of care for YEA must be responsive to the unique needs of those the system intends to serve. This process is seen as dynamic and fluid; often representative of societal change and growth, the specific needs of YEA will remain in flux and YCP approaches require continued reflexivity. When YCPs are used in mental health care, YEA and their lived experiences are respected by trusted adults on their care team. At the core, YCPs are collaborative. There is a shift from the dynamic of \"practitioner as expert\" to one that provides YEA a sense of agency and autonomy to make informed decisions regarding their care.

Smartphone overuse (SO) is pervasive and is detrimental to individuals' quality of life, physical and mental health, and academic/career achievements. Attention-deficit hyperactivity disorder (ADHD) diagnosis and traits are consistently identified as risk factors of SO. Studies revealed that SO interventions can bring about large positive effects on SO, yet there is no published SO intervention for clinically-diagnosed ADHD individuals using a randomized controlled trial (RCT) design. Moreover, very few studies investigated ADHD symptoms and neural correlates of SO as outcome measures of SO interventions. The overall aim of the proposed study is to develop and evaluate a smartphone-based behavioral and individualized intervention for adolescents with ADHD and SO in Hong Kong. We will implement a behavioral smartphone-based RCT intervention with two parallel groups of clinically diagnosed ADHD adolescents with SO in Hong Kong. A total of 120 adolescents with ADHD will be recruited. The intervention group will receive a 12-week individualized behavioral intervention with weekly reminders, implementing specific strategies that counter the potentially addictive qualities of smartphones using built-in smartphone functions. The control group participants will self-monitor their smartphone usage. During the intervention phase, participants will be contacted once a week to collect the objective smartphone use patterns. Both groups will be measured on smartphone dependence and ADHD symptoms, and resting-state electroencephalogram (EEG) signals under the smartphone salient vs. smartphone non-salient conditions will be recorded. Parents need to report children's ADHD symptoms. These outcomes will be measured three times: [1] one week before the intervention [2], one week after the intervention, and [3] nine months after the intervention. Greater sustained reduction in self-reported smartphone dependence and objective smartphone usage, self and parent-rated ADHD symptoms, and spectral power differences in resting-state EEG in the two conditions will index intervention effects among adolescents with ADHD. The study results will contribute to the evidence-based practice of SO intervention, providing an intuitive and cost-effective solution. Establishing a causal relationship between the reduction of SO and ADHD symptoms is important for informing the nosology of SO. Furthermore, the findings will contribute not only to the local evidence base but the global discussions around the issue of SO.