The ACCEPT Study: Improving the Process of Disclosing Adverse Childhood Experiences in Community Mental Health

NCT06477380 | Not Yet Recruiting DMC

• 1 other identifier: ACCEPT study V1
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 2

Brief Summary

Experiences of abuse, neglect, domestic violence, severe bullying and community violence in childhood are very common among people who use mental health services. These often have serious and long lasting impacts on people's mental health.When a person decides to disclose or talk about these traumatic experiences it can help healing. However, mental health staff often lack confidence and organisational support to ask about childhood traumatic events and struggle to know how to respond to disclosures or how best to offer follow up support. A research method called experience-based co-design will be used to find different ways of supporting staff to safely have conversations about childhood trauma with service users. Experience-based co-design involves;

• A training package for community mental health team staff
• A toolkit for clinicians to help them to safely talk about childhood trauma with service users.
• Changes to the physical environment to make it feel safer
• A reflective practice group for staff Anticipated impacts: For service users: Improved experience of disclosing ACEs; improved access to trauma treatment; improved therapeutic relationships; improved mental health outcomes. For staff: Improved confidence and competence to sensitively explore ACEs; improved compassion; greater job satisfaction

Conditions

Adverse Childhood Experiences

Outcome Measures

Primary Outcomes (3)

• Intervention acceptability and feasibility

  Interview and focus groups will be carried out with staff and service users to explore the acceptability and feasibility of the intervention

  6 months post intervention

• Therapeutic relationship

  The STAR-C measure will be used to assess clinicians therapeutic relationships with their patients pre and post intervention (https://pubmed.ncbi.nlm.nih.gov/17094819/)

  baseline, 3 months and 6 months

• Professional Quality of Life (ProQOL)

  The ProQOL will be used to measure clinicians compassion satisfaction and compassion fatigue (inc. burn out and indirect trauma)

  baseline, 3 months and 6 months

Study Arms (1)

Intervention arm

EXPERIMENTAL

Community mental health team staff will receive the intervention (training, toolkit, reflective supervision group and changes to the physical environment) over a period of six months.

Behavioral: ACCEPT intervention

Interventions

ACCEPT intervention BEHAVIORAL

* Training package (1 day) * A toolkit/manual for clinicians to guide them through the disclosure process * Trauma-informed changes to the physical environment * Monthly trauma-focussed reflective group for care co-ordinators

Intervention arm

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Service users/survivors participants
• be age 18 or over
• have capacity to consent in research
• self-reported lived experience of ACEs - defined by the ACE-IQ (WHO, 2018)
• past or current service user of NHS community mental health services in England
• Clinical staff participants:
• NHS practitioners who currently or previously worked as a front line allied health professional in a community mental health team
• employed by Sussex Partnership Foundation Trust
• have capacity to consent to participate in research
• be aged 18 or over

You may not qualify if:

• Service user/survivor participants
• \- People who have never received support from NHS community mental health services
• Clinicians
• Staff who have never worked in NHS community mental health services
• Medics

Sponsors & Collaborators

• King's College London: lead
• Sussex Partnership NHS Foundation Trust: collaborator

Study Sites (2)

Sussex Partnership Foundation Trust

Worthing, West Sussex, BN11 1HS, United Kingdom

Location

IoPPN, Kings College London

London, SE5 8AF, United Kingdom

Location

Central Study Contacts

Jessica K Sears, MSc

CONTACT

07828041340; jessica.penney@kcl.ac.uk

Alan Simpson, PhD

CONTACT

alan.simpson@kcl.ac.uk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a small size feasibility study. There is no control arm and the aim of the study is to assess the feasibility and acceptability of the intervention in a community mental health setting. Findings from this study will be used to optimise the intervention.

Study Record Dates

• First Submitted: June 21, 2024
• First Posted: June 27, 2024
• Study Start: June 1, 2024
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): August 1, 2026
• Last Updated: June 27, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

GB (2)