Title:
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Nurturing attachments in looked after children : a feasibility study of a group-based programme for carers
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This thesis focuses on Looked After children and young people, exploring issues in relation to
effective psychological intervention and measurement of mental health difficulties within this
population.
Section one of the thesis is a systematic literature review which aimed to identify and appraise the
standardised tools that have been used to measure mental health within populations of Looked
after Children. Measurement of mental health within this population can be varied and
inconsistent, with a wide range of standardised tools being used from the general child and
adolescent population. While the review identified the use of several tools, the majority were
lacking in evidence of sound psychometric properties for use within this population, limiting their
clinical utility. Caution and further investigation is advised.
The empirical piece of the thesis describes a feasibility study of a recently developed group
intervention programme for parents and carers of looked after and adopted children. Entitled
'Nurturing Attachments', the programme is intensive and group based and focuses on supporting
carers to therapeutically parent the children in their care. Nurturing Attachments was delivered for
the first time in Northern Ireland as part of this study, which aimed to assess feasibility through
exploring recruitment, retention and attrition, initial outcomes, acceptability and the ability of the
programme to be delivered as outlined in the programme manual. Findings showed that this
intervention is feasible, having positively impacted on many levels of the care system.
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