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Specialist interventions for children and young people

Quality statement

Children and young people accessing specialist services for alcohol use are offered individual cognitive behavioural therapy, or if they have significant comorbidities or limited social support, a multicomponent programme of care including family or systems therapy.

Quality measure

Structure

Evidence of local provision in specialist services of individual cognitive behavioural therapy and multicomponent programmes of care tailored to children and young people accessing these services for alcohol use, which may include multidimensional family therapy, brief strategic family therapy, functional family therapy or multisystemic therapy.

Process

a) Proportion of children and young people with limited comorbidities and good social support accessing specialist services for alcohol use who receive individual cognitive behavioural therapy.

Numerator - the number of people in the denominator receiving individual cognitive behavioural therapy.

Denominator - the number of children and young people with limited comorbidities and good social support accessing specialist services for alcohol use.

b) Proportion of children and young people with significant comorbidities and/or limited social support accessing specialist services for alcohol use who receive a multicomponent treatment programme of care including family or systems therapy.

Numerator - the number of people in the denominator receiving a multicomponent treatment programme of care including family or systems therapy.

Denominator - the number of children and young people with significant comorbidities or limited social support accessing specialist services for alcohol use.

Outcome

Decrease in quantity and frequency of alcohol consumption in children and young people with identified alcohol-related problems.

Description of what the quality statement means for each audience

Service providers ensure that systems are in place to provide children and young people accessing specialist services for alcohol use with individual cognitive behavioural therapy or, for those with significant comorbidities or limited social support, multicomponent programmes of care including family or systems therapy.

Health and social care professionals ensure they support children and young people accessing specialist services for alcohol use to receive individual cognitive behavioural therapy or, for those with significant comorbidities or limited social support, a multicomponent programme of care including family or systems therapy.

Commissioners ensure theycommission specialist services with provision specifically for children and young people at risk of harm from alcohol use, with adequate provision of individual cognitive behavioural therapy or, for those with significant comorbidities or limited social support, multicomponent programmes of care including family or systems therapy.

Children and young people receiving specialist support for alcohol use are offered a psychological treatment called cognitive behavioural therapy (or CBT for short) or, if they have other health or family problems, they are offered different types of help including psychological treatment that involves their family and other people in their life.

Source clinical guideline references

NICE clinical guideline 115 recommendations 1.3.7.8 (key priority for implementation), 1.3.7.10, 1.3.7.11, 1.3.7.12 and 1.3.7.13.

Data source

Structure

Local data collection.

Process

a) and b) Local data collection. The National Drug Treatment Monitoring System (NDTMS)collects data on intervention type for young people (lower age limit 9 years old) starting treatment in specialist young people's drug and alcohol services. There are a number of intervention types that can be recorded, including ‘Psychosocial - cognitive behavioural therapy' and ‘Psychosocial - family work', although the nature of these is not specified and they are not currently reported by primary substance (that is, alcohol or drugs).

Outcome

Local data collection. From 2011-12 the NDTMS will start to record the frequency of drinking days at treatment start and at treatment exit (for planned exits only) if alcohol is the young person's main ‘drug' of choice. The NHS Information Centre conducts an annual survey ‘Smoking, drinking and drug use among young people in England'.

Definitions

Multicomponent treatment programmes may include multidimensional family therapy, brief strategic family therapy, functional family therapy or multisystemic therapy. NICE clinical guideline 115 makes recommendations about the content, structure and duration of these therapies in recommendations 1.3.7.10, 1.3.7.11, 1.3.7.12 and 1.3.7.13.

Equality and diversity considerations

This statement applies to people aged 10-17 years only, which is appropriate given the different needs of children and young people compared with adults who misuse alcohol. In general the range of specialist services for younger people is less comprehensive than for adults. This statement therefore promotes equality in providing interventions suited to the needs of children and young people.

This page was last updated: 25 August 2011

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.