Recommendation ID

Evaluation of extensively used interventions:- Evaluate currently unevaluated but extensively used interventions for attachment difficulties.

Any explanatory notes
(if applicable)

Why this is important:- Various interventions are currently used to help address attachment difficulties that may be clinically effective, but without good quality evidence they cannot be considered by NICE.

A randomised controlled trial should be carried out that compares currently unevaluated interventions, such as playtherapy, dyadic developmental psychotherapy, and attachment aware schools program with an evidence-based treatment for attachment difficulties. The interventions should address children in a wide variety of placements and ages. Primary outcome measures may include:

- attachment

- parental sensitivity

- placement disruption

- educational performance

- behavioural problems.

There should be at least a 6-month to 1-year follow-up. Potential harms also need to be captured. Qualitative data may also be collected on the parents' and child's experience of the intervention.

Source guidance details

Comes from guidance
Children’s attachment: attachment in children and young people who are adopted from care, in care or at high risk of going into care
Date issued
November 2015

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 30/11/2015