Summary information

Study title

Effectiveness and cost-effectiveness trial of humanistic counselling in schools for young people with emotional distress (ETHOS) 2016-2019

Creator

Cooper, M, University of Roehampton
Bower, P, University of Manchester
Beecham, J, London School of Economics
Barkham, M, University of Sheffield
Saxon, D, University of Sheffield
Duncan, C, British Association for Counselling and Psychotherapy
Cromarty, K, Independent Consultant
Stafford, M, University of Roehampton
Pearce, P, Metanoia Institute
Munro, G, National Children's Bureau

Study number / PID

853764 (UKDA)

10.5255/UKDA-SN-853764 (DOI)

Data access

Restricted

Series

Not available

Abstract

The ETHOS study (Effectiveness and Cost-effectiveness Trial of Humanistic Counselling in Schools) was a 'fully powered', two arm, parallel-group RCT which compared the clinical and cost-effectiveness of school-based humanistic counselling in addition to pastoral care as usual (SBHC) against pastoral care as usual alone (PCAU). Quantitative datasets are: (a) participants' demographic details, number of sessions (SBHC only), use of pastoral care, and adverse events; (b) outcomes at assessment, 6 weeks, 12 weeks, and 24 weeks (Young Person's CORE, Strengths and Difficulties Questionnaire, Revised Child Anxiety and Depression Scale, Rosenberg Self-Esteem Scale, Warwick and Edinburgh Mental Well-Being Scale, Client Service Receipt Inventory, Goal-based Outcomes (and goal texts), and the Experience of Service Questionnaire); (c) process measures at six weeks: Barrett-Lennard Relationship Inventory, Working Alliance Inventory (SBHC only), and session-by-session Outcome Rating Scale; (d) educational outcomes (attendance, exclusion, predicted grades), (e) adherence ratings for counsellors and supervisors. Basic descriptive data are also available for schools, counsellors, and counsellors' supervisors. Qualitative datasets are semi-structured interviews with participants, parents/carers, and pastoral care staff regarding their experiences of, and views on, the school-based counselling.There is a current crisis in mental health care for young people, and the UK government is trying to find ways of addressing it. Currently, approximately one in ten young people in the UK experience significant problems with their emotions or their behaviour. Schools may be a particularly good place to tackle this problem because they are somewhere that nearly all young people go to. Indeed, evidence suggests that young people are as much as ten times more likely to attend a school-based service than a non-school-based one. Certain psychological treatments, such as cognitive behavioural...
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Methodology

Data collection period

01/04/2016 - 28/02/2019

Country

United Kingdom

Time dimension

Not available

Analysis unit

Individual
Family

Universe

Not available

Sampling procedure

Not available

Kind of data

Numeric
Text

Data collection mode

Participants were 329 13-16 year olds experiencing moderate to severe levels of emotional distress. SBHC was delivered in up to 10 weekly, individual sessions in the young person's school with a qualified, experienced counsellor. The study was a randomised controlled trial. Schools were selected based on their willingness to participate in the study. Young people in the schools were identified by their pastoral care team and, if they and their parents consented, invited to meet with a researcher for a formal assessment. Quantitative data were collected primarily through questionnaires completed by the young people at assessment, and then at 6, 12, and 24 weeks post-assessment. Quantitative adherence data was generated through the employment of raters to assess audio tapes of counselling and supervision work. Pastoral care teachers recorded instances of pastoral care use in a dedicated log. Qualitative data were collected through individual interviews and focus groups with young people, parents/carers, and pastoral care staff. .

Funding information

Grant number

ES/M011933/1

Access

Publisher

UK Data Service

Publication year

2019

Terms of data access

The Data Collection is available for download to users registered with the UK Data Service.

Related publications

Not available