{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T18:05:58Z","timestamp":1777053958588,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T00:00:00Z","timestamp":1655164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Despite evidence of high rates of diagnosable mental health difficulties in children in care, there remains ongoing debate around the appropriateness of traditional diagnoses and treatments. The aim of this study was to quantitatively explore whether mental health diagnosis and treatment decision\u2010making differed when a young person was identified as being in care, specifically focused on post\u2010traumatic stress disorder (PTSD). PTSD is a trauma\u2010specific mental health disorder with rates substantially higher in children in care versus their peers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were 270 UK mental health professionals who completed an online survey. Participants were randomized to receive one of two vignettes, which were identical in their description of a teenage boy experiencing PTSD symptoms, except in one he was in foster care and in the other he lived with his mother. Participants were asked to select a primary diagnosis, treatment approach, and potential secondary diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Professionals were twice as likely to choose a primary diagnosis of PTSD and a National Institute for Clinical Excellence (NICE)\u2010recommended PTSD treatment when randomized to the mother vignette versus the foster carer vignette. Selecting PTSD as the primary diagnosis made clinicians three times more likely to select a NICE\u2010recommended treatment for PTSD. Developmental trauma was the most common \u2018diagnosis\u2019 for both groups, although this led to different treatment decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the context of PTSD, we found children in care face diagnosis and treatment decision\u2010making biases. Practice implications are discussed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12379","type":"journal-article","created":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T02:38:03Z","timestamp":1655260683000},"page":"1075-1088","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Differences in the diagnosis and treatment decisions for children in care compared to their peers: An experimental study on\n                    <scp>post\u2010traumatic<\/scp>\n                    stress disorder"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7029-679X","authenticated-orcid":false,"given":"Rosie","family":"McGuire","sequence":"first","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah L.","family":"Halligan","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"},{"name":"Department of Psychiatry University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Meiser\u2010Stedman","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology &amp; Psychological Therapies, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Durbin","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4180-8941","authenticated-orcid":false,"given":"Rachel M.","family":"Hiller","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"},{"name":"Division of Psychology and Language Sciences University College London  London UK"},{"name":"Anna Freud National Centre for Children and Families  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12372"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720002007"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559520961176"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359104504039176"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/030857590302700408"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359104510377705"},{"key":"e_1_2_10_9_1","volume-title":"Children Looked After in England (including adoption), year ending 31st March 2018","author":"Department for Education","year":"2018"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_10_11_1","volume-title":"Post\u2010traumatic stress disorder in children and young people: understanding the evidence\u2010practice gap","author":"Finch J.","year":"2019"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.11.143"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.025023"},{"issue":"4","key":"e_1_2_10_14_1","first-page":"157","article-title":"Posttraumatic stress disorder: The missed diagnosis","volume":"88","author":"Grasso D.","year":"2009","journal-title":"Child Welfare"},{"issue":"3","key":"e_1_2_10_15_1","first-page":"e033317","article-title":"Supporting the emotional needs of young people in care: A qualitative study of foster carer perspectives","volume":"10","author":"Hiller R. M.","year":"2020","journal-title":"British Medical Journal Open"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13232"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2016.1276531"},{"issue":"1","key":"e_1_2_10_18_1","first-page":"1","article-title":"Services according to mental health needs for youth in foster care?\u2013A multi\u2010informant study","volume":"18","author":"Larsen M.","year":"2018","journal-title":"BMC Health Services Research"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191118797422"},{"key":"e_1_2_10_20_1","volume-title":"Guideline for the treatment and planning of services for complex post\u2010traumatic stress disorder in adults","author":"McFetridge M.","year":"2017"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20572"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/030857590102500405"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-006-0452-8"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1108\/JCS-10-2014-0045"},{"key":"e_1_2_10_25_1","volume-title":"Post\u2010traumatic stress disorder","author":"National Institute for Health and Care Excellence","year":"2018"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-3"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-021-01367-9"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-014-0347-z"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.3928\/00485713-20050501-06"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359104513478545"}],"container-title":["British Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bjc.12379","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bjc.12379","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bjc.12379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T10:44:34Z","timestamp":1761734674000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/bjc.12379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,14]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1111\/bjc.12379"],"URL":"https:\/\/doi.org\/10.1111\/bjc.12379","archive":["Portico"],"relation":{},"ISSN":["0144-6657","2044-8260"],"issn-type":[{"value":"0144-6657","type":"print"},{"value":"2044-8260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,14]]},"assertion":[{"value":"2022-02-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}