{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T14:13:09Z","timestamp":1779372789207,"version":"3.53.1"},"reference-count":75,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000736","name":"University of East Anglia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000736","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There is a crucial need for an evidence\u2010based intervention for young people presenting with moderate complex emotional needs (CEN). UK CEN care has been described as variable and poor quality, with its improvement a UK policy priority. Briefer\u2010versions of full\u2010programme therapy packages utilizing stepped\u2010care models offer a clear and contained pathway for this population, though their current availability in services is scarce. This service evaluation aims to evaluate the efficacy of \u2018IDEAS\u2019 as a piloted brief psychological intervention for young people aged 16\u201325 presenting with moderate CEN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A pre\u2010test\/post\u2010test design was used to explore clinical outcomes for participants and services via paired sample\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, mixed\u2010model ANOVAS and frequency statistics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Exploratory pre\/post\u2010intervention analyses revealed significant reductions in mean scores for the severity of borderline personality disorder symptoms (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009.83), emotion regulation (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.15) and overall wellbeing (reflecting improvement;\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009.97) and increases in mean scores for quality of life (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u2212.67), including level of satisfaction in one's quality of life and of therapeutic treatment received (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u2212.65). These outcomes were maintained at 3\u2010month follow\u2010up, were little influenced by clinician training and supported readiness for discharge post\u2010intervention for more (68.65%) participants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The current evaluation provides preliminary evidence that IDEAS may offer a feasible, lower\u2010cost alternative to full\u2010programme treatment packages, with benefits for young people, services and Trusts. Given this evaluation of IDEAS being from a small, uncontrolled pilot, the findings are exploratory. Further evaluation is therefore warranted upon its larger\u2010scale implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.70034","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T10:58:58Z","timestamp":1768388338000},"page":"492-507","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A service evaluation of \u2018\n                    <scp>IDEAS<\/scp>\n                    \u2019 \u2013 Modular treatment for youth with complex emotional needs"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9119-3837","authenticated-orcid":false,"given":"Annabel","family":"Harding","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology and Psychological Therapies University of East Anglia  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franco","family":"Orsucci","sequence":"additional","affiliation":[{"name":"Norfolk and Suffolk NHS Foundation Trust  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Baines","sequence":"additional","affiliation":[{"name":"Norfolk and Suffolk NHS Foundation Trust  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2015.07.006"},{"key":"e_1_2_12_3_1","first-page":"135","volume-title":"Bergin and Garfield's handbook of psychotherapy and behavior change: 50th anniversary edition","author":"Barkham M.","year":"2021"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20103588.2008.00492.x"},{"key":"e_1_2_12_5_1","volume-title":"Oxford guide to low intensity CBT interventions","author":"Bennett\u2010Levy J.","year":"2010"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1521\/ijgp.2011.61.4.645"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000173701"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.1043"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0107748"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.609120"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u2010843X.111.1.198"},{"key":"e_1_2_12_12_1","first-page":"161","volume-title":"School mental health services for adolescents","author":"Bunford N.","year":"2017"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuron.2010.08.033"},{"key":"e_1_2_12_14_1","unstructured":"Centre for Mental Health. 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