{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:02:12Z","timestamp":1785315732518,"version":"3.55.0"},"reference-count":29,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec id=\"S0007125025103103_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Resilience Hub was established to coordinate mental health and psychosocial support for anyone affected by the 2017 Manchester Arena terrorist attack.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025103103_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To use the Hub\u2019s mental health screening data to examine the variation in symptoms reported by children and young persons (CYP) and their parent\/guardian and explore any association with time delay in post-event registration or parental distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025103103_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>CYP engaging with Hub services were separated into eight \u2018admission\u2019 groups depending on when they registered post-incident. CYP were screened for trauma, depression, and generalised and separation anxiety. Parents\/guardians also completed screening measures for their own and their child\u2019s anxiety. Baseline and follow-up scores were compared between admission groups. Parental and CYP assessments of the CYP\u2019s anxiety score was compared with the measure of parental distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025103103_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Almost half of CYP registered in the first 3 months of service launch, with numbers of new registrations falling during each subsequent screening cycle. Generally, there was an increase in baseline screening scores as Hub registration time increased. The Children\u2019s Impact of Event scale score decreased by 0.11 (95% CI: \u22120.17, \u22120.05) per month, but the score for depression increased by 0.06 (95% CI: 0.03, 0.10). Longitudinal patterns in anxiety and separation were difficult to discern. Screening scores of CYP registering later reduced at a faster rate than those of the first registrants. Higher levels of parental mental distress were correlated with increased anxiety scores assigned to the CYP in relation to the anxiety score reported by the CYP themselves.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025103103_as5\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CYP who registered earlier were less symptomatic, although those registering later did show increased improvement in their symptoms, indicating that the Hub was beneficial. Parental well-being was associated with child mental distress, indicating that shared family trauma should be considered when planning care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.2025.10310","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T12:05:46Z","timestamp":1752753946000},"page":"244-251","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Has mental health changed in children and adolescents registered with a dedicated support service responding to the Manchester Arena attack: 3-year follow-up"],"prefix":"10.1192","volume":"228","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6108-5085","authenticated-orcid":false,"given":"Louise","family":"Hussey","sequence":"first","affiliation":[{"name":"The University of Manchester"},{"name":"The University of Manchester"},{"name":"The University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Gittins","sequence":"additional","affiliation":[{"name":"The University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Hedges","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Dobbie","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Barrett","sequence":"additional","affiliation":[{"name":"University of Salford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4300-387X","authenticated-orcid":false,"given":"Paul","family":"French","sequence":"additional","affiliation":[{"name":"Pennine Care NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prathiba","family":"Chitsabesan","sequence":"additional","affiliation":[{"name":"University College London"},{"name":"Pennine Care NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"S0007125025103103_ref3","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0811-6"},{"key":"S0007125025103103_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s11126-019-09650-3"},{"key":"S0007125025103103_ref19","article-title":"Longitudinal effects of trauma","volume":"2","year":"2021","journal-title":"Clin Psychol Ment Health Care"},{"key":"S0007125025103103_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465805002419"},{"key":"S0007125025103103_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22090"},{"key":"S0007125025103103_ref18","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-199208000-00004"},{"key":"S0007125025103103_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-010-9460-8"},{"key":"S0007125025103103_ref28","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.111.101253"},{"key":"S0007125025103103_ref5","doi-asserted-by":"publisher","DOI":"10.1080\/13623690802568913"},{"key":"S0007125025103103_ref25","first-page":"56","article-title":"Caregiver depression and youth disruptive behavior difficulties","volume":"9","author":"Geetha","year":"2011","journal-title":"Soc Work Ment Health"},{"key":"S0007125025103103_ref17","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015345"},{"key":"S0007125025103103_ref16","article-title":"22 dead after blast at Ariana Grande concert in Mancheste","author":"McKirdy","year":"23 May 2017","journal-title":"CNN"},{"key":"S0007125025103103_ref9","unstructured":"9 Pennine Care NHS Foundation Trust. Greater Manchester Resilience Hub. NHS, n.d. (https:\/\/www.penninecare.nhs.uk\/gmrh)."},{"key":"S0007125025103103_ref15","unstructured":"15 Hussey, L , Gittins, M , Hedges, A , Dobbie, S , Barrett, A , French, P , et\u00a0al. How has mental health changed in children and adolescents present at the Manchester Arena Attack: a three- year follow up, in press."},{"key":"S0007125025103103_ref4","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201200586"},{"key":"S0007125025103103_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199510000-00023"},{"key":"S0007125025103103_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00130-8"},{"key":"S0007125025103103_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(02)01335-5"},{"key":"S0007125025103103_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4828"},{"key":"S0007125025103103_ref8","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2019.61"},{"key":"S0007125025103103_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-021-00527-4"},{"key":"S0007125025103103_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-014-0821-4"},{"key":"S0007125025103103_ref23","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12566"},{"key":"S0007125025103103_ref24","first-page":"9","article-title":"The extent and impact of mental health problems after disaster","volume":"67","author":"Davidson","year":"2006","journal-title":"J Clin Psychiatry"},{"key":"S0007125025103103_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.tics.2012.07.009"},{"key":"S0007125025103103_ref21","doi-asserted-by":"publisher","DOI":"10.1521\/psyc.65.3.207.20173"},{"key":"S0007125025103103_ref6","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2023.527"},{"key":"S0007125025103103_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.01.004"},{"key":"S0007125025103103_ref26","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.650303"}],"container-title":["The British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125025103103","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T08:33:42Z","timestamp":1785314022000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125025103103\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,17]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S0007125025103103"],"URL":"https:\/\/doi.org\/10.1192\/bjp.2025.10310","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,17]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}