What works in educational interventions for teams caring for children and young people admitted to general acute paediatric wards for mental health? A systematic review

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Authors: Olatokunbo Sanwo, Antonia Rich, Isabelle Pomfret, James Leonard Downs, Sophie Davis, James Dearden, Mark Buchanan, Lee Omar, Ann Griffin, Lee Duncan Hudson
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References: 47

Abstract

OBJECTIVE: To systematically review educational interventions for staff working on acute paediatric wards aimed at improving the care of children and young people (CYP) admitted for mental health support. DESIGN: We conducted a systematic search of PubMed, The Education Resources Information Centre, PsychInfo and Web of Science from 2000 to March 2026 using terms related to healthcare professionals, training/education, mental health and children/young people. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Interventions were classified using the Kirkpatrick model and the Behavioural Change Technique Taxonomy (BCT V.1) to identify mechanisms underpinning effective change. RESULTS: We found nine studies meeting inclusion criteria, across a range of teaching methodologies and settings. Most interventions were designed and applied for nurses. Overall quality of evidence was poor. Although no single intervention could be recommended, analysis identified potentially useful components tailored to different learner needs, mapped through the Kirkpatrick and BCT frameworks. A notable gap was a lack of codesign with CYP and carers with lived experience and the absence of strategies to engage ambivalent or reluctant learners who might not attend educational interventions voluntarily. CONCLUSIONS: Existing educational interventions contain elements that may support behavioural and practice change among staff caring for CYP with mental health needs. However, future research should prioritise high-quality, framework-based evaluations developed through codesign with CYP and carers. Interventions should also address how to engage learners who may be reluctant to participate in training for this area of clinical practice.

Fields of Study & Subjects

Child and Adolescent Psychosocial and Emotional Development Infant Development and Preterm Care Adolescent and Pediatric Healthcare

Publication details

Journal / source
BMJ Paediatrics Open
Publisher
BMJ
Volume
10
Issue
1
Pages
e004809–e004809
Publication date
1 July 2026
Language
EN