Dr. Asilay Seker sits down with Professor Kapil Sayal from the University of Nottingham to discuss the STADIA trial (STAndardised DIagnostic Assessment for children and adolescents with emotional difficulties), which he led. This multicentre randomised controlled trial evaluated the effectiveness of incorporating a standardised diagnostic assessment tool into routine clinical care within Child and Adolescent Mental Health Services (CAMHS). Professor Sayal explains the study’s aims, the significance of its findings, and how STADIA offered valuable insights into rethinking CAMHS provision. He also discusses how a more digitalised approach could expand the service’s reach and enhance support for young people and families. Asilay is later joined by Professor Andrea Danese. They discuss the complexities of trauma and PTSD, particularly in children and young people. He clarifies the definitions of trauma and PTSD, emphasizing the importance of subjective experiences in understanding mental health outcomes. The conversation also explores the impact of neurodiversity on trauma processing and highlights the need for flexible diagnostic approaches. Finally, Professor Danese underscores the importance of evidence-based treatments for PTSD and the urgent need to improve access to these interventions for affected youth. RESOURCES: https://www.acamh.org/blog/the-stadia-trial-exploring-clinical-and-cost-effectiveness/ https://www.nature.com/articles/s41562-020-0880-3 https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2818046 https://acamh.onlinelibrary.wiley.com/doi/10.1111/jcpp.14048 https://acamh.onlinelibrary.wiley.com/doi/10.1111/jcpp.14090 We produce mental health information to support young people which can be found in the mental health section of our website. RCPsych also produces factsheets for schools, colleges and other organisations, which cover a range of topics from diagnosable conditions to everyday challenges young people deal with. Written by psychiatrists in collaboration with young people, these are available for schools and college to order online. Click here to order: https://rcpsych.myshopify.com/collections/mental-health-for-young-people-and-children

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