School-based screening for childhood anxiety problems and intervention delivery: a codesign approach


Objectives: A very small proportion of children with anxiety problems receive evidence-based treatment. Barriers to access include difficulties with problem identification, concerns about stigma and a lack of clarity about how to access specialist services and their limited availability. A school-based programme that integrates screening to identify those children who are most likely to be experiencing anxiety problems with the offer of intervention has the potential to overcome many of these barriers. This article is a process-based account of how we used codesign to develop a primary school-based screening and intervention programme for child anxiety problems. Design: Codesign. Setting: UK primary schools. Participants: Data were collected from year 4 children (aged 8–9 years), parents, school staff and mental health practitioners. Results: We report how the developed programme was experienced and perceived by a range of users, including parents, children, school staff and mental health practitioners, as well as how the programme was adapted following user feedback. Conclusions: We reflect on the mitigation techniques we employed, the lessons learnt from the codesign process and give recommendations that may inform the development and implementation of future school-based screening and intervention programmes.

Publication DOI:
Divisions: College of Health & Life Sciences > School of Psychology
College of Health & Life Sciences > Aston Institute of Health & Neurodevelopment (AIHN)
College of Health & Life Sciences
Additional Information: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:
Uncontrolled Keywords: Mental health,1506,1712,education & training (see Medical Education & Training),mental health,paediatrics,Behavior Therapy,Parents/psychology,Humans,Anxiety/diagnosis,Child Behavior Disorders,Child,Schools,Medicine(all)
Publication ISSN: 2044-6055
Last Modified: 29 May 2024 07:57
Date Deposited: 24 Jun 2022 07:53
Full Text Link:
Related URLs: https://bmjopen ... nt/12/6/e058089 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2022-06-21
Accepted Date: 2022-05-10
Submitted Date: 2021-10-08
Authors: Williamson, Victoria
Larkin, Michael (ORCID Profile 0000-0003-3304-7000)
Reardon, Tessa
Pearcey, Samantha
Button, Roberta
Green, Iheoma
Hill, Claire
Stallard, Paul
Spence, Susan H
Breen, Maria
Mcdonald, Ian
Ukoumunne, Obioha
Ford, Tamsin
Violato, Mara
Sniehotta, Falko
Stainer, Jason
Gray, Alastair
Brown, Paul
Sancho, Michelle
Morgan, Fran
Jasper, Bec
Creswell, Cathy



Version: Published Version

License: Creative Commons Attribution

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