Logo - BeST Trial Overview 

 

  Clinical Trial Registration Number -NCT01485510

 

SCIENTIFIC FOCUS - Our study aimed to evidence which form of care is best between two models of support; an infant mental healthcare or social work services model.  Aimed at children aged 0-5 currently in foster and kinship care who have experienced neglect and abuse. 

AIM - to help children feel safe and secure by reducing the amount of times they move before finding a permanent home. 

OVERVIEW - Children who have experienced abuse and neglect face lifelong risks of mental and physical health problems, impacting individuals, families, and society.  although early placement in secure, loving homes can help reverse these effects, it remains unclear whether children benefit more from foster/adoptive families or return to birth families who have received support. 

The New Orleans Intervention Model (NIM), initially developed in the United States (US), provides structured family assessments and intensive treatment to improve family function and child mental health.  If families respond positively after the intervention, children may return home, otherwise, adoption is recommended. Early US findings suggest NIM can reduce future maltreatment and improve mental health, although UK preventive services may achieve similar results. 

Since 2011, our study has worked with children entering foster care in Glasgow, with South London joining the study in 2017. Preliminary finding show NIM is well-received by parents, carers, social workers, and legal professionals. We will determine the best approach for vulnerable children, with ongoing qualitative insights from families and professionals informing our work.  

PRINICAL INVESTIGATOR - Professor Helen Minnis