ClinicalTrials.gg
Not yet recruitingNCT07934810EMBRACEUpdated Nov 13, 2026

Exploring and Modifying BarrieRs to Enhance ACcess to Mental Health Support for Ethnic Minority Children and Young People in Acute Paediatric Settings.

An observational study in Mental Health and Mental Health Care, sponsored by University of Leicester. Not yet recruiting at 3 sites in United Kingdom. Open to participants aged 11 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by University of Leicester · Observational

Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Study type
Observational
Model
Other
Time perspective
Other
Enrollment
90
Ages
11 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 105 studies in Psychological Well-Being with a site in United Kingdom — 34 open to participants now, 39 under way, none of them phase 3. Psychological Well-Being · United Kingdom.

Planned enrollment
20th of 27
90 · median 120
Started
2026
with 7 others
Observational
27 of 105
12 open now
Primary completion
2027-09
later than 35 of 38 live
Registered
105th of 105
by date

Among the 105 studies in Psychological Well-Being with a site in United Kingdom, this one is the 20th largest by planned enrollment of the 27 observational ones that give a count, is one of 8 that started in 2026, is one of 27 observational ones, reaches primary completion later than 35 of the 38 other live ones, and was the 105th registered.

Psychological Well-Being

2,195 studies on the registry are indexed under Psychological Well-Being; 728 are open to participants now.

Browse Psychological Well-Being studies →

Open to participants now

34 of the 105 studies in Psychological Well-Being with a site in United Kingdom are open now. Recruiting first, the newest first:

29 more — sign in →

All 34 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 401 Psychological Well-Being studies recruiting now, 218 (54%) set no upper age limit and 157 (39%) stop at 75 or younger; 120 take children under 18; 204 take healthy volunteers.

This study: 11 Years and older · all sexes · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 105 studies in Psychological Well-Being with a site in United Kingdom, or all of them as a file.
02

Study summary

This study will explore how, why and under what circumstances acute children's hospital settings support, or fail to support Black and Mixed-Black children and young people (CYP) to access appropriate mental health (MH) support. This matters because more CYP with MH issues are attending acute children's hospital settings. These settings include emergency departments and children's wards. Investigations have shown that they are often unsuitable for managing high-risk MH behaviour. CYP from ethnic minority groups have poorer access to, and outcomes from, MH services, but they remain under-researched. Black ethnic groups, in particular, have had persistently higher rates of serious mental health issues and detention under the Mental Health Act.

This study will use an exploratory mixed-methods multiple case study design. It will take place across up to three acute hospital trusts in England, including Nottingham University Hospitals NHS Trust and University Hospitals of Leicester NHS Trust. Data collection methods will include document reviews, observations, interviews, patient record reviews and anonymised aggregate statistics about CYP's MH presentations.

The study will use purposive sampling and aims to recruit about 90 participants: around 30 CYP, 30 parents or carers, and 30 healthcare professionals. Recruitment may take place through posters containing QR codes displayed in hospitals, community and mental health organisations, and on social media. Children, young people, and parents/carers may also be identified by clinical staff during an acute hospital presentation or through hospital databases following discharge. Healthcare professionals may additionally be recruited through email invitations, staff meetings, and direct approaches.

People who express interest, or complete a consent-to-contact form, will be contacted by the researcher to confirm whether they are eligible and to arrange an information session. Consent will usually be completed electronically. The University of Leicester is sponsoring this research as part of a PhD fellowship funded by the Wellcome Trust.

03

Conditions studied

  • Mental Health
  • Mental Health Care
04

Who can participate

Ages eligible
11 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Children and Young People, Parents and Carers, Healthcare Professionals.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Black and Mixed-Black Children and Young People (CYP): Aged 11-18 years old at study enrolment (or up to 20 years if they presented before age 18 within the past 18 months) who have experienced at least one acute paediatric presentation for a mental health need within the last 18 months.
  • Parents and/or carers: of CYP meeting the criteria above.
  • Healthcare Professionals: who are involved in managing CYP's MH needs in acute paediatric settings.

Exclusion criteria

Exclusion Criteria:

  • Participants who do not understand verbal and written English and for whom it has not been possible to provide documents in an appropriately translated language or obtain an interpreter to conduct the interview.
  • CYP actively sectioned under the Mental Health Act (MHA) and/or clinically unstable will not be interviewed.
  • CYP aged (11-15) where assent from either the child or consent from the parent/carer is not obtained (i.e., both are required).
05

Study design

Observational model
Other
Time perspective
Other
Enrollment
90 participants (estimated)
Patient registry
No

Groups and cohorts

  • Children and Young People

    Children and young people who: 1\) Belong to a Black or Mixed-Black ethnic group, 2) Have gone to the hospital for a mental health problem within the last 18 months, AND 3) Are aged 11-18 or are now aged up to 20 but attended hospital for a mental health problem before their 18th birthday and within the last 18 months.

    Other: Mental health support

  • Parents and Carers

    Parents and carers of children and young people who: 1) Belong to a Black or Mixed-Black ethnic group, 2) Have gone to the hospital for a mental health problem within the last 18 months, AND 3) Are aged 11-18 or are now aged up to 20 but attended hospital for a mental health problem before their 18th birthday and within the last 18 months.

  • Healthcare professionals

    Healthcare professionals who are involved in managing children and young people's mental health needs in acute paediatric settings (emergency departments and acute children's hospital wards).

Interventions

  • OtherMental health support

    How acute paediatrics settings support children and young people to access mental health support.

06

What researchers measure

Primary outcomes

  1. Qualitative experiences and perceptions of how acute paediatric settings support or do not support access to mental health support - interviews.

    Up to two qualitative semi-structured interviews per participant, each lasting up to 90 minutes, with Black and Mixed-Black children and young people who have presented to an acute paediatric setting at a participating a site with a mental health need, their parents/carers and healthcare professionals with direct experience of the mental health pathway at the site. The interviews will explore the experiences and perceptions of these participants and cover the following components of access to mental health support for Black and Mixed-Black Children and Young People attending acute paediatric settings with a mental health need: 1) disclosure of mental health needs, (2) assessment and referral for mental health support, (3) availability of mental health support, and (4) engagement with mental health support. Access is a composite outcome.

    Time frame: Up to 11 months.

Secondary outcomes

  1. Characteristics of the mental health support pathway - non-participant clinical observations.

    Care processes and service delivery for children and young people presenting to acute paediatric settings at participating sites with mental health needs, assessed through approximately four, 2-3 hour non-participant clinical observations at each participating site. Field notes will contain non-identifiable, anonymised, contextual information only.

    Time frame: Within 1 month of each participating site opening.

  2. Characteristics of the recommended mental health support pathway - document review.

    Recommended processes at participating sites for the assessment, management, escalation and referral of children and young people presenting to acute paediatric settings with mental health needs, assessed through review of relevant documents from participating NHS trusts.

    Time frame: Up to 11 months.

  3. Characteristics of the mental health support pathway - medical record review.

    Medical records of participating Black and Mixed-Black children and young people who previously presented to an acute paediatric setting at a participating site with a mental health need will be reviewed retrospectively to identify the characteristics of their mental health support pathway, including any documented assessment, management, escalation and referral.

    Time frame: Up to 11 months.

07

Study locations

3 sites
08

References and documents

Publications

  • GOV.UK (2024) Detentions under the Mental Health Act. Ethnicity Facts and Figures. [online]. Available from: https://www.ethnicity-facts-figures.service.gov.uk/health/mental-health/detentions-under-the-mental-health-act/latest/.
  • National Health Service (NHS) Race & Health Observatory (2025) THE COST OF RACISM How ethnic health inequalities are standing in the way of growth. NHS Race & Health Observatory.
  • Mathews F, Ford TJ, White S, Ukoumunne OC, Newlove-Delgado T. Children and young people's reported contact with professional services for mental health concerns: a secondary data analysis. Eur Child Adolesc Psychiatry. 2024 Aug;33(8):2647-2655. doi: 10.1007/s00787-023-02328-z. Epub 2024 Jan 4. PubMed 38172370 ↗
  • Bansal N, Karlsen S, Sashidharan SP, Cohen R, Chew-Graham CA, Malpass A. Understanding ethnic inequalities in mental healthcare in the UK: A meta-ethnography. PLoS Med. 2022 Dec 13;19(12):e1004139. doi: 10.1371/journal.pmed.1004139. eCollection 2022 Dec. PubMed 36512523 ↗
  • 36512523
  • Health Services Safety Investigations Body, Hughs, M. (2024) Keeping children and young people with mental health needs safe: the design of the paediatric ward.
  • Healthcare Safety Investigation Branch (2023) Interim report: Keeping children and young people with mental health needs safe: the design of the paediatric ward.
  • NHS England (2022) Supporting children and young people (CYP) with mental health needs in acute paediatric settings: A framework for systems. NHS England. [online]. Available from: https://www.england.nhs.uk/long-read/supporting-children-and-young-people-with-mental-health-needs-in-acute-paediatric-settings-framework-for-systems/.
  • Ward JL, Vazquez-Vazquez A, Phillips K, Settle K, Pilvar H, Cornaglia F, Gibson F, Nicholls D, Roland D, Mathews G, Roberts H, Viner RM, Hudson LD. Admission to acute medical wards for mental health concerns among children and young people in England from 2012 to 2022: a cohort study. Lancet Child Adolesc Health. 2025 Feb;9(2):112-120. doi: 10.1016/S2352-4642(24)00333-X. PubMed 39855751 ↗
09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Sep 2027, 10 months later.

Of 149 non-industry observational studies under Psychological Well-Being, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 155. This study's planned 10 months is below that.

Counting every sponsor, half of 158 studies reached it within 30 months; a quarter within 13 and three quarters within 155.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 12, 2026
First posted
Nov 13, 2026
StartEst.
Nov 2026
Primary completionEst.
Sep 30, 2027
CompletionEst.
Sep 30, 2027
Last update
Nov 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07934810
Collaborators
Wellcome Trust, University of Nottingham
Responsible party
Sponsor
First posted
Nov 13, 2026
Start date
Nov 2026 (estimated)
Primary completion
Sep 30, 2027 (estimated)
Completion
Sep 30, 2027 (estimated)
Last update
Nov 13, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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