A transdiagnostic trauma-informed mental health service for young people in the Republic of Georgia: Results of the effectiveness study

Abstract

Abstract Young people (YP) face numerous challenges that can lead to mental health difficulties, yet mental health systems worldwide are often unprepared to support those affected. Club Synergy, a low-threshold, trauma-informed digital and face-to-face service for YP aged 14–25 with emotional and/or behavioural difficulties, was established in Georgia in 2019. This study examined the characteristics, clinical effectiveness and outcome predictors of YP presenting to Synergy. Quantitative data, including clinical outcome measures and treatment details, were collected pre- and post-treatment and at three-month follow-up over a 21-month period (November 2019–July 2021). Of 266 YP who completed treatment, most were female (66.9%; mean age 19.95, SD 3.13). Common presenting difficulties included emotional instability (77.1%), anxiety and restlessness (63.5%), interpersonal problems (53%) and low mood (48.5%). Among 144 who completed the ACEs measure, 57.6% reported four or more adverse childhood experiences. Most (67.7%) received transdiagnostic programmes; 74.1% of these completed the Emotional Regulation module (mean 7.18 sessions, SD 7.23). Significant reductions in depression and anxiety, and improved functioning, were observed post-treatment and at follow-up (p < 0.01). Quality-of-life gains were not sustained at follow-up (p = 0.14). Satisfaction was high (94.8%). Trauma-informed, transdiagnostic services grounded in a biopsychosocial model appear acceptable and potentially beneficial for YP at risk of or experiencing common mental health symptoms.