Webinar: Findings from the COSI Study
This is a 90-minute webinar, that will focus on sharing the final research findings of the Circle of Security Intervention (COSI) Study.
About this webinar
This is a 90-minute webinar, that will focus on sharing the final research findings of the Circle of Security Intervention (COSI) Study.
The COSI Study was a four-year NIHR funded randomised controlled trial (RCT) that finished in February 2024, the study was co-lead by Dr Camilla Rosan and Professor Peter Fonagy. The study explored the clinical and cost effectiveness of a 10-session, group-based intervention called Circle of Security-Parenting (COS-P) for women in 10 different NHS perinatal mental health services (PMHS) across England. COS-P is an intervention designed to help parents manage their difficult emotions and understand the impact of these on the parent-child relationship.
The trial compared COS-P, and COS-P and treatment as usual, to treatment as usual with a sample of 371 participants. The study collected data at four different time points (baseline, 3, 7, 12 months), including on participants mental health, emotion regulation skills, perceived parent-infant bonding, and infant developmental outcomes. It also videoed participants playing with their babies and coded these videos for parental sensitivity and attachment security. A qualitative survey was completed with 165 participants and a further 58 were interviewed to provide an in-depth of their experiences, 13 COS-P interveners also took part in focus groups.
The webinar will cover both the qualitative and quantitative findings of the trial and link these to research and clinical implications.
Aims of this webinar
The aim of this webinar is to share the learning from the COSI study about what works when delivering Circle of Security-Parenting in perinatal mental health services, including implementation issues, and clinical adaptations.
Who should attend
This webinar will be of primary interest to any clinician or practitioner delivering COS-P program to women in the perinatal period, but particularly to those working in UK NHS perinatal mental health services. It may also be of interest to those delivering COS-P in other perinatal settings, such as, family hubs, CAMHS, parent-infant relationship teams, and social care.
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11.30am – Welcomes, introductions, and scene setting – Dr Camilla Rosan
11.35am – Describing research findings - Dr Kim Alyousefi-van Dijk & Dr Zoe Darwin
12.10pm – Expert by Experience Perspectives – Sophia Nahz Rehman
12.25pm – Clinical Implications – Dr Nic Horley
12.40pm – Q&A – Facilitated by Dr Camilla Rosan
12.55pm – Closing
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Dr Zoë Darwin
Dr Zoë Darwin is Reader in Health Research at the University of Huddersfield. Her research focuses on psychosocial aspects of reproduction, including perinatal mental health and wellbeing in all parents and people pursuing parenthood. This encompasses, but is not limited to, maternal and paternal mental health. Zoë’s work has an applied focus, foregrounding implications for policy and practice across primary care, maternity services, health visiting (child health services), specialist perinatal mental health services, and the voluntary and community sector.
Dr Camilla Rosan
Dr Camilla Rosan is a consultant clinical psychologist and associate professor, currently leading clinical research at Anna Freud on perinatal and reproductive mental health. She was Co-Chief Investigator of the COSI study and leads a number of other NIHR-funded projects, including studies on antenatal anxiety and peer support following miscarriage. Her research has a particular focus on health inequalities in perinatal mental health and translating evidence into policy and service change, including expanding maternal mental health services, integrating PMH psychology into universal services, and developing services for mild-to-moderate PMH difficulties.
Camilla is Chair of the BPS Faculty of Perinatal Psychology and Academic Director of the Doctorate in Clinical Psychology at King’s College London. She combines professional expertise with lived experience as a mother of two, having navigated pregnancy and early parenthood during the COSI study.
Dr Nic Horley
Dr Nic Horley is a Consultant Clinical Psychologist with the West London Perinatal Mental Health Service and the Maternity Trauma and Loss Care Service leading the psychological pathways and provision of both services. Prior to working in Perinatal Mental Health Services, her background is in severe and enduring mental health, working therapeutically with people diagnosed with Personality Disorder and Complex Trauma.
Dr Horley offers evidence based individual and group interventions to women and couples who are pregnant or post-natal using a range of therapies, all of which are underpinned by attachment principles. Dr Horley is a Dialectical Behaviour Therapist and has completed additional training in Schema Therapy and Trauma focussed Therapies. She is trained in the Circle of Security and Video Feedback interventions.
Dr Horley is visiting lecturer with the Tavistock and Portman NHS Trust and the University of Hertfordshire. She supervises Doctoral research projects in the areas of Parental Mental Health, Global Majority women’s access to Perinatal Mental Health and LGBTQ Mental health.
Dr Kim Alyousefi-van Dijk
Dr Kim Alyousefi-van Dijk is a senior research fellow at Anna Freud and University College London. Her research focusses on perinatal mental health, complex trauma and parenting. During the COSI study, Dr Alyousefi-van Dijk was the trial manager.
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