1. Resilience Program Research
Poul Lundgaard Bak, MD
The Comittee for Health Education
Copenhagen, Denmark
Minimal Intervention Trials
Professor Antonella Marchetti
Department of Psychology
The Catholic University
Milan, Italy
Theory of Mind Trial

2. Commitee for Health Education
First of all: THANK YOY !!! For making this project possible    For wonderful cooperation and inspiration
Aarhus Municipality
Tryg Foundation
Socialstyrelsen
Commitee for Health Education
Aarhus University
Copenhagen University
Greenland University
University College London
Anna Freud Centre, London
Tavistock Centre, London
Catholic University Milan
Co-authors in articles and books
And many other professionals, children, young people and parents

3. Minimal Intervention Trials Major Results
All slides will be available – and contact information – sign up to the Newsletter on
All details are described in the research articles
References on the last slide.

4. How to think about your own thoughts - and the thoughts of others
The Resilience Program
A simple mental health education program
with established knowledge
about Mentalizing:
How to think about your own thoughts
- and the thoughts of others

5. Theory of change Assumptions
Mentalizing is helpful in complex situations
Mentalizing is a skill which you can practise
Give people knowledge in simple terms about how to mentalize
Improved conditions for mentalizing – individually and in groups
Coping with challenges become easier
Improved wellbeing, learning & social function

6. Research aim
We are looking at the delivery model of the program - the impact of minimal intervention
We are not looking at the content of the program – because the content is already established knowledge.

7. Intervention intensity
Classic intervention – training and supervision
Minimal intervention – short info
Skilled users
Useful for people for whom training is not possible?
Useful for busy people
Useful in the internet-age
Low cost - large scale

8. Minimal Intervention Trials
A letter with
short info
link to the program
invitation to local intro-lecture
Send to
Foster carerers and residential institutions
Young adults with ADHD B
Short introduction lecture
Public schools
Educational institutions (SOSU)

9. The Letter trials – population and method
The Care Trial
The ADHD Trial
9114 children and young people in care
Randomized by care place into control and trial group
Letter send to trial group care places in august 2014
Outcome measure: National test in danish reading spring 2016
Intention to treat analysis
7297 young people (18-27 year) with ADHD diagnosis
Randomized into control and trial group
Letter send to trial group individuals in august 2014
Outcome measure: Social security benefit frequency 2016
Intention to treat analysis

10. The Letter trials – Results
The Care Trial
The ADHD Trial
Significant higher danish reading results in the trial group compared to the control group
No significant difference between trial and control group in terms of social security benefit frequency

11. The Public School Trial
The School & Education trials – population and method
The Public School Trial
The Education Trial
24 trial schools (4253 students) 28 control schools (4669 students)
1½-2 hour intro-lectures in trial schools in last semester 2014
Outcome measure: National test in danish reading spring 2016
Intention to treat analysis
Social and Health Education (SOSU)
2 Trial Institutions 12 Control Institutions
Intro-lectures in trial institutions in last semester 2014
Outcome measure: Social security benefit frequency 2016
Intention to treat analysis

12. The Public School Trial
The School & Education trials – Results
The Public School Trial
The Education Trial
No significant difference in danish reading results between trial group and control group
No significant difference between trial and control group in terms of social security benefit frequency

13. Why these results? Children in care: Improved reading
ADHD, Public Schools, SOSU: No significant results

14. Why these results? – WE DONT KNOW
Children in care: Improved reading
ADHD, Public Schools, SOSU: No significant results
GUESSES:
Good and bad timing
Intervention dose
Outcome measures
xxx

15. Implementation - Professional users
Arguments for continued research and implementation studies.
Implementation - Professional users
Effect studies
DK Social club study: 90% users after 3 years
UK School Study Implementation rank: 4 on a 1-6 scale
DK Prison Study: 79 % users after ½ year
DK Social club study: Major impact on high risk conflicts
Italy: Theory of Mind development

16. Arguments for continued research and implementation studies.
Case studies
Experienced users say:
You need training and supervision
International edition is published by Routledge early 2018.

17. Research recommendations
Near future
Research recommendations
Current research and implementation
Effect studies in specific (vulnerable) target groups - with regular training of staff and target group individuals.
No further research into minimal delivery models
Research projects
GP early intervention
Early prevention of child obesity
Policy analysis Greenland
Implementation
Foster care – the Danish Parliament
Prevention of suicide in Greenland
Increasing interest and demand

18. The Committee for Health Education - Probably the best place to be for a program
CHE has decades of experience:
High quality sustainable implementation in Health Education and Patient Empowerment
Collaboration with national and international research institutions in building up the evidence base for Health Programs
A comprehensive municipality and national authority network
The Committee is partner in actual and future Resilience Program research projects.
The Committee offer manualized Resilience Program training and supervision to organisations who want to implement the Program systematically.

19. Beyond research… The Resilience Program is simply a platform
with established and common sense knowledge
about careful thinking
in daily language and metaphors
People seems interested:
The number of page visits this year
on the program website is

20. References Fogtmann C: Forståelsens Psykologi
Lundgaard Bak, P. (2012). “Mentalizing communities for children,” in: Mentalization Based Interventions with Children and Families, eds N. Midgley and I. Vrouva (London: Routledge).
Lundgaard Bak, P. (2016). Evaluation of the implementation of the Resilience Program in a Danish prison. State Prison Mid-Jutland Internal Report (in Danish).
Lundgaard Bak P., Svendsen K.K., Obel C. (2017). Randomized controlled evaluation of a minimal intervention delivery model for The Resilience Program - a mentalization-based health education program. Frontiers – in publication…
Lundgaard Bak P., Svendsen K.K., Obel C. (2017). Evaluation of a minimal school intervention for The Resilience Program - a mentalization-based health education program. Frontiers…
Lundgaard Bak, P. (2018). Resilience; A practical guide to teamwork with children and adolescents. Routledge – in press.
Lundgaard Bak (ed): Robusthed i børn og unges liv. Klim 2017.
Midgley N, Vrouva I (eds): Minding the child, Routledge 2012.
Valle A, Massaro D, Castelli I, Sangiuliano Intra F, Lombardi E, Bracaglia E and Marchetti A (2016) Promoting Mentalizing in Pupils by Acting on Teachers: Preliminary Italian Evidence of the “Thought in Mind” Project. Front. Psychol. 7:1213. doi: /fpsyg