← Evidence
The evidence base

A model the NHS already delivered, rebuilt for every child.

Rconnected is the digital evolution of TaMHS — the Targeted Mental Health in Schools programme delivered by NELFT NHS Foundation Trust between 2010 and 2011. This is the full story of the evidence: what was tested, what it produced, and the peer-reviewed literature that underpins the coordinated-care model we are digitising now.

01 / WHAT TAMHS WASThe programme, in plain English.

Between 2010 and 2011, the Department for Education funded a national pilot called Targeted Mental Health in Schools. In Barking & Dagenham, NELFT NHS Foundation Trust ran the programme with Miguel Estrada as Clinical Lead — placing CAMHS clinicians directly alongside SENCOs, teachers and families in twenty primary and secondary schools.01

It was a simple idea, ruthlessly applied: if a child’s support happens across three settings, the three settings have to share a plan. Clinicians stopped treating schools as referrers and started treating them as co-authors of care. Parents were given a voice in the record, not just the waiting room.

A note on scope. TaMHS served children with a broad range of neurodevelopmental and emotional needs — not an autism-only cohort, not an ADHD-only cohort, and not an NHS-exclusive population. The mechanism we are digitising is coordination, not any single clinical pathway.

02 / OUTCOMES AT NELFTWhat the year-one report found.

At the close of the 2010–2011 academic year, NELFT published an internal annual report measuring pupil outcomes before and after the coordinated-care model was introduced.02 Across children with neurodevelopmental needs in the programme, the report recorded three improvements:

40%
improvement in behavioural outcomes
35%
improvement in social-emotional development
30%
improvement in academic progress

We are careful with these figures. They come from a single NHS trust, a single academic year, and a model operated by clinicians working in close physical proximity to the schools they served. We do not present them as peer-reviewed trial outcomes, and we never quote them without attribution.

“The gap was never information. The gap was coordination.”Miguel Estrada — Clinical Lead, NELFT 2010–2011

03 / THE MECHANISMCoordination, not AI.

Our position is that the benefit of TaMHS did not come from any single clinical intervention — it came from the moment three adults began looking at the same record. The peer-reviewed literature on multi-agency care for children with neurodevelopmental needs supports this.030405

Rconnected is not an algorithm that diagnoses or prescribes. It is an electronic spine for the coordinated-care methodology TaMHS proved works: a shared plan, a shared record, and structured clinical tools that schools and families can contribute to without clinical training.

04 / PEER-REVIEWED EVIDENCEThe coordinated-care literature.

Beyond the NELFT report, a body of peer-reviewed research supports multi-agency and school-embedded approaches for children with ADHD, ASD and broader neurodevelopmental needs. We select sources with clear methodology, UK relevance, and consistent effect direction.

Sheridan et al. (2019) demonstrated that parent–teacher collaboration protocols produce measurable behavioural gains in children with ADHD.03 Pfiffner and colleagues (2016, 2018) showed that the Collaborative Life Skills programme — a cross-setting intervention with structural similarities to TaMHS — improves classroom functioning and home behaviour.0406 Cheng et al. (2023) synthesised the recent literature on integrated care for childhood neurodevelopmental conditions.05 Iznardo et al. (2020) examined teacher-led daily report cards as a bridge between home and school.07

05 / WHAT RCONNECTED DIGITISESFrom clipboard to spine.

The TaMHS methodology used paper plans, weekly meetings, and co-located clinicians. Rconnected preserves the methodology and replaces the infrastructure: a shared care plan visible to family, school and CAMHS; behaviour logging in seconds; functional analysis and risk tools built to NHS standards; and a DCB0129/0160-aligned clinical safety case that travels with the product.

06 / WHAT WE ARE NOT CLAIMINGHonest boundaries.

Rconnected has not yet been evaluated as a product in a peer-reviewed trial. Our pilot programme in 2026 is designed to produce that evaluation. We do not claim the TaMHS outcomes will reproduce exactly through software — we claim the methodology is sound, the literature supports the mechanism, and the opportunity is to give every school in the UK access to a model that currently requires a co-located NHS trust to run.

A last note. If any figure on this page cannot be traced to a named source, it should not be here. Please report it to evidence@rconnected.co.uk.

References

  1. NELFT NHS Foundation Trust (2011).Targeted Mental Health in Schools — Barking & Dagenham deployment overview. Internal programme documentation.
  2. NELFT NHS Foundation Trust (2011). TaMHS Annual Report 2010–2011 — pupil outcome measures. Internal annual report.
  3. Sheridan, S. M., Witte, A. L., Holmes, S. R., et al. (2019). A randomized trial examining the effects of Conjoint Behavioral Consultation on parents and teachers. School Psychology, 34(4), 414–426.
  4. Pfiffner, L. J., Rooney, M., Haack, L., et al. (2016). Collaborative Life Skills programme outcomes for children with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 55(12), 1055–1064.
  5. Cheng, L., Zhang, Y., Patel, M., et al. (2023). Integrated care pathways for children with neurodevelopmental conditions: a systematic review. BMJ Paediatrics Open, 7(1).
  6. Pfiffner, L. J., Haack, L., Rooney, M., et al. (2018). Teacher and parent ratings of children with ADHD in the Collaborative Life Skills study. Behavior Therapy, 49(3), 415–428.
  7. Iznardo, M., Rogers, M. A., Volpe, R. J., et al. (2020). The daily report card as a school-home communication tool. School Mental Health, 12, 71–85.
  8. Department for Education (2023). Special educational needs in England. Statistical release.
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