National Institute for Health and Care Research

From mechanisms to meaningful change – introducing the AIM project for clinical psychologists

July 2, 2026

Are you a research academic? Check out our researcher-focused blog here.

Strengthening psychological treatments for children and young people through mechanism-focused innovation

Clinical psychologists working with children and young people (CYP) face a familiar challenge: despite major advances in evidence-based interventions, many young people do not experience the level of improvement we would hope for. Engagement can be difficult, outcomes are variable, and one-size-fits-all approaches often struggle to capture the complexity of young people’s lives.

The AIM project was established to support the development of more effective, accessible, and acceptable psychological treatments for CYP through a focus on psychological mechanisms: the underlying processes that maintain distress and contribute to recovery.

Rather than relying solely on broad treatment packages, mechanism-focused approaches ask a more precise clinical question: what processes are maintaining this young person’s difficulties, and how can those processes be directly modified? Mechanisms such as self-focused attention, negative imagery, rumination, avoidance, or safety-seeking behaviours are already familiar within many therapeutic models. What has changed is the growing ability to study, measure, and evaluate these mechanisms in developmentally informed ways.

This mechanistic focus supports evidence-based practice and enables more confident and flexible decision-making, particularly when a young person is not responding as expected.  Importantly, mechanism-focused work also supports greater personalisation of care. Psychological processes may present differently depending on developmental stage, neurodiversity, comorbidity, family context, or social environment. Understanding these differences can help clinicians adapt interventions more effectively and work collaboratively with young people and families in ways that feel relevant and acceptable.

High-quality measurement is central to this process. Clinicians need brief, meaningful, and psychometrically robust measures that are acceptable to young people and sensitive to therapeutic change. They also need practical resources that make mechanism-focused evidence accessible and usable in routine practice.

The AIM Digital Community (website coming soon) was developed with these needs in mind. AIM hosts a searchable library of validated measures of psychological mechanisms relevant to children and young people, many of which can support formulation, routine outcome monitoring, and treatment evaluation across clinical, school, and research settings.

Alongside measures, AIM provides wider resources to support innovation in CYP mental health practice, including methodological guidance, examples of intervention development, and links to complementary evidence and platforms. The intention is to support clinicians who wish to engage critically with research, contribute to treatment development, and strengthen the translation of evidence into everyday care.

Community and collaboration are central to the platform. AIM reflects values already embedded within clinical psychology: respect for lived experience, collaboration with young people and families, and a commitment to improving care through shared learning and innovation.

The platform is completely free to access and has been designed as a living, evolving resource that grows and improves through community engagement. This is more than just a tool. This is the beginning of a collaborative space for innovation and shared learning in mental health.

As evidence-based practice continues to evolve, clinicians will play a vital role in shaping how mechanistic research translates into real-world care for children and young people. AIM exists to support that shared endeavour.

Learn more about the AIM project

Back to Top