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This study found the most commonly used attachment interventions in UK services currently have a limited evidence base and those with stronger evidence bases are less widely used.

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Barry Wright 1, Pasco Fearon 2, Megan Garside 3, Eleni Tsappis 3, Elaine Amoah 2, Danya Glaser 2, Victoria Allgar 4, Helen Minnis 5, Matthew Woolgar 6, Rachel Churchill 7, Dean McMillan 8, Peter Fonagy 2, Alison O’Sullivan 9, Michelle McHale 10

1 Hull York Medical School, University of York, York, UK
2 Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
3 Leeds and York Partnership NHS Foundation Trust, Leeds, UK
4 Peninsula Medical School, Faculty of Health, University of Plymouth, Plymouth, UK
5 Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
6 King’s College London, London, UK
7 Centre for Reviews and Dissemination, University of York, York, UK
8 Health Sciences, University of York, York, UK
9 National Children’s Bureau, London, UK
10 Attachment Parenting UK, Totnes, UK
* Corresponding author Email: barry.wright1@nhs.net

Declared competing interests of authors: Peter Fonagy received the National Institute for Health and Care Research (NIHR) ARC initiative funding for this report. Peter Fonagy reports grants from the NIHR ARC initiative (2019–present). He also receives royalties or licences from books published with Guildford Press, American Psychiatric Publishing and Oxford University Press. Any honoraria or payment for lectures, presentations and workshops are sent directly to the Anna Freud National Centre for Children and Families; Peter Fonagy receives no money personally for these activities. Peter Fonagy has leadership or fiduciary roles on the following boards: Honorary Treasurer of the Board of Directors of Psychoanalytic Electronic Publishing (1996–present); Clinical Professor of Psychiatry at Yale University School of Medicine (2004–present); International Panel Member of Academic Health Solutions Ltd (2017–present); Royal Foundation Steering Group for HRH The Duchess of Cambridge Early Years (2018–present); Member of the Board of Directors and Co-chair of the Quality of Care Subcommittee at Silver Hill Hospital, CT, USA (2019–present); National Collaborating Centre for Mental Health Management (2019–present); NSPCC Research Advisory Group (2019–present); Chairperson of The Prudence Trust Mental Health Advisory Panel (2020–present); member of the Remote Working in Mental Health Core Group, Health Innovation Network (2020–present); member of the Higher London Mental Health and Wellbeing network (2021–present), chairperson of the Silver Hill Academic Advisory Board (2021–present), trustee for Mental Health Innovations UK, board member of London Mental Health transformation Board of the Health London Partnership; and chairperson of the NHS Parent Infant Perinatal Pathway. He is also Chief Executive of the Anna Freud National Centre for Children and Families; Director for Mental Health and Behaviour Change Programmes, University College London; and National Senior Clinical Advisor, Children and Young People’s Mental Health, NHS England. Pasco Fearon is deputy editor-in-chief of the Journal of Child Psychology and Psychiatry and receives an annual honorarium from the journal.

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