Enhancing Systems of Care: Supporting Families and Improving Youth Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 171
- 试验地点
- 1
- 主要终点
- Access to child mental health and substance abuse (MH/SA) care
研究概览
简要总结
The aim of the study is to improve access to child mental health and substance abuse (MH/SA) care by expanding primary care screening and increasing availability of timely mental health evaluation and treatment.
详细描述
This is a quasi-experimental, longitudinal study. Identified youth and families will receive the intervention within the four study site clinic locations. Comparison group families will receive usual care. Each primary care study site will have designated Family Support Specialist, Clinical Care Manager and Child Psychiatry resources. The intervention includes an integrated care consultation which combines diagnostic evaluation, family assessment, and multi-disciplinary, team-based treatment recommendations, with follow-up community linkages and support, as indicated.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 0 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Must be between ages 0 to 17.5 years
- •Referred by primary care physician at one of these Cambridge Health Alliance clinics: Windsor Street Care Center, Broadway Care Center, Everett Care Center, Malden Family Medicine Center
- •Referred youth must have a caregiver (a parent of guardian) who agrees to participate in the assessment and treatment process
排除标准
- •17.6 years or older
研究组 & 干预措施
Enhanced Systems of Care Team
The four intervention sites have been selected based on their size: taken together, their pediatric populations comprise over 80% of the total number of children receiving care at Cambridge Health Alliance. At the four intervention sites, the study will involve: 1) an integrated child mental health assessment done by the E-SOC team within primary care, 2) active follow-up, collaboration with specialty providers and support to families, 3) School, child welfare and other community linkages as appropriate.
干预措施: Enhanced Systems of Care Team (Behavioral)
结局指标
主要结局
Access to child mental health and substance abuse (MH/SA) care
时间窗: Comparative analysis of access to care trends (0-6 months)
Service Use Data from Electronic Health Records and Claims for intervention group versus controls
Engagement in child mental health and substance abuse (MH/SA) treatment
时间窗: Comparative analysis of service use trends (6-12 months)
Service Use Data from Electronic Health Records and Claims for intervention group versus controls
次要结局
- Changes in Child and Adolescent Functional Assessment Scale (CAFAS) Score(Comparative analysis of baseline and follow-up clinical functioning scores (baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months))
- Changes in Children's Global Assessment Scale (CGAS) Score(Comparative analysis of baseline and follow-up clinical functioning scores (baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months))
- Family Care Experience(Analysis of baseline and follow-up family perceptions of care (baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months))
研究者
Katherine Grimes MD
Director, Children's Health Initiative
Harvard Medical School (HMS and HSDM)