Enhancing Systems of Care: Supporting Families and Improving Youth Outcomes
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pediatric Mental Health Services
- Sponsor
- Cambridge Health Alliance
- Enrollment
- 171
- Locations
- 1
- Primary Endpoint
- Access to child mental health and substance abuse (MH/SA) care
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Katherine Grimes MD
Director, Children's Health Initiative
Harvard Medical School (HMS and HSDM)
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •17.6 years or older
Outcomes
Primary Outcomes
Access to child mental health and substance abuse (MH/SA) care
Time Frame: 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
Time Frame: Comparative analysis of service use trends (6-12 months)
Service Use Data from Electronic Health Records and Claims for intervention group versus controls
Secondary Outcomes
- 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))