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Partnerships Between Schools and Public Mental Health Departments: Investigation of Multi-professional Interventions for Children Aged 3 to 8 With Mental Health Issues (Parpsych-Ed)

Not Applicable
Conditions
School Difficulties Associated With Mental Health Problems
Interventions
Behavioral: Questionnaires at the start and end of the school year
Registration Number
NCT04300712
Lead Sponsor
GCS pour la recherche et la formation en sante mentale
Brief Summary

Local partnerships between schools (preschool and elementary) and mental health public services are implemented in seven sites in France. They aim to improve recognition of difficulties related to mental health problems and to provide interventions to 3 to 8 years-old pupils in need. Our hypothesis that these local partnerships and interventions enhance the role of school in supporting good mental health and wellbeing of all children and the trajectories of children with mental health service needs. Theses also facilitate community support. One of them, early-interventions involve caregivers. Our objective is to enhance knowledge of the unmet mental healthcare need at school and to explore for whom, in which local context and how partnerships and early intervention work.

Detailed Description

Teachers are legitimately concerned about children that encounter mental health problems. Mental healthcare might be indicated. Because of internal and external barriers of treatment, they could remain inaccessible for many children in need. School staff should not try to diagnose conditions. However, collaborative interventions delivered by school and mental healthcare staffs in association with other stakeholders as parents and associations should ensure clear systems and processes in place for identifying possible mental health problems and support children and their parents. Local partnership and early interventions will be elaborated within focus groups bringing together all stakeholders and will be experimented in 7 French sites (preschool, primary school and local public health service) thereafter. These complex interventions will be evaluated through mixed-methods including qualitative case studies and a pragmatic trial. This feasibility study will produce a set of findings that will permit to argue conceptual framework of partnership and early intervention, to provide guidelines to implement these in France considering children needs, local context, all stakeholders acceptance and public health efficacy.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
2000
Inclusion Criteria
  • Attending pre- and elementary schools involved in the ParpsychEd partnerships.
Exclusion Criteria
  • Absence of parents and/or child consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Tracking of the children with difficultiesQuestionnaires at the start and end of the school yearAll parents and teachers will respond to the questionnaires and the beginning and end of school year which is not done in the routine for tracking the children in difficulty.
Primary Outcome Measures
NameTimeMethod
number of 3 to 8 years old children identified with mental health services need24 months

Evolution of the number of 3 to 8 years old children identified with mental health services

Secondary Outcome Measures
NameTimeMethod
Strengths and Difficulties Questionnaire (SDQ)12 months

Changes in the impact supplement and the follow-up questions - parents and teachers

Parent refusal rate to let their child benefit of all responses12 months

Parent refusal rate to let their child benefit of all responses

Healthcare access, barriers to treatment, intervention acceptance12 months

Healthcare access, barriers to treatment, intervention acceptance

Parents refusal rate to plan appointment in public health services as indicated after the intervention18 months

Parents refusal rate to plan appointment in public health services as indicated after the intervention

Mental health and mental health services representation and use18 months

Changes in the mental health representations of parents, teachers and others professionnals

Parent refusal rate to let their child benefit of the early intervention12 months

Parent refusal rate to let their child benefit of the early intervention

Trial Locations

Locations (6)

Centre Hospitalier Sainte Anne

🇫🇷

Paris, France

EPSM Val de Lys

🇫🇷

Vieille chapelle, Pas De Calais, France

Fondation Bon Sauveur de la Manche

🇫🇷

Picauville, France

Centre Hospitalier de Saint Denis

🇫🇷

Saint-Denis, France

EPSM de Guadeloupe

🇫🇷

Saint-Claude, Guadeloupe, France

EPSM Barthélémy Durand

🇫🇷

Grigny, Essone, France

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