Family Connections: A Community-Based Approach to Expanding Mental Health Access and Engagement for SED Youth
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 300
- 试验地点
- 2
- 主要终点
- Changes in Child and Adolescent Functional Assessment Scale (CAFAS) Score
研究概览
简要总结
The Family Connections study, is intended to disrupt disparities in mental health treatment access for children at-risk for childhood trauma (ACEs) and/or serious emotional disturbance (SED). "Family Connections" will use mobile clinical and family support teams to improve mental health outcomes. This clinical innovation, nested in an integrated system-of-care will be piloted for children, ages 3-18 yrs., with SED who receive primary care through Cambridge Health Alliance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 3 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •3 through 18 years (17½ years maximum at time of enrollment)
- •Referred by Primary Care Physician's (PCP) from one of the three Cambridge Health Alliance (CHA) primary care intervention sites to the Family Connections team for an integrated child mental health and/or substance use disorder clinical assessment.
- •Positive screen on CHA's standard pediatric mental health and substance use screening instruments, and/or parental concern about possible mental health/substance use needs, and/or PCP concern about possible mental health/substance use needs
- •Enrolled in MassHealth
排除标准
- •Subjects over 17.5 years (SAMHSA data collection required at 6 and 12 months after enrollment which must occur before age 18 years.)
- •Youth who are not enrolled in MassHealth
- •CHA patients with PCP located at CHA primary care site other than the identified intervention sites
结局指标
主要结局
Changes in Child and Adolescent Functional Assessment Scale (CAFAS) Score
时间窗: Baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months
Comparative analysis of baseline and follow-up clinical functioning scores CAFAS Scoring: Levels of Dysfunction None or minimal 0-10 Mild 20-30 Moderate 40-60 Marked 70-80 Severe \>90
Changes in Children's Global Assessment Scale (CGAS) Score
时间窗: Baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months
Comparative analysis of baseline and follow-up clinical functioning scores CGAS Scale: 100-91 Superior functioning 90-81 Good functioning 80-71 No more than a slight impairment in functioning 70-61 Some difficulty in a single area, but generally functioning pretty well 60-51 Variable functioning with sporadic difficulties 50-41 Moderate degree of interference in functioning 40-31 Major impairment to functioning in several areas 30-21 Unable to function in almost all areas 20-11 Needs considerable supervision 10-1 Needs constant supervision
Family perceptions of care using the Family Professional Partnership Scale (FPPS).
时间窗: Baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months
Analysis of baseline and follow-up family perceptions of care (18 Questions): 1. - Very Dissatisfied 2. - Dissatisfied 3. - Neither 4. - Satisfied 5. - Very Satisfied
Access to child mental health and substance abuse (MH/SA) care
时间窗: 0-6 months
Comparative analysis of access to care trends
Engagement in child mental health and substance abuse (MH/SA) treatment
时间窗: 6-12 months
Comparative analysis of service use trends
次要结局
未报告次要终点
研究者
Katherine Grimes MD
Children's Health Initiative, Director
Cambridge Health Alliance