Child STEPS for Youth Mental Health in Maine Sustainability

Not Applicable

Completed

• Conditions: Behavior Problems; Anxiety; Trauma; Depression
• Interventions: Behavioral: MATCH-ADTC; Other: TRAC

• Registration Number: NCT03112304
• Lead Sponsor: Harvard University

Brief Summary

The overarching goal of this project is to study the sustainability of MATCH-ADTC within community mental health clinics, to learn what is needed for evidence-based practices (EBPs) to take root and thrive within a public system.

Detailed Description

In this project, the investigators are randomizing children to Wave 1 (previously MATCH trained) or Wave 2 (newly MATCH trained) and using a clinical monitoring system (TRAC) to measure youth outcomes over time. Participating therapists receive weekly MATCH consultation provided by the Judge Baker Children's Center/Harvard University research team or by Maine clinic supervisors who are MATCH Associate Consultants. The investigators are also developing and testing new low-cost measures of MATCH treatment and consultation fidelity to explore the feasibility of more sustainable measures of MATCH adherence. Study data will be used to answer questions about the sustainability of MATCH in the public sector.

Study Timeline

• Study Start: 2011-09
• Primary Completion: 2014-07
• Study Completion: 2015-08
• Study First Submitted: 2017-03-28
• Status Verified: 2017-04
• Study First Submitted QC: 2017-04-07
• Last Update Submitted: 2017-04-07
• Study First Posted: 2017-04-13
• Last Update Posted: 2017-04-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 153

Inclusion Criteria

• 6 - 15 year old child and their caregivers
• seeking services at community mental health clinics
• primary problem or disorder related to anxiety, traumatic stress, depression, or conduct problems, or any combination of the four problems

Exclusion Criteria

• child is younger than 6 years or older than 15 years on the day of the phone screen.
• child has attempted suicide within the past year.
• Schizophrenic spectrum disorder (including MDD with psychotic features)
• Autism or another Pervasive Developmental Disorder (E.g., PDD NOS, Asperger's Disorder, Child Disintegration Disorder, Rett's Disorder)
• Anorexia Nervosa
• Bulimia Nervosa
• Mental Retardation
• no relevant T-scores validate target disorders
• ADHD identified as primary reason for seeking treatment at phone screen
• child's medication has not been regulated for one month or longer

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
MATCH-ADTC Wave 1	TRAC	Wave 1 clinicians received MATCH training at the beginning of the project and used MATCH to treat participating children from their clinic for two years, with weekly case consultation from MATCH experts who were part of the study team, and then received consultation from their own clinic supervisors who had been trained as MATCH Associate Consultants (ACs), supported by the TRAC system.
MATCH-ADTC Wave 2	TRAC	Wave 2 clinicians provided treatment as usual (e.g., usual care) with the children they treated during the initial two years of the project. Afterwards, they trained in MATCH and used it to treat children in their clinics with weekly case consultation from our study team of MATCH experts, supported by the TRAC system.
MATCH-ADTC Wave 1	MATCH-ADTC	Wave 1 clinicians received MATCH training at the beginning of the project and used MATCH to treat participating children from their clinic for two years, with weekly case consultation from MATCH experts who were part of the study team, and then received consultation from their own clinic supervisors who had been trained as MATCH Associate Consultants (ACs), supported by the TRAC system.
MATCH-ADTC Wave 2	MATCH-ADTC	Wave 2 clinicians provided treatment as usual (e.g., usual care) with the children they treated during the initial two years of the project. Afterwards, they trained in MATCH and used it to treat children in their clinics with weekly case consultation from our study team of MATCH experts, supported by the TRAC system.

Primary Outcome Measures

Name	Time	Method
Brief Problem Checklist (BPC)	Change over time from Day 1 to Day 242 (end of treatment)
Top Problems Assessment (TPA)	Change over time from Day 1 to Day 534 (18 month follow-up)

Secondary Outcome Measures

Name	Time	Method
Therapist Satisfaction Inventory (TSI)	Change over time from Day 1 to Day 267(end of treatment)
Youth Self-Report and Child Behavior Checklist	Change over time from Day 1 to Day 534 (18 month follow-up)
Client Satisfaction Questionnaire- 8 (CSQ-8 )	Change over time from Day 1 to Day 267(end of treatment)
Youth Satisfaction Questionnaire-8 (YSQ-8)	Change over time from Day 1 to Day 267(end of treatment)
Evidence-Based Practice Attitudes Scale (EBPAS)	Change over time from Day 1 to Day 267(end of treatment)
Therapeutic Alliance Scale for Children (TASC)	Change over time from Day 1 to Day 267(end of treatment)

Trial Locations

Locations (1)

Harvard University; 🇺🇸 Cambridge, Massachusetts, United States