Rehabilitation of Children With Multiple Disabilities

Phase 1

Completed

• Conditions: Autism; Cerebral Palsy; Down's Syndrome; Brain Injury
• Interventions: Other: CTN model of care for children and their families

• Registration Number: NCT01379443
• Lead Sponsor: Children's Treatment Network

Brief Summary

The objective of the study is to compare the usual care and treatment of children and youth (0-19 years) with multiple developmental delays and disabilities and their families in Simcoe York with a co-ordinated, navigated approach to care using the Children's Treatment Network (CTN) services.

Detailed Description

The Children's Treatment Network (CTN)links existing children's services rather than creating a new Centre. The purpose of the evaluation is to compare the effectiveness and efficiency of this service with the usual care that people receive. 500 Children will be randomized to receive either usual care (250) or the co-ordinated, navigated care from CTN (250). The primary question to be addressed is whether the more integrated CTN model of service improves family-centered services, parent mental health, parenting, family function and the quality of the child's life and the families resource needs as well as reduce expenditures for the families' use of all other health and social services compared to the outcomes of usual care alone. What children and families with what characteristics and circumstances most benefit from which approach to the treatment of childhood disability in Simcoe-York? At what cost?

Agencies providing services to children will be evaluated as to how effective their integration of teams are functioning, their partnership with each other and capacity building in the community.

Study Timeline

• Study Start: 2007-04
• Primary Completion: 2009-12
• Study Completion: 2009-12
• Status Verified: 2011-06
• Study First Submitted: 2011-06-14
• Study First Submitted QC: 2011-06-22
• Last Update Submitted: 2011-06-22
• Study First Posted: 2011-06-23
• Last Update Posted: 2011-06-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 445

Inclusion Criteria

• Children and youth up to 19 years of age
• living in Simcoe-York.
• English speaking
• multi-need family
• children on agency service wait lists
• children under the care of Children's Aid Societies
• Families with more than 1 disabled child

Exclusion Criteria

-youth over 19 years.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Parental reports of their children	CTN model of care for children and their families	Parental report of family-centered processes of care (MPOC) Parent mental health Parent perceived social support

Primary Outcome Measures

Name	Time	Method
Parental reports in the Quality of Life of Children and Youth	12 and 24 month	Parent report of family centred processes of care (MPOC) Parent mental health Parent perceived social support

Secondary Outcome Measures

Name	Time	Method
Integration of teams amongst service providers. Integration was measured at two levels using the Integration of Human Services Measure.	12 months and 24 months	The measure evaluates observed and expected depth of integration among service providers.; CEO or senior manager participation in the Network was measured.

Trial Locations

Locations (1)

McMaster University; 🇨🇦 Hamilton, Ontario, Canada