TeamSTEPPS in School Mental Health

Not Applicable

Completed

• Conditions: Multidisciplinary Communication; Interprofessional Relations; Child Behavior Problem
• Interventions: Behavioral: TeamSTEPPS

• Registration Number: NCT04440228
• Lead Sponsor: University of Pennsylvania

Brief Summary

Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based approach for teams that can be adapted for school mental health. TeamSTEPPS has been widely disseminated in health care settings with promising outcomes. TeamSTEPPS is designed to build competencies in the areas of leadership, situation monitoring, mutual support, and communication and has been associated with improvements in teamwork and communication as well as patient outcomes, such as decreased seclusion in psychiatric hospitals. This approach has yet to be extended as an implementation strategy in school or community mental health teams. If an evidence-based team approach like TeamSTEPPS can be successfully applied to school mental health teams, it could provide a cost-effective strategy for improving student mental health services and bolstering existing EBP implementation efforts, which to date generally have been insufficient in producing long-term clinician behavior change. In Aim 1 the investigators will capture key stakeholder perspectives about challenges in collocated school mental health services through formative work to inform collaborative planning and capacity building activities in Aim 2. Then, in Aim 2 the investigators will identify inter-organizational challenges and required components of TeamSTEPPS to adapt. The investigators will establish an advisory board and adapt TeamSTEPPS. The product of Aim 2 will be an adapted TeamSTEPPS, directed toward both school mental health and school-employed personnel, and specific, tailored implementation strategies to improve services in schools in conjunction with TeamSTEPPS. Finally, In Aim 3 the investigators will explore the feasibility, acceptability, and utility of TeamSTEPPS and the strategies generated in Aim 2 on inter-professional collaboration, teamwork, and student outcomes in eight schools.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-06-08
• Study First Submitted QC: 2020-06-18
• Study First Posted: 2020-06-19
• Study Start: 2022-05-23
• Primary Completion: 2024-04-30
• Study Completion: 2024-04-30
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-07
• Last Update Posted: 2024-05-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

• Must be one of the following: mental health providers, teachers, leaders from schools (e.g., principals), leaders from community mental health agencies (i.e., executive directors, clinical supervisors), and leadership personnel from the payer or partner school district.

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Exclusion Criteria

• There are no exclusion criteria proposed for school and agency-employed personnel. Participants will not be excluded given their gender, demographics, and/or past experience.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Schools implementing TeamSTEPPS	TeamSTEPPS	Select schools will take a participatory approach to collaboratively identify solutions to challenges in collocated school-based mental health services based upon the feedback of stakeholders and use TeamSTEPPS to support mental health team-school collaboration.

Primary Outcome Measures

Name	Time	Method
Feasibility of Intervention Measure (FIM)	3-12 months	Reliable and validated 4-item tool to assess perceptions of the feasibility of an intervention (in this caseTeamSTEPPS). Scores can range from 4 to 20. A score of 4 indicates it was very unfeasible and a score of 20 indicates it was very feasible. Each item may be scored 1 = "completely disagree", 2 = "disagree", 3 = "neither agree nor disagree", 4 = "agree", and 5 = "completely agree."
Acceptability of Intervention Measure (AIM)	3-12 months	Reliable and validated 4-item observational tool to assess perceptions of the acceptability of an intervention (in this caseTeamSTEPPS). Scores can range from 4 to 20. A score of 4 indicates it was very unacceptable and a score of 20 indicates it was very acceptable. Each item may be scored 1 = "completely disagree", 2 = "disagree", 3 = "neither agree nor disagree", 4 = "agree", and 5 = "completely agree."

Secondary Outcome Measures

Name	Time	Method
Oxford Non-Technical Skills (NOTECHS) scale	3-12 months	Validated 4-item tool to assess teamwork and cognitive skills. It measures leadership and management; teamwork and cooperation; problem-solving and decision making; and situational awareness. An observer codes team behavior in each domain using 3-5 items rated from 1 (Below Standard) to 4 (Excellent). Sub-team specific modifiers further examine the unique contributions of various staff roles. It has been previously modified for use with medical teams with demonstrated reliability and validity. Final scores indicate "below standard", "basic standard", "standard", or "excellent" performance.

Trial Locations

Locations (1)

University of Pennsylvania; 🇺🇸 Philadelphia, Pennsylvania, United States