Enhancing Systems of Care: Supporting Families and Improving Youth Outcomes (E-SOC)
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|ClinicalTrials.gov Identifier: NCT03637478|
Recruitment Status : Recruiting
First Posted : August 20, 2018
Last Update Posted : August 20, 2018
|Condition or disease||Intervention/treatment||Phase|
|Pediatric Mental Health Services||Behavioral: Enhanced Systems of Care Team||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||150 participants|
|Intervention Model:||Single Group Assignment|
|Intervention Model Description:||The E-SOC Model consists of the delivery of intensively integrated clinical care within pediatrics, combined with community-based parent support from family support specialists. Innovations include child mental health specialists joining the pediatrics team for "huddles", psychiatry notes shared with pediatricians via the Electronic Medical Records and active inclusion of pediatricians in pre-evaluation discussions with the E-SOC Team and post-evaluation recommendations for the families. In addition, the E-SOC model includes active communication with school personnel, child welfare, and community-based resources, when needed.|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Enhancing Systems of Care: Supporting Families and Improving Youth Outcomes|
|Actual Study Start Date :||October 17, 2017|
|Estimated Primary Completion Date :||March 30, 2020|
|Estimated Study Completion Date :||September 30, 2020|
Experimental: Enhanced Systems of Care Team
The four intervention sites have been selected based on their size: taken together, their pediatric populations comprise over 80% of the total number of children receiving care at Cambridge Health Alliance. At the four intervention sites, the study will involve: 1) an integrated child mental health assessment done by the E-SOC team within primary care, 2) active follow-up, collaboration with specialty providers and support to families, 3) School, child welfare and other community linkages as appropriate.
Behavioral: Enhanced Systems of Care Team
E-SOC team will be increasing connections between clinical care and community partners, such as schools, juvenile justice and child-serving state agencies, to reduce disparities in access to mental health/substance use evaluation and treatment. All aspects of the care continuum will be provided in a culturally and linguistically competent manner, with child and family-driven care planning. Overall goals are: earlier identification of mental health needs including child trauma; increased treatment access and adherence; care delivered in least restrictive settings; care experience reflecting active youth and family engagement; program sustainability and replicability.
- Access to child mental health and substance abuse (MH/SA) care [ Time Frame: Comparative analysis of access to care trends (0-6 months) ]Service Use Data from Electronic Health Records and Claims for intervention group versus controls
- Engagement in child mental health and substance abuse (MH/SA) treatment [ Time Frame: Comparative analysis of service use trends (6-12 months) ]Service Use Data from Electronic Health Records and Claims for intervention group versus controls
- Family Care Experience [ Time Frame: Analysis of baseline and follow-up family perceptions of care (baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months) ]Qualitative assessment of family perceptions of care using the Family Professional Partnership Scale (FPPS). The anchors of items rated on satisfaction are rated on a 5-point likert scale, where 1 = very dissatisfied, 3 = neither satisfied nor dissatisfied, and 5 = very satisfied wherein the higher the value represents a better outcome.
- Changes in Children's Global Assessment Scale (CGAS) Score [ Time Frame: Comparative analysis of baseline and follow-up clinical functioning scores (baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months) ]Measurement of clinical functioning using Children's Global Assessment Scale (CGAS). Trends from baseline to 6 months and 12 months will be examined to identify improvement, decline, or no change in clinical functioning.The CGAS measure provides a single global rating only, on scale of 0-100, where scores below 60 indicate clinical need.
- Changes in Child and Adolescent Functional Assessment Scale (CAFAS) Score [ Time Frame: Comparative analysis of baseline and follow-up clinical functioning scores (baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months) ]Measurement of clinical functioning using Child and Adolescent Functional Assessment Scale (CAFAS). Trends from baseline to 6 months and 12 months will be examined to identify improvement, decline, or no change in clinical functioning. The CAFAS measure indicates the level of clinical functioning, on a scale of 0-140, where scores above 40 indicate clinical need.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03637478
|Contact: Katherine E Grimes, MD, MPHfirstname.lastname@example.org|
|Contact: Amna Baig, MPHemail@example.com|
|United States, Massachusetts|
|Cambridge Health Alliance||Recruiting|
|Cambridge, Massachusetts, United States, 02141|
|Contact: Amna Baig, MPH 617-806-8729 firstname.lastname@example.org|
|Principal Investigator: Katherine E Grimes, MD, MPH|
|Principal Investigator:||Katherine E Grimes, MD, MPH||Cambridge Health Alliance|