Child STEPS for Youth Mental Health in Maine Sustainability

President and Fellows of Harvard College

Status: Completed

Conditions: Behavior Problems; Trauma; Depression; Anxiety

Treatments: Other: TRAC; Behavioral: MATCH-ADTC

Study type: Interventional

Funder types: Other

Identifiers

NCT03112304

H030711

Details and patient eligibility

About

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.

Full 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.

Enrollment: 153 patients

Sex: All

Ages: 6 to 15 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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153 participants in 2 patient groups

MATCH-ADTC Wave 1

Experimental group

Description:

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.

Treatment:

Other: TRAC

Behavioral: MATCH-ADTC

MATCH-ADTC Wave 2

Experimental group

Description:

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.

Treatment:

Other: TRAC

Behavioral: MATCH-ADTC