Collaborative Redesign of Implementation Strategies for the Brief Intervention for School Clinicians (BRISC)

University of Washington

Status: Not yet enrolling

Conditions: Depressive Symptoms; Mental Health Issue; Anxiety Disorders

Treatments: Behavioral: Brief Intervention for School Clinicians (BRISC) with Implementation Strategies Adapted for School-Employed Practitioners (BR-A); Behavioral: Unadapted Brief Intervention for School Clinicians (BRISC; BR-O)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06968949

P50MH115837 (U.S. NIH Grant/Contract)

STUDY00019682

Details and patient eligibility

About

Schools are the most common venue for youth mental health services, but school mental health (SMH) typically does not use evidence-based clinical interventions (CI), common elements of effective mental health, or effective implementation strategies. To address this gap, a multidisciplinary team developed the Brief Intervention for School Clinicians (BRISC), a four-session engagement, brief intervention, and triage strategy targeting a range of mental health (e.g., anxiety, depression, past trauma) and other problems (academic, peer, family). BRISC outperformed SMH usual care on engagement, treatment completion, and youth self-reported problem severity. Although there are many evidence-based SMH strategies such as BRISC, integration into practice is poor because accompanying implementation strategies are often absent, poorly defined, or insufficiently tailored to the education context.

Full description

The investigators will evaluate the impact of original BRISC (BR-O) implementation versus adapted BRISC (BR-A) implementation for students referred to SMH on mental health outcomes (i.e., student top problems, anxiety, depression, mental health functioning). The investigators hypothesize:

H-1: In both BR-O and BR-A, more students will experience clinical improvement on mental health outcomes (i.e., top problems, anxiety, depression, mental health functioning) than deteriorate or remain unchanged.

H-2: BR-A will demonstrate noninferiority to BR-O on mental health outcomes.

Enrollment: 60 estimated patients

Sex: All

Ages: 13+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinician participants: Counselors will be included if they (a) provide school-based services; (b) have not previously received formal training in BRISC; and (c) are not actively receiving support to implement another intervention.
• Youth participants: Students must meet eligibility criteria for BRISC including (a) being in grades 9-12 and 13 years or older (b) receiving school mental health services

Exclusion criteria

• Anyone not meeting inclusion criteria.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Unadapted Brief Intervention for School Clinicians (BRISC; BR-O)

Active Comparator group

Description:

Participants in this arm will receive unadapted Brief Intervention for School Clinicians (BRISC), a four-session engagement, brief intervention, and triage strategy targeting a range of mental health (e.g., anxiety, depression, past trauma) and other problems (academic, peer, family).

Treatment:

Behavioral: Unadapted Brief Intervention for School Clinicians (BRISC; BR-O)

BRISC with Implementation Strategies Adapted for School Practitioners (BR-A)

Experimental group

Description:

Participants in this arm will Brief Intervention for School Clinicians (BRISC) with implementation strategies adapted for school-employed practitioners (BR-A).

Treatment:

Behavioral: Brief Intervention for School Clinicians (BRISC) with Implementation Strategies Adapted for School-Employed Practitioners (BR-A)