Enhancing Systems of Care: Supporting Families and Improving Youth Outcomes (E-SOC)

Cambridge Health Alliance

Status: Completed

Conditions: Pediatric Mental Health Services

Treatments: Behavioral: Enhanced Systems of Care Team

Study type: Interventional

Funder types: Other

Identifiers

NCT03637478

CHR-IRB-1062/04/17

Details and patient eligibility

About

The aim of the study is to improve access to child mental health and substance abuse (MH/SA) care by expanding primary care screening and increasing availability of timely mental health evaluation and treatment.

Full description

This is a quasi-experimental, longitudinal study. Identified youth and families will receive the intervention within the four study site clinic locations. Comparison group families will receive usual care. Each primary care study site will have designated Family Support Specialist, Clinical Care Manager and Child Psychiatry resources. The intervention includes an integrated care consultation which combines diagnostic evaluation, family assessment, and multi-disciplinary, team-based treatment recommendations, with follow-up community linkages and support, as indicated.

Enrollment: 171 patients

Sex: All

Ages: Under 17 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Must be between ages 0 to 17.5 years
• Referred by primary care physician at one of these Cambridge Health Alliance clinics: Windsor Street Care Center, Broadway Care Center, Everett Care Center, Malden Family Medicine Center
• Referred youth must have a caregiver (a parent of guardian) who agrees to participate in the assessment and treatment process

Exclusion criteria

• 17.6 years or older

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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171 participants in 1 patient group

Enhanced Systems of Care Team

Experimental group

Description:

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.

Treatment:

Behavioral: Enhanced Systems of Care Team