Sustainment of Mental Health Supports

Children's Hospital of Philadelphia (CHOP)

Status: Completed

Conditions: Behavior Disorders

Treatments: Behavioral: Coaches without CHOP Research Consultant Support; Behavioral: Coaches with Children's Hospital of Philadelphia (CHOP) Research Consultant Support

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04869657

20-018185

1R01MH122465-01A1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Schools are in great need of service delivery systems that can improve school climate and also attend to students' mental health. One effective approach is Positive Behavioral Interventions and Supports (PBIS), a multitiered framework for defining and organizing practices and interventions (including mental health practices).

Enrollment: 392 patients

Sex: All

Ages: 8 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Schools: Any school in the School District of Philadelphia (SDP) already implementing Positive Behavioral Interventions and Supports (PBIS).
• Tier 2 Team Members: Any staff from participating schools involved in the PBIS leadership team at that school.
• Tier 2 Implementers: Any Masters-level staff assigned by their school's principal to deliver Tier 2 interventions.
• Tier 2 Coaches: Any Masters-level clinician employed by the SDP to support staff implementing Tier 2 interventions
• Students: Any student at participating schools in grades 4-8 who scores as eligible for PBIS based on the Social, Academic, and Emotional Behavioral Risk Screener (SAEBRS), which is standard screening criteria in the SDP for Tier 2 services and scores above > 1 SD above the mean on the Emotional Symptoms or Conduct Problems scales of the Strengths and Difficulties Questionnaire (SDQ) plus Impact Supplement scores of 1 (A medium amount) or 2 (A great deal) completed by a parent or a teacher

Exclusion criteria

• Schools: Any schools not currently implementing PBIS at Tier 1.
• Tier 2 Team Members and Implementers: Any school personnel that are not involved in the leadership team or tier 2 team.
• Students: Any student with a Special Education classification of "Intellectual Disability;" or with a history of psychotic or autistic spectrum disorders according to school records will be excluded because they would be unlikely to benefit from our tier 2 interventions

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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392 participants in 2 patient groups

Sustainment 1: Coaches with CHOP Support

Active Comparator group

Description:

In Year 1 of participation, schools in both arms will receive support for Tier 2 interventions provided by Children's Hospital of Philadelphia (CHOP) research consultants. In Year 2, schools in Sustainment 1 will receive reduced support for Tier 2 interventions provided by school district coaches. The coaches will in turn receive diminished support from research consultants. In Year 3, schools in both conditions will implement Tier 2 interventions with support from school district coaches; coaches will not receive direct assistance from research consultants.

Treatment:

Behavioral: Coaches with Children's Hospital of Philadelphia (CHOP) Research Consultant Support

Behavioral: Coaches without CHOP Research Consultant Support

Sustainment 2: Coaches without CHOP Support

Active Comparator group

Description:

In Year 1 of participation, schools in both arms will receive support for Tier 2 interventions provided by CHOP research consultants. In Years 2 and 3, schools in Sustainment 2 will receive support from school district coaches but coaches will not receive help from research consultants.

Treatment:

Behavioral: Coaches without CHOP Research Consultant Support