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| ID | Type | Description | Link |
|---|---|---|---|
| H79SM089682 | Other Grant/Funding Number | SAMHSA |
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The Family Connections study, is intended to disrupt disparities in mental health treatment access for children at-risk for childhood trauma (ACEs) and/or serious emotional disturbance (SED). "Family Connections" will use mobile clinical and family support teams to improve mental health outcomes. This clinical innovation, nested in an integrated system-of-care will be piloted for children, ages 3-18 yrs., with SED who receive primary care through Cambridge Health Alliance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Comparator: Family Connections Intervention | Active Comparator |
| |
| Treatment as Usual | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral Treatment | Behavioral | "Family Connections" Care Planning Team: Clinical expertise will be combined with peer-to-peer parent/guardian support for trauma-informed care delivery to both parent and child. All aspects of the care continuum will be provided in a culturally and linguistically competent manner, with child and family-driven care planning. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Child and Adolescent Functional Assessment Scale (CAFAS) Score | Comparative analysis of baseline and follow-up clinical functioning scores CAFAS Scoring: Levels of Dysfunction None or minimal 0-10 Mild 20-30 Moderate 40-60 Marked 70-80 Severe >90 | Baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months |
| Changes in Children's Global Assessment Scale (CGAS) Score | Comparative analysis of baseline and follow-up clinical functioning scores CGAS Scale: 100-91 Superior functioning 90-81 Good functioning 80-71 No more than a slight impairment in functioning 70-61 Some difficulty in a single area, but generally functioning pretty well 60-51 Variable functioning with sporadic difficulties 50-41 Moderate degree of interference in functioning 40-31 Major impairment to functioning in several areas 30-21 Unable to function in almost all areas 20-11 Needs considerable supervision 10-1 Needs constant supervision | Baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months |
| Family perceptions of care using the Family Professional Partnership Scale (FPPS). | Analysis of baseline and follow-up family perceptions of care (18 Questions):
| Baseline collected at enrollment, follow-up assessments collected at 6 months and 12 months |
| Access to child mental health and substance abuse (MH/SA) care | Comparative analysis of access to care trends | 0-6 months |
| Engagement in child mental health and substance abuse (MH/SA) treatment | Comparative analysis of service use trends | 6-12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Katherine E Grimes, MD, MPH | Contact | 617-806-8718 | katherine_grimes@hms.harvard.edu | |
| Program Administrator, MPH | Contact | 857-260-2867 | amaity@challiance.org |
| Name | Affiliation | Role |
|---|---|---|
| Katherine E Grimes, MD, MPH | Cambridge Health Alliance | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cambridge Health Alliance | Recruiting | Cambridge | Massachusetts | 02139 | United States |
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| ID | Term |
|---|---|
| D000342 | Affective Symptoms |
| D002653 | Child Behavior Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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The Family Connections 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 Family Connections Team and post-evaluation recommendations for the families. In addition, the Safety-Net model includes active communication with school personnel, child welfare, and community-based resources, when needed.
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