The objective of the study is to compare the usual care and treatment of children and youth (0-19 years) with multiple developmental delays and disabilities and their families in Simcoe York with a co-ordinated, navigated approach to care using the Children's Treatment Network (CTN) services.
The Children's Treatment Network (CTN)links existing children's services rather than creating a new Centre. The purpose of the evaluation is to compare the effectiveness and efficiency of this service with the usual care that people receive. 500 Children will be randomized to receive either usual care (250) or the co-ordinated, navigated care from CTN (250). The primary question to be addressed is whether the more integrated CTN model of service improves family-centered services, parent mental health, parenting, family function and the quality of the child's life and the families resource needs as well as reduce expenditures for the families' use of all other health and social services compared to the outcomes of usual care alone. What children and families with what characteristics and circumstances most benefit from which approach to the treatment of childhood disability in Simcoe-York? At what cost? Agencies providing services to children will be evaluated as to how effective their integration of teams are functioning, their partnership with each other and capacity building in the community.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
445
Parental reports on the quality of life of their children and service needs
McMaster University
Hamilton, Ontario, Canada
Parental reports in the Quality of Life of Children and Youth
Parent report of family centred processes of care (MPOC) Parent mental health Parent perceived social support
Time frame: 12 and 24 month
Integration of teams amongst service providers. Integration was measured at two levels using the Integration of Human Services Measure.
The measure evaluates observed and expected depth of integration among service providers. CEO or senior manager participation in the Network was measured.
Time frame: 12 months and 24 months
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