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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
300
"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.
Cambridge Health Alliance
Cambridge, Massachusetts, United States
RECRUITINGChanges 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
Time frame: 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
Time frame: 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): 1. \- Very Dissatisfied 2. \- Dissatisfied 3. \- Neither 4. \- Satisfied 5. \- Very Satisfied
Time frame: 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
Time frame: 0-6 months
Engagement in child mental health and substance abuse (MH/SA) treatment
Comparative analysis of service use trends
Time frame: 6-12 months
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