Safety-Net Care Team Model for Emotional Disturbance

(Safety-Net Trial)

Overseen By Jennifer McNaboe, MPH

Age: < 65

Sex: Any

Trial Phase: Academic

Sponsor: Cambridge Health Alliance

Disqualifiers: Over 17.5 years, Not MassHealth, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 6

Duration: 12 months

131 Participants Needed

Trial Summary

What is the purpose of this trial?

The Safety-Net project, is intended to disrupt disparities in mental health treatment access for children at-risk for childhood trauma (ACEs) and/or serious emotional disturbance (SED). "Safety Net" 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.

Eligibility Criteria

This trial is for children aged 3-17.5 years who are enrolled in MassHealth and have been referred by their primary care physicians from specific CHA sites due to concerns about mental health or substance use. They must show positive signs on standard screening tools or parental/PCP concern.

Inclusion Criteria

You have shown signs of mental health or substance use issues based on a screening test, or your parents or doctor are concerned about your mental health or substance use.

I am between 3 and 17½ years old.

Referred by PCP's from one of the three CHA Safety Net primary care sites (Malden Family Medicine Center, Windsor Street Health Center and Broadway Care Center) to the Safety Net team for an integrated child mental health and/or substance use disorder clinical assessment.

Exclusion Criteria

I am 17.5 years old but will not turn 18 before enrolling.

Youth who are not enrolled in MassHealth

CHA patients with PCP located at CHA primary care site other than three identified intervention sites (Malden, Windsor, Broadway)

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive mobile clinical and family support interventions to improve mental health outcomes

12 months

Regular visits as needed for intervention delivery

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months

Follow-up assessments at 6 months and 12 months

Treatment Details

Interventions

• Safety-Net Care Team Model

Trial Overview The 'Safety-Net Care Team Model' aims to improve mental health outcomes for at-risk children with serious emotional disturbances by using mobile clinical and family support teams integrated within the healthcare system.

Participant Groups

Group I: Safety-Net Intervention Active Control 1 Intervention

Group II: Treatment as Usual Active Control 1 Intervention

Who Is Running the Clinical Trial?

Cambridge Health Alliance

Lead Sponsor

Trials

65

Recruited

22,400+