Integrated Collaborative Care for Youth Mental Health and Addiction

Recruiting at 4 trial locations

Overseen by Peter Szatmari, MD, FRCPC

Age: < 65

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Centre for Addiction and Mental Health

No Placebo Group

Trial Summary

What is the purpose of this trial?

This trial tests a new way of providing mental health and addiction services for young people aged 14-18. The Integrated Collaborative Care Team (ICCT) model involves a team of healthcare providers working together to offer fast and personalized care. The goal is to improve mental health outcomes, reduce waiting times, and be more cost-effective compared to usual treatments.

Research Team

Gloria Chaim, M.S.W.

Principal Investigator

Associate Director, Child Youth and Family Services; Head, Community Engagement and Partnership, Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, CAMH; Assistant Professor, Dept. of Psychiatry, University of Toronto

Joanna Henderson, Ph.D., C.Psych

Principal Investigator

Director, Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health; Clinician Scientist, Centre for Addiction and Mental Health; Associate Professor, Dept. of Psychiatry, University of Toronto

Kristin Cleverley, RN, Ph.D.

Principal Investigator

CAMH Chair in Mental Health Nursing Research; Assistant Professor, University of Toronto; Clinician-Scientist, Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health, Centre for Addiction and Mental Health

Amy Cheung, MD, FRCPC

Principal Investigator

Associate Scientist, Evaluative Clinical Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute; Associate Professor, Department of Psychiatry, University of Toronto

Peter Szatmari, MD, FRCPC

Principal Investigator

Chief, Child and Youth Mental Health Collaborative, The Hospital for Sick Children and Centre for Addiction and Mental Health; Professor and Head of the Division of Child and Youth Mental Health, University of Toronto

Eligibility Criteria

This trial is for youth aged 14-17 with mental health and addiction challenges seeking outpatient services in Toronto. They must consent to the study, be new referrals to participating hospitals, and able to read/write English. Those with active psychosis, immediate self-harm risk, or needing specialty treatments are excluded.

Inclusion Criteria

Provision of informed consent

Among the population regularly accepted for out-patient services at that hospital

I am between 14 and 17 years old.

Exclusion Criteria

You currently have severe mental health problems or are at high risk of hurting yourself, needing immediate help.

Inability to read and write English or to consent to the study

You have a significant intellectual disability or autism, but you don't have any mental health problems.

Treatment Details

Interventions

• Integrated Collaborative Care Team (ICCT) (Behavioral Intervention)
• Treatment as Usual (TAU) (Other)

Trial Overview The study compares usual hospital treatment (TAU) against a new model called Integrated Collaborative Care Team (ICCT), which offers rapid access to mental health and addiction services in a youth-friendly environment. The goal is better outcomes and more efficient care.

Participant Groups

Group I: Integrated Collaborative Care Team Experimental Treatment 1 Intervention

Integrated Collaborative Care Team (ICCTs) are housed in the local community to improve youth access, in three neighborhoods across Toronto (East Metro Youth Services \[EMYS\]-Scarborough, EMYS-Southeast Toronto, and Delisle Youth Services-Central Toronto). Each ICCT will include a variety of service providers and coordinated patient care delivering evidence-informed interventions in a stepped-care model.

Group II: Treatment as Usual (TAU) Active Control 1 Intervention

The comparator arm consists of out-patient TAU in a hospital setting and will occur at one of four outpatient hospital sites across Toronto. Partners include the following four hospitals: Hospital for Sick Children (SickKids), the Centre for Addiction and Mental Health (CAMH), Michael Garron Hospital (formerly the Toronto East General Hospital), and Sunnybrook Hospital.

Who Is Running the Clinical Trial?

Centre for Addiction and Mental Health

Lead Sponsor

Trials

388

Recruited

84,200+

Institute for Clinical Evaluative Sciences

Collaborator

Trials

37

Recruited

2,509,000+

The Anne Johnston Health Station

Collaborator

Trials

1

Recruited

250+

Medical Psychiatry Alliance

Collaborator

Trials

4

Recruited

5,700+

The Ontario Spor Support Unit

Collaborator

Trials

6

Recruited

508,000+

The Sashbear Foundation

Collaborator

Trials

3

Recruited

610+

South East Toronto Family Health Team

Collaborator

Trials

1

Recruited

250+

Delisle Youth Services

Collaborator

Trials

1

Recruited

250+

LOFT Community Services

Collaborator

Trials

4

Recruited

490+

East Metro Youth Services

Collaborator

Trials

2

Recruited

280+