Team-Focused Approach for Mental Health Support

Overseen By Elizabeth McGuier, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of Pittsburgh

Disqualifiers: Under 18 years

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

Compensation: Varies

Number of Visits: Unknown

140 Participants Needed

Trial Summary

What is the purpose of this trial?

Child Advocacy Centers (CACs) are well-positioned to identify children at risk for mental health problems and to facilitate access to evidence-based treatments. Implementation of standardized mental health screening and referral protocols may improve recognition of mental health needs and facilitate treatment engagement. Implementation strategies that improve teamwork may enhance implementation outcomes in team-based settings like CACs. In this study, CACs will implement the Care Process Model for Pediatric Traumatic Stress (CPM-PTS) and be randomized to either team-focused implementation or standard implementation. The study aims are to evaluate the feasibility of team-focused implementation and the effect of the CPM-PTS on caregiver understanding of mental health needs and intentions to initiate treatment.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the treatment Team-Focused Approach for Mental Health Support?

Research shows that a team-focused approach in mental health care can improve recovery by fostering knowledge sharing, trust, and a positive team climate, which are crucial for addressing complex mental health needs. ^{1 2 3 4 5}

Is the Team-Focused Approach for Mental Health Support generally safe for humans?

The research articles reviewed do not provide specific safety data for the Team-Focused Approach for Mental Health Support, but they highlight the importance of monitoring adverse events (unintended negative effects) in mental health treatments to ensure patient safety. ^{6 7 8 9 10}

How does the Team-focused Implementation treatment differ from other mental health treatments?

The Team-focused Implementation treatment is unique because it emphasizes a collaborative approach involving both formal and informal community service providers and the consumers of the services, aiming to bridge the mental health treatment gap. This approach is distinct from traditional treatments as it integrates mental health care into usual health services and promotes teamwork to enhance service delivery. ^{2 11 12 13 14}

Research Team

Elizabeth McGuier, PhD

Principal Investigator

University of Pittsburgh

Eligibility Criteria

This trial is for individuals over 18 who are part of a multidisciplinary team at Child Advocacy Centers (CACs). It's designed to help CACs better identify and refer children with mental health issues by improving teamwork and standardizing procedures.

Inclusion Criteria

I am over 18 and part of the team at a participating center.

Exclusion Criteria

I am under 18 years old.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation

Child Advocacy Centers implement the Care Process Model for Pediatric Traumatic Stress (CPM-PTS) with either team-focused or standard implementation strategies

6 months

Follow-up

Participants are monitored for the effectiveness of the CPM-PTS and team-focused implementation strategies

12 months

Treatment Details

Interventions

• Standard Implementation
• Team-focused Implementation

Trial Overview The study compares two methods: 'Team-focused Implementation' versus 'Standard Implementation' of the Care Process Model for Pediatric Traumatic Stress. The goal is to see if team-focused strategies improve how well teams work together and help caregivers understand and seek treatment for children's mental health needs.

Participant Groups

Group I: Team-focused Implementation Experimental Treatment 1 Intervention

Group II: Standard Implementation Active Control 1 Intervention

Who Is Running the Clinical Trial?

University of Pittsburgh

Lead Sponsor

Trials

1,820

Recruited

16,360,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials

3,007

Recruited

2,852,000+

Findings from Research

The study successfully translated and validated the 'Global Trigger Tool-Psychiatry' (GTT-P) for identifying iatrogenic adverse events in psychiatric care in Norway, incorporating insights from both health professionals and service users to enhance its effectiveness.

Implementing the GTT-P can help mental health nurses in Norway and Sweden to better identify potential triggers for adverse events, ultimately improving patient safety and reducing the risk of harm in psychiatric settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Developing a research tool to detect iatrogenic adverse events in psychiatric health care by involving service users and health professionals. Okkenhaug, A., Tritter, JQ., Landstad, BJ.[2023]

The development of a Mental Health Quality and Safety Framework involved extensive consultations and thematic analysis, resulting in 32 categories grouped into seven key themes aimed at improving mental health services.

The proposed Framework emphasizes a shift from a centralized approach to a more localized model that includes input from frontline staff, consumers, and carers, which is expected to enhance patient safety, clinical outcomes, and staff morale.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A new paradigm for mental-health quality and safety: are we ready? Short, B., Marr, C., Wright, M.[2019]

In a systematic review of 117 studies on psychosocial interventions for childhood mental disorders, only 31% monitored adverse events, highlighting a significant gap in safety reporting.

Among the studies that did monitor adverse events, there was a lack of consistency in how these events were defined and assessed, with only 11% evaluating the causes of the events, which is crucial for understanding the risks associated with these treatments.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Review: Adverse event monitoring and reporting in studies of pediatric psychosocial interventions: a systematic review. Lodewyk, K., Bagnell, A., Courtney, DB., et al.[2023]

References

1. United States pubmed.ncbi.nlm.nih.gov

Modeling Relationships Involving Perceived Recovery Orientation of Mental Health Teams Among Quebec Mental Health Professionals. [2020]

2. England pubmed.ncbi.nlm.nih.gov

Perceived impacts as narrated by service users and providers on practice, policy and mental health system following the implementation of the mhGAP-IG using the TEAM model in a rural setting in Makueni County, Kenya: a qualitative approach. [2022]

3. United States pubmed.ncbi.nlm.nih.gov

A Thematic Analysis of the Multidisciplinary Team Understanding of the 5P Team Formulation Model and Its Evaluation on a Psychosis Rehabilitation Unit. [2021]

4. Japan pubmed.ncbi.nlm.nih.gov

[An intervention to promote team-based care: two focus groups--what promotes team-based care?]. [2018]

5. United States pubmed.ncbi.nlm.nih.gov

Organizational process: a missing link between research and practice. [2022]

6. England pubmed.ncbi.nlm.nih.gov

Developing a research tool to detect iatrogenic adverse events in psychiatric health care by involving service users and health professionals. [2023]

7. Brazil pubmed.ncbi.nlm.nih.gov

Safety of patients with mental disorders: a collective construction of strategies. [2022]

8. Netherlands pubmed.ncbi.nlm.nih.gov

Survey on critical incident reporting in a child and adolescent mental health service. [2013]

9. England pubmed.ncbi.nlm.nih.gov

A new paradigm for mental-health quality and safety: are we ready? [2019]

10. England pubmed.ncbi.nlm.nih.gov

Review: Adverse event monitoring and reporting in studies of pediatric psychosocial interventions: a systematic review. [2023]

11. United States pubmed.ncbi.nlm.nih.gov

The implementation of a team training intervention for school mental health: Lessons learned. [2023]

12. England pubmed.ncbi.nlm.nih.gov

Child and youth mental health: Integrated health care using contemporary competency-based teams. [2021]

13. England pubmed.ncbi.nlm.nih.gov

Steps towards effective teamworking in Community Mental Health Teams. [2019]

14. United States pubmed.ncbi.nlm.nih.gov

Evaluating Strategies to Promote Effective, Multidisciplinary Team Collaboration in School Mental Health. [2023]