Enhanced Case Management for Mental Health and Substance Use Disorders

(TeachMeToBuild Trial)

Overseen by Giulio Didiodato, MD

Age: 18 - 65

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Royal Victoria Hospital, Canada

No Placebo Group

Trial Summary

What is the purpose of this trial?

Youth unemployment is a chronic problem in most societies. Some young adults are neither in employment, education or training (NEET), and are at high risk of chronic unemployment, social disengagement and poor quality of life. Identifying this high risk population and providing them with career skills training and opportunities is critical for their full participation in society. Vocational training programs provide an opportunity for these NEET youth to develop a skilled trade. Barriers to successful completion of these programs include high prevalence of mental health and substance use disorders among NEET youth. This study will use a daily self-report distress tool to identify vocational program trainees at risk of absence or drop-out due to mental health and/or substance abuse issues. These at-risk trainees will then be referred to a mental health crisis program through a fit-for-purpose referral process to accommodate their training program requirements. It is hypothesized that early identification and referral for mental health and substance abuse issues will reduce both program absence and drop-out rates and result in improved in long-term employment for these NEET youth.

Research Team

Giulio Didiodato, MD

Principal Investigator

Royal Victoria Regional Health Centre

Eligibility Criteria

This trial is for young adults who are not in employment, education, or training (NEET), specifically visible minorities or females with mental health and substance use issues. Participants must have Wi-Fi access, a computing device, speak English or French, and possess an Ontario Health Insurance Plan number and Canadian Social Insurance Number.

Inclusion Criteria

Must have an active Ontario Health Insurance Plan number

I am a visible minority or female.

Must have a valid Canadian Social Insurance Number

Exclusion Criteria

Not applicable.

Treatment Details

Interventions

• Basic Case Management (Behavioral Intervention)
• Basic Case Management plus Distress Tool (Behavioral Intervention)
• Basic Case Management plus Distress Tool and rapid mental health & addictions healthcare access (Behavioral Intervention)
• Basic Case Management plus rapid mental health & addictions healthcare access (Behavioral Intervention)

Trial Overview The study tests if adding a daily self-reporting tool for distress and rapid access to mental health services improves the completion rates of vocational training programs for NEET youth at risk due to mental health/substance abuse.

Participant Groups

Group I: Basic case management supplemented by self-reporting distress tool (DT) Experimental Treatment 1 Intervention

Basic case management plus access to the self-report daily distress tool. The trainees are provided web-based access to the daily distress tool and report their distress levels using a validated visual analog scale (Distress Thermometer), along with reporting their risk of missing work/class or dropping out of the program. The case manager responds to the distress tool by coordinating external support services as needed.

Group II: Basic case management supplemented by rapid access healthcare services Experimental Treatment 1 Intervention

Basic case management supplemented by a fit-for-purpose rapid referral process for trainees with active mental health and/or substance use disorders affecting their program participation.

Group III: Basic case management supplemented by DT and rapid access healthcare services Experimental Treatment 1 Intervention

Basic case management supplemented by both the self-report distress tool and rapid referral process for those trainees at-risk of program absence or drop-out from either mental health or addictions issues.

Group IV: Basic case management Active Control 1 Intervention

Basic case management with bi-weekly meetings between case manager and trainees that includes check-ins, frequent visits to construction sites and monitoring of feedback forms from mentors. Case managers attempt to connect trainees with external support services as needed.

Who Is Running the Clinical Trial?

Royal Victoria Hospital, Canada

Lead Sponsor

Trials

18

Recruited

10,400+