1040 Participants Needed

Family and Social Justice Service for Suicide and Self-Harm

BC
TW
Overseen ByTaylor Witkowski
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Cambridge Health Alliance
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

The proposed Center will leverage burgeoning real-time data linkage capabilities among health systems, Medicaid payors, and criminal legal (e.g., jail booking data, jail release data) systems, to identify individuals coming in and out of jail for suicide assessment and prevention, and to better coordinate care across these disparate systems. This Center will advance the fields of suicide prevention and criminal legal system-based mental health by solving a well-known, central problem in both fields: the inability to track and intervene with individuals moving in and out of both and often multiple systems. The goal is near-term reductions in the U.S. suicide rate.

Eligibility Criteria

This trial is for individuals aged 18-100 who have interacted with the criminal justice system and are patients of Cambridge Health Alliance from specific areas. They must have had police contact between 2009 and 2019 but cannot be currently incarcerated. The study aims to help those at risk of suicide by coordinating care as they move in and out of jail.

Inclusion Criteria

I was recruited for the study while in the CHA Emergency Department.
I am a CHA patient living in Everett, Chelsea, Somerville, Medford, Malden, or Winthrop.
I have interacted with the Cambridge Police between 2009 and 2019.
See 6 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive interventions aimed at suicide prevention and coordination of care across health and criminal justice systems

12 months
Regular interactions with health and criminal justice systems

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 months

Treatment Details

Interventions

  • Family and Social Justice Service and Navigator (FSJS+Navigator) Intervention
Trial Overview The study tests how well different support systems work for people at risk of suicide after jail release. It compares usual treatment, a Family and Social Justice approach, and that approach plus a Navigator service to coordinate healthcare across systems.
Participant Groups
3Treatment groups
Experimental Treatment
Group I: Treatment as usual (TAU)Experimental Treatment1 Intervention
This arm will consist of 2160 eligible individuals identified to have had criminal legal involvement in Cambridge Health Alliance catchment area cities other than Cambridge (Everett, Somerville, Malden, Medford, Chelsea, Revere, Winthrop). Police departments in these Treatment as Usual cities have no programs that link police officers and clinicians to follow up on safety planning and services. These individuals will be identified as having police involvement between 2009 and 2019.
Group II: Family and Social Justice Section (FSJS)Experimental Treatment1 Intervention
Consists of 200 Cambridge Health Alliance Patients Ages 18-100 Individuals who have come into contact with the Cambridge Police Department (as identified in the Family and Social Justice Section data) between 2009 and 2019.
Group III: FSJS + NavigatorExperimental Treatment1 Intervention
40 patients recruited during the study period in the Cambridge Health Alliance Emergency Department (ED) Ages 18-100 Individuals who are brought into the ED under police supervision (excluding individuals currently incarcerated) involuntarily brought to the ED for psychiatric evaluation because they are considered to be a risk to themselves or others (MA Law 123(12)); or the subject of a police call for service for a mental health issue who are willingly admitted to the ED

Find a Clinic Near You

Who Is Running the Clinical Trial?

Cambridge Health Alliance

Lead Sponsor

Trials
65
Recruited
22,400+

Michigan State University

Collaborator

Trials
202
Recruited
687,000+

Mount Auburn Hospital

Collaborator

Trials
5
Recruited
26,400+
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