Cerebral Palsy Clinical Trial
Official title:
The Comparative Effect and Expense of More and Less Integration of Services That Provide Treatment and Rehabilitation for Children With Multiple Disabilities: A Randomized Controlled Trial
The objective of the study is to compare the usual care and treatment of children and youth (0-19 years) with multiple developmental delays and disabilities and their families in Simcoe York with a co-ordinated, navigated approach to care using the Children's Treatment Network (CTN) services.
The Children's Treatment Network (CTN)links existing children's services rather than
creating a new Centre. The purpose of the evaluation is to compare the effectiveness and
efficiency of this service with the usual care that people receive. 500 Children will be
randomized to receive either usual care (250) or the co-ordinated, navigated care from CTN
(250). The primary question to be addressed is whether the more integrated CTN model of
service improves family-centered services, parent mental health, parenting, family function
and the quality of the child's life and the families resource needs as well as reduce
expenditures for the families' use of all other health and social services compared to the
outcomes of usual care alone. What children and families with what characteristics and
circumstances most benefit from which approach to the treatment of childhood disability in
Simcoe-York? At what cost?
Agencies providing services to children will be evaluated as to how effective their
integration of teams are functioning, their partnership with each other and capacity
building in the community.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Health Services Research
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