Serious Emotional Disturbance Clinical Trial
Official title:
Family Health and Development Project: Intensive In-home Child and Adolescent Psychiatric Service (IICAPS) vs. Home-based Child Treatment Coordination (Home-based CTC) for Seriously Emotionally Disturbed Children
The Family Health and Development Project (FHDP) is a randomized controlled trial to evaluate the effectiveness of the Intensive In-home Child and Adolescent Psychiatric Service (IICAPS) intervention, targeting emotionally, behaviorally, and/or psychiatrically disordered children at risk of a psychiatric inpatient admission and their families. Children and families are randomized to receive IICAPS or Home-based Child Treatment Coordination (Home-based CTC), a home-based case management intervention for coordination of mental health services for children. Approximately 144 children and their families will be enrolled for a 12 month study period. Data will be collected through interviews with the child's parent/legal guardian, and from the child's teacher, the child's school, and the Department of Social Services (claims data). This study will test the hypotheses that children receiving IICAPS will be less likely to exhibit out-of-control behaviors and less likely to experience a psychiatric hospitalization and/or out-of-home placement during and up to six months post-discharge from services.
The Family Health and Development Project (FHDP) is a randomized controlled trial to
evaluate the effectiveness of the Intensive In-home Child and Adolescent Psychiatric Service
(IICAPS) intervention, targeting emotionally, behaviorally, and/or psychiatrically
disordered children at risk of a psychiatric inpatient admission and their families.
Children and families are randomized to receive IICAPS or Home-based Child Treatment
Coordination (Home-based CTC), a home-based case management intervention for coordination of
mental health services for children. Approximately 144 children and their families will be
enrolled for a 12 month study period. Each study intervention is six to seven months in
duration, with approximately 6 additional months of follow-up.
Data are collected from the identified child's parent/legal guardian during three in-person
assessment interviews (at enrollment, at end of study treatment, and at 12-months), and
during brief monthly phone interviews. Data are collected on child psychiatric symptoms and
behavior, child psychiatric inpatient admissions and other service utilization, parenting
practices, and parental problem solving skills. Additional data are collected from the
child's teacher (child's behavior at school) and the child's school (days missed,
suspensions, expulsions, disciplinary action) at baseline, 6-months, and 12-months. Service
utilization data will be collected from the Connecticut Department of Social Services using
claims data.
The main study aim is to evaluate the efficacy of IICAPS for youth with serious and
pervasive mental health problems that places them at risk for institutional placement, and
test the hypotheses that children receiving IICAPS will be less likely to exhibit
out-of-control behaviors and less likely to experience a psychiatric hospitalization and/or
out-of-home placement during and up to six months post-discharge from services. The second
study aim is to evaluate how the efficacy of IICAPS for youth with serious and pervasive
mental health problems is achieved, with specific focus on parenting practices, parental
problem solving techniques, and parental perception of the child.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT02152618 -
Kansas Intensive Permanency Project
|
N/A |