Academic Performance Clinical Trial
— BRISCOfficial title:
Efficacy of a Brief Intervention Strategy for School Mental Health Clinicians (BRISC)
Verified date | May 2019 |
Source | University of Washington |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Research shows that the majority of all mental health (MH) treatment for children is delivered in schools. Unfortunately, however, school mental health (SMH) providers rarely use evidence-based approaches and are often poorly integrated into the school context. Given the high (>20%) and increasing rates of MH disorders among children and youth, MH clinicians working in schools need effective and efficient ways to address student emotional and behavioral problems. The Brief Intervention Strategy for School Clinicians (BRISC) is a four-session, flexible, and research-informed "Tier 2" intervention tailored to high school students and designed to fit the school context. Findings from initial research funded by an IES Development and Innovation grant, including a small (n=66) comparison study, indicate positive, small to large sized effects (ES = .30- 1.33) in favor of BRISC for MH impairment, emotional symptoms, therapeutic alliance, coping skills, and client satisfaction. Moreover, even though the majority of students who were referred to BRISC were in the clinical range for functional impairment due to MH problems, over 50% were able to step down to lower levels of intervention after four sessions of BRISC, demonstrating promise for efficiency and reach. Given potential for public health impact, the purpose of the current study is to further examine the efficacy of BRISC by assessing its impact on mental health and academic outcomes - as well as feasibility, acceptability, and efficiency - in a larger, multi-site trial.
Status | Active, not recruiting |
Enrollment | 850 |
Est. completion date | June 30, 2019 |
Est. primary completion date | June 30, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 14 Years and older |
Eligibility |
Clinicians Inclusion Criteria: - SMH clinicians from a MH provider agency dedicated at .50 FTE to MH treatment (to ensure adequate integration in the school and students for the study) OR school counselors who are employed by the school district - SMH clinicians or school counselors not currently receiving support to implement another specific intervention model - Master's or Ph.D.-level mental health counselors Exclusion Criteria: - SMH clinicians with previous BRISC exposure Students Inclusion Criteria: - Students must be age 14-21 years and enrolled in high school - Students who are seeking or referred to services for the first time in the current school year, to minimize confusion about for which service episode measures should be completed - English must be the first or primary language of the students - If student is under 18 years old, a parent or legal guardian must consent for the student to participate Exclusion Criteria: - Students receiving Special Education services due to cognitive disability, due to inappropriateness of BRISC for youth with these disorders - Students in foster care, due to challenges in obtaining consent to participate from public child welfare systems who serve as guardians - Students who present currently in a crisis situation (defer to clinician's clinical judgment) Parents/Guardians Inclusion Criteria: - Biological parent or legal guardian - Must be English or Spanish speaking. Exclusion Criteria: - Parents who only speak any languages other than English or Spanish |
Country | Name | City | State |
---|---|---|---|
United States | University of Washington School Mental Health Assessment, Research, and Training (SMART) Center | Seattle | Washington |
Lead Sponsor | Collaborator |
---|---|
University of Washington | Institute of Education Sciences |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Internal and External Symptoms | The Brief Problem Checklist (BPC) is a youth/parent 12-item questionnaire adapted from items on the CBCL (Child Behavior Checklist) and YSR (Youth Self Report) designed to assess internalizing and externalizing behaviors with items measured on 0-2 scale. Subscale and total scores are mean scores of items with a range of 0-2. Higher scores reflect less favorable outcomes. | Pre-intervention/baseline, 2-week follow-up, post-intervention/2 months, 4-month follow-up, 6-month follow-up | |
Primary | Change in Symptoms of Depression | The Patient Health Questionnaire (PHQ-9) is a widely-used, brief 9-item scale that queries about the presence depressive disorder symptoms with items on a 0-3 scale. Total scores are summed scores of items with a range of 0-27. Higher scores reflect more severe levels of depression. | Pre-intervention/baseline, post-intervention/2 months, 6-month follow-up | |
Primary | Change in Symptoms of Anxiety | The Generalized Anxiety Disorder scale (GAD-7) is a widely-used, brief 7-item scale that queries about anxiety symptoms with items on a 0-3 scale. Total scores are summed scores of items with a range of 0-21. Higher scores reflect more severe levels of anxiety. | Pre-intervention/baseline, post-intervention/2 months, 6-month follow-up | |
Primary | Change in Overall Mental Health Function | The Columbia Impairment Scale (CIS) is a 13-item scale that measures adolescents' level of adaptive functioning with items on a 0-4 scale. Total scores are summed scores of items with a range of 0-52. Higher scores reflect less favorable outcomes. | Pre-intervention/baseline, post-intervention/2 months, 6-month follow-up | |
Secondary | Change in School Engagement | The Student Engagement Instrument (SEI) is a widely-used 35-item instrument that assesses engagement, a malleable determinant of high school success, with items on a scale of 0-3. SEI yields scores on six factors: teacher-student relationships, control and relevance of school work, peer support for learning, future aspirations and goals, family, support for learning, and extrinsic reward. Subscale and total scores are averaged scores of items with a range of 0-3. Higher scores reflect better outcomes. | Pre-intervention/baseline, post-intervention/2 months, 6-month follow-up | |
Secondary | Youth Satisfaction with Services | The Multidimensional Adolescent Satisfaction Scale (MASS) is a 21-item measure of client satisfaction with the services they receive from their mental health provider. The MASS includes four factors: counselor qualities, meeting needs, effectiveness, and counselor conflict. Items are on a 1-4 scale. Subscale and total scores are averaged scores of items with a range of 0-4. Higher scores reflect higher satisfaction with services. | 2-month follow-up after baseline | |
Secondary | Therapeutic Alliance | The Therapeutic Alliance Scale for Adolescents (TASA) is a widely used, 12-item scale designed to measure the working alliance between clinicians and their adolescent clients with items on a 1-6 scale. The scale covers three domains: bond, goals, and tasks. Subscale and total scores are averaged scores of items with a range of 1-6. Higher scores reflect better alliance. | 2-month follow-up after baseline |
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