Integrated Collaborative Care Teams for Youth With Mental Health and/or

Status Active, not recruiting

Clinical Trial Summary

Among youth, the prevalence of mental health and addiction (MHA) disorders is roughly 20%, yet youth are challenged to access services in a timely fashion. To address MHA system gaps, this study will test the benefits of an Integrated Collaborative Care Team (ICCT) model for at-risk youth with MHA challenges. In partnership with community agencies, adolescent psychiatry hospital departments, and family health teams, investigators have developed an innovative model of service provision involving rapid access to MHA services. This model will be implemented and compared to the usual treatment youth receive in hospital-based, outpatient, mental health clinics in Toronto. A rapid, systematic, approach to MHA services geared to need in a youth-friendly environment is expected to result in better MHA outcomes for youth. Moreover, the ICCT approach is expected to decrease service wait-times, be more youth- and family-centred, and be more cost-effective.

Clinical Trial Description

This study is a pragmatic randomized control trial (RCT) with random allocation occurring within each hospital site to either treatment as usual (TAU) (4 out-patient hospital sites) or treatment at one of 3 community-based Integrated Collaborative Care Teams (ICCTs). A total of 500 youth aged 14-18 with mental health and/or addictions (MHA) concerns, referred for out-patient services at one of four local hospitals, will be randomized to receive ICCT care versus TAU. For each youth, a primary caregiver will also be recruited into the study, if available. With wide inclusion criteria and a design meant to emulate a "real world" setting, this study will rigorously evaluate a service delivery model composed of multiple interventions for youth presenting with a broad range of MHA problems. The ICCT is expected to result in better MHA outcomes, show better performance indicators, and be more cost-effective than TAU. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT02836080
Study type	Interventional
Source	Centre for Addiction and Mental Health
Contact
Status	Active, not recruiting
Phase	N/A
Start date	September 2016
Completion date	April 2025

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT05321602` - Study to Evaluate the PK Profiles of LY03010 in Patients With Schizophrenia or Schizoaffective Disorder	Phase 1
Completed	`NCT05080777` - Pilot Pragmatic Clinical Trial to Embed Tele-Savvy Into Health Care Systems	N/A
Recruiting	`NCT06012149` - Braining: Implementation of Physical Exercise for Patients in Specialist Psychiatry	N/A
Recruiting	`NCT03222375` - SQUED™ Series 28.1 Home-use and Treatment of Autowave Reverberator of Autism	N/A
Active, not recruiting	`NCT02907658` - Efficacy of Internet Use Disorder Prevention	N/A
Completed	`NCT02710344` - Using Telehealth to Improve Psychiatric Symptom Management	N/A
Enrolling by invitation	`NCT02487888` - A Study of the Impact of Genetic Testing on Clinical Decision Making and Patient Care	N/A
Recruiting	`NCT02292056` - Medication Safety and Contraceptive Counseling for Reproductive Aged Women With Psychiatric Conditions	N/A
Active, not recruiting	`NCT02761733` - The Effectiveness of a Decision-Support Tool for Adult Consumers With Mental Health Needs and Their Care Managers	N/A
Completed	`NCT01947283` - Effectiveness of DECIDE in Patient-Provider Communication, Therapeutic Alliance & Care Continuation	N/A
Completed	`NCT01690013` - Life Quality and Health in Patients With Klinefelter Syndrome	N/A
Completed	`NCT01633138` - Performance-based Reinforcement to Enhance Cognitive Remediation Therapy	N/A
Completed	`NCT01656707` - Adaptive Treatment for Adolescent Cannabis Use Disorders	N/A
Completed	`NCT01415323` - Agitation in the Acute Psychiatric Department
Completed	`NCT01701765` - Outcomes and Discharge of Long-stay Psychiatric Patients	N/A
Completed	`NCT00375167` - Efficacy of the Recovery Workbook as a Psychoeducational Tool for Facilitating Recovery	N/A
Terminated	`NCT00757497` - Transcranial Direct Current Brain Stimulation to Treat Patients With Childhood-Onset Schizophrenia	Phase 1
Terminated	`NCT03527550` - Cognitive Control Training for Urgency in a Naturalistic Clinical Setting	N/A
Withdrawn	`NCT03518996` - Non-Invasive Brain Stimulation and Delirium	N/A
Completed	`NCT02707848` - Epidemiological Study for Psychiatric Disorder Among Children and Adolescents

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Integrated Collaborative Care Teams for Youth With Mental Health and/or Addiction Challenges (YouthCan IMPACT)

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms