Partnerships Between Schools and Public Mental Health Departments: Investigation of Multi-professional Interventions for Children Aged 3 to 8 With Mental Health Issues (Parpsych-Ed)

School Difficulties Associated With Mental Health Problems Clinical Trial

— Parpsych-Ed  

Official title:

Partnerships Between Schools and Public Mental Health Departments: Investigation of Multi-professional Interventions for Children Aged 3 to 8 With Mental Health Issues (Parpsych-Ed).

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04300712
• Other study ID #: Parpsych-Ed_2018
• Status: Not yet recruiting
• Phase: N/A
• Start date: September 1, 2020
• Est. completion date: December 31, 2021

Study information

• Verified date: March 2020
• Source: GCS pour la recherche et la formation en sante mentale
• Contact: Sandrine Bonneton, MD
• Phone: 0033157278458
• Email: bonnetonsandrine[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Local partnerships between schools (preschool and elementary) and mental health public services are implemented in seven sites in France. They aim to improve recognition of difficulties related to mental health problems and to provide interventions to 3 to 8 years-old pupils in need. Our hypothesis that these local partnerships and interventions enhance the role of school in supporting good mental health and wellbeing of all children and the trajectories of children with mental health service needs. Theses also facilitate community support. One of them, early-interventions involve caregivers. Our objective is to enhance knowledge of the unmet mental healthcare need at school and to explore for whom, in which local context and how partnerships and early intervention work.

Description:

Teachers are legitimately concerned about children that encounter mental health problems. Mental healthcare might be indicated. Because of internal and external barriers of treatment, they could remain inaccessible for many children in need. School staff should not try to diagnose conditions. However, collaborative interventions delivered by school and mental healthcare staffs in association with other stakeholders as parents and associations should ensure clear systems and processes in place for identifying possible mental health problems and support children and their parents. Local partnership and early interventions will be elaborated within focus groups bringing together all stakeholders and will be experimented in 7 French sites (preschool, primary school and local public health service) thereafter. These complex interventions will be evaluated through mixed-methods including qualitative case studies and a pragmatic trial. This feasibility study will produce a set of findings that will permit to argue conceptual framework of partnership and early intervention, to provide guidelines to implement these in France considering children needs, local context, all stakeholders acceptance and public health efficacy.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 2000
• Est. completion date: December 31, 2021
• Est. primary completion date: December 31, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 3 Years to 8 Years

Eligibility

Inclusion Criteria:

• Attending pre- and elementary schools involved in the ParpsychEd partnerships.

Exclusion Criteria:

• Absence of parents and/or child consent.

Related Conditions & MeSH terms

• School Difficulties Associated With Mental Health Problems

Intervention

Behavioral:
• Questionnaires at the start and end of the school year
Interventions will be proposed to children identified in a worrisome situation. The Strengths and Difficulties. Questionnaire will be used by teachers to score these situations. The recognition process of mental health problem and need continue with responses. Responses are supporting a graduated response process in school and facilitating external support when needed (mental health services, community supports). Early intervention is one of all responses, which involve caregivers. Responses to worrisome situations aim to improve schooling conditions, to acknowledge mental health problems or condition and the health services need for children. To evaluate the intervention, the impact supplement of SDQ and the follow-up questions will be used by the teachers and the parents of children who benefit of the intervention. The interventions will be experimented during year 2020-21. Children might benefit of them from several weeks to one year, according to their need.

Locations

Country	Name	City	State
France	EPSM Barthélémy Durand	Grigny	Essone
France	EPSM Val de Lys	La Couture	Pas De Calais
France	Centre Hospitalier Sainte Anne	Paris
France	Fondation Bon Sauveur de la Manche	Picauville
France	EPSM de Guadeloupe	Saint-Claude	Guadeloupe
France	Centre Hospitalier de Saint Denis	Saint-Denis
France	EPSM Val de Lys	Vieille chapelle	Pas De Calais

Sponsors (1)

Lead Sponsor	Collaborator
GCS pour la recherche et la formation en sante mentale

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	number of 3 to 8 years old children identified with mental health services need	Evolution of the number of 3 to 8 years old children identified with mental health services	24 months
Secondary	Strengths and Difficulties Questionnaire (SDQ)	Changes in the impact supplement and the follow-up questions - parents and teachers	12 months
Secondary	Healthcare access, barriers to treatment, intervention acceptance	Healthcare access, barriers to treatment, intervention acceptance	12 months
Secondary	Parent refusal rate to let their child benefit of all responses	Parent refusal rate to let their child benefit of all responses	12 months
Secondary	Parent refusal rate to let their child benefit of the early intervention	Parent refusal rate to let their child benefit of the early intervention	12 months
Secondary	Parents refusal rate to plan appointment in public health services as indicated after the intervention	Parents refusal rate to plan appointment in public health services as indicated after the intervention	18 months
Secondary	Mental health and mental health services representation and use	Changes in the mental health representations of parents, teachers and others professionnals	18 months