H3: Healthy Minds, Healthy Children, Healthy Chicago Project Evaluation
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | Any - 16 |
| Updated: | 9/16/2018 |
| Start Date: | March 2016 |
| End Date: | April 2019 |
The goal of this project is to develop and pilot test a community-based integrated care model
to improve the prevention, early detection and treatment of child mental health problems that
is replicable, effective, and sustainable. Project procedures include child mental health
screening, on-site brief mental health interventions, referral to specialty mental health,
use of co-located child psychiatrist, detection of need for primary care in specialty mental
health program. Subjects will be enrolled for 1 year, with interviews at baseline and 3, 6
and 12 months.
Dr. Bonnie Zima at UCLA has been contracted by the project funder to design and implement the
evaluation of the project, which includes developing data collection procedures, training
staff on implementation of data collection workflow, coordinating with sites to ensure
evaluation design and IRB protocols are followed, and coordinating with both study sites to
verify data reliability.
Some potential anticipated risks include being uncomfortable answering questions associated
with the measures used in the study, and although unlikely, someone may access participant
information that is confidential. Some benefits include helping to find ways to improve how
to deliver mental health care for children served in publicly-funded primary care and mental
health clinics.
to improve the prevention, early detection and treatment of child mental health problems that
is replicable, effective, and sustainable. Project procedures include child mental health
screening, on-site brief mental health interventions, referral to specialty mental health,
use of co-located child psychiatrist, detection of need for primary care in specialty mental
health program. Subjects will be enrolled for 1 year, with interviews at baseline and 3, 6
and 12 months.
Dr. Bonnie Zima at UCLA has been contracted by the project funder to design and implement the
evaluation of the project, which includes developing data collection procedures, training
staff on implementation of data collection workflow, coordinating with sites to ensure
evaluation design and IRB protocols are followed, and coordinating with both study sites to
verify data reliability.
Some potential anticipated risks include being uncomfortable answering questions associated
with the measures used in the study, and although unlikely, someone may access participant
information that is confidential. Some benefits include helping to find ways to improve how
to deliver mental health care for children served in publicly-funded primary care and mental
health clinics.
UCLA is in charge of the evaluation of the H3 project, including evaluation design and
overseeing data collection by project sites. UCLA will receive data collected by each site
and perform the analysis of the data for the sites to be shared with the Illinois Children's
Healthcare Foundation and clinic sites. This study will evaluate an existing intervention,
meaning that participation in the evaluation is not required in order to receive H3 services.
The information below is included in the evaluation design document attached in 10.1, 1.0:
The overarching goal of the Healthy Minds, Healthy Children, Healthy Chicago Initiative (H3)
is to develop a community-based integrated care model to improve the prevention, early
detection and treatment of child mental health problems that is replicable, effective, and
sustainable.
The final study design is a longitudinal cohort study of 400 children ages 0-17 years and
their families served at the two intervention clinic sites (n=200/site) The study time points
are baseline, 3-, 6-, and 12-months.
The data sources are parent and youth report, and clinic administrative data when feasible
for the programs to transfer these data following IRB-approved procedures. The unit of
analysis is the child. The main proximal (or short term) clinical outcomes are related to the
H3 intervention care processes (e.g., brief mental health interventions, referral to
specialty mental health care, co-located child psychiatrist). The time period will likely
vary by child depending on clinical need, but it is anticipated that most of these care
processes will be provided during the early phase when the child and parent is introduced to
the new care model. The main distal outcomes (or more long-term) are clinical improvement
(e.g., child symptom reduction, improved functioning) and some correspond to the care process
delivered (e.g., if parent receives parent training, improvement parenting skills are
assessed). The time points for tracking clinical improvement are 3, 6 and 12 months after the
baseline interview that is done when the parent and child are enrolled in the evaluation. The
independent variables (or factors that may influence care processes and clinical outcomes)
are child sociodemographic characteristics (e.g. age, sex, race/ethnicity), psychosocial
complexity, and primary caregiver characteristics that the clinic team or Community Advisory
Board deemed relevant (e.g., parenting stress, probable depression). Embedded within the
description of a child's psychosocial complexity are indicators of social determinants (e.g.
exposure to trauma) that may adversely impact a child's development and well-being.
Findings from this evaluation will provide data on the acceptability and feasibility of the
H3 care models, as well as early indicators of whether these care models are promising.
overseeing data collection by project sites. UCLA will receive data collected by each site
and perform the analysis of the data for the sites to be shared with the Illinois Children's
Healthcare Foundation and clinic sites. This study will evaluate an existing intervention,
meaning that participation in the evaluation is not required in order to receive H3 services.
The information below is included in the evaluation design document attached in 10.1, 1.0:
The overarching goal of the Healthy Minds, Healthy Children, Healthy Chicago Initiative (H3)
is to develop a community-based integrated care model to improve the prevention, early
detection and treatment of child mental health problems that is replicable, effective, and
sustainable.
The final study design is a longitudinal cohort study of 400 children ages 0-17 years and
their families served at the two intervention clinic sites (n=200/site) The study time points
are baseline, 3-, 6-, and 12-months.
The data sources are parent and youth report, and clinic administrative data when feasible
for the programs to transfer these data following IRB-approved procedures. The unit of
analysis is the child. The main proximal (or short term) clinical outcomes are related to the
H3 intervention care processes (e.g., brief mental health interventions, referral to
specialty mental health care, co-located child psychiatrist). The time period will likely
vary by child depending on clinical need, but it is anticipated that most of these care
processes will be provided during the early phase when the child and parent is introduced to
the new care model. The main distal outcomes (or more long-term) are clinical improvement
(e.g., child symptom reduction, improved functioning) and some correspond to the care process
delivered (e.g., if parent receives parent training, improvement parenting skills are
assessed). The time points for tracking clinical improvement are 3, 6 and 12 months after the
baseline interview that is done when the parent and child are enrolled in the evaluation. The
independent variables (or factors that may influence care processes and clinical outcomes)
are child sociodemographic characteristics (e.g. age, sex, race/ethnicity), psychosocial
complexity, and primary caregiver characteristics that the clinic team or Community Advisory
Board deemed relevant (e.g., parenting stress, probable depression). Embedded within the
description of a child's psychosocial complexity are indicators of social determinants (e.g.
exposure to trauma) that may adversely impact a child's development and well-being.
Findings from this evaluation will provide data on the acceptability and feasibility of the
H3 care models, as well as early indicators of whether these care models are promising.
Inclusion Criteria:
- between the ages of 0.0-16.99 years
- speaks Spanish or English
- screens positive for a developmental delay or mental health problem
- referral to the H3 care program by a pediatrician based on clinical judgment
- no prior history of receiving any H3 services in the past year
Exclusion Criteria (based on the child's characteristics):
- 17 years old (to avoid reconsent at 12 month follow-up)
- has previously had H3 services in the past year
- can not speak English or Spanish
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