NCT02696109

Brief Summary

The purpose of this study is exploring a theoretically guided intervention, Cornerstone, which provides system 'boundary-spanning' services, including therapeutic services and mentorship, to transition-age youth with mental disorders. Cornerstone is designed to improve mental health service engagement and outcomes. The study uses a mixed methods approach to refine Cornerstone, and a hybrid design examining feasibility, acceptability, and preliminary impact with a randomized trial, alongside implementation.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
59

participants targeted

Target at P25-P50 for not_applicable depression

Timeline
Completed

Started Feb 2016

Typical duration for not_applicable depression

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 10, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

February 1, 2016

Completed
1 month until next milestone

First Posted

Study publicly available on registry

March 2, 2016

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2018

Completed
Last Updated

November 1, 2022

Status Verified

February 1, 2020

Enrollment Period

2.8 years

First QC Date

December 10, 2015

Last Update Submit

October 31, 2022

Conditions

Keywords

Transition age youthMental healthMental health servicesEngagement

Outcome Measures

Primary Outcomes (4)

  • Intention to Engage in Mental Health Services

    Standardized scale developed and tested by Fishbein and colleagues

    Assessed at baseline

  • Intention to Engage in Mental Health Services

    Standardized scale developed and tested by Fishbein and colleagues

    Assessed one year after baseline

  • Adherence to Medication

    "How often in the past week have you taken your medication?" Response options are: 0 - never, 1 - rarely, 2 - sometimes, 3 - all of the time.

    Assessed at baseline

  • Treatment Continuation (or Dropout)

    "Has the participant remained in services (or dropped out)?"

    Assessed one year after baseline

Secondary Outcomes (6)

  • Mental Health Recovery

    Assessed at baseline

  • Mental Health Recovery

    Assessed one year after baseline

  • Depression Symptoms

    Assessed at baseline

  • Depression Symptoms

    Assessed one year after baseline

  • Young Adult Employment and Education

    Assessed at baseline

  • +1 more secondary outcomes

Other Outcomes (2)

  • Cornerstone and Treatment as Usual Fidelity

    Twice per group for one year

  • Implementation Checklist

    Bimonthly for one year

Study Arms (2)

Cornerstone

EXPERIMENTAL

Participants in the experimental arm will be assigned a Transition Facilitator, a clinician with whom the client will meet one-on-one, and will be asked to attend once-a-week groups with other transition age youth. The groups will focus on issues relevant to successful transition to independent adulthood including stress and anger management and healthy relationships.

Behavioral: Cornerstone

Treatment as Usual

ACTIVE COMPARATOR

Participants in the TAU arm will be assigned to standard care at our partnering mental health agency. These clients are free to attend one-on-one counseling or any other services available at the clinic or elsewhere to address mental health challenges.

Behavioral: Treatment As Usual

Interventions

Participants in the TAU arm will be assigned to standard care at our partnering mental health agency. These clients are free to attend one-on-one counseling or any other services available at the clinic or elsewhere to address mental health challenges.

Treatment as Usual
CornerstoneBEHAVIORAL

Participants in the experimental arm will be assigned a Transition Facilitator, a clinician with whom the client will meet one-on-one, and will be asked to attend once-a-week groups with other transition age youth. The groups will focus on issues relevant to successful transition to independent adulthood including stress and anger management and healthy relationships.

Cornerstone

Eligibility Criteria

Age17 Years - 18 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Be between ages 17 and 18 at time of enrollment in the study,
  • Diagnosed with a mental disorder, including those who are diagnosed with any other co-morbid disorders,

You may not qualify if:

  • Does not speak English
  • Documented IQ lower than 70

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

New York University Silver School of Social Work

New York, New York, 10003, United States

Location

Related Publications (2)

  • Cole AR, Adams DR, Ben-David S, Sapiro B, Villodas ML, Stanhope V, Jaccard J, Munson MR. Feasibility, Acceptability and Preliminary Implementation of the Cornerstone Program for Transition-Age Youth with Mental Health Conditions: A Mixed Methods Study. Adm Policy Ment Health. 2023 May;50(3):506-519. doi: 10.1007/s10488-023-01254-1. Epub 2023 Feb 4.

  • Munson MR, Cole A, Stanhope V, Marcus SC, McKay M, Jaccard J, Ben-David S. Cornerstone program for transition-age youth with serious mental illness: study protocol for a randomized controlled trial. Trials. 2016 Nov 8;17(1):537. doi: 10.1186/s13063-016-1654-0.

MeSH Terms

Conditions

DepressionStress Disorders, Post-TraumaticBipolar DisorderPsychological Well-Being

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorStress Disorders, TraumaticTrauma and Stressor Related DisordersMental DisordersBipolar and Related DisordersMood DisordersPersonal Satisfaction

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Multimodal psychosocial intervention
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 10, 2015

First Posted

March 2, 2016

Study Start

February 1, 2016

Primary Completion

November 1, 2018

Study Completion

November 1, 2018

Last Updated

November 1, 2022

Record last verified: 2020-02

Locations