H3: Healthy Minds, Healthy Children, Healthy Chicago Project Evaluation

NCT02699814 | Completed

• 1 other identifier: IRB#15-000757
• Study Type: interventional
• Target: 277
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Developmental Delay; Mental Health Disorder

Keywords

Depression; Children; Anxiety

Outcome Measures

Primary Outcomes (1)

• H3 intervention care processes

  tracking administration (yes/no) of "brief mental health interventions", "referral to specialty mental health care", "use of co-located child psychiatrist", "detected need for primary care"

  12 months

Secondary Outcomes (5)

• Mental health functioning

  Baseline, 3, 6 and 12 months

• Child development

  12 monthsBaseline, 3, 6 and 12 months

• Child functioning

  Baseline, 3, 6 and 12 months

• Response to trauma and resilience

  Baseline, 3, 6 and 12 months

• Care process delivered

  Baseline, 3, 6 and 12 months

Study Arms (1)

H3 Parent/Child Dyads

EXPERIMENTAL

A child is eligible for the H3 partnered evaluation if he or she is: 1) between the ages of 0.0-16.99 years; 2) speaks Spanish or English; 3) screens positive for a developmental delay or mental health problem. For children in the intervention groups, the additional eligibility criteria are: 1) referral to the H3 care program by a pediatrician based on clinical judgment; and 2) no prior history of receiving any H3 services in the past year.

Behavioral: H3 Services

Interventions

H3 Services BEHAVIORAL

A community-based integrated care model to improve the prevention, early detection and treatment of child mental health problems

H3 Parent/Child Dyads

Eligibility Criteria

• Age: Up to 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• University of California, Los Angeles: lead
• University of Illinois at Chicago: collaborator

Study Sites (2)

Miles Square Health Center, Englewood

Chicago, Illinois, 60621, United States

Location

Erie Family Health Center, West Town

Chicago, Illinois, 60622, United States

Location

Related Publications (1)

• McCreary M, Arevian AC, Brady M, Mosqueda Chichits AE, Zhang L, Tang L, Zima B. A Clinical Care Monitoring and Data Collection Tool (H3 Tracker) to Assess Uptake and Engagement in Mental Health Care Services in a Community-Based Pediatric Integrated Care Model: Longitudinal Cohort Study. JMIR Ment Health. 2019 Apr 23;6(4):e12358. doi: 10.2196/12358.

  PMID: 31012861 DERIVED

MeSH Terms

Conditions

Learning Disabilities; Mental Disorders; Depression; Anxiety Disorders

Condition Hierarchy (Ancestors)

Communication Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Behavioral Symptoms; Behavior

Study Officials

• Bonnie Zima, MD, MPH

  University of California, Los Angeles

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: January 25, 2016
• First Posted: March 4, 2016
• Study Start: March 1, 2016
• Primary Completion: August 1, 2018
• Study Completion: March 31, 2019
• Last Updated: September 30, 2019

Record last verified: 2019-09

Locations

US (2)