Psychosis Screening in Juvenile Justice

NCT03583073 | Completed Results DMC

• 2 other identifiers: R34MH1154571R34MH115457-01A1
• Study Type: interventional
• Target: 77
• Locations: 1 country
• Sites: 2

Brief Summary

This study will investigate the occurrence of psychosis-spectrum disorders among youth in the Juvenile Justice System and track mental health referrals for these youth in Phase 1, a standard care condition. Then, in Phase 2, an enhanced referral and linkage to care model will be employed, with the aim of bolstering motivation for and engagement in mental health treatment. It is hypothesized that the enhanced referral protocol will promote completion of mental health care referrals.

Conditions

Psychotic Disorders; Psychosis Nos/Other

Keywords

psychosis; clinical high risk

Outcome Measures

Primary Outcomes (1)

• Number of Participants Who Used Outpatient Mental Health Services

  Number of Participants who Used Any Outpatient Mental Health Services by Participant's Caregiver Report

  3-month follow-up

Secondary Outcomes (1)

• Psychosis-spectrum Positive Symptoms

  3-month follow-up

Study Arms (2)

Standard Care/Baseline Control

ACTIVE COMPARATOR

Standard care is the typical process of referral to mental health services for Juvenile Justice (JJ) youth who screen positive for mental heath concerns at intake. For this study, baseline control participants will be referred to the Coordinated Specialty Care (CSC) clinic due to their endorsement of psychosis-spectrum symptoms.

Behavioral: Standard Care

Enhanced Referral/Linkage to Care

EXPERIMENTAL

The experimental condition will include a psychoeducational and motivational enhancement protocol completed at the JJS intake appointment, paired with a "warm hand-off" referral to the CSC for evaluation and initiation of mental health services.

Behavioral: Enhanced Referral/Linkage to Care

Interventions

Enhanced Referral/Linkage to Care BEHAVIORAL

The JJ worker reviews with the family psychoeducation material about the role of mental health care in emotional/behavioral problems. The JJ intake worker will contact the CSC program directly with the family for a "warm hand-off". The CSC worker will speak with the parent and arrange for an intake evaluation. For families already receiving treatment, the CSC referral will be for consultation. Via phone, the CSC clinician will use a motivational interviewing style to encourage families to attend the appointment. Three and seven days after referral, the JJ worker will text the caregiver to see if the CSC appointment was kept. If not, the JJ worker will text the parent the CSC phone number and also ask permission to contact the CSC to assist the family in setting up another appointment.

Enhanced Referral/Linkage to Care

Standard Care BEHAVIORAL

Referral to the Coordinated Specialty Care (CSC) clinic

Standard Care/Baseline Control

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Adolescent being seen in the Juvenile Justice System
• Legal guardian available to consent for juvenile's participation
• Adolescent assents to participate
• Adolescent is English speaking
• Parent/guardian may be English or Spanish-speaking
• Adolescent flags positive on the MAYSI-2 Thought Disturbance subscale or the PQ-B

You may not qualify if:

• Adolescent has observable developmental delays that would interfere with obtaining assent and/or accurate assessment
• Adolescent meets hospital level of care for imminent risk due to severity of symptoms

Sponsors & Collaborators

• Brown University: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (2)

Rhode Island Family Court

Providence, Rhode Island, 02903, United States

Location

Brown University

Providence, Rhode Island, 02912, United States

Location

MeSH Terms

Conditions

Psychotic Disorders

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Results Point of Contact

• Title: Anthony Spirito
• Organization: Brown U

anthony_spirito@brown.edu

4013692435

Study Officials

• Anthony Spirito, PhD

  Brown University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: The intervention will have two phases: 1) a Standard Care (baseline control) condition, followed by, 2) an Enhanced Referral/Linkage to Care condition. Because this is a roll-out trial, the two conditions will be compared using a non-randomized open trial design.

Study Record Dates

• First Submitted: June 28, 2018
• First Posted: July 11, 2018
• Study Start: September 1, 2018
• Primary Completion: January 30, 2023
• Study Completion: April 30, 2023
• Last Updated: November 27, 2024
• Results First Posted: November 27, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)