PES Family Support and Follow-Up Program

NCT03655119 | Terminated

• 2 other identifiers: HUM001250655U79SM061767
• Study Type: interventional
• Target: 229
• Locations: 1 country
• Sites: 1

Brief Summary

The Psychiatric Emergency Services (PES) Family Support and Follow-Up Program is a service delivery intervention that utilizes a multi-component approach to enhance usual care provided to youth and families at the University of Michigan Psychiatric Emergency Services in order to promote youth safety and provide support to families following their visit. During the first phase of intervention, families will receive enhanced usual care by clinical staff along with a family toolkit that includes a youth safety plan and written recommendations for safety monitoring and supporting youth during a crisis. During the second phase of intervention, families will receive the interventions provided during the first phase in addition to caring contacts post discharge, which may occur by phone, text, or email. Caring contacts are meant to provide support, additional education, and problem solving assistance.

Conditions

Suicide

Keywords

Child; Adoelscent; Crisis Intervention

Outcome Measures

Primary Outcomes (2)

• Change in adherence to safety recommendations

  Change in the number of families' engaging in safety recommendations including means restriction in the home, safety planning, and risk assessment as measured by yes/no response.

  Baseline, 3 days, 2 weeks

• Access to outpatient mental health services

  The number of youth linked to outpatient mental health services including therapy, psychiatry, or a combination.

  2 weeks

Secondary Outcomes (5)

• Change in parental self-efficacy: Parent Self-Efficacy Form

  Baseline, 2 weeks

• Youth connectedness

  Baseline, 2 weeks

• Parental distress

  Baseline, 2 weeks

• Youth suicidality

  Baseline, 2 weeks

• Parent stigma for receiving psychological help

  Baseline, 2 weeks

Study Arms (3)

Baseline

NO INTERVENTION

Youth and parents will complete surveys at index PES visit regarding suicide related risk and protective factors. Parents and youth will complete a follow-up survey at 3 days (parents only) and 2 weeks (parents and youth) post discharge. At 3 days and 2 weeks, parents will complete a survey that evaluates adherence to safety recommendations. The 2-week follow-up survey for parents will also re-assess self-efficacy, parental distress, and mental health treatment stigma. The 2-week follow-up survey for youth assesses mood and suicidal thoughts, perceptions of parent support post discharge, and outpatient treatment. It reassesses suicidal risk, depression, connectedness, and alcohol use.

Phase I

EXPERIMENTAL

Families will complete baseline measures, and receive enhanced usual care from PES clinical staff during their visit as well as a parent toolkit that reinforces evidence-based practices for crisis management such as safety planning and means restriction and encourages parents to increase their support, supervision, and monitoring of their at risk youth. The same follow-up methodology as in Baseline will be utilized.

Behavioral: Parent toolkit; Behavioral: Enhanced Care

Phase II

EXPERIMENTAL

Families will complete baseline measures and receive Phase I interventions (enhanced care and parent toolkit). Parents will receive caring contacts post discharge, which may occur by phone, text, or email. Caring follow-up messages will provide support, additional education, and problem solving assistance. The same follow-up methodology as in Baseline will be utilized.

Behavioral: Parent toolkit; Behavioral: Enhanced Care; Behavioral: Caring Follow-Up Messages

Interventions

Parent toolkit BEHAVIORAL

The parent tookit is a resource that reinforces evidence-based practices for crisis management such as safety planning and means restriction and encourages parents to increase their support, supervision, and monitoring of their at risk youth.

Also known as: Toolkit

Phase I; Phase II

Enhanced Care BEHAVIORAL

PES clinical staff will receive training on the best practices in brief crisis-focused interventions in emergency settings with parents and youth.

Phase I; Phase II

Caring Follow-Up Messages BEHAVIORAL

Parents will receive caring contacts via phone, text, or email to provide support, additional education, and problem solving assistance in the days and weeks post-discharge.

Also known as: Follow-Up

Phase II

Eligibility Criteria

• Age: 10 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Presenting to U-M Psychiatric Emergency Services
• Experiencing suicide-related concerns

You may not qualify if:

• Do not speak English
• Currently experiencing psychosis
• Currently intoxicated
• Cognitively impaired
• Currently experiencing severe aggression or agitation
• Unaccompanied by parent/legal guardian

Sponsors & Collaborators

• University of Michigan: lead
• Michigan Department of Health and Human Services: collaborator
• Substance Abuse and Mental Health Services Administration (SAMHSA): collaborator

Study Sites (1)

University of Michigan Psychiatric Emergency Services

Ann Arbor, Michigan, 48109, United States

Location

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Cynthia Ewell Foster, Ph.D.

  University of Michigan

  PRINCIPAL INVESTIGATOR

• Patricia Smith, MA

  Michigan Department of Health and Human Services

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Assistant Professor

Study Record Dates

• First Submitted: August 29, 2018
• First Posted: August 31, 2018
• Study Start: September 10, 2018
• Primary Completion: March 11, 2020
• Study Completion: March 11, 2020
• Last Updated: April 14, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)