Psychiatric Outreach Nurses Supporting Adolescent Mental Health

NCT06438276 | Recruiting

• 1 other identifier: JAPSY_20230
• Study Type: observational
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

The study evaluates the effectiveness and cost-effectiveness of the outreach work of psychiatric registered nurses (RN) and the experiences of professionals in the field. The service is provided in school environment. First, the study will assess the effectiveness of brief interventions provided by psychiatric outreach nurses on the perceived mental health and quality of life of adolescents (12-16 year old pupils) and their use of social and health services, compared to the support/treatment provided by conventional student welfare services at 6 and 12 months follow-up. The intervention is an outreach service provided by psychiatric nurses. In the intervention, the psychiatric registered nurse will implement interventions such as usual care, discussion, psychoeducation, substance abuse skills and various methods (such as interpersonal psychotherapy = IPT-N and Cool Kids) and motivational interviewing. Secondly, an economic evaluation of the service will be carried out at 6 and 12 months follow-up. The economic evaluation will be carried out from the perspective of the Wellbeing Services County, including the costs of implementing the intervention model and its effects on adolescents' use of student welfare services as well as other social and health services. Primarily, the economic evaluation will use quality-weighted life years as a measure of effectiveness. Also analysis using depression, anxiety and substance use measures will be conducted. Thirdly, the study will explore the experiences of psychiatric nurses implementing the service as well as the experiences of their collaborators in schools (public health nurses, school social workers, psychologists, doctors and teachers) about the service and its implementation.

Conditions

Depression; Anxiety

Keywords

mental health; mental disorders; adolescent; outreach service; school-based; effectiveness; economic evaluation

Outcome Measures

Primary Outcomes (2)

• Patient Health Questionnaire modified for adolescent to measure perceived mental health

  The effects of the outreach psychiatric nurse service on adolescent's perceived mental health status assessed by the Patient Health Questionnaire modified for adolescent (PHQ-9-A) measure of depression in 6-month and 12-month follow-up. The minimum value of the measure is 0 and maximum value 27. Higher scores is worse outcome.

  6-month and 12-month follow-up

• Generalized Anxiety Disorder 7-item to measure adolescent's perceived mental health

  The effects of the outreach psychiatric nurse service on adolescent's perceived mental health status assessed by the Generalized Anxiety Disorder 7-item (GAD-7) measure of anxiety in 6-month and 12-month follow-up. The minimum value of the measure is 0 and maximum value 21. Higher scores is worse outcome.

  6-month and 12-month follow-up

Secondary Outcomes (2)

• EuroQol-5-Dimension 3-Level modified for adolescent to measure perceived quality of life

  6-month and 12-month follow-up

• Adolescents' Substance Use Measurement to measure substance use

  6-month and 12-month follow-up

Study Arms (1)

Adolescents with mood disorders seeking help in student welfare services

Intervention group receiving psychiatric outreach nurse services: adolescents (12-16 years old) who seek help from student welfare services due to mood disorders and have access to psychiatric outreach nurse's service. Control group receiving TAU: adolescents (12-16 years old) who seek help from student welfare services due to mood disorders and have no access to psychiatric outreach nurse's service.

Behavioral: Psychiatric outreach nurse service

Interventions

Psychiatric outreach nurse service BEHAVIORAL

Mental health service provided by psychiatric outreach nurses for 12-16 year old students in secondary schools

Adolescents with mood disorders seeking help in student welfare services

Eligibility Criteria

• Age: 12 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Adolescent (12-16 year old) students of secondary schools in the municipalities of North Savo Wellbeing County who seek help from student welfare services due to mood disorders.

You may qualify if:

• Adolescents (12-16 years old) who seek help from student welfare services due to mood disorders and who have one or more of the following conditions: prolonged and/or complicated anxiety, mood symptoms, obsessive-compulsive and/or eating disorder symptoms, mild to moderate self-harm (e.g. death wishes or cutting). In addition, person's motivation to receive the service provided is an admission criterion.

You may not qualify if:

• Persons with one or more of the following needs or life situations: adolescents who need light support and guidance, young people with a single problem of low motivation for school, young people with a stressful life situation or relationship problems. On the other hand, adolescents who are in acute need of specialist care or for adolescents with multidisciplinary problems for whom support measures have already been put in place, because of their mental health symptoms (e.g. severe depression, psychotic symptoms, severe and acute suicidal tendencies or a clear suicide plan).

Sponsors & Collaborators

• University of Eastern Finland: lead
• Wellbeing Services County of North Savo: collaborator
• The Foundation for Municipal Development: collaborator

Study Sites (1)

Wellbeing Services County of North Savo

Kuopio, Northern Savonia, Finland

RECRUITING

MeSH Terms

Conditions

Depression; Anxiety Disorders; Psychological Well-Being; Mental Disorders

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Personal Satisfaction

Study Officials

• Johanna Lammintakanen, PhD, Professor

  University of Eastern Finland

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Anne Surakka, M.Soc.Sc, MHS (Health Econ.)

CONTACT

+358505292553; anne.surakka@uef.fi

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 6, 2024
• First Posted: May 31, 2024
• Study Start: May 6, 2024
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: May 31, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

FI (1)