Synergy in Mental Health Care: Strengthening Collaborations in a Shared Care System for Child and Adolescent Psychiatry (DSPPea34).

NCT07429968 | Not Yet Recruiting

• 1 other identifier: RECHMPL24_0352
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

DSPPea34 (Shared Care Program for Children and Adolescents) is an experimental health program designed to provide rapid, guided care orientation for youth aged 6-18 when a first-line psychological follow-up is considered by a general practitioner or pediatrician. The program links hospital-based services and community providers by offering prompt contact and assessment by a registered nurse and/or psychiatrist, with structured feedback to the referring physician. Primary objective: To identify facilitators that support the engagement of all professionals involved in the care pathway of children and adolescents with psychological difficulties. Facilitators will be mapped across five stages of the pathway: (1) intake, (2) assessment, (3) orientation/referral, (4) inter-partner collaboration, and (5) discharge from the program. Results will be used to refine DSPPea34 specifications to inform broader implementation. Methods and study population (primary objective): A Delphi survey will be conducted with stakeholders directly interacting with families and youth within DSPPea34 (e.g., general practitioners (GP), pediatricians, program clinicians) as well as with program users. Secondary objectives and data sources: To describe (i) the sociodemographic and clinical characteristics of youth using DSPPea34 services and (ii) their care trajectories using quantitative methods. Data will be extracted from DSPPea34 records via the SPICO coordination file (the tool used to facilitate exchanges between the GP/pediatrician, DSPPea34, and the psychologist in charge of follow-up) and complemented by soliciting longitudinal outcome information from the referring physician based on DSPPea34 follow-up. Findings from this mixed-methods evaluation are expected to guide the optimization and potential scale-up of the DSPPea34 model.

Conditions

DSPPea34; Young People Aged 6-18; Acute and Mild Psychological Disorders

Keywords

Children/adolescents; Mental disorders; City-hospital care pathway

Outcome Measures

Primary Outcomes (1)

• Highlighting by the DELPHI method of the main facilitators of involvement in the DSPPea34 pathway, from successive rounds of proposal prioritization

  These facilitators will be identified at different stages: 1) addressing, 2) evaluation, 3) orientation, 4) collaboration between partners, 5) exit from the device and will allow to evolve the specifications of DSPPea in view of its generalization. Each round includes closed-ended items rated on a 9-point Likert scale (1 = strongly disagree; 9 = strongly agree) assessing both the content and the wording of each proposal. Free-text fields allow participants to provide comments and suggested rewording. Iterative Adaptation Across Rounds: Based on prior-round results, items may be revised, added, or removed. Refinements aim to improve clarity and relevance, while preserving traceability of changes. Consensus Rule (Stopping/Exclusion Criterion for Items): If an item achieves ≥70% agreement (to retain or to remove the proposal) with concordant votes in both Round 1 and Round 2, the proposal is considered

  3 months

Secondary Outcomes (7)

• Clinical Characterization at Baseline

  At program entry (Baseline)

• Reason for referral to the program

  Baseline

• Number of Requests and Referrals (DSPPea34 vs. Outside DSPPea34)

  Baseline

• Number of Psychiatric Clinical Interviews within DSPPea34

  At program entry (intake) to program completion (from 1 month to 12 months)

• Number of Joint City-Hospital Follow-Ups

  At program entry (intake) to program completion (from 1 month to 12 months)

Study Arms (2)

the professionals directly in contact with families and young people within the framework of DSPPea3

Other: structured online questionnaire

users of the DSPPea34

Other: structured online questionnaire; Other: descriptive analysis of patient characteristics and their care pathways, based on electronic medical records

Interventions

structured online questionnaire OTHER

A structured, online Delphi survey conducted in up to three iterative rounds to co-develop and refine proposals related to the DSPPea34 specifications. Questionnaires are developed by study facilitators based on the initial DSPPea34 specifications and new proposals arising from the interim evaluation. Content and Response Format: Each round includes closed-ended items rated on a 9-point Likert scale (1 = strongly disagree; 9 = strongly agree) assessing both the content and the wording of each proposal. Free-text fields allow participants to provide comments and suggested rewording. Iterative Adaptation Across Rounds: Based on prior-round results, items may be revised, added, or removed. Refinements aim to improve clarity and relevance, while preserving traceability of changes. Consensus Rule (Stopping/Exclusion Criterion for Items): If an item achieves ≥70% agreement (to retain or to remove the proposal) with concordant votes in both Round 1 and Round 2, the proposal is considered

the professionals directly in contact with families and young people within the framework of DSPPea3; users of the DSPPea34

descriptive analysis of patient characteristics and their care pathways, based on electronic medical records OTHER

Data collected from all users of the DSPPea34 program since its inception (approximately 1,200 cases) will include: * sociodemographic data (age, gender, living environment (urban, semi-urban, rural) * diagnosis at the end of the initial psychiatric assessment of the DSPPea34 program * referring physician * schooling (grade, mainstream or specialized environment) * existence of previous psychiatric or psychological follow-up * referrals by DSPPea34 staff and reasons (without collection of individual data for young people not included in DSPPea34 at the end of the staff meeting) * referrals at the end of the medical consultation and reasons * end-of-process referrals.

users of the DSPPea34

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

the population of this study (participants responding to the DELPHI questionnaire) includes professionals directly in contact with families and young people within the framework of DSPPea34 as well as users of DSPPea34. * the pediatricians or general practitioners who have referred a child or adolescent to the DSPPea34 * the hospital and private psychiatrist doctors who conducted an initial assessment as part of the DSPPea34 * the city psychologists who are partners of the program having followed at least one child or adolescent within the framework of the DSPPea34 * the Coordination Nurse (IDC) of DSPPea34 * users (legal guardians and young beneficiaries of the care pathway of DSPPea34)

You may qualify if:

• the professionals directly in contact with families or young people within the framework of DSPPea34 as well as users of DSPPea34

Sponsors & Collaborators

• University Hospital, Montpellier: lead
• UMR UA11INSERM-UMIDESP Institut Desbrest d'Épidémiologie et de Santé Publique: collaborator

Study Sites (1)

CHU Montpellier - Réseau DSPPea34 de l'Hérault

Montpellier, Hérault, France

Location

MeSH Terms

Conditions

Mental Disorders

Study Officials

• Diane PURPER OUAKIL, MD PhD

  CHU de Montpellier

  STUDY DIRECTOR

Central Study Contacts

Diane PURPER OUAKIL, MD PhD

CONTACT

04 67 33 60 09; mpea@chu-montpellier.fr

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 3, 2026
• First Posted: February 24, 2026
• Study Start: March 1, 2026
• Primary Completion (Estimated): March 1, 2027
• Study Completion (Estimated): March 1, 2027
• Last Updated: February 24, 2026

Record last verified: 2026-02

Locations

FR (1)