Family Mental Health Family Navigator Project (FMHN)

Study Overview
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Brief Summary
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This study will focus on developing and testing a family-based mental health navigator intervention, the Family Mental Health Navigator (FMHN), to evaluate whether the intervention combined with mHealth is preliminary efficacious in improving mental health service initiation and engagement for publicly-insured youth.

Detailed Description
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The study will demonstrate how a family-based navigator intervention combined with mHealth may lead to improved mental health treatment initiation and engagement among publicly-insured youth. Publicly-insured youth have high rates of mental health symptoms relative to youth in the community, and are disproportionately racial and ethnic minorities, only perpetuating disparities in this population's mental health access and engagement. The proposed project will develop and test a family-based navigator intervention, the Family Mental Health Navigator (FMHN), a natural fit for improving publicly-insured youth's mental health service and clinical outcomes. The study will start with identifying the feasibility and acceptability of the FMHN intervention. Then, the study will determine whether the FMHN intervention improves publicly-insured youth mental health treatment initiation and engagement. Finally, the study will characterize patterns of pre- and post-service outcomes along the behavioral health services cascade of care, to further evaluate the feasibility, acceptability, and preliminary impact of the FMHN model.

Official Title
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Family Mental Health Family Navigator

Conditions
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Mental Health

Intervention / Treatment
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* Behavioral: Family-based mental health navigation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: English-speaking and/or Spanish-speaking youth Ages 6-17 Are currently receiving services at the San Francisco General Hospital Are publicly insured Have an involved caregiver/legal guardian for consent Family has mobile phone access Exclusion Criteria: Youth is not English-speaking nor Spanish-speaking Caregiver has impairment that would preclude providing informed consent Unavailable guardian for consent

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: This is a within-person, pre-post design in which the investigators will test a theory-driven, family-based navigator treatment engagement intervention (FMHN) while also collecting data on the FMHN model's potential implementation and adoption within a public hospital and behavioral health settings.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Family-based mental health navigation<br>Family-based navigator intervention combined with mHealth practices to improve mental health treatment initiation and engagement | Behavioral: Family-based mental health navigation<br>* Family-based navigator intervention combined with mHealth practices to improve mental health treatment initiation and engagement<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to treatment referral | Number of days until treatment referral is made | 12 months post enrollment | 
| Time to treatment initiation | Number of days until attendance at first treatment session | 12 months post enrollment | 
| Treatment engagement | Engagement as measured by attendance in treatment for 6 or more weeks | 12 months post enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescent, Publicly-insured Youth, Mental Health, Navigator Service, Access, Children