Testing a Scalable Model For ACEs-Related Care Navigation

Study Overview
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Brief Summary
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The study is a randomized controlled trial of a telephone-based care coordination system for families who experienced Adverse Childhood Events (ACEs). The investigators will conduct the study in partnership with Kaiser Permanente School of Medicine (KPSOM) and 2-1-1 Los Angeles County (211LA), part of a national network of 2-1-1 call centers covering 93% of the US population. The study will test the effectiveness of 211LA in increasing referrals and services for families who screen positive for ACEs.

Detailed Description
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The trial will enroll 200 children ages 0-11 years from the three FQHCs partner clinics, who screen positive for at least 1 ACE during their clinical encounter. The research study team will randomize children 1:1 into intervention (connection to 211LA for ACEs care coordination + usual care) or control (usual care alone). Primary outcomes will include number of referrals to, eligibility for, and receipt of ACE-related services among intervention group participants compared to controls. The investigators will measure these outcomes through parent reported data and 211LA data at baseline and 6 months after enrollment. Expected findings include higher referral and service rates by six months after enrollment among intervention group participants.

Official Title
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Testing a Scalable Model For ACEs-Related Care Navigation Via 211 Telephone-Based Services

Conditions
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Adverse Childhood Experiences, Child Development

Intervention / Treatment
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* Behavioral: Behavioral: Telephone-based ACEs care coordination


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A patient in one of the three partner community clinic systems (ChapCare, Via Care and NEVHC) Child aged 0 - 11 years old Parent or legal guardian of child at least 18 years of age Comfortable completing a survey by interview in English or Spanish Exclusion Criteria: Child or sibling already enrolled in this study Child or sibling enrolled in the AMP Child Development study

Ages Eligible for Study
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Maximum Age: 11 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental Intervention + Usual Care<br>Intervention group families will receive usual care and they will be connected via telephone to 211LA. | Behavioral: Behavioral: Telephone-based ACEs care coordination<br>* The 211LA care coordinator will use the agency's extensive resource directory to identify and provide appropriate referral recommendations to each family. In addition, they will develop a care coordination plan, noting these recommendations and plans for follow-up, to be provided to the family's clinical care provider. The coordinator will routinely follow-up with the family until 1) children begin receiving services, 2) families refuse services, or 3) children are deemed ineligible by service providers.<br>|
| No Intervention: No Intervention: Usual Care<br>This group will receive usual care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Referrals to ACEs-related services | The percentage of children who are referred to at least one ACEs-related service, as reported on the participant survey. | 2-6 months after enrollment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Receipt of ACEs-related services | The percentage of children who receive at least one ACEs-related service, as reported on the participant survey. | 2-6 months after enrollment | 
| Number of referrals received | The number of referrals made for ACEs-related services, as reported on the participant survey. | 2-6 months after enrollment | 
| Number of services received | The number of ACEs-related services received, as reported on the participant survey. | 2-6 months after enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Health Services Research, Care Coordination