Comprehensive Program for Youth Mental Health

Study Overview
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Brief Summary
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The majority of addiction and mental health problems seen in adults present first in youth. There is strong evidence that prevention and early identification during childhood can mitigate some of these risks. Students who screen at risk for the development of mental illness will be offered online intervention programs with personal guidance from a trained coach. In addition, lessons revolving around resiliency will be provided to all students. The objectives of this study are: Decreased rates of depression and suicide (as well as rates of suicide attempts) Decreased use of alcohol, tobacco, and other drugs, with additional downstream benefits such as reduced rates of fetal alcohol spectrum disorder (FASD) and cancer Decreased school drop-out rates Decreased rates of interactions with the justice system Decreased costs across a range of ministries (health, education, justice, human services), both for youth as well as their families who have been involved in this program

Official Title
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Comprehensive Program for Youth Mental Health

Conditions
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Depression, Suicide, Anxiety

Intervention / Treatment
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* Behavioral: Smart, Positive, Active, Realistic X-factor thoughts (SPARX)
* Behavioral: Breaking Free
* Behavioral: This Way Up
* Behavioral: Resiliency Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The intervention group will be the top 10% of all students participating in the school screening. Exclusion Criteria: Lack of consent, lack of assent, lack of the ability to read and understand the screening tools or intervention tools

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 18 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: Prevention
Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Middle School, General<br>OVK Resiliency Training Program - Cognitive Behavioral Therapy designed to modify negative thoughts and feelings. This program also includes a social problem-solving component. | Behavioral: Resiliency Training<br>* Op Volle Kracht (OVK)<br>|
| No Intervention: High School, General<br>No intervention - no Resiliency training, no online intervention for high school students who do not score at risk for development of mental health issues | |
| Active Comparator: Middle School, Top 10%<br>Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. OVK Resiliency Training is also provided. | Behavioral: Smart, Positive, Active, Realistic X-factor thoughts (SPARX)<br>* Cognitive Behavioral Therapy based online intervention for depression<br>Behavioral: Breaking Free<br>* Online based intervention for Drug and Alcohol Use<br>Behavioral: This Way Up<br>* Cognitive Behavioral Therapy online intervention for Depression and Anxiety<br>Behavioral: Resiliency Training<br>* Op Volle Kracht (OVK)<br>|
| Active Comparator: High School, Top 10%<br>Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. | Behavioral: Smart, Positive, Active, Realistic X-factor thoughts (SPARX)<br>* Cognitive Behavioral Therapy based online intervention for depression<br>Behavioral: Breaking Free<br>* Online based intervention for Drug and Alcohol Use<br>Behavioral: This Way Up<br>* Cognitive Behavioral Therapy online intervention for Depression and Anxiety<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decrease from baseline in rates of depression and suicide | This will be based on scores on the Patient Health Questionnaire for Adolescents (PHQ-A) questionnaire | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decreased use of alcohol, tobacco and other drugs | Questionnaire (CRAFFT) | Baseline, 3 months, 6 months, 12 months | 
| Decreased school drop-out rates | Will be tracking the School identification numbers of the students in order to determine how many drop out prior to graduation. This will be compared with historical data from Red Deer Public Schools. | 12 months | 
| Decreased rates of interactions with the justice system | Will be linking with a data groups' repository as well as ministries in order to determine rates of interactions with the justice system. | 12 months |