Rehabilitation of Children With Multiple Disabilities

Study Overview
=================
Brief Summary
-----------------
The objective of the study is to compare the usual care and treatment of children and youth (0-19 years) with multiple developmental delays and disabilities and their families in Simcoe York with a co-ordinated, navigated approach to care using the Children's Treatment Network (CTN) services.

Detailed Description
-----------------
The Children's Treatment Network (CTN)links existing children's services rather than creating a new Centre. The purpose of the evaluation is to compare the effectiveness and efficiency of this service with the usual care that people receive. 500 Children will be randomized to receive either usual care (250) or the co-ordinated, navigated care from CTN (250). The primary question to be addressed is whether the more integrated CTN model of service improves family-centered services, parent mental health, parenting, family function and the quality of the child's life and the families resource needs as well as reduce expenditures for the families' use of all other health and social services compared to the outcomes of usual care alone. What children and families with what characteristics and circumstances most benefit from which approach to the treatment of childhood disability in Simcoe-York? At what cost? Agencies providing services to children will be evaluated as to how effective their integration of teams are functioning, their partnership with each other and capacity building in the community.

Official Title
-----------------
The Comparative Effect and Expense of More and Less Integration of Services That Provide Treatment and Rehabilitation for Children With Multiple Disabilities: A Randomized Controlled Trial

Conditions
-----------------
Brain Injury, Cerebral Palsy, Autism, Down's Syndrome

Intervention / Treatment
-----------------
* Other: CTN model of care for children and their families


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Children and youth up to 19 years of age living in Simcoe-York. English speaking multi-need family children on agency service wait lists children under the care of Children's Aid Societies Families with more than 1 disabled child Exclusion Criteria: -youth over 19 years.

Ages Eligible for Study
-----------------
Minimum Age: 1 Minute
Maximum Age: 19 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Parental reports of their children<br>Parental report of family-centered processes of care (MPOC) Parent mental health Parent perceived social support | Other: CTN model of care for children and their families<br>* Parental reports on the quality of life of their children and service needs<br>|
| No Intervention: Integration of service provider teams<br>Network co-alition teams were measured using the Integration of Human Services Measure, the Partnership Synergy Measure and a Network Capacity Measure were employed at the CEO level. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parental reports in the Quality of Life of Children and Youth | Parent report of family centred processes of care (MPOC) Parent mental health Parent perceived social support | 12 and 24 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Integration of teams amongst service providers. Integration was measured at two levels using the Integration of Human Services Measure. | The measure evaluates observed and expected depth of integration among service providers. CEO or senior manager participation in the Network was measured. | 12 months and 24 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Children, Costs, Rehabilitation, Family Functioning, Mental Health, Integration