Clinical trial NCT04300712: Partnerships Between Schools and Public Mental Health Departments: Investigation of Multi-professional Interventions for Children Aged 3 to 8 With Mental Health Issues (Parpsych-Ed)
Official title: Partnerships Between Schools and Public Mental Health Departments: Investigation of Multi-professional Interventions for Children Aged 3 to 8 With Mental Health Issues (Parpsych-Ed).
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: School Difficulties Associated With Mental Health Problems
Keywords: mental health
children psychiatry
school difficulties
psychosocial interventions
Lead sponsor: GCS pour la recherche et la formation en sante mentale
Sponsor class: OTHER
First posted: 2020-03-09
Enrollment: 2000
Sex: ALL
Minimum age (years): 3
Maximum age (years): 8
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: Local partnerships between schools (preschool and elementary) and mental health public services are implemented in seven sites in France. They aim to improve recognition of difficulties related to mental health problems and to provide interventions to 3 to 8 years-old pupils in need. Our hypothesis that these local partnerships and interventions enhance the role of school in supporting good mental health and wellbeing of all children and the trajectories of children with mental health service needs. Theses also facilitate community support. One of them, early-interventions involve caregivers. Our objective is to enhance knowledge of the unmet mental healthcare need at school and to explore for whom, in which local context and how partnerships and early intervention work.

Detailed description: Teachers are legitimately concerned about children that encounter mental health problems. Mental healthcare might be indicated. Because of internal and external barriers of treatment, they could remain inaccessible for many children in need. School staff should not try to diagnose conditions. However, collaborative interventions delivered by school and mental healthcare staffs in association with other stakeholders as parents and associations should ensure clear systems and processes in place for identifying possible mental health problems and support children and their parents. Local partnership and early interventions will be elaborated within focus groups bringing together all stakeholders and will be experimented in 7 French sites (preschool, primary school and local public health service) thereafter. These complex interventions will be evaluated through mixed-methods including qualitative case studies and a pragmatic trial. This feasibility study will produce a set of findings that will permit to argue conceptual framework of partnership and early intervention, to provide guidelines to implement these in France considering children needs, local context, all stakeholders acceptance and public health efficacy.

Eligibility criteria: Inclusion Criteria:

* Attending pre- and elementary schools involved in the ParpsychEd partnerships.

Exclusion Criteria:

* Absence of parents and/or child consent.

Primary outcomes:
measure: number of 3 to 8 years old children identified with mental health services need
timeFrame: 24 months
Secondary outcomes:
measure: Strengths and Difficulties Questionnaire (SDQ)
timeFrame: 12 months
measure: Healthcare access, barriers to treatment, intervention acceptance
timeFrame: 12 months
measure: Parent refusal rate to let their child benefit of all responses
timeFrame: 12 months
measure: Parent refusal rate to let their child benefit of the early intervention
timeFrame: 12 months
measure: Parents refusal rate to plan appointment in public health services as indicated after the intervention
timeFrame: 18 months
measure: Mental health and mental health services representation and use
timeFrame: 18 months
Other outcomes:
Locations:
city: Grigny
country: France
facility: EPSM Barthélémy Durand
state: Essone
city: Saint-Claude
country: France
facility: EPSM de Guadeloupe
state: Guadeloupe
city: La Couture
country: France
facility: EPSM Val de Lys
state: Pas De Calais
city: Vieille chapelle
country: France
facility: EPSM Val de Lys
state: Pas De Calais
city: Paris
country: France
facility: Centre Hospitalier Sainte Anne
city: Picauville
country: France
facility: Fondation Bon Sauveur de la Manche
city: Saint-Denis
country: France
facility: Centre Hospitalier de Saint Denis
Study officials:
affiliation: French World Health Organization Collaborating Centre for Research and Training in Mental Health
name: Jean-Luc Roelandt, MD
role: STUDY_DIRECTOR
affiliation: French World Health Organization Collaborating Centre for Research and Training in Mental Health
name: Sandrine Bonneton, MD
role: PRINCIPAL_INVESTIGATOR
References: