Clinical trial NCT05629013: TEAMS R34 #1 After-Action Reviews in Child Welfare Services
Official title: TEAMS R34 #1 After-Action Reviews in Child Welfare Services
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Mental Health Issue
Children, Adult
Keywords: Child Welfare Services
Team Effectiveness Research
Shared Decision Making
Lead sponsor: University of California, San Diego
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2022-11-29
Enrollment: 320
Sex: ALL
Minimum age (years): 6
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This project proposes to improve successful mental health service linkage in Child Welfare Services (CWS) by adapting and testing the After Action Review (AAR) team effectiveness intervention to augment the Child Family Team (CFT) services intervention. Despite being both required and a collaborative approach to service planning, CFT meetings are implemented with questionable fidelity and consistency, rarely including children and families as intended. By inclusion of child and family voice, the AAR-enhanced CFT should lead to increased fidelity to the CFT intervention and greater levels of parental satisfaction with the service and shared decision-making, thus resulting in enhanced follow-through with Action Plans and linkage to mental health care for children.

Detailed description: The proposed project will address the following aims:

Aim 1. Conduct a qualitative needs assessment targeting the ongoing implementation of the CFT services intervention in a large, publicly funded, CWS. A qualitative inquiry consisting of interviews and focus groups with key stakeholders will result in the preparation of an action plan to address identified gaps between the current and desired CFT services intervention outcomes.

Aim 2. Adapt and tailor the AAR implementation strategy to address the CFT services intervention needs.

Aim 3. Assess mechanisms of the AAR team effectiveness intervention for CFT implementation.

Eligibility criteria: Inclusion Criteria:

Inclusion Criteria for CWS leaders and/or caseworkers

1. (For leaders) Employed as one of several CWS leadership positions: CWS Director, CWS Deputy Director, CWS Regional Manager; (For caseworkers) Employed as a caseworker in one of the two participating regions for the proposed study.
2. Plans to remain employed for at least six months beyond study initiation
3. Speaks English or Spanish

Inclusion Criteria for formal and informal CFT members

1. Member of CFT with one of the participating CWS caseworkers. CFT members can include mental health services provider, Court Appointed Special Advocate (CASA), educational representative, and other supports
2. Speaks English or Spanish

Inclusion Criteria for parents/caregivers with active CWS cases

1. Parent/caregiver of child aged 6-17 with an open CWS case
2. Initial CFT meeting for open CWS case has not yet been held (Aim 3)
3. Speaks English or Spanish

Inclusion Criteria for children with active CWS cases (for mental health service linkage data extraction only\*)

1. Child aged 6-17 with an open CWS case
2. Mental health services need/s (identified by the CWS caseworker via CANS screening in advance of the initial CFT meeting, during which consensus is reached regarding the Action Plan and service referral)

Exclusion Criteria:

Individuals who do not meet inclusion criteria are not eligible to participate in this study.

Primary outcomes:
measure: Collaboration & Satisfaction About Care Decisions (CSACD)
timeFrame: through study completion, ~9 months
measure: San Diego (SD) County Behavioral Health Administrative Data
timeFrame: through study completion, ~9 months
measure: Mathieu Team Processes Scale
timeFrame: through study completion, ~9 months
Secondary outcomes:
measure: Acceptability, Feasibility, and Appropriateness of Intervention Measure
timeFrame: through study completion, ~9 months
measure: Participant demographics professional characteristics
timeFrame: through study completion, ~9 months
measure: Card-Sorting Task
timeFrame: through study completion, ~9 months
measure: McAllister Affect-Based Trust
timeFrame: through study completion, ~9 months
measure: Psychological Safety
timeFrame: through study completion, ~9 months
measure: State-Wide CFT Fidelity Tool
timeFrame: through study completion, ~9 months
measure: Knoll and Van Dick Silence Measure
timeFrame: through study completion, ~9 months
Other outcomes:
Locations:
city: San Diego
country: United States
facility: UC San Diego - IN STEP Children's Mental Health Research Center
state: California
Study officials:
References: