Clinical trial NCT06968949: Collaborative Redesign of Implementation Strategies for the Brief Intervention for School Clinicians
Official title: Collaborative Redesign of Implementation Strategies for the Brief Intervention for School Clinicians (BRISC)
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Anxiety Disorders
Depressive Symptoms
Mental Health Issue
Keywords: School Mental Health
Lead sponsor: University of Washington
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2025-05-13
Enrollment: 60
Sex: ALL
Minimum age (years): 13
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Schools are the most common venue for youth mental health services, but school mental health (SMH) typically does not use evidence-based clinical interventions (CI), common elements of effective mental health, or effective implementation strategies. To address this gap, a multidisciplinary team developed the Brief Intervention for School Clinicians (BRISC), a four-session engagement, brief intervention, and triage strategy targeting a range of mental health (e.g., anxiety, depression, past trauma) and other problems (academic, peer, family). BRISC outperformed SMH usual care on engagement, treatment completion, and youth self-reported problem severity. Although there are many evidence-based SMH strategies such as BRISC, integration into practice is poor because accompanying implementation strategies are often absent, poorly defined, or insufficiently tailored to the education context.

Detailed description: The investigators will evaluate the impact of original BRISC (BR-O) implementation versus adapted BRISC (BR-A) implementation for students referred to SMH on mental health outcomes (i.e., student top problems, anxiety, depression, mental health functioning). The investigators hypothesize:

H-1: In both BR-O and BR-A, more students will experience clinical improvement on mental health outcomes (i.e., top problems, anxiety, depression, mental health functioning) than deteriorate or remain unchanged.

H-2: BR-A will demonstrate noninferiority to BR-O on mental health outcomes.

Eligibility criteria: Inclusion Criteria:

* Clinician participants: Counselors will be included if they (a) provide school-based services; (b) have not previously received formal training in BRISC; and (c) are not actively receiving support to implement another intervention.
* Youth participants: Students must meet eligibility criteria for BRISC including (a) being in grades 9-12 and 13 years or older (b) receiving school mental health services

Exclusion Criteria:

* Anyone not meeting inclusion criteria.

Primary outcomes:
measure: Implementation Strategy Usability Scale (ISUS)
timeFrame: Post-training, End of Year 1
measure: Participant Responsiveness Scale (PRS)
timeFrame: Post-training, End of Year 1
measure: Intervention Appropriateness Measure (IAM)
timeFrame: Baseline, 3 months, 6 months
measure: Adoption
timeFrame: Baseline, 3 months, 6 months
measure: Reach
timeFrame: Baseline, 3 months, 6 months
measure: Youth Top Problems (YTP)
timeFrame: Baseline, 3 months, 6 months
measure: Therapeutic Alliance Scale for Adolescents (TASA)
timeFrame: Baseline, 3 months, 6 months
measure: Treatment Completion/Triage
timeFrame: End of study
measure: Patient Health Questionnaire (PHQ-8 for Adolescent)
timeFrame: Baseline, 3 months, 6 months
measure: Generalized Anxiety Disorder-7 scale (GAD-7)
timeFrame: Baseline, 3 months, 6 months
measure: Columbia Impairment Scale (CIS)
timeFrame: Baseline, 3 months, 6 months
measure: Quality of Life in Neurological Disorders Social Relations scale (Neuro-QOL)
timeFrame: Baseline, 3 months, 6 months
measure: Academic Progress Self-Report
timeFrame: Baseline, 3 months, 6 months
Secondary outcomes:
measure: BRISC External Rating Tool (BECT)
timeFrame: Baseline, 3 months, 6 months
measure: Framework for Modifications and Adaptations of Evidence-Based Interventions
timeFrame: Baseline, 3 months, 6 months
Other outcomes:
Locations:
Study officials:
affiliation: University of Washington
name: Eric Bruns
role: PRINCIPAL_INVESTIGATOR
References: