An Innovative Model of Pediatric Acute Mental Health and Addictions Care

  • STATUS
    Recruiting
  • participants needed
    7984
  • sponsor
    University of Alberta
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Updated on 16 February 2024
See if I qualify
anxiety
insomnia
suicidal
depression
addiction
deliberate self-harm
pediatric

Summary

We will implement and evaluate an integrated, evidence-based bundle of family-centred, pediatric emergency mental health and addictions care.

Description

We will implement and evaluate an integrated, evidence-based bundle of family-centred, emergency mental health and addictions care. This care bundle will provide high value to families, matching resources and services to need while eliminating healthcare inefficiencies and closing care gaps. The bundle will introduce two well-established tools for healthcare providers to use in EDs, walk-in clinics, and urgent mental health care appointments. These tools are the Ask Suicide-Screening Questions (ASQ) and HEADS-ED, an assessment mnemonic (Home; Education & Employment; Activities & Peers; Drugs & Alcohol; Suicidality; Emotions & Behaviours; Discharge or Current Resources).

The bundle will also introduce new processes to improve healthcare system efficiencies, navigation and transitions between healthcare sectors. For families who receive care in the ED, we will remove the physician gatekeeper role so that children/youth who are screened as low-risk will be offered a follow-up appointment in an urgent mental health care clinic within 24-48 hours. Those who screen as high-risk will see a mental health specialist and undergo a HEADS-ED assessment. Families who follow up in the clinic will receive care that applies a Choice And Partnership Approach (CAPA). CAPA is a collaborative approach to healthcare, where healthcare providers work in partnership with children/youth and their parents to identify choices for care that best match individual needs and preferences.

Study Goal: Our goal is the right care, with the right people, at the right place and time.

Study Design: To measure the bundle's impact, we will use an interrupted time series (ITS) design.

Details
Condition Mental illness, mental health, Pediatrics, Emergency Psychiatric
Age 17years or below
Clinical Study IdentifierNCT04292379
SponsorUniversity of Alberta
Last Modified on16 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Patient is under 18 years of age
Patient came to the emergency department with a mental health and/or addiction concern
Patient presented with one of the following CEDIS complaints
Anxiety, bizarre behaviour, concern for patient's welfare, deliberate self-
harm, depression/suicidal, homicidal behaviour, insomnia, pediatric disruptive
behaviour, situational crisis, violent behaviour

Exclusion Criteria

Brought to the ED by police, peace officer or EMS?
Held under Form 10
Features of schizophrenia, schizotypal and delusional disorders (e.g., hallucinations, delusions, active psychosis)
Behavioural syndromes or other medical concerns requiring medical clearance (e.g., eating disorders)
Significant self-harm requiring medical clearance (e.g., deep laceration, ingestion, hanging)
Barriers to communication at triage (e.g., language)
Previous participation in the study
Clear my responses
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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