Ignite Creation Date:
2024-05-06 @ 8:01 PM
Last Modification Date:
2024-10-26 @ 3:19 PM
Study NCT ID:
NCT06227169
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2024-03-18
First Post:
2024-01-17
Brief Title:
From Court to the Community
Sponsor:
Rhode Island Hospital
Organization:
Rhode Island Hospital
Study Overview
Official Title:
From Court to the Community Improving Access to Evidence-Based Treatment for Underserved Justice-Involved Youth At-Risk for Suicide
Status:
ENROLLING_BY_INVITATION
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
JJ-COPES
Brief Summary:
Youth involved in the juvenile justice system evidence disproportionately high rates of suicidal thoughts and behavior STB and non-suicidal self-injury NSSI compared to adolescents in the general population It is estimated that upwards of 50 of justice-involved youth JIY in secure facilities report NSSI and suicide attempts1-3 Suicide attempts are estimated to be between two and four times more frequent in incarcerated JIY than adolescents in the community4 and the rates of STB in JIY are higher than non-JIY in the community The overwhelming majority of JIY are not placed in secure facilities and almost all incarcerated youth are eventually released to the community5 Consequently STB is a major concern of JIY residing in the community and it is critical that this population has access to evidence-based treatment for STB and NSSI Contributing to the problem racial and ethnic minority youth are disproportionately represented among JIY6 and JIY are more likely to reside in neighborhoods with limited resources7 including restricted access to community mental health treatment89 Further most community mental health providers who treat JIY have not been trained in evidence-based interventions that are specifically designed to treat NSSI and STB this often leads to JIY experiencing prolonged periods of NSSI andor STB10 Training community mental health providers who serve JIY in the detection and treatment of NSSI and STB has promise to decrease the overall suicide risk for JIY The primary goal of this application is to train community providers in established core strategies for adolescent STB and NSSI11 The training program has been used in two clinical trials refined for inpatient psychiatric and Emergency Department providers and modified for use in community practice
Our Primary Aim is to implement a systems-level intervention focused on increasing access to evidence-based treatment strategies specifically designed to treat STB and NSSI behaviors for the JIY referred to outpatient care by the RIFC First the investigators will conduct a stepped wedge cluster randomized trial with 9 Rhode Island CMHAs who serve JIY After all sites complete a Usual Care phase three CMHAs per year will be randomized to the Preparation Phase to receive training in evidence-based strategies for NSSI and STB using a training program called COPES11 developed by the MPI for inpatient psychiatry units and Emergency Departments transported to CMHAs by Consultant and consistent with recommendations in SAMHSAs Youth Suicide Treatment Guide13 Agencies then move into Implementation Phase for consultation and support followed by a Sustainment phase Second guided by the Reach Effectiveness-Adoption Implementation Maintenance RE-AIM framework the investigators will conduct qualitative interviews and administer agency and provider demographic questionnaires and organizational readiness measures with CMHA providers and administrators to identify system- agency- and provider-level factors that promote or hinder the uptake and sustainment of evidence-based treatment for STB and NSSI at CMHAs serving JIY At the provider level the investigators hypothesize that training in the use of evidence-based treatment strategies for STB and NSSI will a significantly increase the use of these strategies and b the quality of their delivery will be in the acceptable range during the Sustainment Phase At the clientpatient level the investigators hypothesize that the intervention will keep families engaged more than Usual Care phase increase sessions attended and reduce rates of adolescent STB and NSSI that require emergency psychiatric care At the systems level the investigators hypothesize that the training program will be sustained for at least one year and up to 3 years by CMHA administrators The investigators will also examine factors that may affect the effectiveness of uptake and sustainment of the training program ie organizational readiness climate and leadership at each CMHA
Our Primary Aim is to implement a systems-level intervention focused on increasing access to evidence-based treatment strategies specifically designed to treat STB and NSSI behaviors for the JIY referred to outpatient care by the RIFC First the investigators will conduct a stepped wedge cluster randomized trial with 9 Rhode Island CMHAs who serve JIY After all sites complete a Usual Care phase three CMHAs per year will be randomized to the Preparation Phase to receive training in evidence-based strategies for NSSI and STB using a training program called COPES11 developed by the MPI for inpatient psychiatry units and Emergency Departments transported to CMHAs by Consultant and consistent with recommendations in SAMHSAs Youth Suicide Treatment Guide13 Agencies then move into Implementation Phase for consultation and support followed by a Sustainment phase Second guided by the Reach Effectiveness-Adoption Implementation Maintenance RE-AIM framework the investigators will conduct qualitative interviews and administer agency and provider demographic questionnaires and organizational readiness measures with CMHA providers and administrators to identify system- agency- and provider-level factors that promote or hinder the uptake and sustainment of evidence-based treatment for STB and NSSI at CMHAs serving JIY At the provider level the investigators hypothesize that training in the use of evidence-based treatment strategies for STB and NSSI will a significantly increase the use of these strategies and b the quality of their delivery will be in the acceptable range during the Sustainment Phase At the clientpatient level the investigators hypothesize that the intervention will keep families engaged more than Usual Care phase increase sessions attended and reduce rates of adolescent STB and NSSI that require emergency psychiatric care At the systems level the investigators hypothesize that the training program will be sustained for at least one year and up to 3 years by CMHA administrators The investigators will also examine factors that may affect the effectiveness of uptake and sustainment of the training program ie organizational readiness climate and leadership at each CMHA
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01MH129770 | NIH | None | httpsreporternihgovquickSearchR01MH129770 |