Recruiting

Observational Study

Sponsor:

Children's Hospital of Eastern Ontario

Code:

NCT02590302

Conditions

Mental Health

Eligibility Criteria

Sex: All

Age: 6 - 18

Healthy Volunteers: Not accepted

Interventions

Implementation Phase

Study Details

Brief summary:

The overarching goal of this project is to improve timely access to appropriate mental health (MH) care for children and youth. The investigators will conduct and rigorously evaluate implementations of this pathway in four exemplar hospitals and associated CMHA dyads within a local health region. Outcomes-based validation of this pathway is important for effective adoption in other communities. A multiple baseline study design and conduct interrupted time-series analysis will be used to evaluate whether the EDMHCP has resulted in improved health care utilization, medical management, and health sector coordination. To ensure EDMHCP feasibility in various settings, implementation will occur in four exemplar hospital-community dyads with different workflows and patient populations.

Conditions

Mental Health

Study ID

NCT02590302

Start date

Dec 1, 2017

Status verified date

Jul, 2018

Completion date

Dec, 2019

Anticipated

Primary completion date

Sep, 2018

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 6 - 18

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Ages > 5.99 and < 18 years
  • Presented to the ED of the four chosen hospitals within a selected 8 month time frame (between January, 2016 to May 2017)
  • Mental health issue as their primary complaint (all complaints identified at triage as involving MH \[psychosocial, emotional, behavioural\])
  • Proficient in English.

Exclusion Criteria:

  • CTAS of 1 (Resuscitation)
  • Patient is not medically stable
  • Intubation/PICU care required
  • Direct admission to hospital for ongoing medical management and observation
  • Patients presenting with head injury or post-concussional syndrome

Study Design

Enrollment

3095 participants

Anticipated

Intervention Model

Single group

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

other: Dyads receiving the Implementation Phase

Dyad 1 (CHEO-YSB) Dyad 2 (CGH-CCH) Dyad 3 (WDMH-CCH) Dyad 4 (QCH-YSB)

Interventions

Implementation Phase

Core Components of the implementation intervention include:

  • Hospital and CMHA project commitment
  • Site champion teams (from hospital and CMHA)
  • Memorandum of Agreement between Hospital and CMHA
  • Pre-intervention site visits
  • Education sessions
  • Posters/reminders
  • Instructional videos (HEADS ED video)

Completed pathway implementation includes EDMHCP site-customization and committee approvals, consequent planning and agreements among ED-CMHA partners, delivery of at least two educational workshops, and EDMHCP availability in the ED. An 8-month period for EDMHCP implementation, with negotiated interim target dates was set for each site.

Primary outcome measure

  • Proportion of patients receiving post-ED follow-up on the Services for Children and Adolescents Parent Interview questionnaire [ Time Frame: 24 hours or 7 days ]
  • Proportion of patients with documented mental health recommendations in the medical chart [ Time Frame: 24 hours or 7 days ]

Central Contacts and Locations

Central contacts

Mona Jabbour, MD

613-737-7600jabbour@cheo.on.ca

Cappelli Mario, PhD

613-737-7600cappelli@cheo.on.ca

Locations

Children's Hopsital of Eastern Ontario

Recruiting

Ottawa, Ontario, Canada, K1H 8L1

Contacts

Sheila Ledoux

613-737-7600sledoux@cheo.on.ca

Andy Ng

613-737-7600anng@cheo.on.ca

Principal Investigator:

Mona Jabbour, MD

Winchester District Memorial Hospital

Recruiting

Winchester, Ontario, Canada

More Information

Sponsor

Children's Hospital of Eastern Ontario

Last update posted

Jul 19, 2018

Last verified

Jul, 2018

Keywords

  • Clinical pathway
  • Mental Health
  • Emergency Department
  • Paediatric
  • Risk assessment
  • Service integration
  • Transitions in care
  • Implementation
  • Scoring tools
  • Clinical Pathway Evaluation

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Children's Hospital of Eastern Ontario on 2018-07-19.