Recruiting

Access Support

Sponsor:

University of Colorado, Denver

Code:

NCT04029220

Conditions

Mental Disorder, Child

Mental Health

Family Health

Eligibility Criteria

Sex: All

Age: 1 - 70+

Healthy Volunteers: Accepted

Interventions

Parent Peer Navigation

Study Details

Brief summary:

Nearly one in five children in the United States has a mental health problem that interferes with daily functioning and requires intervention, and yet less than 50% of children who need mental health care receive any services. Families and especially from low-income and ethnically diverse backgrounds, experience a range of barriers to engaging in services for their children including: lack of recognition of problems and knowledge of available treatments, connecting to services, trust in providers, stigma; low income and ethnically diverse populations are especially affected by these barriers. In this work, the investigators propose to carry out initial testing of a research- and theory-based model of Parent Peer Navigation services to help engage families with children with significant but pre-clinical problems in mental health services in order to prevent future poorer outcomes for children, who otherwise may never receive services, or only receive services when their mental health issues become severely debilitating for themselves and their family.

Conditions

Mental Disorder, Child

Mental Health

Family Health

Study ID

NCT04029220

Start date

Feb 18, 2020

Status verified date

Aug, 2022

Completion date

Mar 31, 2023

Anticipated

Primary completion date

Dec 31, 2022

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 1 - 70+

Healthy Volunteers: Accepted

Inclusion Criteria:

PPN provider:

  • Over the age of 18 years
  • Has experience in providing PPN services to families
  • Has lived experience of having a child with mental health challenges
  • Employed by the collaborating Family Run Organization

Parents/Caregivers:

  • Over the age of 18 years,
  • Have a child aged 1-13 with significant mental health symptoms and impairment but who has had no formal mental health treatment

Child:

  • Aged 1-13 years
  • Has significant mental health symptoms and impairment
  • Has had no formal mental health treatment

Exclusion Criteria:

PPN provider:

  • None

Parent:

  • His or her child is in crisis needing more intense levels of care
  • His or her child has been living continuously with parent for less than one year

Child:

  • In crisis needed more intense levels of care
  • Has been living continuously with parent for less than one year

Study Design

Enrollment

240 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Parent Peer Navigation (PPN) by Family Run Organization

In this arm, families receive PPN services from a trained provider with lived experience whose role is to effectively engage parents/caregivers in necessary treatment for their children by helping them connect with assessment, treatment and community-based resources and prepare them to independently navigate the child serving system, community-based resources, and ongoing opportunities for support once the PPN is no longer involved. PPN providers use the foundational competencies and skills to educate, inform and support families who are just entering the child-serving systems due to emerging behavioral health issues of their child.

active comparator: Resources provided by Family Support Organization

The active comparator is service provided by Family Support Organizations (FSOs), which provide information and resources for families about disabilities, special education and other services as well as workshops and parent support groups. Unlike PPN services, FSO staff members are not "veteran caregivers" of a child with mental health challenges, do not provide personalized service delivery, do not provide a comprehensive assessment of family needs, and do not prepare families to make use of services through support for their initial and continued involvement in them. Finally, whereas PPNs participate in comprehensive training and coaching, training for FSO staff tends to be more general and consists primarily of being aware of local resources to which families may be referred.

Interventions

Parent Peer Navigation

Parent Peer Navigation (PPN) is implemented by trained providers with lived experience, who are supported by training and coaching protocols. The role of PPN provider is to engage caregivers in necessary treatment for their children and prepare them to independently navigate the child serving system, community-based resources, and ongoing opportunities for support. PPN providers will support families who are just entering he child-serving systems for 6 months on a weekly basis during which they will: help link families with formal and informal supports; instill confidence and coping skills; assist in the development of goals and crisis plans; and serve as an advocate for resolution of issues. Also, the PPN provider helps the family to learn to navigate systems and advocate for their needs, prepares families for meetings and treatment sessions, helps identify ways for parents to practice self-care; and promotes family choice and shared decision making.

Primary outcome measure

  • Change in Services Assessment for Children and Adolescents (SACA) [ Time Frame: Baseline, 3 months and 6 months ]

Central Contacts and Locations

Locations

University of Colorado School of Medicine

Recruiting

Aurora, Colorado, United States, 80045-7106

Contacts

Allegheny Family Network

Recruiting

Pittsburgh, Pennsylvania, United States, 15213

Contacts

Uplift Wyoming

Recruiting

Cheyenne, Wyoming, United States, 82001

Contacts

More Information

Sponsor

University of Colorado, Denver

Last update posted

Aug 17, 2022

Last verified

Aug, 2022

Keywords

  • Patient Navigation
  • Mental Health Services

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-29. This information was provided to ClinicalTrials.gov by University of Colorado, Denver on 2022-08-17. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.