None listed
Conditions
Brief summary
This study aims to implement standardised sexual and reproductive health (SRH) screening into the Children’s Health Queensland (CHQ) Child and Youth Mental Health Service (CYMHS). CYMHS provides specialist outpatient mental health services to those up to 18 years of age with complex mental health needs. The intervention involves development and delivery of a brief training and education module designed to equip clinicians with the knowledge and confidence required to engage young people aged 12-17-years in consultations around their SRH and facilitate referrals for nurse-led SRH consultations where indicated, through which further SRH information, more advanced screening, and/or other care can be provided.
Interventions
The intervention is to be developed as a part of the study. The sexual and reproductive health education and training module (intervention) will be developed by the study team in consultation with clinicians and young people. The consultation process will involve a half-day workshop with the study investigators and experts in SRH, as well as external input via group meetings with the child and youth mental health service (CYMHS) clinicians consumers and parents/guardians.
The final draft of th
The intervention is to be developed as a part of the study. The sexual and reproductive health education and training module (intervention) will be developed by the study team in consultation with clinicians and young people. The consultation process will involve a half-day workshop with the study investigators and experts in SRH, as well as external input via group meetings with the child and youth mental health service (CYMHS) clinicians consumers and parents/guardians. The final draft of the intervention will be trialed by the study investigator with volunteer child and youth mental health clinicians and the wider study team. Once the intervention has been finalised, the education intervention will be delivered to clinicians in Cluster 1 (three randomly selected community CYMHS sites; intervention cluster/arm) first, along with nursing staff at each community site in both Clusters 1 and 2, and the Forensic CYMHS site. Clinical staff in Cluster 2 (remaining three randomly selected community CYMHS sites; control cluster/arm) will continue as care as usual without receiving the intervention. Once sufficient numbers of clinicians in Cluster 1 have received the training, completed pre- and post-intervention surveys, and the intervention has been in practice for approximately 6 months, clinicians and nurses in Cluster 2 will be invited to participate in the study. The intervention will take form as a one hour, face to face education and training session delivered to clinical staff working within a CYMHS community clinic setting. Participants will receive the intervention as a one-time dose. The intervention will be delivered by two study PIs with extensive experience in sexual and reproductive health and child and youth psychiatry and will cover aspects of sexual and reproductive health such as sexually transmitted diseases, sexual dysfunction (related to mental health medication side effects), consent, healthy relationships and contraception. The intervention aims to increase clinician knowledge, confidence and skills to engage in brief conversations with young people with mental health problems to screen for sexual and reproductive health issues. Nursing staff (1 to 2 per clinic) will receive an extended version of this intervention comprising additional training to support the nurse-led intervention and will address areas such as STI testing and referral pathways for specialised and/or ongoing care. This extended version of the training for nurses will be delivered around the same time that clinicians receive the standard one-hour education module. Nursing staff across both Cluster 1 and Cluster 2 will receive the intervention (nursing education and training) at baseline. Clinical staff working with adolescent clients across the community clinics will be provided with resources to implement the intervention immediately following the delivery by way of conducting screening with their adolescent clients who attend these clinics attend weekly to fortnightly appointments on average, although this varies depending on individual need.
Sponsors
Children's Health Queensland CYMHS service
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
14 Years to No maximum
Healthy volunteers
No
Inclusion criteria
CYMHS Staff Surveys: All clinicians at CHQHHS CYMHS community clinics and Forensics CYMHS will be eligible to participate in the intervention. We will seek to recruit these staff to participate in the pre- and post-intervention surveys, with consent being sought prior to participation. Qualitative interviews: Any clinician from the above sample who consented to a qualitative interview and completed both pre- and post-intervention surveys, and who received the intervention in full (SRH education session). Adolescent clients, and parents/caregivers of adolescent clients Qualitative interviews: a. Adolescent CYMHS clients aged 14-years and over who attended a CYMHS clinic and received mental health care will be eligible to participate in a qualitative interview. b. Parents or guardians of adolescent CYMHS clients who attended a CYMHS clinic and received mental health care will be eligible to participate in a qualitative interview.
Exclusion criteria
Qualitative interviews: 1. Adolescent clients of CYMHS younger than 14 years of age. 2. Insufficient understanding of the English language. 3. Clinicians who are not employed by CHQ CYMHS. 4. Adolescent clients, or parents/caregivers of adolescent clients who are not a patient of CHQHHS. 5. CYMHS clinicians who did not complete all study components; the pre- and post-intervention surveys, and completion of the SRH education session. 4. Any staff, consumers or parents of consumers who are not a patient of CHQHHS. 5. Any consumer who is in state care (foster, residential care etc.). 6. Staff who did not complete all three components of the study; the pre-survey, training and post-survey.
Outcome results
None listed