Child and adolescent mental health disorders Mental and Behavioural Disorders
Conditions
Interventions
All students from schools (public and private) in the districts of Retiro, Moratalaz, Vicálvaro, Rivas-Vaciamadrid, and Arganda del Rey (Madrid, Spain), where the mental health coordination and liaiso
throughout a 12-month follow-up period. For each case in the clinical sub-programs effectiveness study, information related to program accessibility, effectiveness indicators, and efficiency will also
Sponsors
Instituto de Psiquiatria y Salud Mental, Hospital Gregorio Marañón
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All students (age 3 to 19 years) from schools (public and private) in the districts of Retiro, Moratalaz, Vicálvaro, Rivas-Vaciamadrid, and Arganda del Rey (Madrid, Spain) where the mental health coordination and liaison program has been implemented, as well as students from the control schools selected. Parents of these students and teachers from participating schools, as well as from control schools. 2. For the part of the study on the effectiveness of the clinical sub-programs, all students (aged 3 to 19 years) from schools (public and private) where the mental health coordination and liaison program has been implemented, and that are included in these sub-programs. Parents of these students. 3. Informed consent provided by students, parents and teachers.
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Cost-effectiveness of the program will be evaluated by measuring: 1.1. Behavioural and emotional difficulties of the participants measured using the Strengths and Difficulties Questionnaire (SDQ) at baseline, 6, 12 and 24 months of follow-up 1.2. Health-related quality of life of children and adolescents measured using the EQ-5D-Y at baseline, 6, 12 and 24 months of follow-up 1.3. Mental well-being measured in parents and teachers using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) at baseline, 6, 12 and 24 months of follow-up 1.4. Impact of the program on the educational system measured by extracting information from school records (e.g., academic performance, school absenteeism, number of cases of bullying) at baseline, 6, 12 and 24 months of follow-up 1.5. Direct and indirect healthcare and social costs of the program, measured using short questionnaires ad hoc, as well as extracting information from school records, at baseline, 6, 12 and 24 months of follow-up 1.6. Direct implementation costs of the program (e.g., clinicians salaries) 2. Effectiveness of the clinical sub-programs is evaluated with the following variables and measures: 2.1. Overall functionality (in children and adolescents) measured using the Children's Global Assessment Scale (CGAS) at baseline, 6 and 12 months of follow-up. 2.2. Severity of the psychopathology (in children and adolescents) measured using the Clinical Global Impressions-Severity (CGI-S) at baseline, 6 and 12 months of follow-up. 2.3. Improvement of the psychopathology (in children and adolescents) measured using the CGI-I at 6 and 12 months of follow-up. 2.4. Specific psychopathological symptoms (in children and adolescents) measured using specific clinical scales (such as the Hamilton Depression Rating Scale [HDRS], Positive and Negative Syndrome Scale [PANSS]), according to clinician criteria, at baseline, 6 and 12 months of follow-up. 2.5. Health-related quality of life of children and adolescents measured using | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Satisfaction with the Mental Health Clinical Liaison Program, measured in teachers and clinicians (from other mental health services where participants are attended), using a self-device questionnaire, based on the general satisfaction questionnaire administered in other programs/services at the Gregorio Marañón Hospital at 12 months of follow-up or after the patient has been discharged. 2. Accessibility measured using the following indicators at baseline: 2.1. Response time (measured in hours/days): the time difference between the patient referral date and the date the patient is included in the subprogram 2.2. Origin of referral 2.3. Acceptance of referral 3. Efficiency measured using the following indicators after 12 months of follow-up (or after the patient has been discharged): 3.1. Number of discharges 3.2. Average length of stay in the subprogram 3.3. Number of visits per clinician 3.4. Referrals to other public mental health services (such as the community mental health centre) | — |
Countries
Spain
Contacts
Public ContactCelso Arango
Outcome results
None listed