Mental Health
Conditions
Keywords
Adolescent, Publicly-insured Youth, Mental Health, Navigator Service, Access, Children
Brief summary
This study will focus on developing and testing a family-based mental health navigator intervention, the Family Mental Health Navigator (FMHN), to evaluate whether the intervention combined with mHealth is preliminary efficacious in improving mental health service initiation and engagement for publicly-insured youth.
Detailed description
The study will demonstrate how a family-based navigator intervention combined with mHealth may lead to improved mental health treatment initiation and engagement among publicly-insured youth. Publicly-insured youth have high rates of mental health symptoms relative to youth in the community, and are disproportionately racial and ethnic minorities, only perpetuating disparities in this population's mental health access and engagement. The proposed project will develop and test a family-based navigator intervention, the Family Mental Health Navigator (FMHN), a natural fit for improving publicly-insured youth's mental health service and clinical outcomes. The study will start with identifying the feasibility and acceptability of the FMHN intervention. Then, the study will determine whether the FMHN intervention improves publicly-insured youth mental health treatment initiation and engagement. Finally, the study will characterize patterns of pre- and post-service outcomes along the behavioral health services cascade of care, to further evaluate the feasibility, acceptability, and preliminary impact of the FMHN model.
Interventions
BEHAVIORALFamily-based mental health navigation
Family-based navigator intervention combined with mHealth practices to improve mental health treatment initiation and engagement
Sponsors
San Francisco General Hospital Foundation
University of California, San Francisco
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This is a within-person, pre-post design in which the investigators will test a theory-driven, family-based navigator treatment engagement intervention (FMHN) while also collecting data on the FMHN model's potential implementation and adoption within a public hospital and behavioral health settings.
Eligibility
Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
Yes
Inclusion criteria
* English-speaking and/or Spanish-speaking youth * Ages 6-17 * Are currently receiving services at the San Francisco General Hospital * Are publicly insured * Have an involved caregiver/legal guardian for consent * Family has mobile phone access
Exclusion criteria
* Youth is not English-speaking nor Spanish-speaking * Caregiver has impairment that would preclude providing informed consent * Unavailable guardian for consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to treatment referral | 12 months post enrollment | Number of days until treatment referral is made |
| Time to treatment initiation | 12 months post enrollment | Number of days until attendance at first treatment session |
| Treatment engagement | 12 months post enrollment | Engagement as measured by attendance in treatment for 6 or more weeks |
Countries
United States
Contacts
Primary ContactMarina Tolou-Shams, Ph.D
Backup ContactJuliet Yonek, Ph.D.
Outcome results
None listed