Adverse Childhood Experiences, Child Development
Conditions
Keywords
Health Services Research, Care Coordination
Brief summary
The study is a randomized controlled trial of a telephone-based care coordination system for families who experienced Adverse Childhood Events (ACEs). The investigators will conduct the study in partnership with Kaiser Permanente School of Medicine (KPSOM) and 2-1-1 Los Angeles County (211LA), part of a national network of 2-1-1 call centers covering 93% of the US population. The study will test the effectiveness of 211LA in increasing referrals and services for families who screen positive for ACEs.
Detailed description
The trial will enroll 200 children ages 0-11 years from the three FQHCs partner clinics, who screen positive for at least 1 ACE during their clinical encounter. The research study team will randomize children 1:1 into intervention (connection to 211LA for ACEs care coordination + usual care) or control (usual care alone). Primary outcomes will include number of referrals to, eligibility for, and receipt of ACE-related services among intervention group participants compared to controls. The investigators will measure these outcomes through parent reported data and 211LA data at baseline and 6 months after enrollment. Expected findings include higher referral and service rates by six months after enrollment among intervention group participants.
Interventions
BEHAVIORALBehavioral: Telephone-based ACEs care coordination
The 211LA care coordinator will use the agency's extensive resource directory to identify and provide appropriate referral recommendations to each family. In addition, they will develop a care coordination plan, noting these recommendations and plans for follow-up, to be provided to the family's clinical care provider. The coordinator will routinely follow-up with the family until 1) children begin receiving services, 2) families refuse services, or 3) children are deemed ineligible by service providers.
Sponsors
Kaiser Permanente School of Medicine
University of California, Los Angeles
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 11 Years
Healthy volunteers
Yes
Inclusion criteria
* A patient in one of the three partner community clinic systems (ChapCare, Via Care and NEVHC) * Child aged 0 - 11 years old * Parent or legal guardian of child at least 18 years of age * Comfortable completing a survey by interview in English or Spanish
Exclusion criteria
* Child or sibling already enrolled in this study * Child or sibling enrolled in the AMP Child Development study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Referrals to ACEs-related services | 2-6 months after enrollment | The percentage of children who are referred to at least one ACEs-related service, as reported on the participant survey. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Receipt of ACEs-related services | 2-6 months after enrollment | The percentage of children who receive at least one ACEs-related service, as reported on the participant survey. |
| Number of referrals received | 2-6 months after enrollment | The number of referrals made for ACEs-related services, as reported on the participant survey. |
| Number of services received | 2-6 months after enrollment | The number of ACEs-related services received, as reported on the participant survey. |
Countries
United States
Outcome results
None listed